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eHealth Strategy in Hungary

6 TH International eHealth Conference Bucharest. eHealth Strategy in Hungary. Gy örgy Surján National Institute for Quality- and Organizational Development in Healthcare and Medicines (GYEMSZI). Basic view on eHealth strategy. IT is a servant

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eHealth Strategy in Hungary

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  1. 6TH International eHealth Conference Bucharest eHealth Strategy in Hungary György Surján National Institute for Quality- and Organizational Development in Healthcare and Medicines (GYEMSZI)

  2. Basic view on eHealth strategy • IT is a servant • All information systems have to provide the information necessary to the work of each actor: • In the right space • In the right time • In the right form • In all systems there are two basic kind of actors and processes: transactional and managerial

  3. eHealth Strategy along two axes • We consider to axes of information flow: • Transactional data flow that follows the treatment process of each individual patient • Vertical data flow that collects and aggregates information from the transactional systems, to serve managerial / health policy and financing decisions

  4. eHealth Strategy along two complementary axes Managerial (vertical systems) Managerial (vertical systems) Transactional systems

  5. Vertical systems • Current situation: • Huge amount of information • Questionable data quality • Long processing time • Proposed solution: • Public authoritative registers and coding schemes • Transparent central validation • Automated real time data distribution (health data relay)

  6. Central organisations Automated distribution Secondary error report Rejection, error report The central validator and "health data relay" Validation against coding schemes and rules Transactional systems

  7. "Katéter Mónika" (Capacity map planning and monitoring research application)

  8. Horizontal systems • Basic paradigm: wherever the patient is, the data must be there. (Telemedicine: Wherever a decision is to be made about a patient…) • Current situation: institution based systems, purely structured data • HEFOP 4.4 Regional index database

  9. Planned actions in the horizontal systems • Software as Service solutions for the basic functions (reporting, ePrescription etc.) • Extension and improvement of regional inter-institutional systems • Cross-boarder services (epSOS) • Support of telemedicine and AAL solutions by using R&D funds

  10. Transactional systems integration Transparent accounting Regional Inter-institutional systems Core functions SaaS solutions Local services, workflow support

  11. IKIR eRp. IKIR IKIR eRp. eRp. Capacity planning and monitoring systems (GI) System overview EU Central portal Vertical system Interface Hospital GP EPSOS II Pharmacy ePrescription National Contact Point Horizontal system

  12. ODEPI Opensource DRG Exchange Platform Initiative ODEPI is an initiative of Hungary for EU, particularly CEE member states to create and develop a common platform for dissemination of DRG (diagnosis related groups) that may result in a common reimbursement system within the participating countries. This would facilitate cross boarder services, and contribute to optimised health care resource utilization and sustainability.

  13. We are willing to share our experience in: • Localisation of classifications (coding and terminologies) • Methodology of data collections for measuring actual costs • Grouping and cluster analysis to set up the system • Methodology for group weight and case mix calculation • Definition of Minimal Basic Data Set • Methodology for data collection and processing • Free of charge access to databases, software modules • Hospital management and controlling know-how

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