CHRODIS + Croatian pilot from the MoH perspective Dunja Skoko Poljak, MD Head of Public Health Division

Pilot background CHRODIS + 304.408 diabetic persons 2300 general practitioners 7 diabetes centres not all the patients with diabetes are being treated equally, by the same clinical standards and led through clinical pathways providing similar outcomes

Governance level CHRODIS + STRENGHTS 3 years of available routine data collected from EHRs in GPs WEAKNESSES unclear institutional mandates in health information standards in Croatia OPPORTUNITIES decision supporting tools in GPs THREATS relatively slow implementation of new technical solutions in GPs

Improvement areas CHRODIS + MoH jurisdiction/ participation (total/ partial) At decision making level align MDS with international standards and mutually between systems and clearly define institutional responsibilities and mandates regarding eHealth and health Improve the quality of the feedback to data sources GPs in order to maintain data quality Improving awareness of GPs on potential benefits from MDS and CroDiab, i.e. try to raise awareness of the importance of standardised clinical practice and health information systems Improving awareness of patients with diabetes on their potential benefits from CroDiab and how to participate within health care system organisation in order to improve their health outcomes Improving the MDS tool that will allow better insight in patients’ health history and monitoring results Through Croatian medical chamber improve the representation of diabetes clinical field within continuous education of health professionals Improvement areas su definirane temeljem svih slabosti i prijetnji a MZ ima u nadležnosti ili sudjeluje u velikom dijelu aktivnosti povezanih sa tim područjima – 1,3 i 4 označeni crno (ovi drugi su posvijetljeni)

MoH National Diabetes Programme 2015-2020 - 2015 Diabetes Strategy and Treatment Committee - 2018 Health Information and Data Act – 2019 creates pre-conditions for comprehensive and effective use of health data and information in health care for the purpose of improving and preserving the health of the population in the Republic of Croatia. the Act provides the basis for the harmonization of the legal framework for the management of health data and information and their quality processing at the level of the national health system as well as internationally

Dunja.Skoko-Poljak@miz.hr