ehtel conference economics in e-health brugge, november 2002

Ehtel ConferenceEconomics in e-Health

Brugge, November 2002

Slovenian HIC Programme- Exercise and Lessons

Marjan SušeljAssistant to Director General, HIC System

Health Insurance Institute of Slovenia

Introduction Slovenian HIC Programme - Outline Cost Analysis Direct Benefit Analysis Development Benefits Conclusions

Contents

Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 2

Slovenian HC and HI- In the Macroeconomic Perspective


Introduction - HIC System Background and Rationale

HIIS position in the HCHIIS position in the HC statutory provider of compulsory health insurance custodian, manager and administrator of HI funds mission: efficient economics of HC, friendly and efficient

services HIIS investments in IT in HC:HIIS investments in IT in HC:

virtually all HC work posts computerized EDI HI databases IT literacy

Comprehensive local IT support, bottlenecks in Comprehensive local IT support, bottlenecks in communications and data transmissioncommunications and data transmission


Cost containment; Transparent operation (income and expenditure side); Accurate and up-to-date data for management and

policy makers; Data security; Streamlined communications; Advancing of services (elimination of non-essential

procedures); Financial and national economy benefits at

reasonable financial investment; Infrastructure for integration of different IT systems in

HC and HI - paving the way to the e-environment

HIC Project - Goals


HIC System - Outline


HIC System - Dimensions

Component / Item

TotalImplementation: Health insurance cards

1.950.000 Health professional cards

16.700 Card readers

6.640 HC service providers

1.036 SW houses participating

43 Self-service terminals

290 SST locations

270Operation: SST transactions / month

450.000 HIC renewed / year

47.087 SST information sessions / month

256.000


HIC System - Analysis of Costs

CBA (1997): Investment (purchased goods and services):

Equipment (cards, terminals, readers, …) New/upgraded software Development services (outsorced) Card personalisation and mailing

Implementation: In-house work costs for HIIS Communications, overhead Training for HC workers Migration costs

Routine operation costs: Card renewal Maintenance of technology Equipment depreciation On-going costs (leases, energy,…) HIIS service overhead


HIC System - Analysis of Benefits

CBA (1997): Time savings:

Insurance validity updating (insured persons, employers, insurance clerks)

Patient reception at the doctor’s (administrator) Quality data for reporting and accounting purposes


HIC System - CBA Payback Period


HIC System - Actual vs. Predicted Investment Costs


02.0004.0006.0008.000

10.00012.00014.00016.00018.00020.000

Forecasted costs Actual costs Sources of financing

HIC Card readers SST network Implementation in HC Other

VHI

CHI

in 1000 EUR


Average monthly costs: 150 kEUR

HIC System - Maintenance Costs

Two years of routine operation: Decreased volume of administrative chores; elimination of

non-essential procedures; Faster and easier access to HC services; Uniform technology and interfaces for all

insurance providers - operation simplified for HC workers and patients;

Strict monitoring of contribution andpremium payment - increased discipline

HIC Project - Evident Benefits


Hands-on use - stimulus for new ideas, needs and demands; User proficiency - building the foundations for e-health; Infrastructure for medical data; Enabling infrastructure for internet communications; Identification of patient and HC worker - availability of

evidence, data for analyses and studies of new HC service payment models

HIC Project - Development Benefits


Progress: small steps, far-reaching effects; Technology in the service of citizen; Paramount importance of consensus; Sharing of investments and benefits; Tenacity and pioneering vision; Mix of tangible (financial) and

non-measurable benefits

In the service of the patient Quality of life and health

Concluding Remarks


ehtel conference economics in e-health brugge, november 2002

Documents

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