1. EHR Systems Use and Quality in the Czech Republic EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

2. Country context – Czech Republic -Population: 10 milion -Payers of health care: 9 Health Insurance Funds -Costs of health care: cca 240 bln CZK/year (10 bln €) -200 hospitals, 45.000 physicians, 2.000 pharmacies -National Health Information system – collection and processing of data; administration of registries;... -Data standard introduced by MoH -Identification of citizens EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

3. EHR systems: market Market penetration Primary care: 60% (1 main supplier with several sftwrs) Secondary care: 80% (3 main suppliers – off the shelf products and on demand taylored products) Main suppliers cover 80% of market Large number of suppliers shrank in last 5 years EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

4. EHR systems : legal/regulatory context Legislation ◦Act on care and population health (1960s) ◦Act on health services (2011) ◦Act on personal data protection (2000) ◦No special law on EHR systems EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

5. eHealth CZ – real stuff PHR/EHR ◦Countrywide: IZIP, HIF claims summaries ePrescription ◦interface described ◦doesn´t support interactions  eIncapacity ◦interface descibed eIdentification Registries – consolidation Claims submittion portals of HIF EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

6. EHR systems: quality assessment No EHR quality assessment applied in CZ except of market assessment ProRec CZ attempts to analyze ◦Market respond to introducing quality labeling ◦The specificity of CZ environment with regards to EuroRec statements EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

7. Challenges CZ How to start? How to involve authorities (end payers)? ◦Quality EHR = safer healthcare? ◦Quality EHR = cheaper healthcare? How to overcome chicken & egg ◦Motivate vendors to get Seal ◦Motivate users to require Sealed product What size of market is suitable? EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

8. Closing slide Closing slide Milan Ruzicka, ProRec CZ milan.ruzicka@izip.cz www.ehealthforum.cz EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade