Estrategia Digital de Salud

Jornada SIDRA, Octubre 2012

Ren Prieto Muoz
Jefe Departamento Gestin Sectorial TIC
Ministerio de Salud
Plan de Salud Digital (e-health)
Ministerio de Salud - Chile 2
Incorporacin de las tecnologas en todos los procesos de la salud; desde el
diagnstico hasta el seguimiento de los pacientes. Incluyendo la gestin de
las organizaciones implicadas
Permite ordenar los flujos de informacin asegurando la oportunidad y
calidad en la atencin de salud y apoyar la definicin de polticas y
programas de salud pblica
La nica forma de modernizar el sector es con herramientas tecnolgicas que
apoyen los procesos clnicos y administrativos, en el marco de una Estrategia
Digital alineada con el Plan Nacional de Salud
Plan de Salud Digital (e-health)
Ministerio de Salud - Chile 3
Objetivo Principal:
TODA la informacin disponible para TODOS, en TODO momento y en
TODO lugar.
Transformacin en la prevencin y cuidado de la salud con apoyo de
tecnologa: CAMBIO EN LA FORMA QUE PROVEEMOS SALUD
Todos los actores podrn interactuar de una manera fluida bajo un
conjunto de datos integrados para compartir informacin clnica y
administrativa
Hospitales CRS, CDT Atencin primaria : Consultorios,
CESFAM,
Minsal
FONASA
SISP
CENABAST
ISP
Guas clnicas,
polticas, planes y
programas,
indicadores de
gestin
Financiamiento, tarifas x
prestaciones, monitoreo
garantas, inscritos,
certif. prev.
Seguros,
reembolsos
Acreditacin,
Resultados
exmenes, registro
de frmacos
Respuesta
a reclamos
Medicamentos
Atenciones de
salud prev y
curativas,
recomendaciones,
controles
Info de atenciones, cumplimiento
de garantas, listas de espera, info
de gestin, planes, vigilancia
epidem., pedidos de frmacos,
entre otros
Derivacin/
contraderivacin
Derivacin/
contraderivacin
Personas
Integracin,
estndarizacin
Registros
nacionales de
informacin
Sector
Privado
Visin
Ministerio de Salud- Chile 5
Plan de Salud
Digital
Mejorar la salud de la poblacin
Disminuir las inequidades
Aumentar la satisfaccin de la poblacin
Asegurar la calidad de las prestaciones de salud
Plan Estratgico
Tecnologas de Informacin
(e-Health)
1. Reducir la carga sanitaria de las enfermedades transmisibles y
contribuir a bajar su impacto social y econmico.
2. Reducir la morbilidad, la discapacidad, y mortalidad prematura por
afecciones crnicas no transmisibles, trastornos mentales, violencia y
traumatismo.
3. Reducir los factores de riesgo asociados a carga de enfermedad a
travs del desarrollo de hbitos y estilos de vida saludable.
4. Reducir la mortalidad, morbilidad y mejorar la salud de las personas, a
lo largo del ciclo vital
5. Reducir las inequidades en salud de la poblacin a travs de la
mitigacin de los efectos que producen los determinantes sociales y
econmicos en la salud.
6. Proteger la Salud de la poblacin a travs del mejoramiento de las
condiciones ambientales y de la inocuidad de los alimentos
7. Fortalecer la institucionalidad del sector salud
8. Mejorar la calidad de la atencin en salud en un marco de respeto de
los derechos de las personas.
9. Fortalecer la respuesta adecuada del sector salud ante emergencias,
desastres y epidemias.
