E-HEALTH INVESTMENTS AND FUTURE OF HEALTHCARE IN TURKEY - Mahir Ulgu, MD General Manager Directorate of Health Information Systems Health Ministry ...
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E-HEALTH INVESTMENTS AND FUTURE OF HEALTHCARE IN TURKEY Mahir Ulgu, MD General Manager Directorate of Health Information Systems Health Ministry of Republic of Turkey @ enabizsistemi
Brief History
Until 2004 – Hospitals were operating manually with minimal information
technologies. There was no Hospital information systems (HIS).
In 2004: CKYS (ERP and HR systems) as well as TDMS (Financial system) was
developed.
2004 – Ministry of Health published a regulation allowing hospitals to manage
information technologies.
2007 – Re-imbursement system was developed country wide by SGK. There was
no standards on data sent to SGK to payments but it was mandatory.
2008-2009 – health.net v.1 was developed that aggregates all patient data from
hospitals. HL7 was the standard data format.
National Health Dictionary/Table was developed.
@ enabizsistemi
Brief History
2010 – MHRS (Centralized Doctor Appointment System) was developed.
2014 and on: E-Nabiz (National Patient Portal) began development.
Beginning of 2015, E-Nabiz became online serving citizens across the country.
Before data quality was poor, thus we have been developing standards, testing
and measuring data quality. Data quality is much better now.
We have started EMRam studies with collaboration of HIMSS.
We are regulation, verifying and certifying vendors.
@ enabizsistemi
Standards Since health information technologies are changing and improving, we need constant evaluation as well as improvements on existing standards and develop new ones when necessary. Registration, implementation, verification and testing of standards should be done by authorities. Data quality should be measured and improved for better evidence based decision support systems. @ enabizsistemi
Patient Engagement Engaging patients through new technologies and tools facilitates communication and educates them about their conditions and treatment options. Quality improvements to physician-patient interactions lead to better-informed patients and get them more involved in their healthcare. Patients become more active on managing their own healthcare. @ enabizsistemi
Patient Experience While increasing the quality of healthcare services, measuring patient experience is essential. Based on real time patient experience data and analysis, services can be improved within hospitals, cities or nationally. Also, patients will be satisfied services and happy. @ enabizsistemi
Appointments & Optimizations With MHRS we have centralized doctor appointment system, up and running since 2010. We have approximately 55 million citizens booked their appointment via MHRS. MHRS created enormous amount of efficiency and resource savings. We are working on appointment workflows to better optimize hospital visits. @ enabizsistemi
Patient Portal
Patients are able to manage their health records online, anytime and from
anywhere.
E-Nabiz have the following set of services: Visits, Prescriptions, Medications,
Diagnosis, Appointments, Radiologic Images, Sharing Medical Records with
Others, Blood donation, Organ donation, Medication Reminder, Emergency
button, Emergency notes and Patient Documents. All online all in one place.
Android and IPhone Apps are also available to help patients control their on
going healthcare.
www.enabiz.gov.tr
@ enabizsistemi
Health Awareness & Educating Patients New communication technologies can support a transition from institution centric to patient centric applications. Advances and innovation in information technologies will introduce new design approaches for healthcare delivery and patient educations. Healthcare IT has the potential to empower patients and support a transition form a role in which the patient is the passive recipient of healthcare services to an active role in which patient is informed and has choices and is involved in the decision making process. @ enabizsistemi
Chronic Disease Management
Patients with chronic diseases are increasing day by day.
The numbers are staggering and overwhelming for healthcare providers.
Technology, innovation and connected health would help.
Connected health technologies can also enable more efficient use of
resources, resulting in higher quality care at a lower cost.
@ enabizsistemiTele Medicine & Tele Radiology Integration with tele medicine and tele radiology systems will improve the healthcare quality in terms of efficiency, quality and cost savings. Moreover, residential care service will be more effective with telemedicine, which will increase patient satisfaction. We need constant improvement and development with tele medicine and tele radiology. @ enabizsistemi
Real-time Surveillance Monitoring With real time surveillance we will have the opportunity to implement proactive risk mitigation as soon as possible and potentially limit patient harm. Risk managers can be alerted in real time to follow up and take actions on particular cases. Taking action in real time can potentially prevent harm from happening altogether. @ enabizsistemi
Business Analytics and Decision Support Systems We have learned how to create great dashboards and reports from health data. However, there is long path in front of us. There are lot of questions as well as problems, awaiting answers and therefore we need efficient, robust and detailed business analytics and decision support systems. @ enabizsistemi
Mobile Health & Wearable Health Trackers
OKSİJEN
DOYGUNLUĞU
AKILLI
BİLEKLİK
AĞIRLIK
TANSİYON ŞEKER ÖLÇÜM CİHAZI
ÖLÇÜM CİHAZI
SOLUNUM
CİHAZI
OKSİMETRE
TÜM GSM OPERATÖRLERİNİN MOBİL SAĞLIK
UYGULAMA VE CİHAZLARI
ATEŞ
ÖLÇER
@ enabizsistemiBig data, Integration and Interoperability
Electronic health records from hospitals, mobile devices, telemetry and wearable
health trackers creates enormous amount of health data.
We need real time technologies to process, analyze and generate reports from
large data sets.
Moreover, we need integration and interoperability across enterprise systems to
make better decisions, manage risks, and provide better healthcare.
