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Current status on eHealth in Hungary. Ways of development in Hungarian Healthcare Peter DOMBAI eHealth expert GYEMSZI – Institute for Quality- and Organisational Development for Healthcare and Medicine Antilope V4 eHealth Interoperability SUMMIT Bratislava, 26th February 2014.

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Current status on eHealth in Hungary


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    1. Current status on eHealth in Hungary Ways of development in Hungarian Healthcare Peter DOMBAI eHealthexpert GYEMSZI – Institute for Quality- and Organisational Development for Healthcare and Medicine Antilope V4 eHealth Interoperability SUMMIT Bratislava, 26th February 2014

    2. Agenda • Starting point: current status • Cooperative space: a newbasisuntil 2015 • Interoperability & its testing: makingthestep 0 • Futurevision

    3. Starting point • Strong historicalbackground • electronichealthcaredatacollectionexperimentingsincethe ’70s • electronichealthcarereportingsince 1992 (DRG) • Sendingunencryptedflat file databaseexportson floppy discs • Isolatedgovernmentaldatabasescreatedonheterogenoustechnicalenvironments • The mono-insurancemodelcreated a considerablywealthydataasset

    4. Starting point (2) • Fruitsover-ripening • thosesystemsworkedquitenicely and servedtheirusers/utilizerswell:no internalneed of developmentarised • forsomegovernmentaldatabases no electronicaluse (ornouseatall!) wasdefined, thatresulted in baddataquality • governmentalagencieswereprotectingtheirowndatabases (and theirdutiesas a token of stayingalivethroughouthealthcaresystemreforms):no data-sharingpracticesarised • IT-systemsbelongtothehigh-techcomponents of healthcare: rocketsciencecosts a lot– in an environment of continuousshrinkageofresources and reducingnumbers of hospitals, nobodygivesmoneyfor IT happily • The onlydevelopmentcamefromthemust, like: • newgovernmentalagenciesand/ornewdutiescreated • IT technologylikefloppy, databaseenginges, etcgoinglegacy(westillhave software workingfrom 1992 atthe National Health Insurance F.) • Internet and email penetratestheworld

    5. Starting point (3) • Breakout (firsttry) • 2004 „HEFOP” – Human ResourceDevelopmentOperativeProgramme, Priority4.4 • Scope: HospitalInformationSystem (HIS) datasharing • Budget: cca. EUR 16M for 3 of 7 regions • Results/Experiencegain: • Interoperabilityreachedtechnicallevel(semanticleveldid not workproperly) • Sectorialgoalssufferedfromlettingthe lead toconsortiums of hospitals and HIS vendorinvolvementwassecondary

    6. Secondchance • Semmelweis Plan – released in 2010 • Creating a service-orientedHealthcare System • SupportingfinancialsavingsthroughIT-supportedhealthcareoptimization (patientpathways) • Financial basis: 2007-2013 projects (cca. EUR 100M) • eGovernmentOP: renewinggovernmentalsystems • Society infrastructure OP: creatingthenationaleHealthsystem (theeHealth Cooperative Space) • Society renewalOP: renewing/redesigninghealthcaredecisionmakingwiththenewIT-basedtechniques

    7. The eHealth Cooperative Space • The healthcare IT cooperationshould not be basedonyours/minethinking • Itshould be a publicutilitylikewaterducts and/or post office • Itshould not influencethetechnologiesusedattheendpoints (dataproviders/datasharers) • Itshouldfacilitategovernmentalagenciestoredesigntheirsystemsasback-ends of servicesofthe Cooperative Space

    8. “A” governmentalarea, agencies • “C” definitvecaregivers • “B” thespace and sevicesprovidedbythespace • “P” public connector • Everybodycankeeptheiroriginalsystems • Data transferformat and content is standardised • Cooperative, sectorialservicesareprovided: checking a doctor ID’s validity is not an agencyaction. • Besidemessagedelivery and contentvalidationotherservicescan be performed 8

    9. The 3 projectscreatingtheSpace

    10. Interoperability: standards, testing and certification

    11. Futurevision • Maintenance, Horizon 2020 and National OPs • Identify and standardizebestpractices of usingtheNational eHealthsystem • KeepupwithgrowingNeHSuse • AddingnewservicestotheNeHS • AttachingnewagenciestotheNeHS • Integration of theNeHStotheEU-levelsystems

    12. Thankyouforlistening! Peter DOMBAI dombai.peter@gyemszi.hu +36 70 62 98 982 12