Transcript N.Ducinskas. Lithuania eHealth Overview_e_129x

Lithuania eHealth
Overview
Normantas Ducinskas
Head of eHealth Coordination and Implementation Division
Lithuania MoH
Aims

Transparent and Effective Health System
with improved accessibility and quality of
healthcare services and ensured the
necessary information exchange using the
information and communication
technologies;
E-health System Priorities and Principles
• General access to e. health services for patient and
health professional;
• Cooperation between the health care sector
participants;
• General access to the health care sector information
resources – Electronic Health Record (EHR), registers
and classifications;
• General access to public administration information
resources and e. government services;
• To create conditions for more efficient, more
qualitative and accessable health services via
continuous information gathering, data exchange,
interoperability and information security.
Main Legislation Acts

E-Health system development programe for 2009 – 2015;

Amendment of Health Law in 2010;

Architecture of eHealth System in 2010;

Decision of Government to establish central system, defined ruler and main
operator in 2011;

Requirements for HIS content 2011;

Requirements for integration to central system2011;

Specification of central system and subsystems 2013;

Bussines model in 2013;

Procuraments of implementor in 2013;

Legislation of State information systems 2014 – 2015;

Manual for usage of central system 2015;
Period 2009 – 2015 Projects

29 Total Program Projects

3 - Central system (EHR) with ePrescription and PACS;

20 Hospital Information Systems;

Register of Medications;

Register of Professional (Specialist) Licences;

Register of Health Institution Licences;

Telecardiology;

National Physician Support System;

Snomed CT;

eBooking for Ambulatory Consultation;
LITHUANIA E-HEALTH SYSTEM
2009 - 2015
GP & SPECIALIST
HOSPITALS
INTERNET PORTAL
EHR
PATIENT
ONLINE BOOKING
PHARMACIES
xRAY
REGISTERS
EHR – Electronic Health Record
Rx – Electronic Prescription Subsystem
xRAY – Radiological Image Subsystem
Finances

Development 2009 – 2015: 27,9 mln. EUR

EU support 85 % Lithuania budget 15 %;

Maintenance: 6 mln. EUR per/year;
Lithuania eHealth electronic services
Central System - EHR
1. Secure access for patient to their own electronic health records - EHR;
2. Secure access for health professionals to manage patient‘s EHR working in hospitals without
information systems via eHealth Portal – www.esveikata.lt ;
3. Secure access for health professionals to manage patient‘s EHR working in hospitals with
information systems via integration to Central System;
4. Electronic Refferals for Consultation, Medical Examination and/or Treatment.
ePrescription
1. Issuing ePrescription - electronic service for health professionals;
2. Medication Dispensation by e-prescription for pharmaceutical professionals;
3. E-prescription information to the patient.
National PACS
1. National electronic archive of medical images;
What Hospitals will send to EHR
Number
Title of Medical Document
1
Hospital Discharge Summary (epikrisis)
2
Ambulatory Visit Summary
3
Referrals for Consultation, Laboratory Tests, Treatment
4
Answers to Referrals
5
Radiological Image Report
6
Vaccination Summary
7
Request for Laboratory Test
8
Laboratory Report
9
Request for Pathology Test
10
Pathology Test Report
11
Electronic Prescription
12
Medication Dispensation
Certificates Online
Number
Title of Certificate
1
Birth Certificate
2
Students' Health Inspection Certificate
3
Driver's Medical Examination Certificate
4
Firearm Holder‘s Medical Examination Certificate
5
Perinatal Death Certificate
6
Death Certificate
E-Health system usage dates


Since 2 nd of November 2015 production start;

Obligation for 170 of 500 state health care institutions, who took part in ehealth
projects to start usage of Hospital information systems;

For those who did not took part in projects free of charge e-health portal is
available;

Most of Pharmacies uses integration to Central system;
Since 2018 obligation for all Health care institution to use ehealth solutions;
Risks and Oportunities


Resistance

Institutional, Competetors, Negative History,

Hospital management of changes;
Standartisation




HL7 (V2, V3, FHIR), SNOMED CT;
Legislation

More structurised (standartized) bussiness documents and templates;

Wider involvement of stakeholders;
Support

Financing of support and development;

Political, State Aproach, European Aproach;

IT support;
eHealth Network

Common position with Neighbour countries, exchange of experiance;

Integration and exchange eprescription and patient summary among EU MS by 2020;