1. MINISTRY OF HEALTH REPUBLIC OF LITHUANIA Can new Member States leap-frog the eHealth revolution? Mrs. Vita Sinicienė Head of Information technology Division October 5, 2005

2. 2 Steps toward eHealth Assessment of current situation (2003) eHealth strategy (2004) Feasibility study (Roadmap) (2005) Implementation (2005 – 20XX )

3. 3 Background

4. 4 Background  Information flows, needs assessment, information gaps analysis and recommendations for the improvement, March 2000  Evaluation of Needs for Health Information and the Information Systems/Technologies Infrastructure at All the Levels of Health Care“, March 2003

5. 5 Goals of National e-Health Strategy  Improve citizen’s access to information  Better quality healthcare services to patients  Improve physicians access to reliable and comprehensive information about patient  Develop information exchange system between HCI  Improve capabilities to obtain reliable information for management and planning

6. 6 FS – success factors  Best practices of eHealth projects in EU  Openness and interoperability based on international standards (CEN, ISO)  Development of harmonized local and national solutions and infrastructure  Active participation of all stakeholders  Competitive eHealth market

7. 7 Main purpose: Patient – Centric Healthcare process Patient GP Specialists Hospitals Aftercare Date: 1.7.94 ID …. Electronic Patient Record Jonas Jonaitis 1946.12.25

8. 8 Main aims  Involve patient in health care process  Ensure continuity of care  Empower GP as gateway to health care  Provide access to common information  Implement information exchange

9. 9 Roadmap

10. 10 Lithuanian eHealth System Implementation Roadmap  Stage 1: Creation of the national eHealth core  Stage 2: Setup of the national level of eHealth system and pilot of 4 functions  Stage 3: Implementation of remaining functions of the national level eHealth system  Stage 4&5: deployment of eHealth system functions in HCIs, automation of HCIs internal functions

11. 11 Stage 1&2: Creation & Setup of the national eHealth system core  Building a core – define and realize :  Registries & Classifiers  Security: safety, confidentiality, identification and authorization principles  Information exchange: messaging principles & standards, interfaces.  Realize 4 pilot functions:  Focus on Primary Healthcare level automation

12. 12 4 pilot functions  Registration and exchange of patient visits, clinical and administrative data  Creation of referrals for consultation / treatment and results reception  Creation of referrals for diagnostics and results reception  Registration for an appointment

13. 13 Execution  International tender (WB funding): May 1st, 2005  Winner announced and Contract signed: August 18, 2005  Stage 1 & 2 planned completion: May, 2006 (symbolic 9 months )

14. 14 High-level eHealth view (based on vendor proposal)

15. 15 Steps until 2008  Stage 3: Implementation of remaining functions of the national level eHealth system  Stage 4&5: deployment of eHealth system functions in HCIs, automation of HCIs internal functions

16. 16 Other national functions  PACS  e-Prescriptions  Methodological support  Data analysis and statistics  Emergency services  Telemedicine

17. 17 2008 year  Continuity of care 100 % supported by interoperable National eHealth system  Preparedness 100 % for data exchange with relevant systems within EU  Improved quality and accessibility - satisfied and healthier patient

18. MINISTRY OF HEALTH REPUBLIC OF LITHUANIA

19. MINISTRY OF HEALTH REPUBLIC OF LITHUANIA THANK YOU !!! Mrs. Vita Sinicienė Vita.Siniciene@sam.lt Vita.Siniciene@sam.lt http://www.sam.lt/