ehr systems use and quality in ehr systems use and quality in italy ehr systems quality labelling...
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EHR EHR SSystems ystems UUsese and and QQualityuality in in Italy
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
Country contextCountry context
Basic facts about:- the country a regionally-based health service paid by taxes
provides universal coverage
- the health care systemnational level ensures general objectives
and fundamental principles;
regional governments ensure the actual care delivery
through Community Care Trusts (Local Health Units)and public and private accredited hospitals
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
Country contextCountry context
Basic facts about:- General IT status within the health sector
the Ministry of Health, the Ministry of Innovation and the Regions have agreed to operate jointly to carrying out the ehealth national strategies and particularly for EHR diffusion, through a State-Regions coordinating board.Formal certification process is not currently in place in Italy.
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
EHR EHR systemsystems:s: market market
Market for the different segments
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
Medical Systems in primary care about 20 Ml
Clinical Information Systems less than 10 Ml
Hospital information systems about 150 Ml
Department of Health Systems less than 15 Ml
Systems integration Hospital Territory about 200 Ml
Country Information System NSIS about 25 Ml
Regional systems about 50 Ml
EHR EHR systemsystems:s: market market
Market shares
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
revenue (Ml euro) EHR Suppliers Products
Over 50DEDALUS Products supported by services
ENGINEERING Services (products are instrumental)
about 30
NOEMALIFE Products supported by services
EXPRIVIA most services
Santer Services
about 10 LUTECH Services
5 to 10
GPI most services
ADS-DP most products
SIGMA most services
Under 4IASI Products and services
10 companies. Products and services
EHR EHR systemsystems:s: market market
Number of suppliers (approx.)
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
GP Hospital Homecare /Nursing
vendors 11 43 5
systems 13 43 5
int’l 1
EHR EHR systemsystems:s: market market
Evolution of the market
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
million euro(source The Healthcare Information Technology Market, ref. Holding Bracco Esaote)
Mio Euro
Year 2000 2005 2010
HIS Other Modules 114 225 395GPSystems 52 64 108Other HCP 52 64 108Healthcare Networks 67 212 524Telemedicine 15 49 152Home Care Monitoring 361 72 106
Total 335 687 1395
Italian Market
Mio Euro
Year 2000 2005 2010
HIS Other Modules 114 225 395GPSystems 52 64 108Other HCP 52 64 108Healthcare Networks 67 212 524Telemedicine 15 49 152Home Care Monitoring 361 72 106
Total 335 687 1395
Italian Market
EHR systemsEHR systems:: legal/regulatory contextlegal/regulatory context
Formal certification process is not in place in Italy.
Most regional EHR infrastructures
verify the ability of GP systems to fit local rules and
approve their usage within the regional system.
The main producers of GP systems made a consortium
to self-certify the adherence of each system
to a basic set of requirements.
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
EHR systemsEHR systems:: legal/regulatory contextlegal/regulatory context
the MoH established in 2001 a Steering Board with central
government and regions to rule the New Nat’l Healthcare
Information System (NSIS) and semantic interoperability.
the Ministry of Innovation established in 2004 a eHealth Board
(TSE) with MoH and regions to harmonise e-health policies
Ministry of Innovation, Federation of Local Trusts and
Municipalities (Federsanità-ANCI), Forum of Public Administration
(ForumPA) and National Research Council (CNR) promoted a tool
to monitor readiness and adoption of ICT in Local Trusts
(LITIS – Levels of Technological Innovation in Healthcare).
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
EHR systemsEHR systems:: legal/regulatory contextlegal/regulatory context
The eHealth board (TSE) defines
the normative and technical framework,
IBSE, a national EHR federated infrastructure
and IPSE (the mirror project of EPSOS).
A law in the Parliament will formally
establish the EHR also for secondary uses;
a regulation will be produced after 6 months.
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
EHR systemsEHR systems:: quality assessment quality assessment
Several Regional Authorities are establishing their regional eHealth Board, according to local rules
and competence centers (e.g. Arsenal consortium among Local Trusts in the Veneto Region).
Some Regional Authorities are developing eHealth roadmaps with EHR’s development (some based on European Structural Funds)
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
EHR systemsEHR systems:: quality assessment quality assessment
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
EHR EHR systems: systems: initiativesinitiatives, plans, plansList and present the public initiatives
In March 2010, TSE began working on interoperability
between different regional EHR,
with the production of specific criteria
(Good Practice Requirements)
that indicate how to implement
validation of the phases of integration, conforms at
C1 “EHRS infrastructure component” and
C10 “EHRS Interoperability component”.
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
Closing slide Closing slide
Contact data and web sites
Angelo Rossi Mori, PROREC [email protected]
TSE www.sanitaelettronica.gov.it/ NSIS www.nsis.ministerosalute.it/
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade