9th Meeting of the ehealth Network

(1)

18-06-2016

eHealth strategies and projects

PORTUGAL

Henrique Martins

(2)

SPMS - Serviços Partilhados do Ministério da Saúde, E.P.E. www.spms.pt

18-06-2016 2

• Portugal eHealth Strategic activity

• FlagShip projects

• New NHS website: OpenData Area/Real-time

hospital/NHS indicators, new Patient Portal

(4y – 4th version)

• mHealth – Moving Ahead

• Take home

(3)

~ 10 million citizen

~ 50 Public Hospitals

~ 356 Primary Care Centres

~ 90% running SPMS ICT

solutions (ADT and EHR)

~ 60 ICT Solutions

(SPMS portfolio)

PT Ministry

of Health

DGS

Clinical

Guidance

ACSS

Financial

and ruler

SPMS

Technical

Implementati

on

Macro Level: Governance and

Strategy

Meso Level: Pilars of eHealth

integrated services

Micro Level: eHealth Services

(examplars)

(4)

18-06-2016 4

Portuguese eHealth Strategic Framework

HEALTH

STRATEGIES

eHEALTH STRATEGIES

e

G

O

VERNMENT

S

TR

A

TE

G

IE

S

WHO Eur

Health

2020

National

Health Plan

2020

Regional

and

Hospital

Plans

eHealth Action Plan

and eHN MAP

2020

PT eHealth Plan

2020

(under construction)

NHS

healthcare

provider IT

Strategic

Plans

2016

SPMS

Strategic

Plan

2016

Other

Stakholder

Strategic

Plans

P

T

Di

git

al

Ag

en

da

2020

EU

Di

git

al

Ag

end

a

2020

P

ub

lic

Adm

inis

tr

ati

on

IT

P

lan

(GP

TIC)

2016

(5)

18-06-2016 5

Portuguese eHealth Strategic Framework – alignment vectors

HEALTH

STRATEGIES

eHEALTH STRATEGIES

e

G

O

VERNMENT

S

TR

A

TE

G

IE

S

WHO Eur

Health

2020

National

Health Plan

2020

Regional

and

Hospital

Plans

eHealth Action Plan

and eHN MAP

2020

PT eHealth Plan

2020

(under construction)

NHS

healthcare

provider IT

Strategic

Plans

2016

SPMS

Strategic

Plan

2016

Other

Stakholder

Strategic

Plans

?

P

T

Di

git

al

Ag

en

da

2020

EU

Di

git

al

Ag

end

a

2020

P

ub

lic

Adm

inis

tr

ati

on

IT

P

lan

(GP

TIC)

2016

eGov

Strategy

Healthcare

Strategy

EU strategy

NHS Network

V1

V3

V2

V4

(6)

Alignment vector 1: Healthcare

Defining Portuguese eHealth Strategy 2020

18-06-2016 6

METHODOLOGY

STAKEHOLDERS

ENGAGEMENT

(7)

Think Tank Results

 Major benefits to pursuit

through eHealth

 eHealth maturity stage in

Portugal

 Ongoing initiatives to scale up

 Critical success factors,

readiness assessment and

recommendations

Download Report (EN abstract):

http://spms.min-saude.pt/2015/11/disponivel-aqui-

relatorio-do-think-tank-ehealth-em-portugal-visao-2020/

18-06-2016 7 Total de referên-cias (*) S (Satisfation) T (Treatment/ Clinical) E (Electronic Information/Data) P (Prevention & Patient Education) S (Savings)

Tipos de benefícios identificados

Satisfação Utentes -Acesso, Equidade e Transparência Informação de suporte a Decisão -Qualidade e Segurança dos Cuidados Partilha de dados e Reporte – Saúde Pública e Conhecimento Participação e Educação dos Utentes – Prevenção e Autogestão Ganhos de Eficiência e Operacionais

