1. Transhis based software in Serbia Overview, Scope and Challenges

2. Beginnings - 2002 Start with one pilot practice Oh, no!! Not now!!!! Well… Wrong! !@%!

3. Basic Health Services Pilot Project 2002- 2005 Immediate growth –Kraljevo Municipality –24 Facilities –50 GP Teams –70,000 records –2 SW versions

4. Step-by-step Rollout

5. 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

6. 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

7. 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

8. 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

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

10. 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

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

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