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Digital Health Region – A near future Project Presentation
Digital Health Region – A near future
Project Presentation
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The Project
Protocol between the Regional Healthcare Public
Administration (ARS Centro), the Hospital of
Figueira da Foz and the IT partners HIS/PT-Prime
for the establishment of health digital region of
Figueira da Foz
Protocol signed on April 17, 2008
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Actual situation of Figueira da Foz
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Health Care Facilities
1 x Hospital with 141 bed
620 professionals
1 x Primary Care with 18 extensions169 professionals
Target Population
Total area 2.000m2
> 215.000 habitants;
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Project Goal
Implementation of a set of software solutions enabling the integration of
information systems
Integration, for the first time in Portugal, of patient clinical information between primary
and differentiated health care
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Implementation timeline
Taking into account the complexity and the innovation of the project, the study
that we conducted of the current situation of the Hospital of Figueira da Foz and
observing the requirements identified for the project, it should be developed in
several phases with each phase in obtaining the following benefits:
Fase II – EPR – All Clinical AreasFase II – EPR – All Clinical Areas
Fase III – Clinical / Medical componentsFase III – Clinical / Medical components
Fase I – EPR –Common featuresFase I – EPR –Common features May ’08 to Nov ‘08May ’08 to Nov ‘08
Nov ’08 to Mar ’09Nov ’08 to Mar ’09
Mar ’09 to Aug ‘09Mar ’09 to Aug ‘09
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Fase I – Key Benefits
� For the patient: – Giving him more confidence in the
system;
– Present him more comprehensive services and tailored with your needs;
– Provision of care more efficient;
– Less waste of time using new channels of communication
� For the Public Health Authorities:
– Ability to establish and validate a more integrated model of operation (PC - H - Other Providers);
– Economic gains due to reduction of redundant prescriptions;
– Users more satisfied;
– Easier resource management
� For the Healthcare units:– Breaking down barriers between
stakeholders and between departments of the same stakeholder;
– Having processes of more articulated and creative work;
– More ability to Work as a team;
– Improving clinical information about the user;
– Improving information and control on output;
– Implementation of work processes more dynamic;
– Working on the basis of evidence and improve the service provided
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Fase II - Key Benefits
� For the patient:– Patient in the centre of proceedings:
No need to repeat the same questions each time patient goes a new unit or department’s unit;
– Less time in appointments;
– More personal service;
– Patient feels more supported and confident in the health system
� For the Public Health authorities:
– Ability to identify new patterns of operation and provision of services;
– More and better information;
– Strengthening the links between the units and agents of the sector;
� For the Healthcare units:– Having a broad and integrated vision of
the user / Pathology / treatment to be done (evidence based medicine);
– Better coordination between the clinical departments/ Units;
– More focus on results to the patient
– Management of resources easier;
– Greater flexibility for the introduction and implementation of guidelines and Therapeutic Clinical Protocols;
– Raising the levels of satisfaction and motivation of professionals;
– Possibility of Units submit a joint strategy for the sector and the region;
– Unified and consistent information in real time, and @ point-of-care
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Fase III - Key Benefits
� For the patient:– Better accessibility to healthcare
providers;
– Better judgment and knowledge about health status;
– Improved accountability in the treatment defined
� For the Public Health authorities:
– Access to detailed and reliable clinical, demographics and billing information;
– Definition of Health Policies based on evidence
� For the Healthcare units:– Processes defined by quality
standards;
– Increasing Efficiency and Effectiveness;
– Management focused on best installed capacity;
– Outcomes available for improving the economic and financial efficiency;
– Larger operational efficiency based on best practices
Identified problems in Portuguese Health IS
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The current scenario of information systems in health tend to be (ACSS source - plan SIS 2008):
� Delivery services not aligned with the strategy
� Poor standardization of information and information systems
� Quality of information relatively weak and not always available in time
� Limited integration of systems and dematerialization of information
� Poor interoperability between systems, islands of information resulting from isolated
systems without connection
� Inefficient management of procedures for the management of information systems
� Solution’s core technologically outdated but with considerable wealth functional in
the context of its focus
� Solutions mainly focused on supporting administrative and billing procedures
� Solutions targeted to the processes but not on the type of professional and episodes
� Lower security of information and information systems
Problems we can solve
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� Delivery services aligned with the strategy and the needs of the sector
� Standardization of information and information systems
� Quality of information and available in time
� Integration of systems and dematerialization of information
� Interoperability and integration between systems
� Consistent management of procedures for the management of information systems
� Solution’s core technologically updated and maintaining the functional considerable wealth in the
context of its focus
� Solutions mainly focused on the patient (patient centric)
� Solutions targeted to workflows
� High security of information and information systems
We can:
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THE PATIENT GOES ONLINE AND SCHEDULES A NEW APPOINTMENT
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THE PATIENT RECEIVES A SMS OR AUTOMATED PHONE CALL CONFIRMING APPOINTMENT
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AT THE SCHEDULED DAY, PATIENT GOES TO HEALTHCARE UNIT WITH HIS HEALTH CARD
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THE PATIENT INSERTS CARD IN SELF CHECK-IN KIOSK
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PATIENT IS THEN CALLED THRU A DIGITAL VOICE CALL IN CORPORATE TV SYSTEM
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HEALTHCARE PROFESSIONALS ARE NOW READY FOR PATIENT
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HEALTHCARE PROFESSIONALS ACCESS ALL PATIENT INFORMATION IN THE SCREEN
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HEALTHCARE PROFESSIONALS USE SYSTEM TO PRESCRIBE AND SET/READ INFORMATION
PATIENT ACCESSES TO IS OWN PHR AND KEEPS E-CONTACT WITH HEALTHCARE UNITS