1. Melhoria do ACESSO a cuidados de saúde básicos ou avançados a todo o território, incluindo telemedicina e telecuidados 8 2.Empowerment e aumento da PARTICIPAÇÃO do cidadão/cuidador na autogestão da saúde e da doença crónica, auto-monitorização e autocuidado 5 3. RACIONALIZAÇÃO de recursos através de Telemedicina e reaproveitamento da informação (diários clínicos, MCDT'S, diagnósticos…) 5 4. Facilitação da tomada de DECISÂO CLÍNICA com recurso a informação 4

5. Melhoria da capacidade de vigilância EPIDEMIOLÓGICA, intervenção no âmbito da saúde pública e planeamento 4 6. INFORMAÇÃO normalizada, acessível e pesquisável, com diferentes níveis de acesso e permitindo integração de cuidados/subsistemas 3 7. Geração e acesso a dados ou fontes de CONHECIMENTO para formação e informação de utentes e profissionais 3 8. SIMPLIFICAÇÃO e DESMATERIALIZAÇÃO de processos da prestação de

cuidados 1

(*) O total de referências traduz o número de benefícios identificados pelos grupos de trabalho (vide Anexo II) com características que se enquadram em cada um dos dezassete tipos de benefícios.

Alignment vector 1: Healthcare

(8)

Cost

reduction

Implementing

common

solutions

Improvement

of governance

mechanisms

Stimulating

economic

growth

Administra

tive moderni

zation

18-06-2016 8

Alignment vector 3: eGovernment

IT Public Administration Plan and Sector Action Plan

better

public

service at

(9)

18-06-2016 9

Alignment vector 3: eGovernment

PT Digital Agenda, Better Healthcare actions

PUBLIC

ADMINISTRATION

HEALTHCARE

CI

TIZEN

PR

OFE

SSIONA

LS

eHE

A

LTH

DEMA

D

eHEALTH OFFER

m

eHealth

• Dematerialisation

• Interoperability

& life events

• Scheduling,

certificates

• Prescriptions

• Tecnolocic Upgrade

• Technical

Interoperability

• Governance &

management

• Competencies (eSkills)

• ehealth literacy

• Access to health

information

• Access & share

personal health data

• Semantic

interoperability

• Secundary use of data

• Competencies (eSkills)

PT DIGITAL AGENDA GOALS

GOALS

Broad

band

eBusiness

eGovern

ment

Exports

Citizens

Access

(10)

18-06-2016 10

Alignment vector 4: NHS network

Ministry of Health Organizations

Operação Gestão Partes Interessadas Órgãos de Governance Facilitadores de Gestão do Sistema de Informação Obj ec ti vos d o S is te m a d e I n for m aç ão Objectivos do SIS

Arquitectura TIC de referência

Partes Interessadas do SIS

Sub-sistema Central – Serviços partilhados

Objectivos Centrais

Área TIC Central

Objectivos do Sistema de Informação Facilitadores de Gestão do Sistema de Informação Serviços partilhados TIC

Objectivos dos Serviços partilhados TIC

Facilitadores de Gestão dos Serviços

Partilhados TIC

Internos Externos

Óutros Serviços partilhados (Comp.,

Log. e Fin.)Objectivos do Outros Serviços partilhados In for m aç ão N ão C lín ic a In for m aç ão C lín ic a Recursos TIC de Suporte ao SI Recursos TIC de Suporte aos Serviços Partilhados TIC Recursos TIC de Suporte aos Serviços

Partilhados não-TIC Facilitadores de Gestão do Sistema de Informação Processos Informação Aplicações Dados Dados

