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e-Health Initiatives in Poland

Edyta Rokicka

Departament of Infrastructure and eHealth

Ministry of Health

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► currently 1 entitypayers

► 2.9 thousand entitiesadministration

► 11.7 thousand entitiespharmacies

► 85.5 thousand entitiesproviders of services

► 343.4 thousand peoplemedical personnel

► 38.1 million peoplerecipientsof services

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Medical Information

System (SIM)• P1• P2• P4

Domain Systems

• SMZ• SMK• ZSMOPL• RUM NFZ• SSOZ• SEZOZ• SMSFE• SMD

Medical Registers

• Cancer register

• inVitro register

• other

Health Information System

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Project: Electronic Platform for Collection, Analysis and Sharing of Digital Medical Records

Time frame: 29.11.2007 – 15.12.2015

Budget: 713 000 000 PLN

Medical Information System - P1

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Enabling digital prescription filling

Enabling on-line consultation bookings

Enabling electronic invoice processing

Providing digital resources on medical

records, ensuring uniform and

homogenous standards

Providing fast access to digital medical records

in urgent cases

Enabling up-to-date analysis of medical

records

Facilitating digital maintenance of medical service

provision settlements

Facilitating electronic handling of drug

refundsEnabling electronic sick

leave processing

Key functionalities of P1

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Implementation of P1

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Project: Platform for sharing services and resources of digital

medical records with on-line business (P2) Time frame: 18.12.2007 – 31.12.2012 Budget: 6 500 000 euro

SIM - Projekt P2

In the upcoming years on P2 it is planned to share next subjective registers, as well as to develop records already available.

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Registers integrated with P2

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Project: Domain systems supplementary to health information

system

Time frame: 30.09.2015

Budget: 25 000 000 mln PLN

SIM - Project P4

Statistics System in Health Care; Risks Monitoring System; Integrated Monitoring System of Medicinal Products Trading; Medical Workers Training Monitoring System; Health Resources Registration System.

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Project P4

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Pilot projects – telemedicine in the area of cardiovascular diseases and geriatrics

Scope of the projects:

Duration: one year Call for proposal for healthcare providers organised by regional

branches of National Health Fund GP teleconsultations with medical specialist in cardiovascular diseases

and geriatrics Healthcare providers will be equipped with ICT equipment

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Expected results

Limiting of waiting lists

Facilitating access to the medical specialists

Reducing unnecessary diagnostic hospitalisation

Evaluation report for the Agency for Health Technology Assessment and Pricing

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• Reimbursement Systems• Integrated Patient Information (ZIP)

National Health Fund (Payer)

• Telemonitoring, teleconsultation, digital health records, e-registration for visits

Private sector Telemedicine

• Regional eHealth PlatformsSelf Government

• Local IT SystemsHospitals, General

Practitioners

Other eHealth Projects in Poland

According to the law (amendment to the Act on health information system)- compulsory medical documentation only in electronic on 1 August 2017.

The further amendments to the Act are being proceeded at the moment. Planned changes with regard to electronic medical documentation:

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Amendments to Act on health information system

• e-prescription1 of August 2016

• e-refferal1 of March 2017

• Other EMD (only indiviual documentation)1 of August 2017

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Enabling provision of health services through information and communication systems by:

  pharmacists   doctors   dentists   nurses and midwives

Provisions on telemedicine

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Co-ordination with regional initiatives

CooperationCommunicationIntegration

434 projects in the area of e-Healthy were identified with a total value of nearly 1 648 million PLN.

Part of regional projects duplicate functionalities of the central information system.

Coodination is neccessary:

Guidelines Technical specification Standardisation of electronic health records

Adaptation of IT infrastructure of healthcare providers

transition periods

European Union funds

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• e-prescription1 of August 2016

• e-refferal1 of March 2017

• Other EMD (only indiviual documentation)1 of August 2017

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Thank you for your attention.