Transcript Presentation_Dr_Walid_Kool_TunisiaHIS

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
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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.
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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.
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 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]