Sub-sistemas Locais – Unidades de prestação de cuidados de saúde

Objectivos Centrais

Área TIC Local

Objectivos do Sistema de Informação

Facilitadores de Gestão do Sistema

de Informação

Áreas não Clínicas

(Comp., Log. e Fin.) Objectivos dos Sistema

não-Clínico

Facilitadores de Gestão dos Sistemas

não-Clínico Internos Externos Áreas clínicas Objectivos do Sistema Clínico Recursos TIC de Suporte ao SI Recursos TIC de Suporte aos Sistemas

não-Clínico Recursos TIC de Suporte ao Sistema Clínico Facilitadores de Gestão do Sistema Clínico Sub-sistemas Locais – Outras entidades Objectivos Centrais Área TIC Local Objectivos do Sistema de Informação Facilitadore s de Gestão do Sistema de Informação Outras Áreas Objectivos das Áreas Facilitadore s de Gestão dos Áreas Internos Externos Recursos TIC de Suporte ao SI Recursos TIC de Suporte às Áreas

Global Vision of Health Information

System and Stakeholders

Sets direction and coordinates

through good practices definition and

(11)

18-06-2016 11

Alignment vector: NHS network

Exemple: Manage Strategy

Definine a set of objectives and

metrics to guide the SIS

strategy and to be considered

by the NHS entities in defining

their own strategies.

(12)

National

Release center

Alignment vector 4: NHS network. eSIS Organisational

Structures

eSIS Committees

eSIS Governance

Ministry of Health

eSIS Coordination

(SPMS)

Monitoring committe for

IT management (CATIC)

eSIS Working Groups

eSIS Risk and Information Security

eSIS Architecture

eSIS Competencies

Legend:

_{Delegate/Report}

Monitoring committe for

Clinical Informatization (CAIC)

Coordinate/Support

eSIS Advisory

Council (

NHS boards

)

Implemented

To implement

eSIS Suppliers &

Standards

Groups

HL7

IHE

CTCPT

(13)

18-06-2016 13

Alignment vector: Expanding eSIS to non-NHS network

eSIS Committees

eSIS Governance

Ministry of Health

Monitoring

committe for

IT management

SIS Working Goups

eSIS Risk and Information Security

eSIS Architecture

eSIS Competencies

Advisory

Council

(

HealthCare providers

boards

)

Organizations

NHS

Private

and

Social

setor

entities

under a

Contract

with

NHS

Private

and

Social

setor

entities

eSIS Governance and Management Council

(to be established under SPMS new

delegated competency)

(CAIC ) - Monitoring

committe for

Clinical Informatization

Release

Center and

eSIS

Suppliers &

Standards

Groups

HL7

IHE

CTCPT

(14)

…Clinical leadership of

eHealth

CAIC – “Commission of the follow-up of Clinical Informatization”

6 working Groups; About 63 professionals

Over 60 Local Clinical Informatics Commissions;

- Over 338 involved clinicians (Doctors, Nurses; Pharmacists;

social care)

- COBIT training; regular meeting

(15)

15

 Frame all NHS stakeholders

Comissão de Acompanhamento Informatização Clínica Comissões de Informatização Clínica dos Hospitais/ULS e ACES SPMS | Direção Sistemas de Informação Rede IT Mnagers @ SNS

NACIONAL

LOCAL

“NE

GÓCIO

”

IT

Comissõ

e

s d

e

Informatiz

ação

Clín

ic

a

No

rmas

té

cn

icas

d

e

SW

d

e

Proc

e

sso

C

líni

co

Ele

trón

ico

Segurança e Privacidade

(16)

Formal National TELEMEDICINE Strategy:

Financing Alignment

Clinical Guidelines (5)

Framework Agreement for Purchase of Telemedicine services

Local promoters network

4 Pillars

95%

OF TELEDERMATOLOGICAL SCREENING/TRIAGE PROCEDURES WITH RESOLUTION

100%

OF PATIENT SATISFACTION ON DPOC TELEMONITORING

24h

OF AVERAGE WAITING TIME FOR TELEDERMATOLOGICAL SCREENING/TRIAGE PROCEDURES

50%

OF REDUCTION OF HOSPITALIZATIONS ON DPOC TELEMONITORING

50%

OF REDUCTION OF EMERGENCY ENCOUNTERS ON DPOC TELEMONITORING

_40%

OF INCREASE ON THE ACCESS TO MORE EFFECTIVE

THERAPEUTIC IN THE EMERGENCY TELECONSULTATIONS ON ‘VIA VERDE AVC’ (STROKE PROGRAM TO REDUCE MORBIDITY AND MORTALITY)

