ehealth Strategy in Andalucia

Transcription

1 ehealth Strategy in Andalucia

2 Andalusia Main features 8,492,635 inhabitants >22 M tourists Political Autonomy since 1981 Full responsibility at regional level on Public Health and Healthcare services since 1984 Regulatory framework for Social services Public Healthcare System 1500 Primary care centres 47 Hospitals (93% h beds) 100,000 healthcare workers 3800 Pharmacies (private) PHC is the gatekeeper Public Social care System 3500 Social care centres (child care, drug addiction, people with disabilities, elderly people and community social services) Coordination with local authorities, and close collaboration with the third sector centres devoted to the elderly (day-care centres, active participation centres and others).

3 Andalusia Population

4 Spain: National Health System 100 % Public Funding Universal coverage* Free of charge (Pharmacy co-pay) Integrated care 2 levels: Primary Care Specialized Care Spanish Healthcare General Act 1986 National Health System Cohesion and Quality Act 2003 National Public Health Act 2011 RDL 16/2012 NHS sustainability*

5 Andalusian Public Healthcare System Legal Framework Principles Full Autonomy for Health Policy since 1984 Healthcare Management at regional level Same Principles as national law Some specific driving principles: Public provision of the services Based on cooperation & coordination Stress on: Equity Guarantee of rights Territorial homogeneity Accessibility Transparency Participation Andalusian Health Act 1998 Andalusian Public Health Act 2011

6 The Digital Strategy of the Public Healthcare System of Andalusia A long-term Strategy: From 1999 A single health record number for all citizens of Andalusia A single electronic Health Record for every person A individual smart card for each person as a key for access Unified access to all services and levels of care Structured information A regional ehr shared among: Primary care Pharmacies Hospitals Emergencies

7 Much more than an ehr: A corporate information system 95 Million appointments/year Waiting lists Appointment Prescription Referrals 156 Million e-prescriptions/year Pathology 8.3 Million individual ehr Hospital admission Data warehouse Lab tests Functional tests Radiology Emergency care Primary care Outpatient care Inpatient care 47 Hospitals PC Centers Health Care Information and Management Integrated System 3.5 Million Rx images/year

8 An integrated information system supporting the modernization strategy Patient centred care Continuity Accessibility Quality and efficiency improvement Variability reduction Patient safety Patient Autonomy Alternatives to inpatient care

9 Prescription XXI EHR DIRAYA Dispensation Module PHARMA BDU HSE BDP FARMA Dispensations Health System corporate network INTRANET COF Dispensations Prescriptions Clinic DIRAYA Instructions Sheet for the patient Pharmacy

10 Quality and Efficiency: e-prescription module usage, % prescriptions by active principle and PHC visits reduction > 1 Billion savings since Million saved /year 46,6 57, ,9 75,2 77,1 78, ,1 Electronic Prescriptions 66,3 89,2 105,2 118,6 % PPA 2,7 25, ,2 1,2 8,9 30,5 48,5 49,6 50,1 50,5 50,3 49,9-14 % Aditional savings: 3.1 Million : printed prescriptionss 3.2 Million : data mangement PHC visits (million) 44,1 43,

11 ehr Mobile Hospital Previous episodes Alergies Health problems Contraindications Current prescriptions Current diseases Patient Information Accident Location Cause Symptoms Mobility Episode ehealth Record Anadalusian Public Health System Drugs/Fungibles Stock control Self-Evaluation

12 Digital Services for citizens Transparency Información on Health Centers Quality and Health Service. Waiting list consultation Acciones proactivas Informarse.es salud Education Information Entertainment Web TV/TDT Móvil SaludResponde Telephone consultation Second medical opinion Living will Individual Card Waiting list Telephone appointment arrangement Health Information Traducción lingüística Tobacco quit-line Encuesta al alta telefónica SIDA, Tabaco, gripe... SMS services Health Information Health Advise Fragile outpatients follow-up Link nursery support 061 home follow-up Heat wave campaigns e-administration Living will Individual Card 24 salud andalucía hr Individual health evaluation and informatión

13 Citizens autonomy: new ICT services Current Health Problems Citizens access to ehr Current Allergies and Contraindications Current Medication Primary and Specialized care Appointments Clinical reports Health apps Hospital Admissions

14 Cumulative economic performance EUR Present value of cumulative costs Present value of cumulative benefits

15 Andalusian Telecare Service provides: Direct attention, mobilizing the necessary resources and follow-up in case of emergency. Notice to relatives. Other health-related requests. Regular contact with users which reinforces trust, safetyperception and companionship. Personalised follow-up, which guarantees a better quality of service. Information on benefits and services rendered by the regional System of Social Services. Dissemination campaign. Home monitoring. Direct and personalised attention 24 hours a day 365 days a year

16 SAT Impact as public service It postpones the entry into nursing home Social resources Health resources Profitability of SAT structure It maximizes the infrastructure through other actions Work-life Balance for relatives and non-professional caregivers It prevents and lessens damages stemming from loneliness and isolation Detection of situations of Isolation, abuse or neglect It avoids police and firemen s interventions It decreases the Outpatient consultations It decreases the entries and stays into hospitals

17 Satisfaction latest satisfaction survey Users feel accompanied and safer General satisfaction Staff courtesy Waiting time Contact frequency They consider it is a user-friendly service and it responds to their needs Waiting time for installation Easy access to service 97.3% of users would recommend it to relatives and friends.

18 Merci de votre attention! José Daniel Soto Alba. Head of ICT Regional Ministry of Equality, Health and Social Policies