Objetivos Estratgicos
Plan Estratgico
Tecnologas de Informacin
(e-Health)
Estrategia de
Informatizacin Sidra
Columna vertebral del Plan de TIC
Habilita el RCE en la Red Asistencial
Integracin de Componentes
Disponibilidad de informacin
A nivel Local (establecimiento)
Servicio (Servicio de Salud)
Central (Minsal)
Proyecto Clnico, apoyado por TIC
Liderazgo Clnico y Directivo
Complex Hosp
Integrated Health System
P
In & Out Patient Encounter, Service, Tx, Test, Drug Hx, Dose/Date,
Discharge Summary & Referral
Patient Encounter, Simple Procedures, Test Results, Drug Hx & Visit Summary
Minsal Chile eHealth Information Integration Vision
Fonasa
ISP
Salud Publica
HSN APS Primary
HSN CRS Centres
Out Patient Encounter Procedures & Test Results, Drug Hx & Visit Summary
Statistical Analysis of Service Provision, Dx Surveillance & Population Health Needs to design Policies & Programs & implement guidelines
Cenabast
1) Complex Analysis of Lab Results
2) Drug Approval
1) AUGE Patient Dx & Services
2) Aggregate Statistics per HSN Provider
3) APS - Per Capita Demographic Registration
1) HSN Annual Drug Orders (Central Procure)
2) Program Requirements (Salud Publica)
Vision: Share standards based information to better integrate the health system with the goal of
improving patient care and access to services, resource optimization and cost effectiveness
Superintendent
1) Accreditation, Registration & 2) Quality Control
HS Network
Business Planning, Budget, Service Delivery Coordination, Facility Requirement
Comm
Hosp
eHealth Vision
-Standards based solutions
-Interoperability Standards
-Data Integration
-Interoperable Electronic
Health Record (iEHR)
-Decision Support and
Evidence Based Guidelines
-Performance Management
and Analytics
Complex Hosp
Integrated Health System
P
In & Out Patient Encounter, Service, Tx, Test, Drug Hx, Dose/Date,
Discharge Summary & Referral
Patient Encounter, Simple Procedures, Test Results, Drug Hx & Visit Summary
Minsal Chile eHealth Information Integration Vision
Fonasa
ISP
Salud Publica
HSN APS Primary
HSN CRS Centres
Out Patient Encounter Procedures & Test Results, Drug Hx & Visit Summary
Statistical Analysis of Service Provision, Dx Surveillance & Population Health Needs to design Policies & Programs & implement guidelines
Cenabast
1) Complex Analysis of Lab Results
2) Drug Approval
1) AUGE Patient Dx & Services
2) Aggregate Statistics per HSN Provider
3) APS - Per Capita Demographic Registration
1) HSN Annual Drug Orders (Central Procure)
2) Program Requirements (Salud Publica)
Vision: Share standards based information to better integrate the health system with the goal of
improving patient care and access to services, resource optimization and cost effectiveness
Superintendent
1) Accreditation, Registration & 2) Quality Control
HS Network
Business Planning, Budget, Service Delivery Coordination, Facility Requirement
Comm
Hosp
eHealth Vision
-Standards based solutions
-Interoperability Standards
-Data Integration
-Interoperable Electronic
Health Record (iEHR)
-Decision Support and
Evidence Based Guidelines
-Performance Management
and Analytics
Complex Hosp
Integrated Health System
P
In & Out Patient Encounter, Service, Tx, Test, Drug Hx, Dose/Date,
Discharge Summary & Referral
Patient Encounter, Simple Procedures, Test Results, Drug Hx & Visit Summary
Minsal Chile eHealth Information Integration Vision
Fonasa
ISP
Salud Publica
HSN APS Primary
HSN CRS Centres
Out Patient Encounter Procedures & Test Results, Drug Hx & Visit Summary
Statistical Analysis of Service Provision, Dx Surveillance & Population Health Needs to design Policies & Programs & implement guidelines
Cenabast
1) Complex Analysis of Lab Results
2) Drug Approval
1) AUGE Patient Dx & Services
2) Aggregate Statistics per HSN Provider
3) APS - Per Capita Demographic Registration
1) HSN Annual Drug Orders (Central Procure)
2) Program Requirements (Salud Publica)
Vision: Share standards based information to better integrate the health system with the goal of
improving patient care and access to services, resource optimization and cost effectiveness
Superintendent
1) Accreditation, Registration & 2) Quality Control
HS Network
Business Planning, Budget, Service Delivery Coordination, Facility Requirement
Comm
Hosp
eHealth Vision
-Standards based solutions
-Interoperability Standards
-Data Integration
-Interoperable Electronic
Health Record (iEHR)
-Decision Support and
Evidence Based Guidelines
-Performance Management
and Analytics
Cenabast
Complex Hosp
