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

2. Country context - Slovenia EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade AREA: 20 000 sq km 2 POPULATION: 2 000 000 citizens EXPENDITURES for Healthcare 8,38 % GDP; 3 billions EUR PUBLIC RESOURCES: (79,7%) PRIVATE RESOURCES:(20,3%)

3. Country context – Slovenia Health system EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade Bismarck model -Compulsory health inssurance + Voluntary health insurance for co-payments -Health insurance Institute and 3 private health insurances Healthcare providers: ◦ 26 hospitals, ◦ ca. 64 primary health centers, ◦ ca. 700 GP offices, ◦ ca. 180 pharmacies ◦ ca. 45.000 employees (ca. 5000 medical doctors)

4. Country context – Slovenia General IT status/developments EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade On line acces to the patient index, the HCP index and to all insurance data of the person and also to delivered drugs – the key to the data are HIC and HPC - HIIS National project eZdravje (eHealth) - MoH ◦ IT infrastructure (zNET) ◦ portal for eHealth ◦ IT services (e-discharge letters, e-prescription, e-booking, waiting lists, patient summaries) epSOS SLO – actively involved in epSOS2 - MoH

5. EHR systems: market 100 % use of administrative part, Use of EHR: ◦50% in primary care, ◦90% in hospitals 20 applications on the market for the different market segments (GPs, hospitals, parmacies) 10 suppliers no important changes on the market in last five years EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

6. EHR systems : legal/regulatory context We intend to solve some regulatory and legal issues in the new law – it was prepared some months ago, but we have to wait for new government (elections in two weeks) Some standards are required in national tenders of eHealth project EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

7. EHR systems: quality assessment Prorec.si actively involved in quality labeling Eurorec Seal ◦3 SW vendors labeled by EuroRec for 7 IT products There are some plans to introduce national certification process, but still not realized EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

8. EHR systems: initiatives, plans upgrade information systems for GP to support new approach of continuity of care for patients with chronic diseases – national requirements improve interoperability in cross border exchange of Patient summaries and ePrescription in epSOS2 co-finance of local information systems to meet standards like IHE profiles, HL7 CDA EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

9. Ideas, proposals EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

10. Closing slide Closing slide Smiljana Vončina Slavec Ministrstvo za zdravje Štefanova 5 1000 Ljubljana smiljana.voncina-slavec@gov.si www.mz.gov.si EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade