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EHR S ystems U se and Q uality in Slovenia. Smiljana Vončina Slavec, MoH Vesna Lešnik Štefotič , MoH. AREA: 20 000 sq km 2 POPULATION: 2 000 000 citizens EXPENDITURES for Healthcare 8,38 % GDP; 3 billions EUR PUBLIC RESOURCES: ( 79,7%) PRIVATE RESOURCES : ( 20,3%).
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EHR Systems Useand Qualityin Slovenia Smiljana Vončina Slavec,MoH Vesna Lešnik Štefotič, MoH EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade
AREA: 20 000 sq km2 • POPULATION: 2 000 000citizens • EXPENDITURESforHealthcare 8,38 % GDP; 3billions EUR PUBLIC RESOURCES: (79,7%) PRIVATE RESOURCES:(20,3%) Countrycontext - Slovenia EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade
Bismarck model • Compulsory health inssurance + Voluntary health insurance for co-payments • Health insurance Institute and 3 private health insurances • Healthcare providers: • 26 hospitals, • ca. 64 primary health centers, • ca. 700 GP offices, • ca. 180 pharmacies • ca. 45.000 employees (ca. 5000 medical doctors) Countrycontext – SloveniaHealthsystem EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade
On line acces to thepatientindex, the HCP indexandto allinsurancedataofthepersonandalso to delivereddrugs – thekey to thedata are HIC and HPC - HIIS • National projecteZdravje (eHealth) - MoH • IT infrastructure (zNET) • portal for eHealth • IT services (e-discharge letters, e-prescription, e-booking, waiting lists, patientsummaries) • epSOS SLO – actively involved in epSOS2 - MoH Countrycontext – SloveniaGeneral IT status/developments EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade
100 % use of administrative part, • Use of EHR: • 50% in primary care, • 90% in hospitals • 20 applications on the market for the different market segments (GPs, hospitals, parmacies) • 10 suppliers • no important changes on the market in last five years EHR systems: market EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade
We intend to solve some regulatory and legal issues in the new law – it was prepared some months ago, but we have to wait for new government (elections in two weeks) • Some standards are requiredin national tenders of eHealth project EHR systems:legal/regulatory context EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade
Prorec.si actively involved in quality labeling Eurorec Seal • 3 SW vendors labeled by EuroRec for 7 IT products • There are some plans to introduce national certification process, but still not realized EHR systems: quality assessment EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade
upgrade information systems for GP to support new approach of continuity of care for patients with chronic diseases – national requirements • improve interoperability in cross border exchange of Patient summaries and ePrescription in epSOS2 • co-finance of local information systems to meet standards like IHE profiles, HL7 CDA EHR systems: initiatives, plans EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade
Smiljana Vončina Slavec Ministrstvo za zdravje Štefanova 5 1000 Ljubljana smiljana.voncina-slavec@gov.si www.mz.gov.si Closingslide EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade