e- health:

health information society

Dr Gyula KincsesDirector General

MEDINFO

Dimensions of health information society

Dimensions of health information society

e- health policy

e- therapy

e- health

e- health policye- health policy

Revaluation of planning based on data „evidence-based Health Policy”

Revaluation of efficiency

Revaluation of quality issues

Health care built on divided relations and becoming an increasingly complex system cannot be followed and controlled in other ways

e- therapyThe impact of information society on health care providers

and services

e- therapyThe impact of information society on health care providers

and services

main trend: communication of providers doctor-to-doctor communication, development of

telemedicine development of network (VPN) development of standards

• technical standards (CEN, HL7, stb.)• professional rules

extension and globalisation of medical knowledge integration of professional knowledge and regulation IT-based education, continuing education, professional

training.

e- health The impact of information society on consumers and patients

e- health The impact of information society on consumers and patients

The impact of information society on consumers and patients: health-conscious behaviour and thinking, restoring

the value role of health promoting life-style cultureself-care, self-health, promoting layman help

The impact of information society on informed consumer behaviour assisting in the conscious choice of providerspatient rights, dissemination of information related

to the revaluation of „guarantee rules”

Sectoral informatics Sectoral informatics

Data connection model of sectoral communicationData connection model of sectoral communication

annals, publications,

Internet

Management

information system

MoH

structureperformance/expenditure

quality

professional data

basic data

en

viron

men

t h

ealth

care

delive

ry system

p

op

ula

tion

demographic data

social, economic environment

environmental health data

MoEP

MoSFA

MoFinternational data provision

EUEUEUEU

WHOWHOWHOWHO

OECDOECDOECDOECD

secondary data collecting

centre

primary data collectors

NPHMOS

CHCI

NHIF

NationalHealth Institutes

CSO

See Annex for abbreviations

Data connection model of sectoral communication Data connection model of sectoral communication

structureperformance/expenditure

quality

professional data

basic data primary data collectorse

nviro

nm

en

t health

care

delive

ry system

pop

ula

tion

demographic data

secondary data collecting

centre

NPHMOS

CHCI

NHIF

NationalHealth Institutes

social, economic environment

MoHManagem

ent information system

annals, publications,

Internet

environmental health data

EUEUEUEU

WHOWHOWHOWHO

OECDOECDOECDOECD

CSO

MoH

MoEP

MoSFA

CSO

MoF

MoE

HST

Governm

ent network

See Annex for abbreviations

Reconstruction of sectoral reporting system

EUWHO

OECDobligation for integrated international data provision

renewed national database

valid

reporting

system

revised nationaldata collection

review

OSAP(Statistical Data Collection Program)

„KI-KERES”searchprogram

The issue of social insurance card The issue of social insurance card

At present there is no legal pressure to introduce health insurance card every Hungarian citizen is entitled to care there is one payer

EU ! Instead of the classical „data card” function, the modern approach lies

in the „key card” function Card-related expenses are a fraction of the expenses that the card

incurs, the real cost involves the system behind Multifunctional card is needed rather than a purely health insurance

card: health insurance information health care information information of related areas (social affairs, pension, etc.)       

Suggested functions of the health card Suggested functions of the health card

- Authentication area- Area of permanent health data (EU normatives) - Transactional area (last prescriptions, referrals, etc.) - Area(s) defined by special users

- Electronic purse function (e.g. drug budget of patients receiving free care)

- Health funds, proprietary data of supplementary health insurance (identification, entitlement, services, etc.)

- Data of special groups of diseases (patients of renal, immunological, SM diseases, etc.)

- Data of special organisations and functions (e.g. donor card, area of blood donors)

- Data of bonus systems

Basic tasks of the secondary data collecting centre

(MEDINFO)

Basic tasks of the secondary data collecting centre

(MEDINFO)

Establishment and operation of the physical data connection among the primary data centres(National Public Health and Medical Officer Service, Centre for Healthcare Information, National Health Insurance Fund, etc.) (data-management)

Operation of the clearinghouse or data warehouse function(information management)

Data utilisation, presentation, research(knowledge management)

The basic principles of MEDINFO’s information policy

The basic principles of MEDINFO’s information policy

Sector neutrality(the provision system consists not only of providers and services financed by the National Health Insurance Fund)

Multipurpose data

(data must be collected in an integrated way, not according to users of data)

Data should appear as the by-product of normal documentation processes

(rather than as independent reports)

Goals of the knowledge centre programme Goals of the knowledge centre programme

Information arising in health care and determining health status should be organised into an integrated system

Arrangement of data collected by data warehouses into an integrated system that can be processed and presented

Creation of data connection among the major data collectors in health care

Utilisation of data, securing their utility

Elements of the knowledge centre programme

Elements of the knowledge centre programme

Design, establishment and operation of an integrated, distributed database and data utilisation system (administered mostly online)

Data utilisation Establishment of a management information system,

professional support for decision preparation, periodic and ad hoc analyses for the Ministry of Health and its associated institutes

Providing mutual access to information by players of the health sector

Securing access of relevant data to the community

Projects already launched I.Projects already launched I.

Establishment of the monitoring and presentation system for the professional programmes of the Ministry of Health

Data service and organisational analysis of national institutes, proposal for restructuring data service

Analysis of non-financial data of the GYÓGYINFOK datasheet (Centre for Healthcare Information)

Creation of a database laying the foundation for international data provision

Establishment of a GIS (Geographical Information System) assisting regional formations and planning

Projects already launched II.Projects already launched II.

Establishment of an institute monitoring system Foundation of the Hungarian Health Informatics

Society (METE) Participation in the card project of the Ministry of

Finance Cardiology telemedicine programme GIS-based rescue/control project of the National

Ambulance Service

AnnexAnnex

Abbreviations:

NPHMOS - National Public Health and Medical Officer ServiceCHCI - Centre for Healthcare InformationNHIF - National Health Insurance FundMoSFA - Ministry of Social and Family AffairsMoF - Ministry of Finance MoH - Ministry of HealthMoEP - Ministry for Environmental ProtectionCSO - Central Statistical OfficeMoE - Ministry of Education HST- Hungarian State Treasury

Wishing you productive work….

Wishing you productive work….