@ enabizsistemiE-HEALTH INVESTMENTS AND FUTURE OF HEALTHCARE IN TURKEY Mahir Ulgu, MD General Manager Directorate of Health Information Systems Health Ministry of Republic of Turkey @ enabizsistemi
FUTURE INVESTMENTS IN HEALTHCARE: WHERE IS THE CHILEAN PUBLIC SECTOR GOING? Edgardo Pino Kempowski @ salud_digital
Arica
Iquique
Public Healthcare Macro region
Network Antofagasta Norte
Atacama
Macro region
Macro region
Metropolitano Norte Centro Coquimbo
Valparaíso San Antonio
Norte Chico
Metropolitano Occidente
Viña del Mar Quillota
O'Higgins Centro Norte
Aconcagua
Metropolitano Central Maule
Talcahuano Centro Sur
Ñuble Bío Bío
Metropolitano Sur
Concepción
Araucanía Sur Sur
Metropolitano Sur Oriente Valdivia Arauco
Osorno
Metropolitano Oriente
Chiloé Reloncaví
Aysén
One Public Healthcare
Network, seven macro
regions, 29 healthcare Macro region
Magallanes
districts Extremo Sure-Health conceptual map: Ministry of Health, Chile
Services & Contactability Medical Commission for Leave & SIAS
Disability
Users Administration
Citizens Participation, Remote
Medical leave, Public and Private Health Insurance,
Assistance, Health Campaigns
Disability and Impairment
and Security
Master Patient Index
Longitudinal MoH Management Systems
& Terminology
Health Record SIRAPS, GRD, SIS-Q, LE & Others
Services
RIS/PACS, LIS Decision Making Support System
National Health DW Dashboards
Sanitary Authorisation and
Control, Public Health
SIDRA Surveillance, Health
Electronic Health Record Clinical Care Processes Management Promotion and Prevention
ICT Infrastructure
Personal Computers Telemedicine Technology
Servers Contact Centre
MoH Communications Network Technology ArchitectureInvestments 2016 - 2020
• ICT Infrastructure
Product Quantity Investment
PC services From 40,000 to 70,000 USD 1,200 /PC-3yr
Telemedicine equipment 132 teleasistence kits USD 4 million
& services Teleradiology services USD 1,5 million - yr
MoH network Connects 1,600+ healthcare centres (voice, USD 22 million - yr
data, image)
ICT for new hospitals 20 hospitals built, 20 under construction and USD 320 million
20 in design/procurement phase for 2018
Contact centre Single-window multichannel platform for USD 4 million - yr
patients’ servicesInvestments 2016 - 2020
• Connected Healthcare
Product Quantity Investment
EHR Clinical & administrative USD 450 million
processes for all Hospitals and
Primary Care
RIS/PACS Hybrid model with central USD 33 million
RIS/PACS by macro region
Longitudinal Health Pilot project in 1 macro region, USD 12 million
Record and DWH including MPI and Clinical
TerminologiesSo…e-Health related investments 2016 - 2020 • USD 1,040 million • Enough for different economic and political sectors to look at e-Health as a driver for ICT innovation and econmic growth
Health + Development: Strategic Development Programme
Economic development through IT Innovation in Healthcare
Research
&
Innovation
Centre for
Standards &
Certification
Development Trials in
& Clinical
Prototyping Fields
PeopleTHANK YOU! Edgardo Pino Kempowski ICT Strategic Planning, Ministry of Health, Chile edgardo.pino@minsal.cl @salud_digital
SOUTH AFRICAN GAUTENG PROVINCE EHEALTH TRANSFORMATION Michael Graetz EMEA Health RVP, ECD, EMC @ graetz_m
Background and Challenges
• Gauteng Dept. of Health operates 40 hospitals and
hundreds of clinics that serve a population of appx
8.5M Plus people
• In ability to produce medical records as evidence in
court litigations, result in significant revenue
leakages.
• Waist related to drugs administration, delivery and
dispensary, result in significant revenue leakages.
• Multiple EMRs across the healthcare network that
are not in sync that result in lack of single patient
view across the health value chain. Lead to poor
patient experienceover (multiple forms filling, long
Queues)
@ graetz_meHealth program – Transformation to become a Patient centric
healthcare delivery organisation
• Form of a central Integrated health • Launching E.H.R change
record platform (IPR/EHR) based management program per HNSF
on EMC stack. directives.
• Standardisation of interoperability – establish eHealth education
based on IHE.
focus
• Digitization of legacy paper files.
• Setting the foundation for
– Making eHealth knowledge
integrated care delivery models and skills available
• Reducing/Eliminating of Clinical
Risk as a result Improve of quality
of care
• Improve care effectiveness and
reduce and avoid of waist
@ graetz_mGauteng IPR – Technical View
Time Line CSC EMR
LIS Pharma Other
Viewer Medicom
Smooth
Viewer
PACS HL7/XD HL7
HCC S
Cache Adapter
VNA
XDS
Scanner CAPTIVA Registr
Repository
y eMPI
Clinical Data Repository
IN SCOPE IN SCOPE
OUT SCOPE OUT SCOPE Home Affairs Services
@ graetz_mIHE/HNSF-Compliant solution
approach
Graetz_mLerato Tau Time line Viewer of clinical
documents
@ graetz_mInter-Connecting the regional facilities
Futures Benefits of IPR-VNA: Automated Image Analytics to
enable health prevention
• Integrated into Central Integrated
Patient Record that includes
radiology images (VNA)
• Runs Relevant algorithms on
Imaging studies
• provides results back to the health
institutes
• enable population insight to
identify early risk and take an
action upon
@ graetz_mTHANK YOU! Michael Graetz EMEA Healthcare RVP, ECD, EMC Michael.graetz@emc.com @ graetz_m
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