60%

OF INCREASE ON THE ACCESS TO MORE EFFECTIVE

THERAPEUTIC IN THE EMERGENCY TELECONSULTATIONS ON ‘VIA VERDE AVC’ (STROKE PROGRAM TO REDUCE MORBIDITY

AND MORTALITY)

41

INTERNAL PROMOTERS OF TELEMEDICINE (PITS) THROUGH THE COUNTRY

TELEDERMATOLOGICAL SCREENING/TRIAGE PROCEDURES

ARS NORTE ARS CENTRO ARS LVT ARS ALENTEJO ARS ALGARVE TOTAL

2014 2015 435 840 2 125 194 114 - - - 104 531 1183 NUMBER OF PROCEDURES

1714

2014/2015

(17)

Signed Academic

Protocols

Interaction Chain Model as an Innovation Model for the knowledge

economy - NP 4457 de 2007.

(Caraça, Ferreira, Mendonça, 2006)

5. Deep knowledge of

customers/sector

needs.

1.Innovation assumed

as strategic priority;

2.Organizational

structures focused in

Innovation

3.Open

and

bidirectional

communication across

all Organization

4.Usage of contact

networks and external

relations;

SPMS Perspective: Innovation = Novelty + Value

(18)

18 The Digital Mobile Key (CMD) is an alternate authentication

service, which has a set of national data, such as mobile phone

number, PIN and Mobile Key temporary security code sent by

SMS or email. This Mobile Key will help citizens access to public

services through efficient and effective authentication

mechanism, and without requiring

the player and his citizen card.

eID Strategy

(19)

• Nascimento • Requisição de CC • Obtenção Cidadania • Óbito • Óbito • Perda de residência  Expulsão  Não revalidação  Desistência Unidade Saúde CSP • Inscreve-se / Transfere-se • Pede Médico de Família • Utiliza serviços • Consulta dados • Atualiza dados Hospitais • Adere ao Subsistema • Utiliza Serviços Subsistemas de Saúde (Financiadores) Entidades que “atestam” Benefícios • Reclama benefício • Consulta dados • Actualiza dados • Obtenção residência 10.163.025 Utentes (vivos) com n.º de SNS entraram no RNU via CC

10.781.079 Utentes inscritos nos CSP

RNU

Actualização de Dados

Registo de benefícios (relacionados com patologias)

(20)

Professionals

Registrate

Validate

Career

Mgt

Médico Médico-_Dentista Enfermeiro

Psicologos Nutricionista _{+ Dietista}

Administrativos Terapeuta Não Convencional + Podologista

TDT

(21)

18-06-2016 21

• Portugal eHealth Strategic activity

• FlagShip projects

• New NHS website: OpenData Area/Real-time

hospital/NHS indicators, new Patient Portal

(4y – 4th version)

• mHealth – Moving Ahead

• Take home

(22)

(23)

LUÍSA COUCEIRO

Prémio TIC.GOV.PT

Abril

Novembro

Maio

PDS are Connected to

Cuidados Saúde

Primários

Hospitais SNS

76 Hospitals

491 Primary Care Institutions

23

(24)

LUÍSA COUCEIRO

Prémio TIC.GOV.PT

Abril

Novembro

(25)

LUÍSA COUCEIRO

Prémio TIC.GOV.PT

Abril

Novembro

Maio

Online appointment of medical consultations for primary care facilities of

the NHS and online ordering of chronic medication;

Request the remission of user charges regarding NHS services provided;

Integrated Personal Health Record. Manage and share with GP’s: emergency

contacts, Health information, medication; allergies and Biometrics

Monitoring);

Personal Vital Will;

