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EHR EHR SSystems ystems UUsese and and QQualityuality in in Slovenia
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
Country context - SloveniaCountry context - Slovenia
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
AREA: 20 000 sq km2
POPULATION: 2 000 000 citizens
EXPENDITURES for Healthcare 8,38 % GDP; 3 billions EUR
PUBLIC RESOURCES: PUBLIC RESOURCES: ((79,7%)79,7%)
PRIVATE RESOURCESPRIVATE RESOURCES::(20,3%)(20,3%)
Country context – Slovenia Country context – Slovenia Health systemHealth system
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
Bismarck model- Compulsory health inssurance + Voluntary health
insurance for co-payments- Health insurance Institute and 3 private health insurances
Healthcare providers:◦26 hospitals, ◦ca. 64 primary health centers, ◦ca. 700 GP offices, ◦ca. 180 pharmacies◦ca. 45.000 employees (ca. 5000 medical doctors)
Country context – Slovenia Country context – Slovenia General IT status/developmentsGeneral IT status/developments
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
On line acces to the patient index, the HCP index and to all insurance data of the person and also to delivered drugs – the key to the data are HIC and HPC - HIIS
National project eZdravje (eHealth) - MoH◦ IT infrastructure (zNET)◦ portal for eHealth ◦ IT services (e-discharge letters, e-prescription, e-booking,
waiting lists, patient summaries)
epSOS SLO – actively involved in epSOS2 - MoH
EHR EHR systemsystems:s: market market
100 % use of administrative part, Use of EHR:
◦ 50% in primary care, ◦ 90% in hospitals
20 applications on the market for the different market segments (GPs, hospitals, parmacies)
10 suppliersno important changes on the market in last five
years
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
EHR systemsEHR systems:: legal/regulatory contextlegal/regulatory context
We intend to solve some regulatory and legal
issues in the new law – it was prepared some
months ago, but we have to wait for new
government (elections in two weeks)
Some standards are required in national tenders
of eHealth project
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
EHR systemsEHR systems:: quality assessment quality assessment
Prorec.si actively involved in quality labeling
Eurorec Seal
◦3 SW vendors labeled by EuroRec for 7 IT
products
There are some plans to introduce national certification process, but still not realized
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
EHR EHR systems: systems: initiativesinitiatives, plans, plans
upgrade information systems for GP to support new approach of continuity of care for patients with chronic diseases – national requirements
improve interoperability in cross border exchange of Patient summaries and ePrescription in epSOS2
co-finance of local information systems to meet standards like IHE profiles, HL7 CDA
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade
Closing slide Closing slide
Smiljana Vončina SlavecMinistrstvo za zdravjeŠtefanova 51000 Ljubljana
www.mz.gov.si
EHR Systems Quality Labelling and Certification21 - 22 November 2011, Belgrade