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EHR Systems Use and Quality in Croatia Ranko Stevanovic, PhD, Research associate Croatian National Institute of Public Health. Country context. Basic facts about: the country - 4,2 million insurees 1,35 million active contributors (32%) > 300.000 unemployed (8%)

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Country context

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  1. EHR Systems Use and Quality in CroatiaRanko Stevanovic, PhD, Research associateCroatian National Institute of Public Health EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  2. Countrycontext • Basic facts about: • the country - 4,2 million insurees • 1,35 million active contributors (32%) • > 300.000 unemployed (8%) • Others and dependants (35%) • >1 million retired (25%) • >2 million exempt from co-payment EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  3. Countrycontext • 65 hospitals • 120 community care centers • 21 Public Health Institute • 1 Transfusion Medicine Institute • 4500 family physicians and dentists • 830 pharmacies • >1200 home-care nurses • >65.000 health workers • the health care system EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  4. ~100% use in primary care (small practice applications – 5000 teams, 10000 professionals) and 60% use in hospital care (45 hospitals) • In primary care • 8 vendors for GPs • 5 vendors for dentists • 7 vendors for pharmacies • 5 vendors for laboratories • In hospital care (HIS) 5 vendors EHR systems: market EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  5. In primary care top 3 vendors almost 90% of market in hospital care 1 vendor with around 50% of market • Great expansion of market in last 3-5 years EHR systems: market EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  6. No complete regulation or legislative about EHR systems and functionalities of EHR system yet • For Development and Deployment of a Primary Health Care Information System standard taken over from CEN (CEN EN 13606) by Croatian Standardization Department EHR systems:legal/regulatory context EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  7. Primary care applications needs to be certified for exchange of information with central system only • Secondary care will be included next year (only exchange of information) EHR systems: quality assessment EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  8. Initiative of HDMI (CSMI)for establisihing local ProRec center in Croatia and increased promotion of EHR certification and standardisation in last 2 years. EHR systems: initiatives, plans EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  9. Placing of the PHC - Primary Health Care information system at the Centre‑stage position in the health information system, • Evaluation through trial run (genuine patients, and real doctors in real surgeries), • Selection of a solution builder, not solution deliverer (together with its future users with regulated intellectual ownership rights, and rights on hardware, software, source codes), • Develop a IS that provides all Intelligences at a single centre: BI, PHI, HCI, MI, KI, EI, II Ideas, proposals, Recommendations EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  10. EHR System in Croatia 155 School Medicine Offies Hospital specialist All data 2332 GP Offices Communication Network - VPN EHR Archive 266 Gynecological Offices Central IC PHC System 260 Pedijatric Offices 1933 Dental offices

  11. Closingslide Ranko Stevanovic Pr, MD, PhD, Family medicine specialist Croatian Public Health Institute, Head, Primary Health Care Dept. President of Croatian Society of Economics and Health Economics Member of Project Management Unit (Croatian Ministry of Health Project “Development of Croatian Heath Information System”) 10000 Zagreb, Rockefellerova 7 CROATIA Phone: ++ 385 1 48 63 244       Fax:              ++ 385 1 46 83 011 www.hzjz.hrranko.stevanovic@hzjz.hr www.farmakoekonomika.hrranko.stevanovic@farmakoekonomika.hr EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

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