Dimitrios Kontos

President, EOPYY

E-Health Forum 2014Megaron Athens International Conference Centre,

12-14.05.2014, Athens

2014

In the current economic and fiscal context

we have to,

* A strategic reform

Improve:

The performance of the system

(effectiveness, efficiency, transparency)

The quality and efficiency in service delivery

Importance of information and communication technologies

E-Health

* e-Prescription system

January 2014 February 2014 March 2014

Number of

prescriptions

% Number of

prescriptions

% Number of

prescriptions

%

Handwritten 90.000 1,74% 10.971 0,21% 893 0,23%

E-prescriptions 5.090.803 98,26

%

5.158.094 99,79 4.575.824 99,77%

Total 5.180.803 100% 5.169.065 100% 4.576.717 100%

Launching Year: 2010

2014

* KMES

Management System for outpatient prescriptions claims

(KMES) – MIS using Business Information tools Interoperability with e-prescription system (ΗΔΙΚΑ)

Processing of around 5,5 million prescriptions per month

The implementation of e-prescribing supports the

process of policy-making by contributing valuable

empirical data to policy decisions and through the

construction of a rational decision framework to

examine the implications of potential regulatory policy

options.

Some examples:

A generic penetration target per ATC4 group and per

specialty has been established

* E-diagnosis

- Diagnostic medical services were ordered by doctors

using the electronic platform of e-diagnosis.

- E-diagnosis was launched on February 2012

(obligatory use).

- Today, test ordering through e-diagnosis has been

incorporated into e-syntagografisi

* eDAPY

1. eDAPY of opened and closed healthcare System

• Certification of Doctors / Other healthcare providers

• DAPY of opened healthcare system

• Interconnection with IDIKA for data extraction of electronic referrals

• Access to electronic interconnection with eDAPY• Opened healthcare Web Service

• Interconnection with the Free Access Voucher

• DAPY of closed healthcare system

2. eDAPY Of Supply of Medical Materials and Formulations of Special

Diet• Certification of material suppliers and CCA

• DAPY for supplies of medical materials and special diet formulations

3. eDAPY of diabetic supplies

• Certification of Suppliers for Diabetic Supplies Material

• DAPY of diabetic supplies4. eCases of Hemodialysis

• Cases of Hemodialysis

• Cases of Hemodialysis-ADMIN

Entry / Exit Vouchers announcement

• Entry / Exit Vouchers announcement

• Web Service of Entry / Exit Vouchers announcement

* Data from e-Health platforms March 2014

1.109.598 Physician visits

10.877.391 Clinical tests

4.941.573 Prescriptions

1.758.400 Referrals for diagnostic tests

230.718 Entry vouchers for hospitalization

75.014 cases of Hemodialysis

24.303 Registered providers

1.511.530 insured persons

Electronic

Medical

Records

* Website

* Website

Visits

Visits

March 2014

* Area of new Actions

Chronic Disease Management

Key issues:

- Chronic diseases account for 70% of total healthcare

expenditures in Greece

- Incidence is growing due to aging and lifestyle

behaviors

Use of IT as a key asset:

• Central patient management system

• Mobile and e-Health platforms

• Faster communication between stakeholders

• Consulting

• Patient education, motivation and involving in own

health management

• Tools that help & engage patients on daily basis

• Registries: understanding variations in care, which

might lead to better outcomes and lower costs

* Step forward

• Whereas the last 5 years, many platforms and integrating

information systems have been developed, there still remain

unanswered questions about interoperability of these

systems.

• The next step forward should be the ability of making systems

and organizations to work together (ESYnet, HDIKA, KMES,

eDAPY, TAXISnet, patient summary, etc) and allow information

exchange in a unified IS.

• This can be only realistically addressed if Ministries, legal

entities and stakeholders will cooperate to assess today’s

demands and address affectively the needs considered to be

served through specific applications and be appropriately

incorporated into the current systems.

*Thank you.