NHS data: medical episodes timeline with a view of the prescription detail,

electronic version of the Child and Youth Health Bulletin, Patient’s Summary

(26)

LUÍSA COUCEIRO

Prémio TIC.GOV.PT

Abril

Novembro

Maio

Data registered on the Patient Portal that can be shared with

heathcare professionals:

Emergency contacts;

Health information:

(27)

LUÍSA COUCEIRO

Prémio TIC.GOV.PT

Abril

Novembro

Maio

1.700 daily

online

appointments

of

consultations

1.200.000 citizens registered

(approximately

10% of the

Portuguese

population).

80 online

orders of

chronic

medication

per day

Patient Portal in numbers

Novembe

r

2015

(28)

LUÍSA COUCEIRO

Prémio TIC.GOV.PT

Abril

Novembro

Maio

Professional Portal in numbers

70% of the

accesses

are done by

physicians

50.000 health

_{professionals}

have accessed

35 thousand

daily

accesses

565 institutions

connected

78% of the

accesses

are in

primary

care

Novembe

r

2015

28

(29)

LUÍSA COUCEIRO

Prémio TIC.GOV.PT

Abril

Novembro

Maio

Clinical Visits Timeline

The Professional

Portal has been

visualized by more

than 50.000

professionals,

integrates around

600 databases and

accounts for an

average of 35.000

daily views.

(30)

LUÍSA COUCEIRO

Prémio TIC.GOV.PT

Abril

Novembro

Maio

Essential information needed for healthcare coordination and, in

case of an unexpected need, for the continuity of care, or when the

patient consults an health professional other than his regular contact

person (e.g. the general practitioner he/she is registered with).

Patient Identification, their main health unit and ‘family’

physician

Allergies

Medical and Nurse Diagnosis

Medical Procedures

Medical Devices/Implants

Chronic Medication

Vacines

RCU

2 _{– Resumo Clínico Único do Utente}

Patient Summary

(31)

LUÍSA COUCEIRO

Prémio TIC.GOV.PT

Abril

Novembro

Maio

European eHealth Initiative co-financed by the European Commission and associated

partners;

Portugal proposed to develop the Patient Summary services (PS) as a "supplier" and

"consumer" of user information;

Supported in the Portuguese Health Data Sharing Solution (PDS) and Patient Unique

Clinical Registry (RCU

2

_);

development from the use case “Patient Access to Patient Summary”;

CNPD - Authorized n.º 940/2013, de 5 de february

Clinical information sharing surpassing physical and language barriers

(32)

LUÍSA COUCEIRO

Prémio TIC.GOV.PT

Abril

Novembro

Maio

PDS Live

Telemedicine – basic principles

Total Mobility:

All medical offices/All Profissionals/All Patient

Multiplataform / Multidivice

Independence suppliers

(33)

Portugal collects information about the following programs:

Child health

Maternal health

Diabetes

Cardiovascular disease

Hypertension

...

About 160 “Care Quality” indicators

About 120 “family doctor” indicators

About 120 “family nursing” indicators

More than 100 performance indicators

(34)

MIM@UF (Monitoring & BI plataform at local care-provider level)

Patients, professionals

Consultations, health programs

Health problems, Diagnostics

Medicines and MCDT-prescription and billing

Vaccines - Data on Immunization

Biometric data

SIARS (Monitoring & BI plataform at regional headquarters level)

Patients, professionals

Consultations, health programs,

Health problems, Diagnostics

Medicines and MCDT-prescription and billing

Quality indicators

Doctor and nurse family indicators

Business Intelligence

for Primary Care

(35)

18-06-2016 35

Old paper Adult

Death Certificate

Portugal’s SICO: A new Dimension to

Mortality Forecasts in real time

 100% e-death

certification since

January 2014

(36)

