Health Transformation Programme Health Information Systems

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e-Transformation Turkey/Istanbul at a Glance
Turkey/Istanbuls e-Health Approach

• Dr Kerem KINIK
• Istanbul Provinancial Councille
• Chairman, Environment and Health Committee
• 11 April 2008

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Turkey at a glance

• Population 71.2 million
• Language Turkish
• Currency New Turkish Lira
• Capital City Ankara
• GDP USD 500 B
• Exports USD 100 B
• Imports USD 120 B
• Inflation Rate 7.4
• GDP Growth rate 7.0
• 2007 data

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Agenda

• Some Indicators (eGov)
• eTransformation Turkey Istanbul
• Health Transformation Programme
• eHealth in Turkey Istanbul

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Central Europe e-Government Rankings
Source The Economist Intelligence Unit
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Online Public Services For Business
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eEurope eTurkey eTransformation Turkey
eEurope (EU Countries)
Information Society For All
eEurope (Candidate Countries)
eEurope 2005
PublicNet
PublicNet
eTurkey
E-Transformation TURKEY
March 2001 Stocholm Council
September 2001
December 1999
March 2000 EU Council
June 2001
February 2003 Prime Ministers Circular
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e-Transformation Turkey Project Organization
Deputy Prime Minister

• Members with/without
• Voting Rights
• Deputy Prime Minister
• Minister of Transportation
• Minister of Trade and Industry
• Undersecretary of State Planning Organization
• Advisor of the prime Minister
• Related Public Institutions (4)
• NGOs (4)

• Members (41)
• Representative of the Ministries
• NGOs
• Universities

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Turkey declared Information Society in 2004 with
an ambitious vision

• Becoming a hub of ICT development,
• using information technology as an effective
  tool,
• creating value through information-based decision
  processes,
• successful in global competition and has reached
  high levels of welfare

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e-Health in Turkey as Part of the Health
Transformation Programme

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e-Health Vision

• Improuvement of healthcare services in Turkey
  by developing a Secure Health Information
  Platform that enables healthcare providers,
  health professionals and citizen, easy and safe
  access to health related information by using
  latest Information and Communication
  Technologies.

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Health Care Institutions in Turkey

• Number of Hospitals 1215
• (801 -MoH) (200 in Istanbul)
• Number of Health Centres 6066 (500 in Istanbul)
• Number of Village Health Station 7676 (450 in
  Istanbul)
• Number of Physicians 104.000 (30.000 in
  Istanbul)

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A Survey On HIS in 655 MoH Hospitals (2004)
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A Survey On HIS in 801 MoH Hospitals (2006)
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National Health Information Studies

• 10 Working Groups Established
• Action Plan Working Group, Ministry of Health
• Health Information Standards Working Group,
  Turkish Medical Informatics Association
• Health Identifier Working Group, Ministry of
  Health
• Minimum Health Data Set/Sets Working Group,
  Hacettepe University
• Security and Confidentiality of Health Related
  Data Working Group, Turkish Medical Association

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National Health Information Studies

• Early Warning Systems for Health Threats Working
  Group, Ministry of Health
• Virtual Private Network for Healthcare Working
  Group, Turkish Telecom
• Training Working Group, Higher Education
  Committee
• Telemedicine Working Group, The Scientific and
  Technical Reearch Council of Turkey
• Coordination and Monitoring Working Group, State
  Planning Organization

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National Health Information Studies

• These working groups conducted the assessment of
  the current situation, projects, initiatives, and
  policy studies in their respective fields.
• NHIS Action Plan has been published in January
  2004.

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e-Health Activities in the context of
e-Transformation Turkey Project

• e-Health Working Group established in the context
  of e-Transformation Turkey Project under the
  authority of SPO.
• 15 actions determined on e-Health as basic
  building blocks of HIS.
• Those actions mostly completed and evaluated by
  SPO.

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ITU Support

• Through the Telecommunications Authority of
  Turkey, The Ministry of Health, Turkey, requested
  ITU to provide assistance in the implementation
  of Turkeys e-Health Project and support in their
  Health Transformation Project.

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ITU Support

• Turkeys e-Health Strategy Towards
  Implementation Document published with support of
  the ITU.
• The Minister of Health has approved their
  recommendation of the ITU.

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Explanation of Tasks -1

• The conversion of the existing LAN-WAN into a
  true health network platform to be known as
  Saglik-Net, providing linkages, services and data
  repositories (e.g. minimum data sets of
  Electronic Health Records) to the all those
  authorized in the health sector.
• Saglik-Net is operational now.

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Explanation of Tasks -2

• Establishment of a Health Data Operation Centre
  for Electronic Health Records.

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Explanation of Tasks -3

• A National Health Data Dictionary as one example
  of number of standards that have been either
  adapted or developed by the Ministry to ensure
  nation-wide compatibility of health information
  in Turkey.
• V 1.0 released and published.

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Explanation of Tasks -4

• The adoption of the TUBITAK (Technical and
  Scientific Research Council) solution for Digital
  (sign)Security in Turkey.
• A pilot study has been started under the
  umbrella of Information Society Strategy Action
  Plan. Health and Insurance sectors are determined
  for the first pilot implementation.

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Family Physician Information System (Operational
in 11 Provinces-7.5M Citizen Registered)
Architecture Distributed System
HL7 v3 (XML), http
HL7 v3 (XML), http
http
HL7 v3, (XML) / http
HL7 v3, (XML) / http
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Health Information Platform
Current Backbone
Digital Security Systems e-Signature
Legacy Systems
Hospital
National Health Data Dictionary
Family Physicians
Health Code Reference Server
Hospital
Clinics
Pharmacy
MoH Network Management
Specialized Hospitals
Pharmacy
Hospital
Lab.
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Saglik - NET
Digital Security Systems e-Signature
Present Systems
NHDD
Hospital
Decision Support Systems
Standards Protocols
Family Doctors
Hospital
Health Insurance Integration
Electronic Health Record
Clinic
Pharmacies
MoH Network Management
Specialized Hospitals
Pharmacies
Hospital
Lab.
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Ingredients of success

• Strong political willness
• Health in all Policies
• 3C
• All stakeholders should work together
• Ask people what they want
• Adress the fears of people
• Do not re-invent the wheel, learn from the others
  

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• Thank you for your attention
• Dr Kerem KINIK Murat ELLIALTI