1 | 19 TML– out 07 S. Jorge – 1 de Junho 2007 Public Health Digital Information System – Azores Region SIS-ARD AER Committee 2 "Social Policy & Public Health” TML - 23rd Oct 07

2 | 19 TML– out 07 Outline 01 Environment Saudaçor 02 SIS-ARD Project 03 Conclusion >

3 | 19 TML– out 07 Environment Saudaçor  Saudaçor S.A. – Autonomous Society doing health management for the Azores Government  patients  3 Hospitals, 1 Oncology Center (COA), 11 Health Facilities, 2 Health Island Units and 130 Health Posts;  Health Profissionals ;  patient appointment/year – health Facilities  patient appointment /year - Hospitals

4 | 19 TML– out 07 Situation Why are we changing? Not enough tools to support administration procedures and rules Not enough tools for SRAS Management Not enough tools to manage HR, Financial and materials/procurement Absence of automatized information Health working for services, not for patients Costs of insularity and population isolation

5 | 19 TML– out 07 Outline 01 Saudaçor 02 SIS-ARD PROJECT Model What is SIS-ARD? The solution pillars Global vision Benefits 03 Conclusion >

6 | 19 TML– out 07 Patient is top priority; we need quality services to be offered to the citizens; New chains to interact with citizens, new way of thinking; Working in a chain, linked with all SRS stakeholders; Citizens’ information under a single registry; Coordination between the teams involved in patient diagnosis and treatment; this way services are improved and treatment is more effective; Professionals can consult and add to patient information regardless of the chosen health centre; Fast and easy access to all information; Standardization of procedures across the 9 islands, information on time! SIS-ARD Project Model

7 | 19 TML– out 07 SIS-ARD Project Information System Nowadays! Health Facilities with different solutions,working well but on their own! 15 de Novembro 2006

8 | 19 TML– out 07 SIS-ARD Project What is SIS-ARD?   Improving the RAA health system;  Managing all the SRS resources on time;  Creation of an interactive relationship with the community;  Centralization of information on the patient. Regional network health system A health information system composed/integrated by all informatized solutions (clinical and non-clinical) interacting with the many regional health system stakeholders. The main objectives are :

9 | 19 TML– out 07 SIS-ARD Project The 5 pillars of SIS-ARD 1 Clinical History per patient Citizen Card Autentication Management at all levels C.S. Health Centers Primary Care Hospitals and COA

10 | 19 TML– out 07 Extranet Configuration system Human Resources Financial Resources Material Resources Audit Professional Patient GLOBAL SOLUTION Regional Patient Database Health institutions Information System FICHEIRO CLÍNICO (PROCESSO CLÍNICO) SERVIÇOS DE GESTÃO CLÍNICA SERVIÇOS DE GESTÃO ADMINISTRATIVA SERVIÇOS DE GESTÃO DE REQUISIÇÕES Administrative Management Requisitions Management Clinical system Electronic HealthRecord Data WareHouse xx Portal Contact Center E-learning SRAS Information System Decision Emergency Health Autority Public Relations

11 | 19 TML– out 07 SIS-ARD Project Benefits MANAGEMENT HEALTH PROFESSIONALS PATIENTS 

12 | 19 TML– out 07 SIS-ARD Project Benefits MANAGEMENT Quality and timely information for better decision-making Integrated management: improving health management, optimizing health investment and increasing quality HEALTH PROFESSIONALS Easy access to patient information No more duplication! More information for the decision process! Better research and development Easier access to information between health profissionals PATIENTS Information of each citizen under a single registry and acessible to all SRS Reduction of bureocracy Information flows on, the patient stays! New network channels with the citizen ( , sms, etc.) 

13 | 19 TML– out 07 SIS-ARD Project - Implementation Team Work -Group

14 | 19 TML– out 07 Outline 01 Saudaçor 02 SIS-ARD Project 03 Conclusions Challenges and risks >

15 | 19 TML– out 07 Conclusions Project Challenges and Risks management of change; common language; knowledge and technology transfer technology integration and application; information security; Communication; Profissionals involvement; Teaching; Homogeneous solution; Adoption of credible and trustful products Technological Organizational

16 | 19 TML– out 07 Conclusions Challenging Management Human Research Political and Best Practice Teaching Communication Leadership Main reasons why people don´t change: Impact on people Impact on the organization Can´t do Don´t know Don´t want

17 | 19 TML– out 07 Can you describe in one word or phrase the SIS-ARD Project?

18 | 19 TML– out 07 It could be used sometimes, but on daily doctors appointments will take so much time to manage.... Patients and doctors aren´t used to it so changing it will not be necessary…. Changing the rules! One computer on a Doctor´s practice … The London Time 1834 (comments about the stethoscope) Conclusions Challenging Management

19 | 19 TML– out 07 Thanks