Reporting component

CASE disease

Clinical

Reporting

Laboratorial

Reporting

Environmental

Survey

Epidemiological

Survey

Physician Laboratory Public Health Public Health 31% 10% 9% 6% _6% 5% 4% 4% _3% 3% 20% 0% 5% 10% 15% 20% 25% 30% 35%

1st. semester/2015 (about 4000

cases reported)

(37)

18-06-2016 37

(38)

03/08/2015 38

Hospitals

Primary Care Centers

+ than 60.000 professionals

+ than 50 facilities

+ than 13.000 professionals

+ than 300 facilities

(39)

03/08/2015 39

• Same system for all

healthcare professionals

• Multi-profile: Doctor, Nurse,

Technician…

• Information sharing between

all healthcare providers

• Patient-oriented

Main features

Doctor

Nurse

Psychologist

Nutritionist

Physical Medicine and

Rehabilitation

Social worker

Technicians

Domiciliary care

Prescription

Administration

Execution

Appointments

(40)

SPMS - Serviços Partilhados do Ministério da Saúde, E.P.E. www.spms.pt 03/08/2015 40

• Backoffice

• Operating Room

• Outpatient

• Day Hospital

• Inpatient

• Food & Nutrition

• Diagnosis and Therapeutic

Technicians

• Triage system

• Emergency Room

(41)

CTH

Interaction between Sclínico (hospital) and other systems

E-Prescription / domiciliary respiratory care

Patient and Professional Portal Electronial Health Record

HIV-AIDS

Electronic temporary incapacity certificates

Consultation on time (Referral system)

National Epidemiological

Surveillance System

(42)

Paperless Prescription – The Portuguese

Approach and current status of dematerialised

e-prescription and e-dispensation

(43)

(44)

fev-2015

today

RSP – One year of

e-prescription/e-dispensation

(45)

45 fev-2015

today

RSP – One year of

e-prescription/e-dispensation

(46)

46 fev-2015

today

RSP – One year of

e-prescription/e-dispensation

(47)

47 fev-2015

today

627 Million euros (SNS)

since begining of Project

130 Million de euros

(SNS) - 2016

630 doctors at 244 distinct prescription spots

since the beginning of the Project

Despacho 2935-B/2016 – RSP is mandatory

throughout the Portuguese NHS as of april,

1st 2016

RSP – One year of

e-prescription/e-dispensation

(48)

48 RSP – Latest evolution

(last wednesday)

fev-2015

today

RSP Packages

nº e % (last Wed)

RSP Prescribers

nº e % (last Wed)

RSP Pharmacies

nº e % (last Wed)

11,13%

103,434

6,71%

1.396 25,73%

895 RSP Patients

nº e % (last Wed)

9,19%

15.472 RSP Packages

nº e % (last Wed)

RSP Prescribers

nº e % (last Wed)

RSP Pharmacies

nº e % (last Wed)

RSP Patients

nº e % (last Wed)

52,18%

491.697 54,18%

8.289 97,78%

2,374

46,93%

77,449

14-janeiro

01-junho

(49)

49 RSP – Short term challenges

today

• Introducing mobility to the circuit, by adopting Mobilde Digital Keys

• 80% paperles prescriprion RSP in the Portuguese Health System by june, 2016

• Private Health Sector Engagement

• Avaliability of the Public solution to small private prescribers

• De-materialization on other prescription areas

• Home Respiratory Care; Medical Devices

• Diagnostic and Therapeutic Procedures

• Safer Prescription

• Prescription Support System

• EU Cross Border Initiatives

• Interoperability

• Dematerialized e-Prescription and e-Dispensation across EU Countries

• Safer Prescription and Dispensation (until feb-2019)

(50)

STATE OF THE ART

18-06-2016 50

Program for Patients Mobility, Protocols and

Regulations

Information

System for

National Billing

of Migrants

Information

System for

Managing

International

Protocols and

Regulations

Electronic

Exchange of

Social Security

Information

(EESSI)

Information

System for

Managing and

Supporting

Patients

Mobility

UE Directive

2011/24/UE

(51)

