Title: Sin ttulo de diapositiva
1TELEMEDICINE EQUITY AND ACCESSIBILITY
TOOLBarbastro, 26th June 2008
2Summary
- Starting scenario
- Information and Telemedicine System Plan
- Health Optimum and Telemedicine
- Final scenario
3Summary
- Starting scenario
- Information and Telemedicine System Plan
- Health Optimum and Telemedicine
- Final scenario
4National 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
5Patient hospitalization frequency ratios in
Barbastro sector
Hospitalization frequency 0/00 inhabitants -
1998
0 to lt25
25 to lt50
50 to lt75
gt75
6Density and Natural Movement
Natural Movement of Population. Year 2002
7Summary
- Starting scenario
- Information and Telemedicine System Plan
- Health Optimum and Telemedicine
- Final scenario
8Information 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
9Information 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
10Information 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).
11Information 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
12Information and Telemedicine System Plan
Infrastructures
13Information and Telemedicine System Plan
Communications infrastructure
14Information 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.
15Information and Telemedicine System Plan Projects
16Information and Telemedicine System Plan Projects
17Information and Telemedicine System Plan Projects
18Summary
- Starting scenario
- Information and Telemedicine System Plan
- Health Optimum and Telemedicine
- Final scenario
19Commitment 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 -
20Roll- 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
21Roll- 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
22Roll- 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
23Summary
- Starting scenario
- Information and Telemedicine System Plan
- Health Optimum and Telemedicine
- Final scenario
24Final 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.
25THANKS FOR YOUR ATTENDANCE