Analysis of eHealth Solutions in Slovenia: A Usage ... - NIJZ
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Analysis of eHealth Solutions in Slovenia: A Usage Perspective Živa Rant, MSc, assist. prof. Dalibor Stanimirović, PhD and eHealth Group National Institute of Public Health Slovenia Health Informatics
Transcript of Analysis of eHealth Solutions in Slovenia: A Usage ... - NIJZ
Analysis of eHealth Solutions in Slovenia:
A Usage Perspective
Živa Rant, MSc, assist. prof. Dalibor Stanimirović, PhD
and eHealth Group
National Institute of Public Health SloveniaHealth Informatics
Slovenia in DESI Report 2019
https://ec.europa.eu/newsroom/dae/document.cfm?doc_id=59975
Electronic prescriptions
https://ec.europa.eu/newsroom/dae/document.cfm?doc_id=59975
Hospital IS history in Slovenia
• 1975 Hospitals in Celje, Maribor, Slovenj Gradec - first
implementations in hospitals in Slovenia
– patient health data
• 1979 – University Medical Centre Ljubljana (UMCL) –
– computer data processing of business data
• 1980–1984 UNDP (United Nation Development Programme)
project
• 1981 - Patient Care System (PCS), UMCL
– admission /displacement /discharge, service registration, material
consumption
• …
source: 30 let Slovenskega društva za medicinsko informatiko, 2018
Today IS in hospitals in Slovenia
• All hospitals in Slovenia have computerized IS.
– health treatment data
– statistical data
– financial data
• All report financial data in on-line system to Health Insurance
Institute of Slovenia
– from 2009
• All (71) public hospitals / clinics report statistical data to NIPH
• 10 private hospitals
– from 1997
– cca 400.000 hospitalizations per year
Slovene eHealth Solutions
Methodology
• analyzed the Slovenian eHealth solutions from the usage aspect
• examination and analysis of the literature, project
documentation and exploration of other sources
• structured discussions with the experts responsible for the
development and implementation of the eHealth solutions
• supported by the factual usage data extracted from the
business intelligence (BI) modules contained in the individual
eHealth solutions.
• research and analysis were conducted from September 2018 to
January 2019 for the year 2018.
• On the most popular eHealth solutions in Slovenia:
ePrescription, eAppointment and CRPD.
Electronic Prescription
Medication Dispensing
ePrescription
ePrescription ProcesP
hys
icia
n Creating ePrescription
cen
tral
dat
abas
e Storing ePrescription
Ph
arm
acis
t Dispensing medication
pat
ien
t
zVEM
0
200.000
400.000
600.000
800.000
1.000.000
1.200.000
1.400.000
1.600.000
ePrescriptions per Months
Central Registry of Patient (CRPD)
Patient Summary
Patient Health Documentation
CRPD usage until 31.1.2019
• Participated 95% public healthcare providers (84)
– 88% hospitals (22 of 25)
– 98% community healthcare centers (61 of 62)
• Participated (sending data) cca 15% private providers of public
healthcare service (158)
discharge letters
specialistsresults
Patient Summary
(PPoP)
Patienthealth
documen-tation
Central Registry of
Patient Data (CRPD)
1.782.493
1.400.000
1.450.000
1.500.000
1.550.000
1.600.000
1.650.000
1.700.000
1.750.000
1.800.000
1.850.000
01.18 02.18 03.18 04.18 05.18 06.18 07.18 08.18 09.18 10.18 11.18 12.18
Patients with data in CRPD
eReferrals
Ordering
Waiting lists
eAppointment
eConsultation
eAppointment ProcessP
hys
icia
nCreating eReferral
Cen
talD
atab
ase
Ph
ysic
ian
, nu
rse,
pat
ien
t
Ordering
Med
ical
sp
ecia
list
Medical treatment
pat
ien
t
zVEM Waitinglist
Storing eReferral
0%
20%
40%
60%
80%
100%
120%
0
50.000
100.000
150.000
200.000
250.000
300.000
350.000
400.000
eReferrals per Months
eReferrals Paper Referrals Share of eReferrals in total
0
100.000
200.000
300.000
400.000
500.000
600.000
On-line booking of appointments per Months
eConsultation
• to help making waiting lists shorter
• eConsultation between primary doctor and specialist
• from 10.9.2018.
• 3.500 e-consultations.
Patient Portal zVEM
One Website for All Health Information
ePrescription
eAppointment
CRPD
Patient Consents
. ePrescription
eAppointmentePrescription Patient Summary
Documents
Conclusions
• IS in Slovenian hospitals is on high level
• NIJZ has been facing different challenges, while trying to
introduce the solutions into the health care environment.
• The general success in the implementation of innovative
eHealth solutions in Slovenia was recognized also by the
European Commission – 6th place in DESI
Conclusions
• All eHealth solutions are on the national level.
• Solutions were in different stages of implementation => a lot of
challenges in implementation to Slovenian health care system.
• All people living in Slovenia have
Slovene Health Insurance Card
• Is an official pacient identity for eHealth solutions in Slovenia.
• In order to further exploit the potentials of the eHealth in the
future, all efforts behind this project will have to be supported
by systematic measures on all levels and firm commitment of
stakeholders.
