Transhis based software in Serbia Overview, Scope and Challenges

Beginnings Start with one pilot practice Oh, no!! Not now!!!! Well… Wrong!

Basic Health Services Pilot Project Immediate growth –Kraljevo Municipality –24 Facilities –50 GP Teams –70,000 records –2 SW versions

Step-by-step Rollout

Advantages of SW Concept Very fast training process Good mapping with ICD and HIF price lists Excellent data model for any additional reporting and scientific analysis Good ergonomics and work flow control Fast data entry and information structure Compliance with international e-health standards

Disadvantages of SW Concept Lack of institutional support to ICPC-2, data analysis and benefit evaluation Comprehension of data acquisition vs. usability of data Sophistication vs. lack of resources Sophistication vs. laconic competition

ICPC – Status in e-health No MoH participation No academic support No awareness on data available, no data analysis mechanism in place Embedded in policy documents –Standards for EPR development –Conceptual model of e-health Mapping between HIF electronic invoice price list and intervention codes

Plans One of 3 certificated and recognized PHC SWs National Roll-out from World Bank funds Application service providing MoH/HIF funding for maintenance and support

Transhis based SW In public domain Technology – web application Adequate for off line regime and limited connectivity Centralized maintenance Functional framework goes beyond GP

Practice Management Support Shift scheduling and team work Appointment system – no bottlenecks Repeated prescription – 42% of RfE Stock management Electronic referrals Electronic Health Record connectivity

Acquired Data (so far) Users – 600 (230 GPs) Patients – 197,000 Encounters – 3.9 millions Prescriptions – 6.4 millions Episodes – 550,000

What Should Be Done? Institutional agreement User group organization User support Data analysis tools implementation International Transhis collaboration