FINANCIAL SYSTEMS – SIGAI

(52)

(53)

SERVICES

1. Consultancy in Semantic Interoperability

2. Education in Standards

3. Coordenation of PT Semantic National Projects

4. Mapping among clinical terminologies

5. Release management and distribution of terminologies

6. Terminologies Licensing (SNOMED CT)

7. Support to Technical Implementation

(54)

Portuguese Catalogue of

Allergies and Other Adverse

Events (v2.0)

• Structured registry about

Allergies in PT EHR (2012)

• Implemented in PT NHS

• National code system- CPARA

codes

Portuguese Catalogue of

Allergies and Other Adverse

Events (v3.0)

• Update of the catalogue

• International Standard: SNOMED

CT, translated to PT

• Promotion and Implementation in

PT Health System

(55)

Portuguese Catalogue of Laboratory Analysis

Normalization of Lab. Orders, Results and Units

Public and Private PT Health System Labs

Mapped with ACSS billing table

(56)

Portuguese Catalogue of Malignant Neoplasms

Catalogue for Cancer Diagnosis Registry

Uniformization of the language used by Pathology and Oncology

SNOMED CT mapped with ICD-O-3

(57)

OTHER PROJECTS IN PLACE

Nutrition

• Catalogue for

diagnosis and

procedures

• SNOMED CT

V

ACCINES

• PT National

vaccination Plan

(PNV) and non- PNV

• SNOMED CT

SINAVE

• System of

epidemiologic

surveillance of

infectious diseases

• Risk factors, Diseases,

Signs and Symptoms:

SNOMED CT

(58)

18-06-2016 58

• Portugal eHealth Strategic activity

• FlagShip projects

• New NHS website: OpenData Area/Real-time

hospital/NHS indicators, new Patient Portal

(4y – 4th version)

• mHealth – Moving Ahead

• Take home

(59)

18-06-2016 59

SNS Portal

(60)

18-06-2016 60

Transparency Area

(61)

18-06-2016 61

(62)

SPMS - Serviços Partilhados do Ministério da Saúde, E.P.E. www.spms.pt 18-06-2016 62

Conceptual Framework

Efficiency

Portuguese Health

Quality

Access

Datasets

Statistics

Graphical

Analyse

Geographic

Location

Metadata

Data Table

62

(63)

18-06-2016 63

DATA | GRAPHICAL ANALYSE

Public Data

Responsibilities

Benchmarking

Transparency

 Assistance Hospital Activity

 Financial Information

 Primary Health Services

 Vaccines

 Transfusions

 Medicines

 Human Resources

Datasets (National, Region, Entity)

Launch Date:

1 February 2016

86 datasets

785 indicators

https://www.sns.gov.pt/transparencia/

Open Data

(64)

18-06-2016 64

Data Catalog

(65)

18-06-2016 65

Data Table

(66)

18-06-2016 66

Graphical Analysis

(67)

18-06-2016 67

Georeferencing Data

(68)

18-06-2016 68

Heatmap Data

(69)

SPMS - Serviços Partilhados do Ministério da Saúde, E.P.E. www.spms.ptU

18-06-2016 69

Metadata

(70)

18-06-2016 70

Using features by other applications

(71)

• Back-Office Integration

• Data Normalization

• Dashboarding Layer

• API | Widgets

18-06-2016 71

(72)

18-06-2016 72

• Portugal eHealth Strategic activity

• FlagShip projects

• New NHS website: OpenData Area/Real-time

hospital/NHS indicators, new Patient Portal

(4y – 4th version)

• mHealth – Moving Ahead

• Take home

(73)

18/06/2016

National Strategy – How did/are we develop/ing it?

