ARAGNS PUBLIC HEALTH CARE SYSTEM NETWORK

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ARAGÓNS PUBLIC HEALTH CARE SYSTEMNETWORK
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Aragón
Aragón is one of Spains autonomous regions, it
is divided into 3 provinces (Huesca, Teruel and
Zaragoza) and it has 730 municipalities. Aragón
has an area of 47.646km2 which represents 9.4
of the Spanish territory - with a population of
1.204.000. It is in the northeast of Spain and is
surrounded by the most developed regions in the
country Catalunya , Valencia, Madrid and the
Basque Country. It is well-communicated with the
rest of the country and France by road, train and
plane. The Valle del Río Ebro (Valley of the Ebro
river), which crosses the region, has proved to
be over the last few years Spains most dynamic
development path.
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Sector Organizational territorial structure

• The Health Sector is the organizational
  territorial structure for the provision of health
  services in the Autonomous Region of Aragón.
  Among other aspects, it is responsible for
• Global care. Primary care, specialized care,
  mental healthcare, emergencies and diagnostic
  procedure services are conducted from every
  sector.
• Continuous care, which guarantees continuity of
  care, administration and information for users
  during their route along the different centres
  and services of the Sector.
• Comprehensive care, which provides users with
  preventive, diagnostic, therapeutic and
  rehabilitation services on the most convenient
  care level according to the needs of the
  population.

Source Health Department
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Aragón Hospital Structure
(4 Home Care)
(214 Home Care)
Beds set up per every 10.000 inhabitants
Hospital activity per 100 inhabitants
Source Health Department
Admissions
Emergencies
Operations
External Consultations
Deliveries
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Average Stay 7,4 (With no ICU (Intensive Care
Unit) or long stay)
Source Health Department
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Hospital Staff
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Aragón Primary Care Structure
No. Health centres 114 No. Health basic areas
121 No. Local centres 875 CONSULTATIONS No.
General Medicine Consultations 7.939.992
Frequency 7,13 Attendance Pressure
37,69 No. Paediatrics Consultations 716.957
Frequency 4,49 Attendance Pressure 22,67 No.
Nurse Consultations 4.269.582
Source Health Department
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Scenario National Health Service

• The National Health Service is based on the
  principle that all citizens have the right to be
  provided with health services, regardless of
  their work or economic situation.  
• 1.Universalization of healthcare. It covers 100
  of the population, regardless of their economic
  situation or their affiliation to social
  security.
• 2.Accessibility and deconcentration. To guarantee
  equity in the access to services healthcare has
  been regionalized, and it is based on locating
  the different health services as close to the
  places where people live and work as possible.
• 3. Decentralization. Reforms in the organization
  of the healthcare system have been carried out in
  order to guarantee the best response capabilities
  on the part of services and professionals to the
  needs of citizens.  

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Scenario Density Natural Movement
Natural Movement of Population.
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Goals of our health care policy

• Citizens as the centre of the System
• Involvement of health professionals
• To promote healthy life styles

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INFORMATION SYSTEMS PLAN

• GOAL 1. TO DEVELOP AND PUT INTO EFFECT THE NEW
  CLINICAL AND SUPPORT-TO-ASSISTANCE PRODUCTION
  ORGANIZATIONAL MODEL PLANNED BY THE HEALTH
  DEPARTMENT
• GOAL 2. TO PROVIDE WITH TOOLS FOR INFORMATION
  MANAGEMENT WHICH ARE APPROPRIATE TO THE DIFFERENT
  RESPONSIBILITIES OF THE DIFFERENT FIGURES IN THE
  HEALTH SYSTEM USERS, PHYSICIANS AND MANAGERS
• GOAL 3. TO AUTOMATE ORIGIN DATA CAPTURE, BASED ON
  A SINGLE DATA SYSTEM, AND TO STANDARDIZE
  INFORMATION PRODUCTION BY THE USER, GUARANTEEING
  THE FORMER'S RELIABILITY AND THE LATTER'S
  VALIDITY

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INFORMATION SYSTEMS PLAN
DESIRED IMPACT 2006 2007 PERIOD

• FINAL USERS OF THE HEALTHCARE SYSTEM
• SELF-MANAGEMENT OF APPOINTMENTS AND
  ADMINISTRATIVE PROCEDURES.
• MULTIACCESSIBLE APPOINTMENTS FROM ANYWHERE INTHE
  AUTONOMOUS REGION.
• ACCESS TO INFORMATION ABOUT RIGHTS AND ASSOCIATE
  CARE SERVICES COVERAGE.
• MEDICAL CARE PROFESSIONALS OF THE HEALTH CARE
  SYSTEM
• IMMEDIATE AVAILABILITY OF THE BASIC DATA OF
  USERS' CLINICAL EPISODES DIAGNOSES AND
  TREATMENTS.
• AVAILABILITY OF LABORATORY DATA AND RADIOLOGY
  IMAGES ASSOCIATED TO CLINICAL EPISODES.
• CUSTOMER IDENTIFICATION (PATIENTS) ACCORDING TO
  THE LEVEL OF COMORBILITY / MULTI-PATHOLOGY.
• ONLINE AVAILABILITY OF MEDICAL CARE KNOWLEDGE.

