strategy, accreditation, security and clinical guides definition:
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STRATEGY, ACCREDITATION, SECURITY AND CLINICAL GUIDES DEFINITION: Clinical guides creation and broadcast. NHS Security Strategy. Centres and units accreditation. STRATEGIES AND EQUITY ON HEALTH MATTERS: - PowerPoint PPT PresentationTRANSCRIPT
STRATEGY, ACCREDITATION, SECURITY AND CLINICAL GUIDES DEFINITION:
• Clinical guides creation and broadcast.
• NHS Security Strategy.
• Centres and units accreditation.
STRATEGIES AND EQUITY ON HEALTH MATTERS:
• Health strategies (Mental Health, Neoplasms, Palliative Care, Diabetes, EPOC, Rare Illnesses).
• Gender and health equity strategies.
• Woman’s Health Observatory.
INFORMATION AND KNOWLEDGE MANAGEMENT:
• 110 NHS Key Indicators / Statistic Portal.
• National Health System Observatory.
• NHS Information Systems full development.
• NHS Virtual Library.
ELECTRONICAL CASE HISTORY
AND DIGITAL PRESCRIPTION:
• Digital Health Record in the NHS development:
• Personal Health Card Database.
• Central node, NHS intranet.
• A.C. and Scientific Societies
consensus.
• Electronic Prescription development.
• HCD European Project.
STRATEGYQUALITY AND INNOVATION
NHS
EQUITY,EQUITY, QUALITY AND INNOVATION QUALITY AND INNOVATION ON THE NATIONAL HEALTH SYSTEMON THE NATIONAL HEALTH SYSTEM
HEALTHCARE STRATEGIESHEALTHCARE STRATEGIES
Expert Panel
Regions
Present situation
Prioritization methods
Strategy
NHS-IB
Implementation
Multidisciplinary involvement
Evidence
- Ischemic heart disease
- Diabetes
- Mental health
- Cancer
- Palliative care
- Etc.
e-HEALTH: ELECTRONIC HEALTH e-HEALTH: ELECTRONIC HEALTH RECORD IN SPAIN RECORD IN SPAIN
JOINING EFFORTS TO REACH THE FUTUREJOINING EFFORTS TO REACH THE FUTURE
- Digital health records
- Personal health card
- Electronic prescription
INFORMATION CIRCULATESINFORMATION CIRCULATES
Healthcare
Healthcare
Healthcare
Healthcare Intranet
SNS
Healthcare
Healthcare
Healthcare Healthcare
Healthcare
RegionalIntranet
Regional Node
Federal: No Central Data Base but Exchange Data System
Central node
ANDALUCIAARAGÓN
803410
803411
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3 0 0 0 7 8 9 9 1 1 1 1
7 4 3 2 9 5 9 9 9 X C AD U C A 1 2 / 9 9
F. J AV IE R XXXXXXXXX XXXXXXXXXXX
R E G I O N D E M U R C I A
S.N.S. SERVICIO MURCIANO DE SALUDC O N SEJERIA D E SANID AD Y CO NSUM O
• With an unique identifier for each person
• Developed in collaboration with the 17 regions
• Integrated with all the EHR of the Country
• Universal coverage (45 million users)
BUILD AN UNIFIED PERSONAL HEALTH CARD DATABASE
Scope: To provide professionals and citizens with access to any clinical datasets that are relevant for healthcare (including diagnostic imaging)
Electronic documents:
Patient Summary
Informes Alta y Consulta
Lab tests
Imagen
Otras pruebas
Informes de Urgencias
ImagenImagenImagen
Primary healthcare reports
Informes Alta y Consulta
Imagen
Otras pruebas
Informes de Urgencias
ImagenImagenImagen
Discharge & Sp. Surgery rep.
Imagen
Otras pruebas
Emergency Room Reports
ImagenImagenImagen
Other tests
Imaging
Nursing Care reports
AGREED SCOPE AND CONTENT
Professional Consensus (37 Professional Citizens and Technical Associations)
Agreement on the contents of the e-documentsWork Groups: Group 1
Group 2
Group 3
Group 4
Group 5
Group 6
Group 7
Summarised Medical RecordPrimary Health Care Report
C. Discharge Report Consultation Report
Emergency Room Report
ARS
Nursing Care Report
Lab Tests Report
Imaging Tests ReportImaging Attributes
HOW?HOW?
Presential
Telephone
Users
CEISCEIS
Web
Data WarehouseOthers channels
Back Office
Centralized appointment
B D U
60 Million Centralized Appointments in 2007(data from one region of 8 million inhabitants)
Provides users with access to pharmaceutical facilities thus making it unnecessary for patients in poor health to go in personSimplifies and speeds up authorization of prescriptions
.Increases time devoted to patients. 22% LESS OF UNNECESARY VISITS….22% MORE OF AVAILABLE TIME OF GPsEntire treatment prescribed by specialistsPossibility of better support for correct prescription
Significant promotion of Pharmaceutical AssistanceReduction of management expenses and billing of prescriptions.
Improved follow-up and control of rational use of drugs (RUD) Correct assignment of responsibility in RUD among levelsGreater control in alerts and pharmacovigilance programs
OUTCOME: Improve effectiveness in primary care