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EHR S ystems U se and Q uality in Greece. Angelina Kouroubali, PhD Affiliated Researcher FORTH. Information Society SA State-owned firm offering project management expertise to the Greek public sector in the fields of IT projects and of re-engineering public administration processes.

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EHR S ystems U se and Q uality in Greece


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ehr s ystems u se and q uality in greece

EHR Systems Useand Qualityin Greece

Angelina Kouroubali, PhD

Affiliated Researcher

FORTH

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade

source of information

Information Society SA

    • State-owned firm offering projectmanagement expertise to the Greek public sector in the fields of IT projects and of re-engineering public administration processes.
    • The firm currently runs projects co-funded by the European Union and national funds.
Source of Information

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade

the health sector in greece
The Health Sector in Greece
  • 140 public hospitals
    • 35,814 beds
  • 6 private hospitals
    • 1,420 beds
  • 179 private clinics
    • 14,528 beds
  • 187 primary care centres
  • 60,4 physicians/10000 inhabitants

~ 11 M inhabitants

7 health regions

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade

the health sector in greece1

Secondary care is the main point of interaction between the system and the citizens.

  • Healthcare IT is seen as one of the major tools to achieve cost cutting
The Health Sector in Greece

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade

it status setup developments

2003-2009

    • 13 Regional Healthcare IT Projects (OPSY)
      • undertaken by Information Society SA
    • total cost: ~50M
    • ~60% completed
  • Applications
    • ERP, Patient Administration, Medical Applications (EHR), LIS, MIS, primary care IS
  • DRGs are being introduced to hospitals
IT status/setup/developments

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade

it applications

Enterprise

    • ERP, Patient Administration
    • Medical Applications (EHR)
    • LIS, MIS
    • primary care IS
  • Cross Enterprise
    • Central patient registry, Regional MIS
    • RHA portal, Integrated booking service
    • I-EHR
IT Applications

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade

ehr system s market

Market penetration

    • Public Sector: primary care <10%, secondary care 30%
    • Private Sector: primary care 30%, secondary care 50%
  • Number of applications
    • ~ 20-30
  • Market segmentation
    • Total % of top 3 systems: 50%
  • Number of suppliers
    • ~ 10-15
  • Evolution of the market last five years
    • Rapid development (OPSYs) with periods of stagnation
EHR systems: Market

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade

ehr systems legal regulatory context

Legislation for data protection / security

  • EHR Legislation: No ... But
    • EHRs need to be in place due to the country’s obligations towards Troika (Memorandum II)
  • Functionalities
    • Information Society SA (OPSY) RFPs have been widely used as a common reference point
    • OPSY RFPs required HL7 compliance
EHR systems:Legal/Regulatory context

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade

ehr systems quality assessment

EHRQ TN project

    • Workshops to raise authority/vendor awareness
    • Certification of one of the top 3 vendors with the EuroRec Seal 2.
  • Quality requirements are project based
    • Assessed within the project
  • National quality assessemnts is not in place
EHR systems:Quality Assessment

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade

ehr systems i nitiatives p lans

13 regional healthcare it systems

    • basic EHR implementation
  • New national project for 30 hospitals
    • includes central EHR (18M budget)
  • Study to establish a national EHR roadmap
    • ~1M budget
  • Pilot e-prescription program
    • covering ~20% of all prescriptions in the country
  • National e-prescription project (tender phase)
    • ~25M budget
  • Study for a national interoperability framework
    • ~300k budget
  • No initiatives for quality labelling & certification
EHR systems: Initiatives & Plans

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade

initiatives plans

Follow European guidelines

    • Calliope, epSOS, digital agenda
  • Focus on financial aspects of healthcare
  • Need to establish national infostructure
Initiatives & Plans

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade

ideas p roposals

Gradually benefits start to become apparent.

  • End users become aware that effort goes beyond their own department creating a sense of integration
  • Departments that benefit most from the system embrace it.
  • New ways of working create a critical mass of users with new mentality, making it harder to revert to old ways.
Ideas - Proposals

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade

slide13

Thank you for your attention

Angelina Kouroubali

kouroub@ics.forth.gr

EHR Systems Quality Labelling and Certification

21 - 22 November 2011, Belgrade