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Current status on eHealth in Hungary

Explore the current status of eHealth in Hungary and the ways it is being developed in the Hungarian healthcare system. Learn about the challenges and initiatives in creating an interoperable eHealth system, as well as the future vision for eHealth in Hungary.

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Current status on eHealth in Hungary

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  1. Current status on eHealth in Hungary Ways of development in Hungarian Healthcare Peter DOMBAI eHealthexpert GYEMSZI – Institute for Quality- and Organisational Development for Healthcare and Medicine Antilope V4 eHealth Interoperability SUMMIT Bratislava, 26th February 2014

  2. Agenda • Starting point: current status • Cooperative space: a newbasisuntil 2015 • Interoperability & its testing: makingthestep 0 • Futurevision

  3. Starting point • Strong historicalbackground • electronichealthcaredatacollectionexperimentingsincethe ’70s • electronichealthcarereportingsince 1992 (DRG) • Sendingunencryptedflat file databaseexportson floppy discs • Isolatedgovernmentaldatabasescreatedonheterogenoustechnicalenvironments • The mono-insurancemodelcreated a considerablywealthydataasset

  4. Starting point (2) • Fruitsover-ripening • thosesystemsworkedquitenicely and servedtheirusers/utilizerswell:no internalneed of developmentarised • forsomegovernmentaldatabases no electronicaluse (ornouseatall!) wasdefined, thatresulted in baddataquality • governmentalagencieswereprotectingtheirowndatabases (and theirdutiesas a token of stayingalivethroughouthealthcaresystemreforms):no data-sharingpracticesarised • IT-systemsbelongtothehigh-techcomponents of healthcare: rocketsciencecosts a lot– in an environment of continuousshrinkageofresources and reducingnumbers of hospitals, nobodygivesmoneyfor IT happily • The onlydevelopmentcamefromthemust, like: • newgovernmentalagenciesand/ornewdutiescreated • IT technologylikefloppy, databaseenginges, etcgoinglegacy(westillhave software workingfrom 1992 atthe National Health Insurance F.) • Internet and email penetratestheworld

  5. Starting point (3) • Breakout (firsttry) • 2004 „HEFOP” – Human ResourceDevelopmentOperativeProgramme, Priority4.4 • Scope: HospitalInformationSystem (HIS) datasharing • Budget: cca. EUR 16M for 3 of 7 regions • Results/Experiencegain: • Interoperabilityreachedtechnicallevel(semanticleveldid not workproperly) • Sectorialgoalssufferedfromlettingthe lead toconsortiums of hospitals and HIS vendorinvolvementwassecondary

  6. Secondchance • Semmelweis Plan – released in 2010 • Creating a service-orientedHealthcare System • SupportingfinancialsavingsthroughIT-supportedhealthcareoptimization (patientpathways) • Financial basis: 2007-2013 projects (cca. EUR 100M) • eGovernmentOP: renewinggovernmentalsystems • Society infrastructure OP: creatingthenationaleHealthsystem (theeHealth Cooperative Space) • Society renewalOP: renewing/redesigninghealthcaredecisionmakingwiththenewIT-basedtechniques

  7. The eHealth Cooperative Space • The healthcare IT cooperationshould not be basedonyours/minethinking • Itshould be a publicutilitylikewaterducts and/or post office • Itshould not influencethetechnologiesusedattheendpoints (dataproviders/datasharers) • Itshouldfacilitategovernmentalagenciestoredesigntheirsystemsasback-ends of servicesofthe Cooperative Space

  8. “A” governmentalarea, agencies • “C” definitvecaregivers • “B” thespace and sevicesprovidedbythespace • “P” public connector • Everybodycankeeptheiroriginalsystems • Data transferformat and content is standardised • Cooperative, sectorialservicesareprovided: checking a doctor ID’s validity is not an agencyaction. • Besidemessagedelivery and contentvalidationotherservicescan be performed 8

  9. The 3 projectscreatingtheSpace

  10. Interoperability: standards, testing and certification

  11. Futurevision • Maintenance, Horizon 2020 and National OPs • Identify and standardizebestpractices of usingtheNational eHealthsystem • KeepupwithgrowingNeHSuse • AddingnewservicestotheNeHS • AttachingnewagenciestotheNeHS • Integration of theNeHStotheEU-levelsystems

  12. Thankyouforlistening! Peter DOMBAI dombai.peter@gyemszi.hu +36 70 62 98 982 12

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