1 | 19 TML– out 07 S. Jorge – 1 de Junho 2007 Public Health Digital Information System – Azores Region SIS-ARD AER Committee 2 "Social Policy & Public

>>1 | 19

TML– out 07

S. Jorge – 1 de Junho 2007

Public Health Digital Information System – Azores Region

SIS-ARD

AER Committee 2 "Social Policy & Public Health” TML - 23rd Oct 07

>>2 | 19

TML– out 07

Outline

01 Environment

Saudaçor

02 SIS-ARD Project

03 Conclusion

>

>>3 | 19

TML– out 07

Environment Saudaçor

Saudaçor S.A. – Autonomous Society doing health management for the Azores Government

241.600 patients

3 Hospitals, 1 Oncology Center (COA), 11 Health Facilities, 2 Health Island Units and 130 Health Posts;

4.100 Health Profissionals ;

267.467 patient appointment/year – health Facilities

160.434 patient appointment /year - Hospitals

>>4 | 19

TML– out 07

SituationWhy are we changing?

•Not enough tools to support administration procedures and rules

•Not enough tools for SRAS Management

•Not enough tools to manage HR, Financial and materials/procurement

•Absence of automatized information

•Health working for services, not for patients

•Costs of insularity and population isolation

>>5 | 19

TML– out 07

Outline

01 Saudaçor

02 SIS-ARD PROJECT

ModelWhat is SIS-ARD?

The solution pillars

Global visionBenefits

03 Conclusion

>

>>6 | 19

TML– out 07

•Patient is top priority; we need quality services to be offered to the citizens;

•New chains to interact with citizens, new way of thinking;

•Working in a chain, linked with all SRS stakeholders;

•Citizens’ information under a single registry;

•Coordination between the teams involved in patient diagnosis and treatment; this way services are improved and treatment is more effective;

•Professionals can consult and add to patient information regardless of the chosen health centre;

•Fast and easy access to all information;

• Standardization of procedures across the 9 islands, information on time!

•SIS-ARD Project•Model

>>7 | 19

TML– out 07

•SIS-ARD ProjectInformation System Nowadays!

Health Facilities with different solutions,working well but on their own!

15 de Novembro 2006

>>8 | 19

TML– out 07

•SIS-ARD Project•What is SIS-ARD?

Improving the RAA health system;Managing all the SRS resources on time;Creation of an interactive relationship with the community; Centralization of information on the patient.

•Regional network health system

A health information system composed/integrated by all informatized solutions (clinical and non-clinical) interacting with the many regional health system stakeholders.•The main objectives are :

