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Sin ttulo de diapositiva

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Title: Sin ttulo de diapositiva


1
TELEMEDICINE EQUITY AND ACCESSIBILITY
TOOLBarbastro, 26th June 2008
2
Summary
  • Starting scenario
  • Information and Telemedicine System Plan
  • Health Optimum and Telemedicine
  • Final scenario

3
Summary
  • Starting scenario
  • Information and Telemedicine System Plan
  • Health Optimum and Telemedicine
  • Final scenario

4
National Health Service
  • The National Health Service is based on the
    principle that all citizens have the right to be
    provided with health services, regardless of
    their work or economic situation.  
  • 1.Universalization of healthcare. It covers 100
    of the population, regardless of their economic
    situation or their affiliation to social security
  • 2.Accessibility and deconcentration. To
    guarantee equity in the access to services
    healthcare has been regionalized, and it is based
    on locating the different health services as
    close to the places where people live and work as
    possible
  • 3. Decentralization. Reforms in the organization
    of the healthcare system have been carried out in
    order to guarantee the best response capabilities
    on the part of services and professionals to the
    needs of citizens

5
Patient hospitalization frequency ratios in
Barbastro sector
Hospitalization frequency 0/00 inhabitants -
1998
0 to lt25
25 to lt50
50 to lt75
gt75
6
Density and Natural Movement
Natural Movement of Population. Year 2002
7
Summary
  • Starting scenario
  • Information and Telemedicine System Plan
  • Health Optimum and Telemedicine
  • Final scenario

8
Information and Telemedicine System Plan
To guarantee continuity and to facilitate
citizens access to the system and professionals
access to information
DGPA SALUD
76,5 millions for the plan in 2005-2011
9
Information and Telemedicine System Plan
  • Goal 1. Develop and put into effect the new
    clinical and support-to-assistance production
    organizational model planned by the health
    department
  • Goal 2. Provide with tools for information
    management which are appropriate to the different
    responsibilities of the different figures in the
    health system users, physicians and managers
  • Goal 3. Automate origin data capture, based on a
    single data system, and standardize information
    production by the user, guaranteeing the former's
    reliability and the latter's validity

10
Information and Telemedicine System Plan Desired
impact 2006 ? 2007 period
  • FINAL USERS OF THE HEALTHCARE SYSTEM
  • Self-management of appointments and
    administrative procedures
  • Mult-iaccessible appointments from anywhere in
    the autonomous region
  • Access to information about rights and associate
    care services coverage
  • MEDICAL CARE PROFESSIONALS OF THE HEALTH CARE
    SYSTEM
  • Immediate availability of the basic data of
    users' clinical episodes diagnoses and
    treatments
  • Availability of laboratory data and radiology
    images associated to clinical episodes
  • Customer identification (patients) according to
    the level of comorbility / multi-pathology
  • Online availability of medical care knowledge
  • ON PLANNERS AND MANAGERS
  • Univocal and unequivocal identification of
    Aragon's health system users (external
    customers), according to insurance cover, origin
    and need - risk.
  • Availability of a resource map related to the
    provision of services by productivity, quality
    and cost criteria.
  • Focusing the design of the information system on
    healthcare, economic and customer results
    (rationalization of health expenditure according
    to results criteria).

11
Information and Telemedicine System Plan Desired
impact 2008 ? 2011 period
  • FINAL USERS OF THE HEALTHCARE SYSTEM
  • Integrated and outstanding patient care according
    to their health process' special characteristics
  • Pharmacy electronic dispensation
  • Diagnostic-therapeutic medical care not requiring
    mobility in specialties and processes which can
    be conducted by means of telemedicine.
  • Availability of personal clinical data integrated
    subject to user's authorization
  • MEDICAL CARE PROFESSIONALS OF THE HEALTH CARE
    SYSTEM
  • Availability of the single clinical record data
    integrated by patient and multilevel care
    processes
  • In situ diagnostic support for specialists and
    processes which can be conducted by means of
    telemedicine
  • Patient and resource management according to
    clinical characteristics
  • Immediate availability of scientific knowledge
    which can be applied to clinical decision-making
  • Availability of economic-accounting information
    directly related to clinical decision-making
  • ON PLANNERS AND MANAGERS
  • Availability of an operative purchasing logistics
    office
  • Availability of a reliable system and on-line on
    health expenditure
  • Integration of human resource management with
    organizational (innovation) and professional
    (competence) development
  • Availability of an effective information system
    to focus on medical results and the
    rationalization of health expenditure