• Series of 3 Workshops (July-September 2015)

• Online questionnaire to patients and citizens (Sept 2015)

• Draft Document

MOVING AHEAD – Portuguese mHealth Strategy

• Alignment of Mobile Strategy with national eHealth Strategy documents under

revision/creation (march-june16)

(74)

•Portuguese national public health

program coordinators

• Medical Doctors

• Industry members

• Internal SPMS teams

1 st

Workshop

• 4 National Patient Associations

• Medical doctors

• Industry members

• Internal SPMS teams

2 nd

Workshop

• Medical doctors

• Industry Members

3 rd

Workshop

74

(75)

…in summary

MOVING AHEAD

– Portuguese mHealth Strategy

3 stakeholders workshops

Online survey (July-Sept15)

PT joins the Mobile subG of eHN (nov15)

Doc Under preparation

(awaiting alignment with Mobile SubGroup of eHN)

(76)

Mobile Vision and

Driving Principles

Mobile Vision

All interaction between humans and computers is likely to have to

occur in an environment

characterized by some degree of time-space and social mobility, while

on the other side, health information about patients and care

processes need to be ubiquity made available, incluing in wearables

and implantable devices.

Driving principles regarding Health Apps

(77)

18/06/2016

National Strategy – provision of APIs/Services

• Timeframe

2016

2017

Web APIs

1Q 2Q 3Q 4Q 1Q 2Q

Institution List & Waiting Times

X

Patient Authentication

X

Health Professional Authentication

X

Read&Write Personal Health Record @Área Cidadão do

SNS (NHS PHR)

X

eBooking for appointments (GPs)

X

ePrescriptions posology/medication in-take registry

X

(78)

18/06/2016

Internal (SPMS) Strategy

• At SPMS we are both a software

development entity and a eHealth

regulation entity;

• Some (critical) systems we believe

the APPs should be developed by

us: Mobile eP/eD; Mobile

DeathCertificate;

PortugueseHealthWallet

• A cross-organization “Mobility and Apps

Nucleus ” was created in Feb2016;

• We started to define a set of best

practices based on the PAS 277:2015;

• PTHealthWallet Community

Developer Forum

Open Source

(79)

18/06/2016

What we have done so far

• SPMS deployed the own first mobile app:

• Provide the emergency room waiting times form

the public institutions in real-time

(80)

18/06/2016

We are developing

Electronic Health Wallet

for Citizens

• Organized in bulletins

• Stand-alone components/integrated

into other Smartphone Apps

• Offline availability

• Smart Push notifications based on:

• Clinical Context

• Location

• Time

• Weather

• ...

• Possibility to translate some info

offline, when on a foreign country

(81)

CES – Carteira Eletrónica da Saúde/ PT healthWallet

18-06-2016 81

Micro-serviço

on Private cloud

S-Could

• REST

arquitecture,

HL7 FHIR –

compulsory

use;

User interface

• HTML5 &

CSS3

• Secure

JavaScript

• Push-Info

• Pull-Info

(82)

18-06-2016 82

1. Portugal has a eHealth Strategy –

perhaps less “written” than usual

2. Portugal has a mHealth Strategic

documeny

3. FlagShip projects include

1. eP/eD at 100% dec 2016

2. Health data platform

1. Portability

2. Images National

PACS/sharing

4. Active Semantic work

5. New focus on OpenData / Clould

Services / Apps

Conclusions Next

Steps

(83)

(84)

Monday

(27/6)

Tuesday

(28/6)

Wednesday

_(29/6)

Thursday

(30/6)

Friday

(1/7)

WP7

WS

Cross-Border

Guidelines

eP & PS

Closed

meeting

Lega-thon

+ Sharing

exp on eP

& PS

CEF Gov.

Refactoring

meeting

eHMSEG

meeting

ERN

meetin

g

Final

Conference

WS

Cross-Border

Guideli

nes eP

& PS

eID +

Sharing

exp.

Closed

meeting

Codification

of Rare

Diseases

eHMSEG

meeting

ERN

meetin

g

Sharing

Exp. In

Mobile

Services

Final

Conference

WS

Cross-Border

Guidel.

eP &

PS

W

P

7

(85)

Obrigado