eHealth Governance in a Heterogeneous Regional Scenario like Catalonia. How to Manage a Highly Distributed eHealth Network. Guanyabens J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

1. “Governing eHealth at
Regional level – challenges,
opportunities and lessons
learned”
Dr. Guanyabens - Coordinator of Health IT of the
Catalan Department of Health
March, 16th of 2010

2. Index
The Catalan Reality
The ICT strategy and organization in Catalonia
ICT Projects
Conclusions / Lessons learned

3. Index
The Catalan Reality
The ICT strategy and organization in Catalonia
ICT Projects
Conclusions / Lessons learned

4. The Catalan reality
Autonomous Community of Spain – CATALONIA
Catalonia is one of the seventeen Autonomous Communities
of Spain
Government: Generalitat de Catalunya
Area: 32.106,5 km2
Population (2009): 7.475.420
Life expectancy (2009): 80,55 years
Birth rate (2008): 12,2
Gross Mortality rate (2007): 8,28
Infant mortality (2007): 2,65
GDP/Capita (2007): 24.445€
High urban concentration
Own language and culture
Source: IdesCat

5. The Catalan reality
Spanish National Health System – Relationships between the Autonomous
Communities and the Central Government
Spanish National Health System
Autonomous Spain
Communities The Inter-Territory
Exclusive authority on:
Exclusive authority on: • International health policy
• Subsidiary legislation
Board SNS • Bases and general
• Public health Permanent agency of coordination, coordination of health
cooperation, communication and • Legislation on
• System’s organizational
information of regional health pharmaceutical products
structure
services, between them and with • Educational requirements
• Accreditation and planning
the Spanish Administration
• Purchasing and service
provision

6. The Catalan reality
CATALONIA – The Healthcare System in Catalonia

7. Index
The Catalan Reality
The ICT strategy and organization in Catalonia
ICT Projects
Conclusions / Lessons learned

8. The ICT strategy and organization in Catalonia
CATALONIA – ICT Organization
HEALTH DEPARTAMENT / CATSALUT
Strategic ICT plan
GLOBAL MANAGEMENT OF THE
INFORMATION’S LIFE CYCLE AIAQ’s Mission
Obtain
Generate relevant knowledge
Information
to contribute to the
improvement of the quality,
knowledge
Agency of safety and sustainability of the
Generate
Structure
Information,
Quality and healthcare system, facilitating
Assessment decision making for citizens,
in professionals, managers and
Healthcare
planners
Analyze

9. The ICT strategy and organization in Catalonia
CATALONIA – TicSalut Foundation
TicSalut Foundation
Council of
Business Scientific Professionals
INNOVATION Council Council and
Telemedicine and Citizens
Tele-assistance
DEPLOYMENT Mission
The mission of TicSalut is to
INTERNATIONAL
encourage the development
OBSERVATORY RELATIONS and use of information and
Maps of ICT in AND PROJECTS
health trends
communication technologies
Projects,
agreements to enhance the health system
in the region of Catalonia,
Spain
NORMALIZATION
Office of standards
DEPLOYMENT

10. The ICT strategy and organization in Catalonia
The ICT Catalan Governing model
Top-down approach  Collaborative
governing strategy
ICT  ICT introduction and
Catalan Middle-out deployment on a
Governing participative base
approach
Model  Continuity of care
 Interoperability using
standards
Bottom-up approach

11. Index
The Catalan Reality
The ICT strategy and organization in Catalonia
ICT Projects
Conclusions / Lessons learned

12. The ICT projects – GOVERNING CHARACTERISTICS
Catalan Shared Medical Record Medical Image Digitalization Plan
INTEROPERABILITY RESOURCES SHARING
Telemedicine Electronic Prescribing Personal Health Folder
NETWORKING MODEL COLLABORATION MODEL CORESPONSIBILITY

13. The ICT projects – GOVERNING CHARACTERISTICS
Medical Image
Telemedicine
Digitization Plan
RESOURCES SHARING NETWORKING MODEL
Catalan Shared
Medical Record
INTEROPERABILITY
Electronic Prescribing Personal Health Folder
COLLABORATION MODEL CORESPONSIBILITY

14. Index
The Catalan Reality
The ICT strategy and organization in Catalonia
ICT Projects
Conclusions / Lessons learned

15. Conclusions
Lessons learned

16. Conclusions
Governing values