• ON PLANNERS AND MANAGERS
• UNIVOCAL AND INEQUIVOCAL IDENTIFICATION OF
  ARAGON'S HEALTH SYSTEM USERS (EXTERNAL
  CUSTOMERS), ACCORDING TO INSURANCE COVER, ORIGIN
  AND NEED - RISK.
• AVAILABILITY OF A RESOURCE MAP RELATED TO THE
  PROVISION OF SERVICES BY PRODUCTIVITY, QUALITY
  AND COST CRITERIA.
• FOCUSING THE DESIGN OF THE INFORMATION SYSTEM ON
  HEALTHCARE, ECONOMIC AND CUSTOMER RESULTS
  (RATIONALIZATION OF HEALTH EXPENDITURE ACCORDING
  TO RESULTS CRITERIA).

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INFORMATION SYSTEMS PLAN
DESIRED IMPACT 2008 2010 PERIOD

• FINAL USERS OF THE HEALTHCARE SYSTEM
• INTEGRATED AND OUTSTANDING PATIENT CARE ACCORDING
  TO THEIR HEALTH PROCESS' SPECIAL CHARACTERISTICS.
• PHARMACY ELECTRONIC DISPENSATION.
• DIAGNOSTIC-THERAPEUTIC MEDICAL CARE NOT REQUIRING
  MOBILITY IN SPECIALITIES AND PROCESSES WHICH CAN
  BE CONDUCTED BY MEANS OF TELEMEDICINE.
• AVAILABILITY OF PERSONAL CLINICAL DATA INTEGRATED
  SUBJECT TO USER'S AUTHORISATION.
• MEDICAL CARE PROFESSIONALS OF THE HEALTH CARE
  SYSTEM
• AVAILABILITY OF THE SINGLE CLINICAL RECORD DATA
  INTEGRATED BY PATIENT AND MULTILEVEL CARE
  PROCESSES.
• IN SITU DIAGNOSTIC SUPPORT FOR SPECIALISTS AND
  PROCESSES WHICH CAN BE CONDUCTED BY MEANS OF
  TELEMEDICINE.
• PATIENT AND RESOURCE MANAGEMENT ACCORDING TO
  CLINICAL CHARACTERISTICS.
• IMMEDIATE AVAILABILITY OF SCIENTIFIC KNOWLEDGE
  WHICH CAN BE APPLIED TO CLINICAL DECISION-MAKING.
• AVAILABILITY OF ECONOMIC-ACCOUNTING INFORMATION
  DIRECTLY RELATED TO CLINICAL DECISION-MAKING.

• ON PLANNERS AND MANAGERS
• AVAILABILITY OF AN OPERATIVE PURCHASING LOGISTICS
  OFFICE.
• AVAILABILITY OF A RELIABLE SYSTEM AND ON-LINE ON
  HEALTH EXPENDITURE.
• INTEGRATION OF HUMAN RESOURCE MANAGEMENT WITH
  ORGANIZATIONAL (INNOVATION) AND PROFESSIONAL
  (COMPETENCE) DEVELOPMENT.
• AVAILABILITY OF AN EFFECTIVE INFORMATION SYSTEM
  TO FOCUS ON MEDICAL RESULTS AND THE
  RATIONALIZATION OF HEALTH EXPENDITURE.

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Aragon Health NetworkDEFINITION CRITERIA

• ONLY ONE NETWORK
• SIZE OF NODES or CENTRES (Nº. Positions)
• DATA FLOW TO TRX-RCX
• TYPE OF DIGITAL IMAGE DICOM or JPEG
• GEOGRAPHICAL SITUATION
• INTEGRATION OF VOICE AND DATA
• NETWORK CABELING FOR ALL CENTRES

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HEALTH SECTOR NETWORK ARQUITECTURE

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HEALTH SECTOR NETWORK ARQUITECTURE
NODE B
NODE A
GIGABYTE ROUTER
ATM ROUTER
FIBRE METROLAN WIRELESS
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HEALTH SECTOR NETWORK ARQUITECTURE NODE A
NODE A
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GENERAL DIAGRAM Telecommunications arquit.
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