Regional Health Information System

Transcript

1 Al servizio di gente unica Regional Health Information System Trieste, July 11, 2013 Servizio sistemi informativi ed e-government

2 Regional Health Information System Regional Health System km sqare area 43% mountain - 19% hill - 38% Plain regional population 6 territorial health services corporations (9 network hospitals) 5 regional hospitals: 2 university hospitals, 2 scientific institutes employees General practitioners and pediatricians

3 Regional Health Information System Three-year ICT investment plan SISSR - Social and health care section

4 Management and strategies in ICT Regional Law 22/1972: Regional information system is a public service of regional relevance Insiel S.p.A.: 40 years of experience and development

5 Regional Health Information System Shared applications and services One informational system at regional level same solutions system synergy and ease of integration technology at the highest level economies of scale Example: Primary Datacenter Unique reservation centre (regional hub)

6 Unique reservation centre (regional hub) Sharing agenda of all regional clinics for specialist consultations Unique call center service Startup of new services: i.e. On line payment for healthcare services

7 Dematerialization Process Digital signature Legal digital document retention Networking

8 Digital signature Smartcards with certification of electronic signature and web authentication Distribution of smartcard readers Adaptation of applications

9 Legal digital document retention 13 millions of specialist medical reports 2 millions of administrative documents 171 thousands of X-ray examinations 21 millions of images

10 The most important projects eprescription Health continuity Web Portal Electronic Health Dossier (FSE) and digital patient record Picture Archiving and Communication System Privacy

11 Regional Health Information System E-Prescription 16,8 millions of traditional prescriptions /year 72% drug prescriptions 28% specialist consultations 92% general practitioner 8% medical specialist

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14 Health continuity Web Portal Directed to general practitioner Smart card authentication View of digitally signed medical reports E-prescription Management of specialist consultations

15 Regional Health Information System Picture archiving and communication system

16 Italian Law 196/1993 Privacy Italian Data Protection Authority decision 3/2013 to manage processes with health data each hospital need to collect the informed consent Who has the right of access to data Which data (past, shading of single episodes)

17 Electronic Health Dossier (FSE) Software integration with the privacy repository of citizen answers Only digital signed documents Stored informations ensures temporal depth and completeness of information Directed to general practitioner, citizen, healthcare provider

18 E-Health Italia Slovenia Cross-border digital patient record - Patients clinical pathway - Patients mobility - Telematic medicine - High specialized training for health staff

19 Al servizio di gente unica Thank you for your attention Trieste, July 11, 2013 Servizio sistemi informativi ed e-government