MEETING OF THE WHO COLLABORATING CENTRES FOR THE FAMILY OF INTERNATIONAL CLASSIFICATIONS
Impact of a strategic implementation of Information and
Communication Technologies (ICT). A conceptual model for
Health Information Systems
29 October-4 November 2011
Cape Town
Republic of South-Africa
Authors: Dedeu T, Cornet-Prat J, Manyach-Serra J, Guanyabens-Calvet J
D047p
Location: Barcelona (Spain)
Abstract The development and use of Health Information (HI) and Information and Communication Technologies (ICT) to
enhance the health network, requires a strategic design to be successfully implemented in order to achieve an
harmonisation of health information in most health providers.
Introduction
Background: The Ministry of Health
of Catalonia (MoH) intends to promote
the development and use of
information and communication
technologies (ICT) to enhance the
health network in order to provide a
model based on personalized attention
to all citizens. To achieve success in
this goal, the MoH has followed a
governing model built on a middle-out
approach, running ICT introduction
and deployment on a participative
basis with different Catalan
stakeholders.
The Catalan Health System is a public
model of universal coverage with a
mixed health care system that
integrates in a single network the
public use of all health resources,
regardless of whether they are publicly
owned, and which has brought
together a tradition of organisations
(health care funds, foundations,
consortiums, Church-run centres)
historically devoted to health care.
This great variability in the ownership
of the centres -many of them with
their own electronic health records
models– has brought about the
creation of a single model to access
the information databases of the
different clinical information systems
Methods & Materials
The governing model built in order to
running ICT introduction and
deployment on a participative basis
with different stakeholders has resulted
in: (i) Firstly, an Information System
for Communication and Information
Technologies Plan; (ii) followed by the
establishment of two support
organisations:
Results
A strategic ‘road map’ for health
information and ICT has been defined.
This consists of 6 main strategic
objectives and 34 actions which are
currently undergoing. The impact of the
strategy has resulted in the
harmonisation of health information in
most health providers.
Intervention Model and ICT Strategy
Departament de Salut
Catalan healthcare system
(1) an Agency for Quality and
Innovation, responsible for defining
the aims , directives and deployment of
general strategies for HI and ICT.
6 Main Strategic Objectives and 34 Actions
S.O. 4
S.O. 1
(2) An ICT Foundation (TicSalut),
which runs a platform providing means
for telecommunications and
interoperability.
Implement ICT as a strategic
element in Healthcare
Answer
efficiently
the
requirements of information,
management and security in the
sector and the Department
S.O. 2
S.O. 5
Support citizens in the access to
information and services to
promote their health
Endow agents with the proper
infrastructures and guarantee
interoperability
S.O. 3
S.O. 6
Endow professionals with ICT
tools to perform a high-quality
care
Boost and project Catalonia as
an
innovative
territory
in
Healthcare ICT
Key Actions
7
Departament
de Salut
Key ICT
Projects
– Governing characteristics
Catalan healthcare system
Telemedicine
Medical Image
Digitization Plan
NETWORKING MODEL
RESOURCES SHARING
Catalan Shared
Medical Record
INTEROPERABILITY
Personal Health
Folder
CO-RESPONSIBILITY
10
Electronic
Prescribing
COLLABORATION MODEL
Shared Medical Record (HC3) of Catalonia
The HC3 is based on a decentralised management model,
connected via interoperable systems using common
standards.
Electronic Prescription (Rec@t)
TicSalut, as the executive arm of the
government to evaluate and to promote
the transformation of the service of
health care formulates the following
activities:
1. Observatory
2. Office of Standards and
Interoperability
3. Telemedicine and Telecare policies
4. European projects
5. Relations and International projects
Objectives: To analyse the impact of
the implementation of planned
policies to deploy ICT according to
the needs of the Healthcare System,
its professionals and its citizens.
The Office of Standards and
Interoperability of TicSalut is:
The organisation which collaborates in
the EU and national standardisation
organizations, carrying out the
translation of the international codes in
health systems into Spanish and Catalan
languages.
The Rec@t facilitates coordination among health
professionals, physicians and pharmacists and provides a
patient's medication plan, which improves the safety of
drugs utilization and the accessibility of patients to
pharmaceutical services.
The Catalan Personal Health Folder
The aim is to accelerate the implementation of advanced
technological applications that use telecommunications to
optimise the quality and efficiency of the Catalan health
services and to ensure equity of access to them.
Plan to Digitalise Medical Images of Catalonia
(PIMed)
This infrastructure has resulted in 100% of the over 7
million X-rays taken in the Catalan healthcare centres each
year being now available in digital form.
Telemedicine and Telecare Plan
Conclusions
In addition to the development of a
strategic plan for HI and ICT, the
establishment of an organisation for
standards adoption is required and,
and index of technological progress for
benchmarking between various health
systems is also recommended.