Data-Processing Centre (DPC) for the health care system in the Sverdlovsk Oblast Andreas Lux Substantive provisions of the concept Moscow January 25 th

Data-Processing Centre (DPC)

for the health care system in the Sverdlovsk Oblast

Andreas Lux

Substantive provisions of the concept

Moscow January 25th 2007

Advice Company for Information Technology and Organization in Health Care Systems Hamburg

Debold & Lux

Julii 2005 Folie 2Debold & Lux

Debold & Lux national references

Introduction of the Health Insurance Card in the compulsory health insurance system (project management, technical specification of the system) Germany 1992 - 93

Introduction of electronic data transfer among insurance companies and healthcare institutions (project management during the design phase) Germany 1993 - 94

Assessment for the World Bank regarding the suitability of a social insurance card for the Hungarian health insurance system. Hungary

Development of a SmartCard system for the Slovene health insurance system Slovenia 1999 - 2000

Concept of a new generation of health insurance cards (Design of scenarios and preparation of a cost-benefit-analysis) Germany 2001

Introduction of a Health Insurance Card in Switzerland. An assistance for the ministry of health. Switzerland 2005 until now

Debold & Lux


ParticipantsDPC project Sverdlovsk

TFOMS of the Sverdlovsk oblast, Ekaterinburg

ZI, Central Research Institute of Ambulatory Health Care in Germany , Berlin

HOST Company, Ekaterinburg

Debold & Lux, Advice Company for Organization and Information System in Health Care Ltd., Hamburg, Germany

Time of development: 2002-2003

Activities: Studying of the European experience and the Russian conditions. 12 Workshops and conferences in Russia and Germany

Result: Concept and Design of the system

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Goals

Administrative financial resources - management

efficiency administrative processes

Management of the health care business

Prevention mangagement

Medicalmedical data about patients for first aid

electronic case records in the data storage

structured data on electronic case records and out-patient cards

provide professional assistance from highly skilled medical specialists to doctors in far distant settlements on the basis of equal opportunities

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Description of the projectSituation in 2002 - 2003

The centralized and distributed architecture of IMS

Examples of European projects of centralized and distributed systems

Choice of architecture with the central storage

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Planned applications

Identification and health insurance status

Emergency data on Patient Data Card

Delivery of Data

Data requests

Electronic Prescription of drugs (EP)

Drug History (DrugH)

Physician letter

Online-Update

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Information flow without payment

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Data Processing Centre

DPC

Data-storage

Authorities

TFOMS

Health Insurance Companies

Drugstores Pharmacies

Medical Organizations

Fund of social insurance,The ministry of social protection, employers

Ministry of public health

Specifications

the citizen

electronic prescription

Data:- services - medical data

Database of the insured citizens

user user

user

user

user user

the citizen

Reports

Reports



A

F C

D

G

E

HB

medical data Specifications prescribed drugs

delivered drugs

delivered drugsSpecifications

Database of the medical professional and pharmacists


Example for description of solutions

Pseudonymization and access right management service

D P C w i t h m e d i c a l d a t a s t o r a g e

M e d i c a l D a t aw i t h P s e u d o n y m

a n d T e m p I D

3

T r e a t i n g P h y s i c i a n

D o c t o rP a t i e n tP a t i e n t

T r u s t e d S e r v i c e f o rP s e u d o n y m i z a t i o n a n d A c c e s s C o n t r o l

P I D L i s t

2

I T M O

A c c e s s C o n t r o l L i s t ( A C L )

P s e u d o n y m i z a t i o n

A c c e s s C o n t r o l

P I DD o c t o r I DP r o o f T r e a t .

P I DT e m p I D

A c c e s s C o n t r o l

T e m p I D

C r e a t eP S NT e m p I D

P S NT e m p I DA c c e s s

D o c I DP r o o f T .

T e m p I D

M e d i c a l D a t a. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .

O rR e q u e s t

1

2 b

2 a

P S D T e m p I D A c c e s s M e d i c a l D a t ax z 1 2 c v c s e 3 4 x y 2 , 5 , 7 . . . . . . . . . . . .

z e s 6 9 y z 2 , 5 , 9 . . . . . . . .

P S D T e m p I D A c c e s s M e d i c a l D a t ax z 1 2 c v c s e 3 4 x y 2 , 5 , 7 . . . . . . . . . . . .

z e s 6 9 y z 2 , 5 , 9 . . . . . . . .

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Example for the description of Processes

Debold & Lux

Health insurance companies(MIO)

New Card issue Comments

Data Processing CentreDPC

Card and Application Management System

Checking report and PDC

Report containing data of PDC and identification in CAMS

Data recording on the chip and reporting of record procedure

Checking received data records (duplicates)

Standardized files exchanges via mail?

Preparation: checking databasesData source: passport office & civil registration

Reference: doc_02

Reference: doc_08

Card and Application Management System

Checking report and PDC

Report containing data of PDC and identification in CAMS

Data recording on the chip and reporting of record procedure

Checking received data records (duplicates)

Standardized files exchanges via mail?

Preparation: checking databasesData source: passport office & civil registration

Reference: doc_02

Reference: doc_08

Selecting insured person from

database

the citizenthe citizen

Insured personcitizen

Data replicationImport to

cardholder database

Checking received data records

Personalization of chipcard

Final Check

Generating report Receiving PDC in

MIO-office Identification via

passport

PDCPDC

PDCPDC

Inserting record set into CAMS

1

23

4

5

6

7

10

8

9


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End of part 1 (Lux)


Planned applications

Identification and health insurance status

Emergency data on Patient Data Card

Delivery of Data

Data requests

Electronic Prescription of drugs (EP)

Drug History (DrugH)

Physician letter

Online-Update

Debold & Lux

Realization of the concept by introduction of IMS

Realized

Not realized

Realized

Partially realized

Realized

Not realized

Not realized

Not realized


Realization of the concept by introduction of IMS

The main application are realized

Use of the IT- infrastructure of a “Social card” does not contradict the concept

Pseudonymization, the important function, is not realized

Ethic committee is not realized. It is necessary to create public control of system


The project based on the European experience is realized

The European experience is adapted for Russia

There is a successful experience of cooperation of the European and German developers

It is necessary to create missing functions, but the basis already exists and the function are described

Conclusion

Documents

Data-Processing Centre (DPC) for the health care system in the Sverdlovsk Oblast Andreas Lux Substantive provisions of the concept Moscow January 25 th