Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
New Tunisian project of Health Information System (HIS) Walid Kooli Tunisian Ministry of Public Health www.santetunisie.rns.tn Bruxelles, 15 July 2011 The National Health Network; The New Health Information System. When we speak about healthcare in the world, much of the discussion centres on the financial burdens currently faced by countries. Regardless of the need to focus on providing better healthcare to the patient, the underlying considerations will always be at the behest of the Health Ministry’s budget. Many countries have experimented/implemented successfully e-Health solutions in order to reduce costs for healthcare systems while providing improved care for patients (I.E: Spain, Sweeden, Portugal,Canada…) E-Health encompass a range of services or systems including: Electronic health records; Telemedicine; Consumer health informatics; Health knowledge management; Virtual healthcare teams; m-Health; Healthcare Information Systems; … An ambition to progress by large jumps instead of small increments=> "Leapfrogging" - The national public health network is under the control of the Informatics Center of the Ministry of Public Health (CIMSP). The current infrastructure in place can be considered as a standard for connectivity where the CIMSP is a core service provider to all structures of the Ministry of Public Health. This architecture was designed with a vision of "value-added services" network providing: Data security and network equipments; Control of the network evolution and ensuring quality of service; Independence and flexibility Increasing the total bandwidth by creating relays with Tunisie Telecom. The SHOC Room Telecom provider Upgrading voice and data infrastructure by establishing a communication platform : • Inter-connect 280 sites with IP VPN network (fiber optic for the CIMSP, the head quarter of the ministry and 11 public hospitals; copper for the other structures) • Two FO MPLS access to 100 Mbps for CIMSP through two switches in two different nodes of the backbone to provide better redundancy; • VoIP service and flat-rate voice traffic in the fixed to fixed TUNISIE TELECOM network; • xDSL Emergency access for 263 health structures equivalent to the main MPLS access • Carry VoIP traffic, business data, across the IP / MPLS backbone; 20 Mbps FO access for 5 pilot structures High definition visio conference solution (SHOC Room) WiFi Solution and RFID (electronic prescription) Mobile IP communication +++Added value solutions 9 The Tunisian health system becomes increasingly complex and expensive, requiring vigilant governance that must be based on solid, reliable and valid information to guide and assist government in decision making and setting priorities in line with user expectations. In Tunisia various attempts have aimed the establishment of a health information system. The latest one was initiated in 1992 and has set up a management information system at university hospitals, erected in public health institutions and gradually generalized in regional hospitals. 10 It had to meet essentially the requirements of pure managers, in term of a more efficient use of resources and mobilization of financial resources, coupled with the establishment of a charging health expenses process to social security funds. However, within the limits that have been outsourced and the environment in which it was implemented, the management information system showed immediately its limits in terms of availability and integration of the added value medical information about quality and continuity of patient care. Indeed, medical information's are manually entered in the patient's medical record. In addition, each healthcare structure has its own records and its own bases, without any communication with other units or structures. 11 The proposed HIS is one of key projects of the public health upgrade program. It aims to develop a comprehensive health information based on an integrated vision of the entire health system. This project is based on a feasibility study (2005-2006). This study identified the strengths and weaknesses of the current system and proposed an action plan for the new health information system. Project goals Télémèdecine New components Existing components 37 inter-dependant projects: • Patient card (Unique Id); • Data bank of the population/citizens (from birth to death); • Electronic Health record • E-prescriptions; • Professional’s portal; • Cirizen’s portal; • … The new health information system will achieve the democracy access to health care for all citizens Thank you for your attention Walid Kooli [email protected]