e- health: health information society

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e- health health information society

• Dr Gyula Kincses
• Director General
• MEDINFO

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Dimensions of health information society

• e- health policy
• e- therapy
• e- health

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e- health policy

• Revaluation of planning based on data
  evidence-based Health Policy
• Revaluation of efficiency
• Revaluation of quality issues
• Health care built on divided relations and
  becoming an increasingly complex system cannot be
  followed and controlled in other ways

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e- therapyThe impact of information society on
health care providers and services

• main trend communication of providers
• doctor-to-doctor communication, development of
  telemedicine
• development of network (VPN)
• development of standards
• technical standards (CEN, HL7, stb.)
• professional rules
• extension and globalisation of medical knowledge
• integration of professional knowledge and
  regulation
• IT-based education, continuing education,
  professional training.

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e- health The impact of information
society on consumers and patients

• The impact of information society on consumers
  and patients
• health-conscious behaviour and thinking,
  restoring the value role of health
• promoting life-style culture
• self-care, self-health, promoting layman help
• The impact of information society on informed
  consumer behaviour
• assisting in the conscious choice of providers
• patient rights, dissemination of information
  related to the revaluation of guarantee rules

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Sectoral informatics
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Data connection model of sectoral communication
See Annex for abbreviations
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Data connection model of sectoral communication
Government network
See Annex for abbreviations
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Reconstruction of sectoral reporting system
EU
WHO
obligation for integrated international data
provision
OECD
OSAP (Statistical Data Collection Program)
valid reporting
system
renewed national database
revised national data collection
KI- KERES search program
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The issue of social insurance card

• At present there is no legal pressure to
  introduce health insurance card
• every Hungarian citizen is entitled to care
• there is one payer
• EU !
• Instead of the classical data card function,
  the modern approach lies in the key card
  function
• Card-related expenses are a fraction of the
  expenses that the card incurs, the real cost
  involves the system behind
• Multifunctional card is needed rather than a
  purely health insurance card
• health insurance information
• health care information
• information of related areas (social affairs,
  pension, etc.)       

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Suggested functions of the health card

• Authentication area
• Area of permanent health data (EU normatives)
• Transactional area (last prescriptions,
  referrals, etc.)
• Area(s) defined by special users
• Electronic purse function (e.g. drug budget of
  patients receiving free care)
• Health funds, proprietary data of supplementary
  health insurance (identification, entitlement,
  services, etc.)
• Data of special groups of diseases (patients of
  renal, immunological, SM diseases, etc.)
• Data of special organisations and functions (e.g.
  donor card, area of blood donors)
• Data of bonus systems

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Basic tasks of the secondary data collecting
centre(MEDINFO)

• Establishment and operation of the physical data
  connection among the primary data centres
• (National Public Health and Medical Officer
  Service, Centre for Healthcare Information,
  National Health Insurance Fund, etc.)
  (data-management)
• Operation of the clearinghouse or data warehouse
  function
• (information management)
• Data utilisation, presentation, research
• (knowledge management)

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The basic principles of MEDINFOs information
policy

• Sector neutrality
• (the provision system consists not only of
  providers and services financed by the National
  Health Insurance Fund)
• Multipurpose data
• (data must be collected in an integrated way,
  not according to users of data)
• Data should appear as the by-product of normal
  documentation processes
• (rather than as independent reports)

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Goals of the knowledge centre programme

• Information arising in health care and
  determining health status should be organised
  into an integrated system
• Arrangement of data collected by data warehouses
  into an integrated system that can be processed
  and presented
• Creation of data connection among the major data
  collectors in health care
• Utilisation of data, securing their utility

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Elements of the knowledge centre programme

• Design, establishment and operation of an
  integrated, distributed database and data
  utilisation system (administered mostly online)
• Data utilisation
• Establishment of a management information system,
  professional support for decision preparation,
  periodic and ad hoc analyses for the Ministry of
  Health and its associated institutes
• Providing mutual access to information by players
  of the health sector
• Securing access of relevant data to the community

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Projects already launched I.

• Establishment of the monitoring and presentation
  system for the professional programmes of the
  Ministry of Health
• Data service and organisational analysis of
  national institutes, proposal for restructuring
  data service
• Analysis of non-financial data of the GYÓGYINFOK
  datasheet (Centre for Healthcare Information)
• Creation of a database laying the foundation for
  international data provision
• Establishment of a GIS (Geographical Information
  System) assisting regional formations and
  planning

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Projects already launched II.

• Establishment of an institute monitoring system
• Foundation of the Hungarian Health Informatics
  Society (METE)
• Participation in the card project of the Ministry
  of Finance
• Cardiology telemedicine programme
• GIS-based rescue/control project of the National
  Ambulance Service

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Annex

• Abbreviations
• NPHMOS - National Public Health and Medical
  Officer Service
• CHCI - Centre for Healthcare Information
• NHIF - National Health Insurance Fund
• MoSFA - Ministry of Social and Family Affairs
• MoF - Ministry of Finance
• MoH - Ministry of Health
• MoEP - Ministry for Environmental Protection
• CSO - Central Statistical Office
• MoE - Ministry of Education
• HST- Hungarian State Treasury

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Wishing you productive work.