Potentials of e-health for implementation of National Health ProgramProf. Juozas PundziusChairman of National Health Board

National Health ProgramYear 1998:- the National Health Program was approved by the Parliament of Lithuaniaestablished National Health Board with given responsibility for health policy coordination, including systematic analysis of health situation, coordination and simulation of public health action

The main objectives of Lithuanian Health ProgramReduction of mortality and increase of average life expectancy;

Equity in health and health care;

Quality of life improvement.

Content ofNational Health ProgramSpecific objectives (reduction of mortality and morbidity of CVD, cancers, reduction of accidents etc.);Achieving healthy lifestyles;Improvement of the environment;Appropriate health care;Financing of health care.

The 10 E s in "e-health"Efficiency increase efficiency in health careEnhancing quality of careEvidence based e-health interventions should be evidence basedEmpowerment of consumers and patientsEncouragement of a new relationship between the patient and professionalEducation of physician through online servicesEnabling information exchangeExtending the scope of health careEthics new forms of patient-physician interactionEquity to make health care more equitable

The circumstances which caused the development of e-health The empowerment in healthComputer literate publice-health(Ball MJ, 2001) B2C(business-to-consumer)

The circumstances which caused the development of e-health The empowerment in health Problem:Especially fast developing Health and Informatics technologies overtake human training and psychological readiness to work with high technologiesSolution education and sharing of knowledgePilot projects and experimental testing in: University hospitalsRegional clusters (Medical + technical universities + academical hospitals)

The circumstances which caused the development of e-health The regional cluster in implementation e-health

Kaunas university of MedicineKaunas technical universityKaunas medical university hospitalUniversity research institutes

The circumstances which caused the development of e-health B2C (business-to-consumer) Problem:Producers offer to client most complicated, sophisticated and of course most expensive, but often only partly applicable productsThe goalsTo choose and accept for implementation only evidence based and adequate according needs health technologiesSolutionHT assessment and testing in: University hospitalsRegional clusters

The circumstances which caused the development of e-health B2C (business-to-consumer) Local produced softwareAIVA SISTEMForeign specialized productc.a.r.u.s., GermanyIntegral professional softwareSAPChoice in purchasing hospital informatics system

The circumstances which caused the development of e-health Computer literate public Problem:Medical public is not very computer maturated SolutionEducation and staff training in: Universities Regional clusters

The tools of e-health in implementation ofNational Health Program

TelemedicineTele-educationTele-researchTele-administration-equity in health care;-quality improvement. -health promotion;-health education.-monitoring;-development of health information DB.-management of health care services;-transforming flows of information in HCS.National Health Program

Telemedicine and National Health Program (1)Quality of health care:Online consultations:Physician to physician;Physician to patient;Personal health risk assessment.Specialist services in hospitals without onsite support;Educational opportunities for physicians.

TelemedicineEducation:From working place to audience in long distance

Telemedicine and National Health Program (2)Equity in accessibility of health care services:In-home monitoring of chronically ill by disease management programs;Directories of providers;Developing personal medical electronic record;Online registration;Monitoring personal health improvement and fitness programs;Electronic payment for services.

TelemedicineTeleconsultations

Tele-research and National Health ProgramMonitoring influences changes in health status of the population;Participating in the research;Developing the health information data bases.

Tele-administration inNational Health ProgramThe use of information and communication technology for planning, implementation, funding, and assessment of disease control, quality, efficiency and effectiveness in service supply.This also includes epidemiological surveillance and control, and administration of human, technical and other resources.Administration of health informationInside institutionTransferring to the central database

Main kinds of health informationNational and international health information data bases;Registers (ex.: National Cancer register);Data bases in health care sector (ex. : DB of National Sickness Fund).

E-administration of information Present outflows of information in Health care systemHealth Care InstitutionInformation flowsSickness FundRegisters Public Health InstitutionsHealth Information Center Passport dataSpecific clinical data

E-administration of information Future outflows of information in Health care system (Vision)Health Care InstitutionClinical informationPassportinformationHealth information bankSickness FundMinistry of HealthPHCcentersVarious registersLHIC

Possible barriers for E-health in implementation of National Health ProgramLack of universal Internet accessComputer illiteracyLimited knowledge of how to surf the WebCost of purchasing computers for personal useUnwillingness to share information Compatibility of systems between customer and Web-based organization

Benefits of use of e-health implementation of National Health Program to Health Care System The system of personal medical records in the network and personal cards;System of registry of incidence of disease and payments for health care services;The regulation of the patients flows in counties level;The analysis of health indicators of the population;The monitoring of activity of the health care institution;The planning of health resources.

The benefits of use of e-health for implementation National Health ProgramThe information about health is more accessible to population;Increased efficiency and quality of health care delivery;The empowerment of patient to take care of his health.Better health for population

E-health implementation in National Health ProgramImplementation of National Health ProgramHealth promotionHealth educationHealth informationHealth careprovision e-health toolsHealth carefinancing

Thank you for attention