Transhis based software in Serbia

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Transhis based software in Serbia

• Overview, Scope and Challenges

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Beginnings - 2002
Well Wrong!

• Start with one pilot practice

!_at_!
Oh, no!! Not now!!!!
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Basic Health Services Pilot Project 2002-2005

• Immediate growth
• Kraljevo Municipality
• 24 Facilities
• 50 GP Teams
• 70,000 records
• 2 SW versions

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Step-by-step Rollout
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Advantages of SW Concept

• Very fast training process
• Good mapping with ICD and HIF price lists
• Excellent data model for any additional reporting
  and scientific analysis
• Good ergonomics and work flow control
• Fast data entry and information structure
• Compliance with international e-health standards

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Disadvantages of SW Concept

• Lack of institutional support to ICPC-2, data
  analysis and benefit evaluation
• Comprehension of data acquisition vs. usability
  of data
• Sophistication vs. lack of resources
• Sophistication vs. laconic competition

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ICPC Status in e-health

• No MoH participation
• No academic support
• No awareness on data available, no data analysis
  mechanism in place
• Embedded in policy documents
• Standards for EPR development
• Conceptual model of e-health
• Mapping between HIF electronic invoice price list
  and intervention codes

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Plans

• One of 3 certificated and recognized PHC SWs
• National Roll-out from World Bank funds
• Application service providing
• MoH/HIF funding for maintenance and support

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Transhis based SW

• In public domain
• Technology web application
• Adequate for off line regime and limited
  connectivity
• Centralized maintenance
• Functional framework goes beyond GP

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Practice Management Support

• Shift scheduling and team work
• Appointment system no bottlenecks
• Repeated prescription 42 of RfE
• Stock management
• Electronic referrals
• Electronic Health Record connectivity

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Acquired Data (so far)

• Users 600 (230 GPs)
• Patients 197,000
• Encounters 3.9 millions
• Prescriptions 6.4 millions
• Episodes 550,000

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What Should Be Done?

• Institutional agreement
• User group organization
• User support
• Data analysis tools implementation
• International Transhis collaboration