MINISTRY OF HEALTHREPUBLIC OF LITHUANIA

Can new Member States Can new Member States leap-frog the eHealth revolution?leap-frog the eHealth revolution?

Mrs. Vita SinicienMrs. Vita SinicienėėHead of Information technologyHead of Information technology

DivisionDivisionOctoberOctober 5, 200 5, 20055

22

Steps toward eHealthSteps toward eHealth

Assessment of current situation (2003)

eHealth strategy (2004)

Feasibility study (Roadmap) (2005)

Implementation (2005 – 20XX )

33

Background

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BackgroundBackground

Information flows, needs assessment, Information flows, needs assessment, information gaps analysis and information gaps analysis and recommendations for the improvement, recommendations for the improvement, March 2000 March 2000

Evaluation of Needs for Health Information and Evaluation of Needs for Health Information and the Information Systems/Technologies the Information Systems/Technologies Infrastructure at All the Levels of Health Care“, Infrastructure at All the Levels of Health Care“, March 2003 March 2003

55

Goals of National e-Health Goals of National e-Health StrategyStrategy

Improve citizen’s accessImprove citizen’s access to information to information Better quality healthcare services to patients Better quality healthcare services to patients Improve physicians access to reliable and Improve physicians access to reliable and

comprehensive information about patientcomprehensive information about patient Develop information exchange system Develop information exchange system

between HCIbetween HCI Improve capabilities to obtain reliable Improve capabilities to obtain reliable

information for management and planninginformation for management and planning

66

FS – success factorsFS – success factors

Best practices of eHealth projects in EUBest practices of eHealth projects in EU Openness and interoperability based on Openness and interoperability based on

international standards (CEN, ISO)international standards (CEN, ISO) Development of harmonized local and Development of harmonized local and

national solutions and infrastructurenational solutions and infrastructure Active participation of all stakeholdersActive participation of all stakeholders Competitive eHealth marketCompetitive eHealth market

77

Main purpose:Main purpose:Patient – Centric Healthcare processPatient – Centric Healthcare process

Patient

GP

SpecialistsHospitals

Aftercare

Date: 1.7.94

ID ….

Electronic Patient Record

Jonas Jonaitis 1946.12.25

88

Main aimsMain aims

Involve patient in health care process Involve patient in health care process Ensure continuity of careEnsure continuity of care Empower GP as gateway to health careEmpower GP as gateway to health care Provide access to common informationProvide access to common information Implement information exchangeImplement information exchange

99

Roadmap

1010

Lithuanian eHealth System Lithuanian eHealth System Implementation RoadmapImplementation Roadmap

Stage 1: Creation of the national eHealth Stage 1: Creation of the national eHealth corecore

Stage 2: Setup of the national level of Stage 2: Setup of the national level of eHealth system and pilot of 4 functionseHealth system and pilot of 4 functions

Stage 3: Implementation of remaining Stage 3: Implementation of remaining functions of the national level eHealth functions of the national level eHealth systemsystem

Stage 4&5: deployment of eHealth system Stage 4&5: deployment of eHealth system functions in HCIs, automation of HCIs functions in HCIs, automation of HCIs internal functions internal functions

1111

Stage 1&2: Stage 1&2: Creation & Setup of the national eHealth system coreCreation & Setup of the national eHealth system core

Building a core – define and realize :Building a core – define and realize : Registries & ClassifiersRegistries & Classifiers Security: safety, confidentiality, Security: safety, confidentiality,

identification and authorization principlesidentification and authorization principles Information exchange: messaging Information exchange: messaging

principles & standards, interfaces. principles & standards, interfaces.

Realize 4 pilot functions:Realize 4 pilot functions: Focus on Primary Healthcare level Focus on Primary Healthcare level

automationautomation

1212

4 pilot functions4 pilot functions

Registration and exchange of patient Registration and exchange of patient visits, clinical and administrative datavisits, clinical and administrative data

Creation of referrals for consultation / Creation of referrals for consultation / treatment and results receptiontreatment and results reception

Creation of referrals for diagnostics and Creation of referrals for diagnostics and results receptionresults reception

Registration for an appointmentRegistration for an appointment

1313

ExecutionExecution

International tender (WB funding): International tender (WB funding): May 1st, 2005 May 1st, 2005

Winner announced and Contract signed:Winner announced and Contract signed: August 18, 2005 August 18, 2005

Stage 1 & 2 planned Stage 1 & 2 planned completion:completion: May, 2006 May, 2006 (symbolic 9 months (symbolic 9 months ))

1414

High-level eHealth view High-level eHealth view (based on vendor proposal)(based on vendor proposal)

HL7,

XM

L, W

EB S

ervic

e, JD

BC,F

TP, .

.

Hospital Information SystemsLaboratory Information

Systems ...Standalone System Users

User interface

User process components

Medical Information Exchange Service Interfaces

Business Services Business Processes

XML,

SOAP

, etc

.

External systems and external services

EHRRegistriesClassifiers

Secu

rity

Laye

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Comm

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tions

Syste

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Data access interfaces Service Interfaces eHea

lth S

ystem

Pr

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Int

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Laye

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Pres

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Laye

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ient L

ayer

1515

Steps until 2008Steps until 2008

Stage 3: Implementation of remaining Stage 3: Implementation of remaining functions of the national level eHealth functions of the national level eHealth systemsystem

Stage 4&5: deployment of eHealth Stage 4&5: deployment of eHealth system functions in HCIs, automation system functions in HCIs, automation of HCIs internal functionsof HCIs internal functions

1616

Other national functionsOther national functions

PACSPACS e-Prescriptionse-Prescriptions Methodological Methodological supportsupport Data analysis and statisticsData analysis and statistics Emergency servicesEmergency services TelemedicineTelemedicine

1717

2008 year2008 year

Continuity of care 100 % supported by Continuity of care 100 % supported by interoperable National eHealth systeminteroperable National eHealth system

Preparedness 100 % for data exchange Preparedness 100 % for data exchange with relevant systems within EUwith relevant systems within EU

Improved quality and accessibility - Improved quality and accessibility - satisfied and healthier patientsatisfied and healthier patient

MINISTRY OF HEALTHREPUBLIC OF LITHUANIA

MINISTRY OF HEALTHREPUBLIC OF LITHUANIA

THANK YOU !!!THANK YOU !!!

Mrs. Vita SinicienMrs. Vita Sinicienėė

VitaVita.Siniciene@sam.lt.Siniciene@sam.lt

http://www.sam.lt/http://www.sam.lt/