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Health Transformation Programme Health Information Systems

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Title: Health Transformation Programme Health Information Systems


1
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e-Transformation Turkey/Istanbul at a Glance
Turkey/Istanbuls e-Health Approach
  • Dr Kerem KINIK
  • Istanbul Provinancial Councille
  • Chairman, Environment and Health Committee
  • 11 April 2008

3
Turkey at a glance
  • Population 71.2 million
  • Language Turkish
  • Currency New Turkish Lira
  • Capital City Ankara
  • GDP USD 500 B
  • Exports USD 100 B
  • Imports USD 120 B
  • Inflation Rate 7.4
  • GDP Growth rate 7.0
  • 2007 data

4
Agenda
  • Some Indicators (eGov)
  • eTransformation Turkey Istanbul
  • Health Transformation Programme
  • eHealth in Turkey Istanbul

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Central Europe e-Government Rankings
Source The Economist Intelligence Unit
8
Online Public Services For Business
9
eEurope eTurkey eTransformation Turkey
eEurope (EU Countries)
Information Society For All
eEurope (Candidate Countries)
eEurope 2005
PublicNet
PublicNet
eTurkey
E-Transformation TURKEY
March 2001 Stocholm Council
September 2001
December 1999
March 2000 EU Council
June 2001
February 2003 Prime Ministers Circular
10
e-Transformation Turkey Project Organization
Deputy Prime Minister
  • Members with/without
  • Voting Rights
  • Deputy Prime Minister
  • Minister of Transportation
  • Minister of Trade and Industry
  • Undersecretary of State Planning Organization
  • Advisor of the prime Minister
  • Related Public Institutions (4)
  • NGOs (4)
  • Members (41)
  • Representative of the Ministries
  • NGOs
  • Universities

11
Turkey declared Information Society in 2004 with
an ambitious vision
  • Becoming a hub of ICT development,
  • using information technology as an effective
    tool,
  • creating value through information-based decision
    processes,
  • successful in global competition and has reached
    high levels of welfare

12
e-Health in Turkey as Part of the Health
Transformation Programme

13
e-Health Vision
  • Improuvement of healthcare services in Turkey
    by developing a Secure Health Information
    Platform that enables healthcare providers,
    health professionals and citizen, easy and safe
    access to health related information by using
    latest Information and Communication
    Technologies.

14
Health Care Institutions in Turkey
  • Number of Hospitals 1215
  • (801 -MoH) (200 in Istanbul)
  • Number of Health Centres 6066 (500 in Istanbul)
  • Number of Village Health Station 7676 (450 in
    Istanbul)
  • Number of Physicians 104.000 (30.000 in
    Istanbul)

15
A Survey On HIS in 655 MoH Hospitals (2004)
16
A Survey On HIS in 801 MoH Hospitals (2006)
17
National Health Information Studies
  • 10 Working Groups Established
  • Action Plan Working Group, Ministry of Health
  • Health Information Standards Working Group,
    Turkish Medical Informatics Association
  • Health Identifier Working Group, Ministry of
    Health
  • Minimum Health Data Set/Sets Working Group,
    Hacettepe University
  • Security and Confidentiality of Health Related
    Data Working Group, Turkish Medical Association

18
National Health Information Studies
  • Early Warning Systems for Health Threats Working
    Group, Ministry of Health
  • Virtual Private Network for Healthcare Working
    Group, Turkish Telecom
  • Training Working Group, Higher Education
    Committee
  • Telemedicine Working Group, The Scientific and
    Technical Reearch Council of Turkey
  • Coordination and Monitoring Working Group, State
    Planning Organization

19
National Health Information Studies
  • These working groups conducted the assessment of
    the current situation, projects, initiatives, and
    policy studies in their respective fields.
  • NHIS Action Plan has been published in January
    2004.

20
e-Health Activities in the context of
e-Transformation Turkey Project
  • e-Health Working Group established in the context
    of e-Transformation Turkey Project under the
    authority of SPO.
  • 15 actions determined on e-Health as basic
    building blocks of HIS.
  • Those actions mostly completed and evaluated by
    SPO.

21
ITU Support
  • Through the Telecommunications Authority of
    Turkey, The Ministry of Health, Turkey, requested
    ITU to provide assistance in the implementation
    of Turkeys e-Health Project and support in their
    Health Transformation Project.

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ITU Support
  • Turkeys e-Health Strategy Towards
    Implementation Document published with support of
    the ITU.
  • The Minister of Health has approved their
    recommendation of the ITU.

24
Explanation of Tasks -1
  • The conversion of the existing LAN-WAN into a
    true health network platform to be known as
    Saglik-Net, providing linkages, services and data
    repositories (e.g. minimum data sets of
    Electronic Health Records) to the all those
    authorized in the health sector.
  • Saglik-Net is operational now.

25
Explanation of Tasks -2
  • Establishment of a Health Data Operation Centre
    for Electronic Health Records.

26
Explanation of Tasks -3
  • A National Health Data Dictionary as one example
    of number of standards that have been either
    adapted or developed by the Ministry to ensure
    nation-wide compatibility of health information
    in Turkey.
  • V 1.0 released and published.

27
Explanation of Tasks -4
  • The adoption of the TUBITAK (Technical and
    Scientific Research Council) solution for Digital
    (sign)Security in Turkey.
  • A pilot study has been started under the
    umbrella of Information Society Strategy Action
    Plan. Health and Insurance sectors are determined
    for the first pilot implementation.

28
Family Physician Information System (Operational
in 11 Provinces-7.5M Citizen Registered)
Architecture Distributed System
HL7 v3 (XML), http
HL7 v3 (XML), http
http
HL7 v3, (XML) / http
HL7 v3, (XML) / http
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Health Information Platform
Current Backbone
Digital Security Systems e-Signature
Legacy Systems
Hospital
National Health Data Dictionary
Family Physicians
Health Code Reference Server
Hospital
Clinics
Pharmacy
MoH Network Management
Specialized Hospitals
Pharmacy
Hospital
Lab.
31
Saglik - NET
Digital Security Systems e-Signature
Present Systems
NHDD
Hospital
Decision Support Systems
Standards Protocols
Family Doctors
Hospital
Health Insurance Integration
Electronic Health Record
Clinic
Pharmacies
MoH Network Management
Specialized Hospitals
Pharmacies
Hospital
Lab.
32
Ingredients of success
  • Strong political willness
  • Health in all Policies
  • 3C
  • All stakeholders should work together
  • Ask people what they want
  • Adress the fears of people
  • Do not re-invent the wheel, learn from the others

33
  • Thank you for your attention
  • Dr Kerem KINIK Murat ELLIALTI
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