Integrated Health System
P
In & Out Patient Encounter, Service, Tx, Test, Drug Hx, Dose/Date,
Discharge Summary & Referral
Patient Encounter, Simple Procedures, Test Results, Drug Hx & Visit Summary
Minsal Chile eHealth Information Integration Vision
Fonasa
ISP
Salud Publica
HSN APS Primary
HSN CRS Centres
Out Patient Encounter Procedures & Test Results, Drug Hx & Visit Summary
Statistical Analysis of Service Provision, Dx Surveillance & Population Health Needs to design Policies & Programs & implement guidelines
Cenabast
1) Complex Analysis of Lab Results
2) Drug Approval
1) AUGE Patient Dx & Services
2) Aggregate Statistics per HSN Provider
3) APS - Per Capita Demographic Registration
1) HSN Annual Drug Orders (Central Procure)
2) Program Requirements (Salud Publica)
Vision: Share standards based information to better integrate the health system with the goal of
improving patient care and access to services, resource optimization and cost effectiveness
Superintendent
1) Accreditation, Registration & 2) Quality Control
HS Network
Business Planning, Budget, Service Delivery Coordination, Facility Requirement
Comm
Hosp
eHealth Vision
-Standards based solutions
-Interoperability Standards
-Data Integration
-Interoperable Electronic
Health Record (iEHR)
-Decision Support and
Evidence Based Guidelines
-Performance Management
and Analytics
Superintendencia
de Salud
Complex Hosp
Integrated Health System
P
In & Out Patient Encounter, Service, Tx, Test, Drug Hx, Dose/Date,
Discharge Summary & Referral
Patient Encounter, Simple Procedures, Test Results, Drug Hx & Visit Summary
Minsal Chile eHealth Information Integration Vision
Fonasa
ISP
Salud Publica
HSN APS Primary
HSN CRS Centres
Out Patient Encounter Procedures & Test Results, Drug Hx & Visit Summary
Statistical Analysis of Service Provision, Dx Surveillance & Population Health Needs to design Policies & Programs & implement guidelines
Cenabast
1) Complex Analysis of Lab Results
2) Drug Approval
1) AUGE Patient Dx & Services
2) Aggregate Statistics per HSN Provider
3) APS - Per Capita Demographic Registration
1) HSN Annual Drug Orders (Central Procure)
2) Program Requirements (Salud Publica)
Vision: Share standards based information to better integrate the health system with the goal of
improving patient care and access to services, resource optimization and cost effectiveness
Superintendent
1) Accreditation, Registration & 2) Quality Control
HS Network
Business Planning, Budget, Service Delivery Coordination, Facility Requirement
Comm
Hosp
eHealth Vision
-Standards based solutions
-Interoperability Standards
-Data Integration
-Interoperable Electronic
Health Record (iEHR)
-Decision Support and
Evidence Based Guidelines
-Performance Management
and Analytics
ISP
Ministerio
de Salud
Exmenes
Registro
Prestaciones
Prestadores

Informacin de Gestin Clnica,
Gestin Financiera, ndices Productividad, etc
Sistemas de Informacin Hospitales, CRS y CDT y APS
Complex Hosp
Integrated Health System
P
In & Out Patient Encounter, Service, Tx, Test, Drug Hx, Dose/Date,
Discharge Summary & Referral
Patient Encounter, Simple Procedures, Test Results, Drug Hx & Visit Summary
Minsal Chile eHealth Information Integration Vision
Fonasa
ISP
Salud Publica
HSN APS Primary
HSN CRS Centres
Out Patient Encounter Procedures & Test Results, Drug Hx & Visit Summary
Statistical Analysis of Service Provision, Dx Surveillance & Population Health Needs to design Policies & Programs & implement guidelines
Cenabast
1) Complex Analysis of Lab Results
2) Drug Approval
1) AUGE Patient Dx & Services
2) Aggregate Statistics per HSN Provider
3) APS - Per Capita Demographic Registration
1) HSN Annual Drug Orders (Central Procure)
2) Program Requirements (Salud Publica)
Vision: Share standards based information to better integrate the health system with the goal of
improving patient care and access to services, resource optimization and cost effectiveness
Superintendent
1) Accreditation, Registration & 2) Quality Control
HS Network
Business Planning, Budget, Service Delivery Coordination, Facility Requirement
Comm
Hosp
eHealth Vision
-Standards based solutions
-Interoperability Standards
-Data Integration
-Interoperable Electronic
Health Record (iEHR)
-Decision Support and
Evidence Based Guidelines
-Performance Management
and Analytics
Sector Privado
Comunicacin y
Gestin del cambio
Liderazgo Directivo
Estndares y Arquitectura de
Informacin
RRHH
Desafos
Asegurar financiamiento y
cuantificacin de beneficios
Estrategia Sidra
9
www.salud-e.cl
Gracias