AD-HOC Ministerial Meeting of the South-Eastern Europe Health Network Belgrade, Serbia, 21-23 June 2015
Making a Powerful Connection to Fast Forward Health in the
Republic of Macedonia:
National Health Information, Surveillance and COmmunication infrastructuRE (HI-SCORE)
AD-HOC Ministerial Meeting of the South-Eastern Europe Health Network Belgrade, Serbia, 21-23 June 2015
Health Information System: the beginnings
� Started as attempt to reduce waiting lists (from 15 months to 7 days)
� MyTime has DOUBLED the patient throughput with no new capital investment
AD-HOC Ministerial Meeting of the South-Eastern Europe Health Network Belgrade, Serbia, 21-23 June 2015
Health Information System: data for effective policy making
3,237 3,670
4,075 4,198 4,106 3,670
4,126
3,627
4,317 4,161
3,602 3,999 3,819
4,075
4,619
3,904
3,321
-‐
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
5,000
Jan-‐14 Feb-‐14 Mar-‐14 Apr-‐14 May-‐14 Jun-‐14 Jul-‐14 Aug-‐14 Sep-‐14 Oct-‐14 Nov-‐14 Dec-‐14 Jan-‐15 Feb-‐15 Mar-‐15 Apr-‐15 May-‐15
KT Referrals per month
3,857 3,950 5,420 5,171
2,667 4,728 5,093
3,828
873
3,772
11,826
4,736
-‐ 2,000 4,000 6,000 8,000
10,000 12,000 14,000
City Hospital Skopje
Clinical Hospital Bitola
Clinical Hospital Tetovo
Clinical Hospital SLp
City Hospital Veles
City Hospital GosLvar
City Hospital Kumanovo
City Hospital Ohrid
City Hospital Prilep
City Hospital Strumica
University Clinic for radiology
University Surgical Clinic
KT Referrals per health ins=tu=on
AD-HOC Ministerial Meeting of the South-Eastern Europe Health Network Belgrade, Serbia, 21-23 June 2015
0 1000 2000 3000 4000 5000 6000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
KT referrals per =me of day created
0 200 400 600 800 1000 1200
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59 61 63 65 67 69 71 73 75 77 79 81 83 85 87 89 91 93 95 97
KT referrals per pa=ent age
Health Information System: data for effective policy making
AD-HOC Ministerial Meeting of the South-Eastern Europe Health Network Belgrade, Serbia, 21-23 June 2015
Headache 20%
Other headache syndromes
17%
Cerebral infarction
11%
Disorders of vestibular function
10%
Superficial injury of head 8%
Malignant neoplasm of bronchus and lung
8%
Dizziness and giddiness 7%
Stroke 7%
Abdominal and pelvic pain 6%
cerebrovascular disease 6%
Total % of cases
Health Information System: data for effective policy making
AD-HOC Ministerial Meeting of the South-Eastern Europe Health Network Belgrade, Serbia, 21-23 June 2015
56% 57% 63%
99%
75%
48%
76%
88%
74% 81%
53%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
City Hospital -
Prilep
City Hospital -
Veles
Clinical Hospital -
Stip
City Hospital -
Skopje
University Clinic for Radiology - Skopje
City Hospital - Strumica
City Hospital - Gostivar
City Hospital -
Ohrid
City Hospital - Kumanovo
Clinical Hospital -
Tetovo
Clinical Hospital -
Bitola
% of referrals with finding
Health Information System: data for effective policy making
AD-HOC Ministerial Meeting of the South-Eastern Europe Health Network Belgrade, Serbia, 21-23 June 2015
Prescriptions
� System is integrated with all pharmacies in Macedonia
� Yearly realized prescripLons: ~ 20,000,000 prescripLons
� Average per ciLzen – 10 prescripLons yearly
Generic name % of total prescrip=ons
enalapril 9.3% pentoxifylline 4.7% lisinopril 4.6% diazepam 4.5% me]ormin 3.9% bisoprolol 3.0% hydrochlorothiazide 2.8% diclofenac 2.8% atorvastaLn 2.7% raniLdine 2.7%
Top 10 prescribed generics Top 10 prescribed antibiotics
Generic name % of total prescrip=ons
amoxicillin, clavulanic acid 27% amoxicillin 12% ciprofloxacin 11% cefalexin 10% cefuroxime 6% azithromycin 5% clarithromycin 3% cefixime 3% cefaclor 3% benzathine phenoxymethylpenicillin 3%
Health Information System: data for effective policy making
AD-HOC Ministerial Meeting of the South-Eastern Europe Health Network Belgrade, Serbia, 21-23 June 2015
Public Health
services
Risk factors and NCDs
Environment and Health
Health Information System: opportunities recognized
1st Level of Health Care • General Practitioners • Dental Practitioners • Gynecologists
2nd Level of Health Care • City hospitals • Local health care centers • City Clinical hospital
3rd Level of Health Care • University Clinics • University institutes
AD-HOC Ministerial Meeting of the South-Eastern Europe Health Network Belgrade, Serbia, 21-23 June 2015
Health Information System: connecting the dots – improving the health
Professionals
Other Sectors
Public
AD-HOC Ministerial Meeting of the South-Eastern Europe Health Network Belgrade, Serbia, 21-23 June 2015
