Darko Gvozdanović M.Sc.E.E. Head of eHealth Ericsson Nikola Tesla d.d. 2016-02-08 THE MINISTRY OF HEALTHCARE OF THE REPUBLIC OF KAZAKHSTAN National e-Health system in Kazakhstan Recommendations for implementation Darko Gvozdanović M.Sc.E.E. Head of eHealth Ericsson Nikola Tesla d.d.
Person centered care HIGH QUALITY CARE PROVISIONING Referral Prevention Integrated care National EHR Evidence based approach Public health Research Financials Prescriptions Booking Care plans HIGH QUALITY CARE PROVISIONING Efficient administrative/ medical processes „Secondary” use of data
Kazakhstan e-health platform 2017? New fundamental registers (patients, healthcare professionals, healthcare organizations, medications…) 8 NATIONAL ELECTRONIC HEALTHCARE RECORD 01 2 NEW PORTALS KAZAKHSTAN & other HC professionals doctors PATIENTS 18 mil. BI & analytics system 1 National integration platform 01 1 Terminology services system Project: Delivery of Health Information Systems Informatization and Inter-Operability Platform
WITH SO MANY CHALLANGES? Can not cut off many existing systems immediately Need for duplication for some activities START WITH SO MANY CHALLANGES? HOW TO Current legislation supports existing processes Inadequate level of education/training Current level of care must not be compromised Current reporting and statistics can not be abruptly abandoned
Asssume this is 100% EHR Content
Information is reduced due to the different reasons: Information not submitted to the EHR at all (Primary healthcare reports, Discharge letters, Consultation notes, Allergies, Medications…) Pharmacies not connected, hospitals not connected, 70% of particular system type integrated… Prescribed instead of dispensed medications Discharge letters / specialist opinions transcribed Non structured information not easily searchable… Specific diagnosis not submitted to EHR due to the national legislation Patient decided to hide information related to some diagnosis Doctor which submits information decided to hide information related to some diagnosis
Is there any value than?
Yes there is!
benefit IMMEDIATELLY BRING AT LEAST SMALL FOR EACH STAKEHOLDER Prepare well each step but do not overthink and make things unnecessarily complex! Easier administration, avoid unnecessary contact with HC system, access to medical documentation… Handle fear from EHR! benefit FOR EACH STAKEHOLDER IMMEDIATELLY BRING AT LEAST SMALL Start with entry / access to medical information of vital importance (not available now) Duplication of work / activities must pay off Select and implement one process with greatest impact on healthcare system (e.g. e-prescribing) Extract from EHR, information for optimization of healthcare system managing and financing and improving public health