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Andalusian approach to an integrated healthcare information system Francisco José Sánchez Laguna Andalusian Health Service
Andalusian approach to an integratedhealthcare information system
Francisco José Sánchez Laguna
Andalusian Health Service
Andalusia87,599 Km2
8,492,635 habitants (657,815 foreigners)>22 M tourists yearly
Geographical situation
100 % public funding
Universal coverage*
Free of charge (pharmacy co-pay)
Integrated care
2 levels:
• Primary care
• Hospital care
Spanish Healthcare General Act 1986National Health System Cohesion and Quality Act 2003National Public Health Act 2011RDL 16/2012 NHS sustainability*
Spain: National Health System
• A long-term strategy from 1999
• A single health record number for all citizens in Andalusia
• A shared single electronic health record for every person
• An individual smart card for each person as a key for access
• Structured information
• A regional EHR shared among:
• Primary care
• Hospitals
• Emergencies
• Pharmacies
• Patients (from 2012)
The Digital Strategy of the Public Healthcare System of Andalusia
Healthcare information and management integrated system
8.3 M individual EHR
URG
CEX
Much more than an EHR: a corporate information system
Appointment Prescription
Radiology
Waiting lists
Functional tests
Pathology
Lab tests
Inpatient care
Referrals
Primary care
Hospital admission
Data warehouse
Emergency care
Outpatient care
Healthcare information and management integrated system
Some figures
• More than 1,500 PC centers
• 47 hospitals
• 8.3 M individual EHR
• 95 M appointments / year
• 54 M PC (≈50% electronic means)
• 68 M e-prescriptions / year
• 166 M dispensations
• More than 3.5 M lab requests / year
• Almost 10 M diagnostic images / year
• More than 1,300 M images
• 905 TB of images
Patient IDLocation
What happenedSymptoms
Andalusian EHR
Medical historyAlergiesConditionsPrescriptions
Mobility episode
Stock Medication/materialSelf assessment
Monitor/defibrilator integration
EHR Mobile
Monitor/defibrilator integration
EHR Mobile
Current health problems
Current allergies and contraindications
Current medication
Primary and specialized care appointments
Clinical reports
Communication
Citizens’ autonomy: new ICT services
Citizens’ access to EHR
mSSPA
Mobile strategy
Integrationlayer
Registration
Authentication
Support
Information
Monitoring
Newdevelopment
Clinical information
Personalinformation
Reports
Open integration model with the EHR
• New apps oriented integration layer
• Abierto a iniciativas de terceros (pymes, ciudadanos, otras instituciones)
