Towards sustainable healthcare in the EU

Large territory Low population density [28 Inhab./Km 2 ] Dispersion in many small rural towns Increasing inmigrant population [11’4% del total] Aged population [19’8% > 65 years] A health system adapted to Aragón´s characteristics Km habitantes [9’4% of Spain´s surface] [2’8% Spain´s population] Aragón [España]

Factors influencing the health system development Demography (population, dispersion and old age structure) and geography Sufficient financial resources Tecnological capacity Availability of Professionals Access to new diagnostic and therapeutical procedures Organizations and managerial structures Biomedical research Knowledge management: Professional development

Budget increase and per capita expenditure 2009 Region of Aragon Budget : m. € Department of Health and Consumer Affairs in 2009: m. € (32% of the total) Per capita expenditure:1.474 € (spanish average is €) Health budget increase between 2003 and 2009: + 63% Capital investment from 2003 to 2009 were 347 m. €

An Organization adapted to Social Reality Primary Care centers network Accident & Emergency care network Hospitals and specialized care centers Decentralized High Level Diagnostic & Treatment Centers Mobile Image Diagnostic Units Telemedicine Mental Health Care Centers Care Programs for Chronic Dependent Patients Palliative Care Programs

A Government of Aragon Strategic Project HEALTH INFORMATION SYSTEMS AND TELEMEDICINE PLAN Technical developmetn and innovation towards change and modrenization of health care Integration and automatization of the whole process of health care Real time transmission of images and biomedical data between health care facilities Change of classical work procedures to facilitate information flows Clinical Data Security Guarantee Time span: 5 years ( ) Estimated total capital investment: 80 million euros

Building investment: € Total construction: m² Staff: 125 profesionales Opened in 2009, the Technological Center for Health (Centro Tecnológico de Salud [CETEC]) houses the Data Processing Center [CPD], the Call Center and the Professionals Support and Computer Solutions Center [CAU], and facilities for training and education. A Government of Aragon Strategic Project

Technology servicing the Health System Users User Data Base [ Accessible from all health care levels ] Salud Informa (“Health Service Direct”) [Call center and website for patients and users] Electronic Clinical Record in all healthcare facilities: – Free choice of Consultant – Electronic Drug Prescription Hospital A&E departments informatization. Digital Radiologic Imaging Telemedicine

Technology servicing the Health System Users Salud Informa: – Phone or Internet Centralized Appointments for GP and Consultants practices. – General information on health servides and health programs and activities. – e-administration f Electronic Clinical Record Telemedicine: – Progressive implementation in the rural areas – includes teleconsultation, telelaboratory and teleradiology – Medical specialties already implemented: Neurology, Dermatology and Ophtalmology – Activity done up to December 31, 2008: radiology studies teleconsultations

Technology servicing the Health System Users County of Uppsala Región Syddanmark County Emergency Clinical Hospital Timisoara Regione Veneto Gobierno de Aragón - Health Department Healthcare delivery Optimisation through telemedicine is a Telemedicine project approved and co-funded by de European Union within the eTEN programme, that promotes the constitution of telematic and transeuropean networks.

The Citizen as the Center of the Health System Technology servicing the Health System Users Accesibility Closeness Efficacy Timeliness Quality Security of clinical data Descentralization Operativity Efficiency Quickness Interactivity Sostenibility

We work to improve!