eHealth and medical information systems

Ihor Vaschenyuk,

Head of Volyn Oblast Healthcare

Administration

Kyiv, April 23, 2015

Development of information and

communication technologies (ICT) in

Ukraine• Creation of information society is the

priority of state policy;

• Action plan on implementation of “Open

government” partnership initiative is being

actively implemented

• Strategy for information society creation in

Ukraine has been developed

“The Global information technology report -2014”

World Economic Forum

Countries Regional rank

(2013)

Global rank

(2013)

ICT development

index (2013)

Belarus 1 38 6,89

RF 2 42 6,70

Kazakhstan 3 53 6,08

Moldova 4 61 5,72

Azerbaijan 5 64 5,65

Ukraine 6 73 5,15

Armenia 7 74 5,08

Georgia 8 78 4,86

Kirgizstan 9 108 3,78

Uzbekistan 10 115 3,40

Mean value 5,33

eHealth

• The World Health Organization defines eHealth

as “the combined use in the health sector of

electronic communication and information

technology for clinical, education and

administrative purposes, both at the local site

and at a distance”

– Mitchell J, From Telehealth to e-health: the unstoppable rise of e-health, Department of

Communications, Information Technology and the Arts, 1999

Medical information systems

Telemedicine eLearning mHealth

Electronic libraries Electronic patient registry Electronic medical records

eHealth in Ukraine

• Dynamic development of information and

communication technologies market;

• Introduction of targeted ICT tools into

healthcare area;

• Successful collaboration with Ukrainian –

Swiss program “Mother and child Health”

in the ICT field

Achievements in the ICT area (I)

Telemedicine

“openMedis” medical devices inventory tool

Achievements in the ICT area (II)

eLearning eHealth Strategy

Perinatal registry (І)

• An integrated database of

pregnant women was created in

the oblast

• Planning of medical professionals

activities

• Assessment of prenatal, intranatal

and postpartum complications

• Statistical reports

• Monitoring and consultations of

pregnant women from the risk

groups by the regional experts

Result: doctors at the facilities and oblast specialists have timely access

to relevant information and can make decisions based on it: to refer the

pregnant woman to the level where she will be provided the best care

Perinatal registry (ІІ)

Central rayon

hospital Oblast perinatal center

Challenges of implementation

Challenges Solutions

Creating of the appropriate

infrastructure (computers, access

to internet);

Agreement: the Program

purchases computers and the

facility ensures Internet connection

Human resources (computer

competence, personnel, lack of

time, motivation);

Two- stage training: 1) computer

skills courses, 2) training on

software use. Saves time owing to

quick retrieval of reports

Regulations (concurrent

maintenance of paper records);

The challenge remains, however it

is possible to print out certain

forms

Absence of a separate division

responsible for ICT at the HCA;

Technical personnel team and

data center were created

Ensuring sustainability of ICT tools

Creation of an appropriate

infrastructure at each region

(data center)

Designation of

technical personnel

team

Healthcare administration support

Pilot project on implementation of

electronic medical record

• Pilot site: Lutsk CRH

– Admission department;

– Medical department;

– Cardiology department;

– Surgical department;

• 21 workplaces were created;

• Computers were provided from the territorial

polling stations;

• Patient registry program: “Doctor LX”

eHealth strategy

• Development of strategy – to

ensure sustainability of ICT

tools

• Vision: by 2020, the citizens of

the Volyn Oblast shall benefit

from improved, efficient,

transparent and accessible

health services through

intelligent use of Information

and Communication

Technologies.

• Priorities and strategic

objectives of the Volyn oblast

administration in the public

health were defined in the

strategy

• The strategy was approved

by the Volyn HCA and

disseminated among the

stakeholders

eHealth strategy

www.mch.org.ua

Improvement of the quality of

care with the focus on cardio-

vascular and oncological

morbidity

Equal access to health

services

Health promotion and

disease prevention

Cost-effectiveness and

rational allocation of

resources

HCA PRIORITIES

HCA

objectives

To introduce

electronic medical

records

eLearning of

healthcare workers

Patient is an active

participant in

services delivery

Integration of the

existing evidence

based information

system

Introduction of

document

management

systems

Key stakeholders involved in eHealth

implementation

International

agencies, donors

Volyn State

Administration

Ministry of Health

Oblast Healthcare

Administration

ICT team

City and Central

Rayon Hospitals Oblast hospitals

Primary Healthcare

Facilities

ICT companies

1. Strategy implementation 2. Regulation and standardization

3. Implementation management

4. Executives for implementation

Project for reforms supported by the

World bank

• HCA priority: to improve the quality of care (with

the focus on cardio-vascular and oncological

morbidity);

• Introduction of the cardio-vascular diseases

register is planned within the World Bank project

framework

Thank you for attention!