An overview of the Catalan HealthCare system and the main challenges ahead regarding the implementation of IT infrastructures like PHR and third party services.

1. Catalan Health Model – Health Plan of Catalonia
Dr. Izaro Lopez Garcia
Project Coordinator at TICSalut Foundation
ilopez@ticsalut.cat
3rd December 2013
1

2. Current System
Decentralized System
•
The Catalan healthcare model
is a multi-provider one
integrated in a unique public
network.
•
It enhances the
autonomous management
of each provider.
•
Providers are free to select
their information systems;
however 85% of the
primary care centres have
the same system (eCAP)
•
Interoperability among
systems must be guaranteed.
2

3. The “Health Plan” of Catalonia 2011-2015
The “Health Plan” provides ICTs
as a model of change to achieve
the new model of care.
The “Health Plan” proposes a new
model of care focused on the
citizen, who is involved and coresponsible of its own health care
3

4. ICT Challenges
Information sharing among citizens, professionals and organizations is the
main challenge in the consolidation of ICT in Health (eHealth).
1. Advanced and Mature ICT
Mismatch of functionalities at
different entities.
Diversity of ICT
solutions
citizen
2. Transformation of the
public HC System
organizational model
Fostering
professionals
3. More active citizen
role in the HealthCare
system
Information
Integration
organizations
Common
Services
4

5. ICT tools to develop the Health Plan
There are two key elements to develop ICT according to the objectives
of the Health plan:
Electronic Health Record of Catalonia (EHR)
As an information and services network
• Allows organized access to relevant information of different centers health records and to
some central databases of the health system.
• The EHR is not the sum of the electronic records of the healthcare centers; it doesn’t
incorporate all the information from medical records.
Personal Health Channel
Deployment of a multichannel network to communicate and interact with the
citizen
• The citizen is the holder of the data contained in its medical record
• He will have access to its health information available in its electronic Health Record
5

6. Information and services network

7. Cloud
Chat Clinical decision support
Personal Folder Whatsapp Telemedicine
SMS iSalut WEB 2.0 processes manager
Adherence Asincrònica Facebook eConsultation
Whatsapp
Electronic Health Record Chat Big Data
Personal Channel
Monitoritzation APPs
Social networks
Tele consultation LOPD
Messaging Twitter
eConsent
Digital Prescription
Plataforms
Self management
Videoconference
Selfcontrol
Consells de Salut
Synchronours
Information Network
Telemedicine Tele consulta Clinical diccionary
Co-responsability Telediagnosis
Internet connection

8. Healthcare
Tecnologia
Cloud
Chat Clinical decision support
Personal Folder Whatsapp Telemedicine
SMS iSalut WEB 2.0 Processes managers
Adherence Asyncronous Facebook eConsult
Whatsapp
Digital clinical history Chat Big Data
Personal Channel
Monitorization APPs
Social Networks
Tele consult LOPD
Messaging Twitter
eConsent
Digital Prescription
Health Advices
Plataforms Self management Empowerment Selfcontrol
Trakking
Videoconference
Synchronic Information networks
Telemedicine Tele consultation Clinical dictionary
Coresponsability
Tele-diagnostic
Internet
Tools i3.0 to support the
health system
information integration
interaction
Communication

9. Patient Centered Care
Fisioterapist
Public Health
Patients monitorization
Specialist
Labs
Ambulance
Hospital
Farmacy
Home Hospitalization
Family
Home
Nutrition
Doctors
Patient
Clinical Devices
Social Services
Radiology
Care Plans
Coordination Center
Nursing
Manager

10. Common
criteria
eHealth
Technology
independence
Quality
Progress

11. SelfcoNtrol
Coresponsible
HomE care
Integrated
(HealthCare model)
UbiquiTy
APPs
Tele-monItorization

12. Project
SERVICES
INFORMATION
Electr. Health Record
ACCESS PHF
Citizen Identification and
Certification
Data from citizen
EHR
PROCEDURES
COMUNICATION
HEALTH CARE
Primary Health Care
Data from citizen’s
primary care center
O
No customizable
data by citizen
EDUCATION
P
Customizable
data by citizen

13. EHR deployment – October 2013
98,4% (425)
97% (67)
100
82,3% (88)
90
80
67,3% (33)
70
60
50
40
30
20
10
0
H Aguts
Sociosanitaris
Salut Mental
AP
13

14. Access and publication data - October 2013
Publication document EHR
Access PHF
Citizens which have accesed in october
Professionals View Access
1236
Professionals access in Octber
17.674
Electronic Health Record Consultations in October
173,054
14

15. Indicators of publication and consultation Radiology - September 2013
400,000
25,000
20,000
300,000
250,000
15,000
200,000
10,000
150,000
Nombre d'estudis consultats
Nombre d'estudis publicats
350,000
100,000
5,000
50,000
0
0
13/02- febrer
13/03- març
13/04- abril
13/05- maig
13/06- juny
Average of studies publicated
monthly (last 8 months)
Publication centers
Professionals that have
consulted studies during August
13/07- juliol
13/08- agost
13/09- setembre
316.019
Hospitals 24
15.285
15