YEREVAN June 15-16, 2012

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1 Presentation by E-Governance Infrastructure Implementation Unit CJSC (EKENG) DigiTec Business Forum Smart Country Digital Solutions for Innovative Economy YEREVAN June 15-16, 2012

2 Who we are and what we do Healthcare in Armenia: key facts What we strive to achieve Expected benefits Current status of e-health in Armenia Project implementation model IHIS architecture System components Project implementation plan for 2012 E-Health implementation agency Current activities in e-health Existing challenges Next steps

3 E-Governance Infrastructure Implementation Unit CJSC (EKENG) was established in 2009 by the Government of the Republic of Armenia. EKENG CJSC is responsible for the technical implementation of e-society in Armenia in accordance with the Concept of e-society development in the Republic of Armenia approved by the Government.

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5 Country population approx. 3.2 mln About 1,000 medical facilities throughout the country, 40% of which - private Total state expenditure on health AMD 38.5 bln Share of healthcare in GDP 1.5% (2008)

6 A health information system that provides reliable, timely, high-quality information is a key prerequisite for good health system stewardship. Therefore, Integrated Health Information System is supporting universal modernization of health system via implementation of modern information and communication technologies to provide highquality, safe, available and cost-effective medical services to the society with the purpose of improving the quality of public health and achieving increase of citizens satisfaction with the healthcare system.

7 Increase in healthcare quality Healthcare system transparency assurance Ability to communicate electronically within the system Full interoperability of core patient data and other information among all healthcare providers

8 Significant reduction in duplicative examinations and laboratory tests, thus shortening the administrative delays in treatment Effective monitoring of delivered medical services and respective costs Accessibility for medical personnel and other healthcare providers of the full medical account of a patient, including examination results and complete list of medications, etc., at the point and time of care

9 Cost reductions from avoidance of duplicative tests and unnecessary treatment as a tangible benefit for insurance companies and the healthcare system as a whole Increase in the level of patient satisfaction with healthcare service delivery

10 Top priority area declared by Government of Armenia and Ministry of Health for 2012 Concept paper on Integrated Health Information System (IHIS) Accepted preliminary version of Roadmap for the Establishment of IHIS in the Republic of Armenia Feasibility study carried out jointly with Korean experts

11 pharmacy medical institution A P I Central DB Ministry of Health insurance company

12 The main idea behind this model is the central database which will provide a unified API for integration of all the participants ISs. Top - down approach Flexibility for health facilities in choosing information systems Sharing of responsibilities between health facilities and public sector IT development in the country

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14 Health Management System: provides accurate and up-to-date financial information and medical statistics enabling better and more efficient healthcare planning, organization and financing.

15 Electronic Health Records: digitally stored healthcare information about an individual's lifetime with the purpose of supporting continuity of care, education and research, and ensuring confidentiality at all times e-prescribing System: the use of computing devices to enter, modify, review, and output or communicate drug prescriptions

16 Digital images system: makes it possible to electronically file, retrieve, and transfer images. e-health portal: a public service tool which enables system participants to access data irrespective of time and place (portal is an entry point to e-health).

17 Preparatory phase -- Approval of the Electronic Medical Records (EMR) implementation scope by the Government of Armenia -- Negotiations with international donor organizations -- Preparation of Terms of Reference (TOR) for involvement of international consultancy support -- Preparation of TOR for hiring of an external company to implement the solution -- Preparation of TOR for procurement of the necessary equipment and other technical means

18 Standardization process (ongoing throughout the whole project duration -Development of unified standards for data entry and representation in EMR Procurement phase -- Organization of a tender and selection of a winner to provide international consultancy support -- Organization of a tender and selection of an external company to implement the solution -- Organization of a tender and selection of a winner to supply the necessary equipment and technical means

19 Deployment phase -- Analysis of possible Open Source technical solutions for implementation -- Preliminary design of solution s architecture -- Review of developed standards -- Development of final technical design jointly with international experts -- Approval of technical design and development of a prototype -- Prototype approval and bug fixing -- Prototype acceptance and system delivery Training phase -- Organization of training sessions for end users -- Organization of training sessions for system administrators and other maintenance personnel

20 In accordance with the Memorandum of Cooperation signed between the RA Ministry of Health and EKENG CJSC on 29 December 2010, EKENG CJSC is assigned the role of an implementation agency for Integrated Health Information System deployment in Armenia, in close cooperation with and under coordination of the Ministry of Health.

21 Sharing of the roadmap with other stakeholders for final approval by the Government of Armenia Negotiations with international donor organizations and private sector representatives Development of different ideas and prototypes in consultation with international partners Analysis of applicable business processes Meetings and discussions with ecosystem participants

22 Project financing Availability of local relevant knowledge and expertise Privacy of confidential personal data, sufficient level of data protection Interoperability and security assurance Adaptation of existing business processes Acceptance by end users and society

23 Continuous negotiations with international donor organizations and private sector representatives to develop collaboration models and move the discussions onto a more concrete level Ensuring availability of international experts for best-practice knowledge and experience Evaluation of different ideas for better understanding of the most effective solution for Armenia Establishment of close cooperation during development of applicable standards and throughout the whole project implementation Regular meetings among stakeholders to update on the progress of e-health development in

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