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EHR S ystems U se and Q uality in Greece

EHR S ystems U se and Q uality in Greece. Angelina Kouroubali, PhD Affiliated Researcher FORTH. Information Society SA State-owned firm offering project management expertise to the Greek public sector in the fields of IT projects and of re-engineering public administration processes.

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EHR S ystems U se and Q uality in Greece

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  1. EHR Systems Useand Qualityin Greece Angelina Kouroubali, PhD Affiliated Researcher FORTH EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  2. Information Society SA • State-owned firm offering projectmanagement expertise to the Greek public sector in the fields of IT projects and of re-engineering public administration processes. • The firm currently runs projects co-funded by the European Union and national funds. Source of Information EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  3. The Health Sector in Greece • 140 public hospitals • 35,814 beds • 6 private hospitals • 1,420 beds • 179 private clinics • 14,528 beds • 187 primary care centres • 60,4 physicians/10000 inhabitants ~ 11 M inhabitants 7 health regions EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  4. Secondary care is the main point of interaction between the system and the citizens. • Healthcare IT is seen as one of the major tools to achieve cost cutting The Health Sector in Greece EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  5. 2003-2009 • 13 Regional Healthcare IT Projects (OPSY) • undertaken by Information Society SA • total cost: ~50M • ~60% completed • Applications • ERP, Patient Administration, Medical Applications (EHR), LIS, MIS, primary care IS • DRGs are being introduced to hospitals IT status/setup/developments EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  6. Enterprise • ERP, Patient Administration • Medical Applications (EHR) • LIS, MIS • primary care IS • Cross Enterprise • Central patient registry, Regional MIS • RHA portal, Integrated booking service • I-EHR IT Applications EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  7. Market penetration • Public Sector: primary care <10%, secondary care 30% • Private Sector: primary care 30%, secondary care 50% • Number of applications • ~ 20-30 • Market segmentation • Total % of top 3 systems: 50% • Number of suppliers • ~ 10-15 • Evolution of the market last five years • Rapid development (OPSYs) with periods of stagnation EHR systems: Market EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  8. Legislation for data protection / security • EHR Legislation: No ... But • EHRs need to be in place due to the country’s obligations towards Troika (Memorandum II) • Functionalities • Information Society SA (OPSY) RFPs have been widely used as a common reference point • OPSY RFPs required HL7 compliance EHR systems:Legal/Regulatory context EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  9. EHRQ TN project • Workshops to raise authority/vendor awareness • Certification of one of the top 3 vendors with the EuroRec Seal 2. • Quality requirements are project based • Assessed within the project • National quality assessemnts is not in place EHR systems:Quality Assessment EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  10. 13 regional healthcare it systems • basic EHR implementation • New national project for 30 hospitals • includes central EHR (18M budget) • Study to establish a national EHR roadmap • ~1M budget • Pilot e-prescription program • covering ~20% of all prescriptions in the country • National e-prescription project (tender phase) • ~25M budget • Study for a national interoperability framework • ~300k budget • No initiatives for quality labelling & certification EHR systems: Initiatives & Plans EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  11. Follow European guidelines • Calliope, epSOS, digital agenda • Focus on financial aspects of healthcare • Need to establish national infostructure Initiatives & Plans EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  12. Gradually benefits start to become apparent. • End users become aware that effort goes beyond their own department creating a sense of integration • Departments that benefit most from the system embrace it. • New ways of working create a critical mass of users with new mentality, making it harder to revert to old ways. Ideas - Proposals EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  13. Thank you for your attention Angelina Kouroubali kouroub@ics.forth.gr EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

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