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STRATEGY, ACCREDITATION, SECURITY AND CLINICAL GUIDES DEFINITION:

STRATEGY, ACCREDITATION, SECURITY AND CLINICAL GUIDES DEFINITION: Clinical guides creation and broadcast. NHS Security Strategy. Centres and units accreditation. STRATEGIES AND EQUITY ON HEALTH MATTERS:

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STRATEGY, ACCREDITATION, SECURITY AND CLINICAL GUIDES DEFINITION:

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  1. STRATEGY, ACCREDITATION,SECURITY AND CLINICAL GUIDES DEFINITION: • Clinical guides creation and broadcast. • NHS Security Strategy. • Centres and units accreditation. • STRATEGIES AND EQUITY ON HEALTH MATTERS: • Health strategies (Mental Health, Neoplasms, Palliative Care, Diabetes, EPOC, Rare Illnesses). • Gender and health equity strategies. • Woman’s Health Observatory. STRATEGY QUALITY AND INNOVATION NHS • INFORMATION AND KNOWLEDGE MANAGEMENT: • 110 NHS Key Indicators / Statistic Portal. • National Health System Observatory. • NHS Information Systems full development. • NHS Virtual Library. • ELECTRONICAL CASE HISTORY • AND DIGITAL PRESCRIPTION: • Digital Health Record in the NHS development: • Personal Health Card Database. • Central node, NHS intranet. • A.C. and Scientific Societies • consensus. • Electronic Prescription development. • HCD European Project. EQUITY,QUALITY AND INNOVATION ON THE NATIONAL HEALTH SYSTEM

  2. Expert Panel Evidence Regions Prioritization methods Present situation Multidisciplinary involvement Strategy NHS-IB Implementation HEALTHCARE STRATEGIES • Ischemic heart disease • Diabetes • Mental health • Cancer • Palliative care • - Etc.

  3. e-HEALTH: ELECTRONIC HEALTH RECORD IN SPAIN JOINING EFFORTS TO REACH THE FUTURE • Digital health records • Personal health card • Electronic prescription

  4. INFORMATION CIRCULATES

  5. Federal: No Central Data Base but Exchange Data System Central node Healthcare Intranet SNS Regional Intranet Regional Node Healthcare Healthcare Healthcare Healthcare Healthcare Healthcare Healthcare Healthcare

  6. 803411 ANDALUCIA ARAGÓN 803410 BUILD AN UNIFIED PERSONAL HEALTH CARD DATABASE • With an unique identifier for each person • Developed in collaboration with the 17 regions • Integrated with all the EHR of the Country • Universal coverage (45 million users)

  7. Patient Summary Primary healthcare reports Informes de Urgencias Informes de Urgencias Emergency Room Reports Informes Alta y Consulta Discharge & Sp. Surgery rep. Informes Alta y Consulta Nursing Care reports Lab tests Imaging Imagen Imagen Imagen Imagen Imagen Imagen Imagen Imagen Imagen Imagen Imagen Imagen Other tests Otras pruebas Otras pruebas Otras pruebas AGREED SCOPE AND CONTENT Scope: To provide professionals and citizens with access to any clinical datasets that are relevant for healthcare (including diagnostic imaging) Electronic documents:

  8. C. Discharge Report Consultation Report Emergency Room Report Summarised Medical Record Primary Health Care Report ARS Lab Tests Report Imaging Tests Report Imaging Attributes Nursing Care Report HOW? • Professional Consensus (37 Professional Citizens and Technical Associations) • Agreement on the contentsof the e-documents • Work Groups: Group 1 • Group 2 Group 3 Group 4 Group 5 Group 6 Group 7

  9. 60 Million Centralized Appointments in 2007 (data from one region of 8 million inhabitants) Web Centralized appointment B D U Back Office Telephone CEIS Users eMail Presential Data Warehouse Others channels

  10. OUTCOME: Improve effectiveness in primary care Provides users with access to pharmaceutical facilities thus making it unnecessary for patients in poor health to go in person Simplifies and speeds up authorization of prescriptions . Increases time devoted to patients. 22% LESS OF UNNECESARY VISITS….22% MORE OF AVAILABLE TIME OF GPs Entire treatment prescribed by specialists Possibility of better support for correct prescription Significant promotion of Pharmaceutical Assistance Reduction of management expenses and billing of prescriptions. Improved follow-up and control of rational use of drugs (RUD) Correct assignment of responsibility in RUD among levels Greater control in alerts and pharmacovigilance programs

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