eHealth Development Vision

eHealth ojectives Healthcare systems and network focused on the patient: Not patient runs between institutions but the patients’ data shifts between institutions, always available to the patient and exact

eHealth goals ●Patient safety ●Medical services quality improving ●Medical care accessibility improving ●Patient rights and opportunities expansion ●Medical care continuity

Healthcare reforms goals and eHealth objectives in Ukraine for 5 years Medical Services of the best quality, provided more effectively and at the way is oriented on the patient FAIR FUNDING SYSTEM Which provides the best financial protection and reduce payments to people "out of pocket" The NEW SYSTEM OF PUBLIC HEALTH which will provide Qualitative healthcare services to all BETTER REGULATORY AND INSTITUTIONAL ENVIRONMENT MODERN INFORMATION SYSTEMS IMPLEMENTATION SUPPORT OF NEW FINANCIAL MECHANISMS ONLINE SERVICES IMPLEMENTATION IMPROVEMENT OF PROFESSIONAL DOCTORS SKILLS OF USING ICT

Steps for the goals achievement The regulatory and institutional environment eHealth Architecture Decentralised implementation of modern systems General public identification of the patient The information exchange between the systems. Online services for patients and doctors

Stakeholders Industry Pharmacology Medical equipment Biotechnology Distribution Agencies Employers Payers Healthcare facilities Healthcare facilities Polyclinics Hospitals Primary care facilities Government, MoH Regulators Patient|Citizen IC

eHealth technologies ●Master Patient Index (MPI) ●Electronic Medical Records (EMR) ●Electronic Healthcare Records (EHR) ●Electronic Appointment ●Computerized Provider Order Entry (CPOE) ●Electronic Prescription (ePrescription) ●Picture archiving and communication system(PACS) ●Health Management Information System (HMIS) ●Personal Human Records (PHR) ●Telemedicine ●Internet of Things

EMR-MPI-EHR Electronic medical records Contains: patient medical records in particular healthcare facility Performs: patient medical information gathering in particular healthcare facility Master patient index Contains: different patient identification data Performs: patient registration and search on the base of identification data Electronic health records Contains: unified patient medical records collected in different healthcare facilities Performs: patient data collection and aggregation from different sources

Services for patients Electronic Appointment Contains: patient appointment to doctor information Performs: appointment service providing to patients in suitable time Computerized Provider Order Entry Contains: information about individual doctor’s recommendations for patient Performs: convenient service for doctor’s recommendations providing Electronic Prescription Contains: prescription for the medicines given to patient Performs: doctors and pharmacies cooperation functions for the patient benefits Personal Human Records Contains: patient medical records Performs: access services to health records for the patient providing

Current situation in eHealth in Ukraine ●Narrow specialized national electronic registries work in different facilities ●Separate hospital information systems for the healthcare facilities ●Regional electronic registries Problems: ●Lack of standardization and corresponding level of data security ●Lack of interoperability between systems ●Using of some systems does not regulated by legal acts

Logical architecture vision

eHealth components Government and Management Strategy and Investment Services and Applications Standards Infrastructure Legislation, Policy and compliance Employees

Central component of eHealth

eHealth in regions ●In most of regions runs from 10 to 20 national and regional registries ●eHealth concepts elaborated and adopted in some regions ●Approximately 50% of regions indicate that in separate healthcare facilities already works hospital information systems or implementation is in the progress ●All regions indicate on significant problems: Absence of stable and high-speed Internet connection, especially in countyside Not enough number of computer equipment and outdated technical equipment Absence of employees for the maintenance of infrastructure, software and secureity systems at a sufficient level

Плани розвитку 2016 year ●Adoption of standards (Medical classifiers, Data exchange standards, etc.) ●Continue of regional systems and national registries development with new level of information security 2017 year ●Design of central component architecture ●Central reference registries development ●Control for standards compliance of separete systems ●Regional systems and national registries integration with cental reference registries ●Necessary information about healthcare services collection for the new financial mecanizms development years ●Master patient index development ●ePrescription development ●Data exchange between separated systems on the base of adopted standards 1. BETTER REGULATORY AND INSTITUTIONAL ENVIRONMENT 2. MODERN INFORMATION SYSTEMS IMPLEMENTATION 5. ONLINE SERVICES IMPLEMENTATION 4. IMPROVEMENT OF PROFESSIONAL DOCTORS SKILLS OF USING ICT 3. SUPPORT OF NEW FINANCIAL MECHANISMS

THANK YOU! April, 2016 State Enterprise “eHealth Center”