1. Darko Gvozdanović M.Sc.E.E. Head of eHealth Ericsson Nikola Tesla d.d.
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.

2. 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

3. 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

4. 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

5. Asssume this is
100%
EHR Content

6. 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

7. Is there any value than?

8. Yes there is!

9. 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