12
Information and Telemedicine System Plan
Infrastructures
13
Information and Telemedicine System Plan
Communications infrastructure
14
Information and Telemedicine System Plan Projects
  • In order to support this deployment, there are
    several projects involved in the Information
    System Plan. These projects are linked to Health
    Optimum Initial Deployment too. Some figures
    about projects
  • There are 20 projects on going
  • 9 projects related to services and software
    applications. Including Health Optimum Initial
    Deployment.
  • 5 projects related to software applications
    integrations.
  • 6 projects related to infrastructures.
  • Inside the strategic policies that are being
    applied in the Information System Plan, it has
    been decided to establish a new Health
    Technological Centre in Huesca. In this centre
    all the Information System Plan Management
    services will be centralized. Besides this,
    several services will be carried out from this
    centre, as
  • Contact centre.
  • Health Information centre.
  • Knowledge, development and technological
    innovation centre.

15
Information and Telemedicine System Plan Projects
16
Information and Telemedicine System Plan Projects
17
Information and Telemedicine System Plan Projects
18
Summary
  • Starting scenario
  • Information and Telemedicine System Plan
  • Health Optimum and Telemedicine
  • Final scenario

19
Commitment between EU and Health Department
  • Minimum Commitment 3 x 3 x 3 x 3
  • 3 Health care sectors Achieved 66
  • 3 Hospitals with 3 health centres for each one
    Achieved 33
  • 3 Specialties in each health care sector
    Achieved 33.
  • 3 Different services in each health care sector
    Achieved 44

20
Roll- out of H-O services in Aragón Centres
Health Care Sectors Barbastro Zaragoza
III Alcañiz
  • HUBS
  • Barbastro Hospital
  • Clinico Universitario Hospital
  • Alcañiz Hospital
  • SPOKES
  • Fraga, Monzón, Castejón, Ainsa, Lafortunada
  • Cariñena, Épila, Sádaba
  • Alcañiz, Caspe, Alcorisa (Andorra)

37.5 Citizens
24 Sp. doctors 24.6 Sp. Nurses
21
Roll- out of H-O services in Aragón Services by
Sector
In the initial plan was suggested that in each
sector, the Managing Director department must
select three services among tele-counselling,
tele-laboratory, tele-radiology and
tele-referral. They are selected depending on
the main interest of the sector and are supported
by the Shared Health Care Clinical records and
the Centralized Booking System. The specialties
chosen in Aragón are
Barbastro Tele-counselling Tele-referral Tele-ra
diology Tele-laboratory
Zaragoza III Tele-referral Tele-counselling Tele
-radiology
Alcañiz Tele-counselling Tele-referral Tele-radi
ology
22
Roll- out of H-O services in Aragón Specialties
  • Barbastro
  • Oncology
  • Dermatology
  • Nephrology
  • Ophthalmology
  • Hematology
  • Radiology
  • Running services since September 2007
  • Zaragoza III
  • Hematology
  • Dermatology
  • Emergencies
  • Tele-radiology
  • Alcañiz
  • Oncology
  • Neurology
  • Digestive General Surgery

Telederma-leaflet
23
Summary
  • Starting scenario
  • Information and Telemedicine System Plan
  • Health Optimum and Telemedicine
  • Final scenario

24
Final scenario
  • Through telemedicine services the scenario will
    be changed after IT System Plan period. In this
    final scenario new situation will be carried out,
    not only for Barbastro, Zaragoza III, Alcañiz,
    but for whole Aragon.
  • Main characteristics
  • Accessibility for whole sectors citizens to all
    health services despite of location and
    communications.
  • Equity in health services available for all
    citizens.
  • Services and management decentralization.
  • New services available (after new agreements
    between managers and professionals with new and
    better design) and sustainability for all of them.

25
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