>>9 | 19

TML– out 07

•SIS-ARD ProjectThe 5 pillars of SIS-ARD

1 Clinical History per

patient

Citizen Card

Autentication

Management at all levels

C.S.Health Centers

Primary Care

Hospitals and COA

>>10 | 19

TML– out 07

PLATAFORMAMULTI -CANAL

PLATAFORMAMULTI -CANAL

SISTEMA I NTEGRADO DE GESTÃODE UNIDADES DE SAÚDE




Gestão de Utentes

Gestão de Utentes

Gestão de Utentes

Gestão de Utentes

Gestão de Agendase Marcações




Processo ClínicoElectrónico

Processo ClínicoElectrónico

Gestão com EntidadesConvencionadas

e outros Prestadores

Gestão com EntidadesConvencionadas

e outros Prestadores

Gestão deRecursos Humanos






Gestão deRecursos

Financeiros

Gestão deRecursos

Financeiros

Gestão deRecursos

Financeiros

Gestão deRecursos

Financeiros

Gestão deRecursos

Financeiros

Gestão deRecursos

Financeiros

Gestão deRecursosMateriais






Auditoriae

Informação

Auditoriae

Informação

Auditoriae

Informação

Auditoriae

Informação

Auditoriae

Informação

Auditoriae

Informação

Contacto Presencial

Telefone

Internet

SMS

E-mail

•Intranet

•Acesso às

•Aplicações

Serviço deEmergência Médica

e Evacuações


e Evacuações


e Evacuações


e Evacuações

Gestão daAutoridade de Saúde

Gestão daAutoridade de Saúde

Serviço deRelações Públicas

Serviço deRelações Públicas

Apoio à DecisãoPlaneamentoe Investigação

Apoio à DecisãoPlaneamentoe Investigação

Portal de Informaçãoe Serviços

Portal de Informaçãoe Serviços

Centro deContactos

Centro deContactos

E-LearningE-Learning

EXTRANETEXTRANET

Sistema Integradode Configuração

e Supervisão

Sistema Integradode Configuração

e Supervisão

GA

TE

WA

Y D

E IN

TE

GR

AÇ

ÃO

E C

OM

UN

ICA

ÇÃ

O H

TB

GA

TE

WA

Y D

E IN

TE

GR

AÇ

ÃO

E C

OM

UN

ICA

ÇÃ

O H

TBPROFISSIONAL

GATEWAY DE I NTEGRAÇÃO E COMUNI CAÇÃO - HTB

UTENTE

Histórico deSaúde Único

SIS. REGIONAL DE RECENSEAMENTO DE UTENTESSIS. REGIONAL DE RECENSEAMENTO DE UTENTES

SI STEMA DE APOI O À DECI SÃO, PLANEAMENTO E I NVESTI GAÇÃOSI STEMA DE APOI O À DECI SÃO, PLANEAMENTO E I NVESTI GAÇÃO

VISÃO GLOBAL DA SOLUÇÃO FUNCIONALVISÃO GLOBAL DA SOLUÇÃO FUNCIONAL

Extranet

Configuration system

Human Resources

Financial Resources

Material Resources

AuditProfessional

Patient

GLOBAL SOLUTION

Regional Patient Database

Health institutions Information System

FICHEIRO CLÍNICO (PROCESSO CLÍNICO)

SERVIÇOS DE GESTÃO

CLÍNICA

SERVIÇOS DE GESTÃO

ADMINISTRATIVA

SERVIÇOS DE

GESTÃO DE REQUISIÇÕES

AdministrativeManagement

Requisitions Management

Clinicalsystem

Electronic HealthRecord

Data WareHouse

xx

Portal

Contact Center

E-learning

SRAS Information System

Decision Emergency

Health Autority Public Relations

>>11 | 19

TML– out 07

SIS-ARD ProjectBenefits

MANAGEMENTHEALTH PROFESSIONALS PATIENTS

>>12 | 19

TML– out 07

SIS-ARD ProjectBenefits

MANAGEMENT

•Quality and timely

information for better

decision-making

•Integrated management:

improving health

management, optimizing

health investment and

increasing quality

HEALTH PROFESSIONALS

•Easy access to patient

information

•No more duplication!

•More information for the

decision process!

•Better research and

development

•Easier access to

information between

health profissionals

PATIENTS

• Information of each citizen under a single registry and acessible to all SRS

•Reduction of bureocracy

•Information flows on, the

patient stays!

•New network channels

with the citizen (e-mail,

sms, etc.)

>>13 | 19

TML– out 07

SIS-ARD Project - ImplementationTeam Work -Group

>>14 | 19

TML– out 07

Outline

01 Saudaçor

02 SIS-ARD Project

03 Conclusions

Challenges and risks>

>>15 | 19

TML– out 07

ConclusionsProject Challenges and Risks

• management of change;

• common language;

• knowledge and technology transfer

• technology integration and application;

• information security;

• Communication;

•Profissionals involvement;

• Teaching;

• Homogeneous solution;

•Adoption of credible and trustful products

Technological

Organizational

>>16 | 19

TML– out 07

ConclusionsChallenging Management

Human Research Political and Best

Practice

Human Research Political and Best

Practice

Teaching

Communication

Leadership

Main reasons why people don´t change:

Impact on people Impact on the organization

Can´t do

Don´t know

Don´t want

>>17 | 19

TML– out 07

Can you describe in one word

or phrase the SIS-ARD Project?

>>18 | 19

TML– out 07

•It could be used sometimes, but on daily doctors appointments will take so much time to manage....

Patients and doctors aren´t used to it so changing it will not be necessary….

•Changing the rules!•One computer on a Doctor´s practice …

•The London Time 1834•(comments about the stethoscope)

•Conclusions•Challenging Management

>>19 | 19

TML– out 07

Thanks

Documents

1 | 19 TML– out 07 S. Jorge – 1 de Junho 2007 Public Health Digital Information System – Azores Region SIS-ARD AER Committee 2 "Social Policy & Public