HealthCare and ICT in Catalonia: Adding value through Innovation

1. HealthCare and ICT in Catalonia:
Adding value through Innovation
Ízaro López García – Fundació TICSALUT
Vic, 12-13 desembre de 2013
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

2. 2
• The catalan health model is a multiprovider model, integrated in one
single network of public use.
• It enhances the autonomy
management of each center.
• Each center can autonomy choose its
information system.
• Ensure interoperability between
systems
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

3. 3
The “Health Plan” provides ICTs
as a model of change to achieve
the new model of care.
The “Health Plan” proposes a new model of
care focused on the citizen, who is involved
and co-responsible of its own health care
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

4. A.L. 2
4
A more targeted
to chronically ill
system
Project 2.3. Encourage self responsibility of health among
patients and caregivers and promote self care
• Tele-monitorization and self-control services
• Development of training contents
A.L. 9
• Serious games
Shared
information,
transparency
and evaluation
Project 9.2. Deploy a communication and citizen service
multichannel network
• Facilitate communication with insured citizen – so that citizens can connect with
the system to access their personal health information
• Promote the provision of care through the new more efficient channels, which
allow to enhance system resolution
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

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There are two key elements to develop ICT according to the objectives of the
Health plan:
Electronic Health Record of Catalonia (EHR)
As an information and services network
• Allows organized access to relevant information of different centers health records and to some central
databases of the health system.
• The EHR is not the sum of the electronic records of the healthcare centers; it doesn’t incorporate all the
information from medical records.
Personal Health Channel
Deployment of a multichannel network to communicate and interact with the citizen
• The citizen is the holder of the data contained in its medical record
• He will have access to its health information available in its electronic Health Record
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

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Cloud
Chat Clinical decision support
Personal Folder
Whatsapp Telemedicine
SMS
iSalut WEB 2.0 processes manager
eConsultation
Adherence Asincrònica Facebook
Whatsapp
Electronic Health Record
Chat Big Data
Personal Channel
Monitoritzation APPs
Social networks
Tele consultation LOPD
Messaging
Twitter
eConsent
Digital Prescription
Plataforms
Self management
Videoconference
Selfcontrol
Consells de Salut
Synchronours
Information Network
Telemedicine Tele consulta Clinical diccionary
Co-responsability
Telediagnosis
Internet connection
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

7. Healthcare
Tecnologia
Cloud
Chat Clinical decision support
Personal Folder
Whatsapp Telemedicine
SMS
iSalut WEB 2.0 Processes managers
eConsult
Facebook
Adherence Asyncronous
Whatsapp
Digital clinical history
Chat Big Data
Personal Channel
Monitorization APPs
Social Networks
Tele consult
LOPD
Messaging
Twitter
eConsent
Digital Prescription
Plataforms Self management
Trakking
Videoconference
Health Advices
Empowerment Selfcontrol
Synchronic Information networks
Telemedicine Tele consultation Clinical dictionary
Coresponsability
Tele-diagnostic
Communication
Internet
Tools i3.0 to support the health
system
information integration
2013 Edition, boosted by: 'Parc de Salut' and FORES
interaction
Event supporting Active Ageing Initiatives

8. Patient Centered Care
Fisioterapist
Public Health
Patients monitorization
Specialist
Labs
Ambulance
Farmacy
Hospital
Home Hospitalization
Family
Home
Nutrition
Doctors
Patient
Clinical Devices
Social Services
Radiology
Care Plans
Coordination Center
Nursing
Manager
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

9. Common
criteria
eHealth
Technology
independence
Quality
2013 Edition, boosted by: 'Parc de Salut' and FORES
Progress
Event supporting Active Ageing Initiatives

10. SelfcoNtrol
Coresponsible
HomE care
Integrated
(HealthCare model)
UbiquiTy
APPs
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives
Tele-monItorization

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SERVICES
INFORMATION
PROCEDURES
Electr. Health Record
ACCESS PHF
Citizen Identification and
Certification
COMUNICATION
Data from citizen
EHR
HEALTH CARE
Primary Health Care
Data from citizen’s
primary care center
O
2013 Edition, boosted by: 'Parc de Salut' and FORES
No customizable
data by citizen
EDUCATION
P
Customizable data
by citizen
Event supporting Active Ageing Initiatives

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solutions
interoperability
Ticsalut Ring
iSalut.cat Healthcare model
facilitate
Catalan health system
customization
resources citizens
2.0
standards share
health
Internet assistance on-line
application communication providers
participation Health Plan managemet quality
data
n
professionals integration intransferible
tools coresponsability
accessibility
personal
Information systems
infrastructures
information sector
Health Ministry
interaction
homogenization technology
Virtual space necessitat
security
services
contents
ICT
2013 Edition, boosted by: 'Parc de Salut' and FORES
The PHC is a personal space,
virtual and non-transferable
where
health
relevant
information and other services
are available to the patient
through internet connection. The
goal is the patient to become coresponsible of its own health
Event supporting Active Ageing Initiatives

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The Personal health Channel is the
citizen’s tool to access at any time his
health information hosted by different
providers (public and private)
This implies a need of the healthcare
sector to develop services for the
citizen from the existing data in the
electronic record
Provides the citizen a wider autonomy
and security towards its data
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

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2012
2010-2011
1st Quarter
2ond Quarter
3th/4th Quarter
8% dels catalans
• Calella
• Lloret de Mar
• Malgrat de
Mar
• Palafolls
2013 Edition, boosted by: 'Parc de Salut' and FORES
• Terrassa
• Mataró
• Resta Vallès
Occidental
• Resta del
Maresme
• Osona
• All Catalonia
Event supporting Active Ageing Initiatives

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Only two steps to access: Identification and certification
Step 1: The patient indicates its PIC
Step 2: Selects the type of certification
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

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Legal warning and basic patient data are shown
Name, birth date
and PIC
Doctor and nurse
assigned
2013 Edition, boosted by: 'Parc de Salut' and FORES
Address and phone number
Reference Primary Care Center
Event supporting Active Ageing Initiatives

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Medical Reports Search
Search by:
- Type of report
- Date
- Center
2013 Edition, boosted by: 'Parc de Salut' and FORES
Search results:
- Date
- Type of report
- Diagnosis
- Service
- Hospital
Event supporting Active Ageing Initiatives

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Diagnosis Control
Open diagnosis
Closed diagnosis
2013 Edition, boosted by: 'Parc de Salut' and FORES
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ePrescription - Chronic patients treatment
Online: always updated
Printable
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

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Vaccination
2013 Edition, boosted by: 'Parc de Salut' and FORES
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21. Connect
2013 Edition, boosted by: 'Parc de Salut' and FORES
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From Personal Health Folder to Personal Health Channel
FASE 2
FASE 1
- Data
- Transaction (authentication
needed)
2013 Edition, boosted by: 'Parc de Salut' and FORES
- More data
- More transactions (always
authenticated)
- Services
- Interaction
Event supporting Active Ageing Initiatives

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PHC – Health Services
SERVICES
The Personal Health Channel is an environment to
develop health services for the citzen within a
common security framework with quality data.
Citizen
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

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2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

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Fase 2: Functionalities extension
•More transactions
•More controls on own health
•Connect with your prefessionals
•Apps to control my health
•Agenda –programming2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

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2nd Fase
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

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2nd Fase
H
A
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X
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2nd Fase
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives

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2nd Fase
2013 Edition, boosted by: 'Parc de Salut' and FORES
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Under construction
2013 Edition, boosted by: 'Parc de Salut' and FORES
Event supporting Active Ageing Initiatives