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EHealth Strategy for Romania Dr. Andrei KOZMA Minister of Health’s Adviser Sep 2010.

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Presentation on theme: "EHealth Strategy for Romania Dr. Andrei KOZMA Minister of Health’s Adviser Sep 2010."— Presentation transcript:

1 eHealth Strategy for Romania Dr. Andrei KOZMA Minister of Health’s Adviser Sep 2010

2 Ministerul Sanatatii Integrated Health Information System (IHIS) eHealth vision Future expectations Electronic Data Management

3 Ministerul Sanatatii  Medical practice evolution:  From the treatment of acute illness, to the prevention of disease;  From considering each patient as an isolated entity, to perceiving the patient as a member of a population;  From a focus on the individual, to the broader perspective of public health  From paper documentation to an electronic, paperless environment eHealth vision

4 10/10/  In order to obtain optimal results, a National Health Information Strategy is required:  Interoperability  Security  Data confidentiality  Cost-effectiveness  Standardisation IHIS eHealth vision Ministerul Sanatatii

5 10/10/20145  The eHealth system should be designed in a manner that would offer the best possible results for its main beneficiaries: the patients IHIS eHealth vision Ministerul Sanatatii

6 10/10/20146 Electronic Data Management  Patient related medical data, gathered in a consistent and uniform manner, nationwide, constitutes the Electronic Patient File (EPF), sometimes referred to as Electronic Medical Record (EMR)  EPF is generated at birth, is updated throughout the patient’s life and is stored in the system for an undetermined period of time.  EPFs must be interoperable, secure, consistent, safe and must ensure data confidentiality. IHIS Ministerul Sanatatii

7 October 10,  All medical service providers must contribute in the EPF in a standardized format.  This does not mean all medical service providers must use the same Health Information System, but the Ministry of Health should enforce the use of a minimum set of standards, in order to ensure interoperability.  The medical data stored in the EPF can be accessed by the authorised clinicians at any time and from any location. Electronic Data Management IHIS Ministerul Sanatatii

8 eHealth objectives (1/2): October 10,  Improved quality, safety and efficiency of the clinical processes  Timely access to patient electronic medical data whenever and wherever they are needed  Patient access to their own medical records and to relevant health information  Communication and information exchange between multi-disciplinary medical teams Future expectations IHIS Ministerul Sanatatii

9 eHealth objectives (2/2): October 10,  Extensive use of international best practice guides and procedures  Unified national healthcare and health insurance data collection, both in the public and private health system  High level of security, confidentiality and control in relation to information management  Continuous health system improvement by ensuring a transparent and optimized reporting process  Implementation of a better informed health strategy Future expectations IHIS Ministerul Sanatatii

10 Chronic Disease Management October 10,  Chronic diseases:  are long term conditions (over 6 months)  are not contagious  produce certain disfunctionalities or handicaps  in most cases, do not improve over time  are rarely healed completely  Chronic diseases are the main cause of death and morbidity, e.g. Europe (87% of all deaths, in high income countries, according to WHO – World Health Organisation) Future expectations IHIS

11  CDM represents a systematic approach to improving the quality of the medical services provided for the chronic disease patients. Chronic Disease Management October 10,  Instrument: an efficient system for the remote monitoring of chronic disease patients and the prevention of related medical complications Future expectations IHIS Ministerul Sanatatii

12  Remote medical monitoring  enables medical professionals to monitor a patient remotely using various technological devices  Improves the quality of life for chronic disease patients, by reducing the number of hospital admissions  e.g. Electrocardiogram by phone Telemedicine October 10,  Interactive telemedicine services  Teleradiology and teleconsultations: shorter waiting lists, optimized use of resources Future expectations IHIS Ministerul Sanatatii

13 Telemedicine October 10,  Homecare devices and applications  Glycaemia measurement devices  Blood pressure measurement devices  Devices for the recording of vital signs and other clinical indicators Future expectations IHIS Ministerul Sanatatii

14 10/10/ IHIS Major Components Electronic Health Record CDM – Chronic Disease Management e-Prescribing Health Cards Ministerul Sanatatii

15 October 10, Health Cards  Only after interoperability and infrastructure availability are ensured can we talk about a viable Electronic Health Card system implementation. IHIS Major Components Ministerul Sanatatii

16  The experience of other EU states regarding Health Cards indicates that, whenever an implementation was successful, the cards were used as identification devices, rather than data storage.  [ In Germany, the efforts made over the last 8 years to implement a National Health Card System have not materialized yet.]  Even so, we consider that the introduction of a Romanian Health Card could have beneficial effects if proper approach and goals are adopted. October 10, IHIS Major Components Health Cards Ministerul Sanatatii

17  Stores administrative information regarding health insurance.  Confirms the right of the patient to have access to medical treatment. Health Card Functions October 10, Health Cards IHIS Major Components Ministerul Sanatatii

18  Requirements:  new forms  new types of printers  reliable Internet connection Introduction October 10,  The existance of a well structured EPF system offers the basis for the implementation of a national ePrescribing system e-Prescribing IHIS Major Components Ministerul Sanatatii

19  Advantages of an electronic prescribing system:  clear prescription text  minimization of human errors, through the implementation of a prescription validation expert system  limitation of fraud risks to the system  facilitates efficient resource management  automatic reporting process Introduction October 10, e-Prescribing IHIS Major Components Ministerul Sanatatii

20 Prescription example (standard form) October 10, Medication details 2D Barcode – contains details about the medication and the patient Unique identifier Patient related data 1D Barcode – contains form number and doctor’s ID number e-Prescribing IHIS Major Components Ministerul Sanatatii

21 October 10,  Pre-requirements:  Standardized, complete and correct electronic medical data collection  Existence of IT tools for data analysis and statistical reports generation Action: National EHR (Electronic Health Record) implementation Objective: resource allocation and management according to national or even EU-level policies Electronic Health Record IHIS Major Components Ministerul Sanatatii

22 EHR – Electronic Health Record October 10,  EHR is a complex system (comprising of hardware, software, people, policies and processes) which:  Gathers data from multiple sources  Is used by clinicians as a primary information source at the point of care  Offers decision support in evidence based healthcare.  The term describes the highest level of functionality in medical data computerized management Electronic Health Record IHIS Major Components Ministerul Sanatatii

23 October 10, Information systems Electronic Patient File Medical service providers Primary level Decision level Decision makers Medical data Economic data Electronic Health Record eHealth system structure Decisions IHIS Major Components Ministerul Sanatatii

24 10/10/ Conclusion eHealth Strategy Ministerul Sanatatii

25  This presentation, too brief - considering the importance of the issues in hand, aims to mark the importance of: October 10, Conclusions eHealth Strategy  a coherent and stable (at least – for mid-term) eHealth strategy  proper definition of the roadmap and milestones  appropriate funding for each of the steps to be taken Ministerul Sanatatii

26  Benefits:  Deployment at a national level of an integrated eHealth system, part of a national eHealth Vision  Reuse of solutions and experience from similar countries  Use of the state of the art technologies  Unique patient health record  Infrastructure and information to support the long term health strategies  Improved health services and quality of life October 10, Conclusions eHealth Strategy Ministerul Sanatatii

27 Thank you for your attention! 10/10/ eHealth Strategy for Romania Dr. Andrei KOZMA Ministerul Sanatatii


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