healthcare and ict in catalonia: adding value through innovation

2013 Edition, boosted by: 'Parc de Salut' and FORES Event supporting Active Ageing Initiatives

HealthCare and ICT in Catalonia: Adding value through Innovation

Ízaro López García – Fundació TICSALUT

Vic, 12-13 desembre de 2013


• The catalan health model is a multi-provider model, integrated in one single network of public use.

• It enhances the autonomy management of each center.

• Each center can autonomy choose its information system.

• Ensure interoperability between systems

2


The “Health Plan” provides ICTs as a model of change to achieve the new model of care.

The “Health Plan” proposes a new model of care focused on the citizen, who is involved

and co-responsible of its own health care

3


A more targeted to chronically ill system

Shared information, transparency and evaluation

A.L

. 2A

.L. 9

Project 2.3. Encourage self responsibility of health among patients and caregivers and promote self care

• Tele-monitorization and self-control services

• Development of training contents

• Serious games

Project 9.2. Deploy a communication and citizen service multichannel network

• Facilitate communication with insured citizen – so that citizens can connect with the system to access their personal health information

• Promote the provision of care through the new more efficient channels, which allow to enhance system resolution

4


There are two key elements to develop ICT according to the objectives of the Health plan:

Electronic Health Record of Catalonia (EHR)

Personal Health Channel

• Allows organized access to relevant information of different centers health records and to some central

databases of the health system.

• The EHR is not the sum of the electronic records of the healthcare centers; it doesn’t incorporate all the

information from medical records.

• The citizen is the holder of the data contained in its medical record

• He will have access to its health information available in its electronic Health Record

As an information and services network

Deployment of a multichannel network to communicate and interact with the citizen

5


Twitter

Facebook

Social networksAPPs

Videoconference

eConsultation

Telediagnosis

Selfcontrol

Co-responsability

Internet connection

WEB 2.0

Self management

Monitoritzation

Telemedicine

Electronic Health RecordPersonal Channel

Clinical diccionary

processes manager

Clinical decision support

Whatsapp

SMS

Big Data

Synchronours

Asincrònica

Digital Prescription

Adherence

Chat

Information Network

Plataforms

Tele consulta

Consells de Salut

MessagingeConsent

TelemedicineiSalut

Cloud

LOPD

Personal Folder Whatsapp

Chat

Tele consultation

6


Twitter

Facebook

Social NetworksAPPs

Videoconference

eConsult

Tele-diagnostic

SelfcontrolEmpowerment

Coresponsability

Internet

WEB 2.0

Self management

Monitorization

Telemedicine

Digital clinical historyPersonal Channel

Clinical dictionary

Processes managers

Clinical decision support

Whatsapp

SMS

Big Data

Synchronic

Asyncronous

Digital Prescription

Adherence

Chat

Information networks

Plataforms

Tele consultation

Health Advices

MessagingeConsent

TelemedicineiSalut

Cloud

LOPD

Personal Folder Whatsapp

Chat

Tele consult

Trakking

Tecnologia

Communication

Healthcare

Tools i3.0 to support the health system

information integration

interaction


Patient

Home

Hospital FarmacySpecialist

Labs

Fisioterapist

Radiology

Home Hospitalization

Doctors

Nursing

Family

Social Services

Clinical Devices

Care PlansCoordination Center

Ambulance

Manager

Public HealthPatients monitorization

Nutrition

Patient Centered Care


Common criteria

Technology independence

Progress

Quality

eHealth


C

I

TI

Z

E

N

Coresponsible

Integrated

UbiquiTy

Tele-monItorization

APPs

HomE care(HealthCare model)

SelfcoNtrol


Citizen Identification and Certification

ACCESS PHF

PROCEDURES

COMUNICATION

HEALTH CARE

EDUCATION

Customizable data by citizenP

SERVICES

No customizable data by citizen

Electr. Health Record

Data from citizen EHR

Primary Health Care

Data from citizen’s primary care center

O

INFORMATION

11


The PHC is a personal space, virtual and non-transferable where health relevant information and other services are available to the patient through internet connection. The goal is the patient to become co-responsible of its own health

ICTshareon-line

citizens

professionals

providers

iSalut.cat

coresponsability

standards

Ticsalut Ring

quality

interaction

2.0

information

services

Information systems

health

participation

interoperability

technology

communication

Health Ministry

managemetn

solutions

Catalan health system

Health Plan

facilitate

resources

Virtual space

personalaccessibility

assistance

intransferibletools

application

Healthcare modelcustomization

integration

infrastructures

contents

homogenization

sector

securitynecessitat

Internet

data

12


The Personal health Channel is the citizen’s tool to access at any time his health information hosted by different providers (public and private)

This implies a need of the healthcare sector to develop services for the citizen from the existing data in the electronic record

Provides the citizen a wider autonomy and security towards its data

13


• Terrassa• Mataró • All Catalonia

8% dels catalans

• Resta Vallès Occidental

• Resta del Maresme

• Osona

1st Quarter 2ond Quarter 3th/4th Quarter2010-2011

• Calella• Lloret de Mar• Malgrat de

Mar• Palafolls

2012

14


Step 1: The patient indicates its PIC

Step 2: Selects the type of certification

Only two steps to access: Identification and certification

15


Name, birth date and PIC

Doctor and nurse assigned

Address and phone number

Reference Primary Care Center

Legal warning and basic patient data are shown

16


Search by:- Type of report- Date- Center

Search results:- Date- Type of report- Diagnosis- Service- Hospital

Medical Reports Search17


Open diagnosis

Closed diagnosis

Diagnosis Control18


Online: always updated

Printable

ePrescription - Chronic patients treatment

19


Vaccination20


Connect21


From Personal Health Folder to Personal Health Channel

- Data- Transaction (authentication

needed)

- More data- More transactions (always

authenticated)- Services- Interaction

FASE 1

FASE 2

22


PHC – Health ServicesThe Personal Health Channel is an environment to develop health services for the citzen within a common security framework with quality data.

SERV

ICES

Citizen

23


24


•More transactions•More controls on own health•Connect with your prefessionals•Apps to control my health•Agenda –programming-

Fase 2: Functionalities extension

25


2nd Fase26


H A L X M

2nd Fase27


2nd Fase28


2nd Fase29


Under construction30

healthcare and ict in catalonia: adding value through innovation

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