“Governing eHealth at

Regional level – challenges,

opportunities and lessons

learned”

Dr. Guanyabens - Coordinator of Health IT of the

Catalan Department of Health

March, 16th of 2010

Index

The Catalan Reality

The ICT strategy and organization in Catalonia

ICT Projects

Conclusions / Lessons learned

Index

The Catalan Reality

The ICT strategy and organization in Catalonia

ICT Projects

Conclusions / Lessons learned

Government: Generalitat de Catalunya

Area: 32.106,5 km2

Population (2009): 7.475.420

Life expectancy (2009): 80,55 years

Birth rate (2008): 12,2

Gross Mortality rate (2007): 8,28

Infant mortality (2007): 2,65

GDP/Capita (2007): 24.445€

High urban concentration

Own language and cultureSource: IdesCat

Catalonia is one of the seventeen Autonomous Communities

of Spain

The Catalan realityAutonomous Community of Spain – CATALONIA

The Inter-Territory

Board SNS

Permanent agency of coordination,

cooperation, communication and

information of regional health

services, between them and with

the Spanish Administration

Spain

Exclusive authority on:

• International health policy

• Bases and general

coordination of health

• Legislation on

pharmaceutical products

• Educational requirements

Autonomous

Communities Exclusive authority on:

• Subsidiary legislation

• Public health

• System’s organizational

structure

• Accreditation and planning

• Purchasing and service

provision

Spanish National Health System

The Catalan realitySpanish National Health System – Relationships between the Autonomous

Communities and the Central Government

The Catalan realityCATALONIA – The Healthcare System in Catalonia

Index

The Catalan Reality

The ICT strategy and organization in Catalonia

ICT Projects

Conclusions / Lessons learned

HEALTH DEPARTAMENT / CATSALUT

Strategic ICT plan

The ICT strategy and organization in CataloniaCATALONIA – ICT Organization

AIAQ’s Mission

Generate relevant knowledge

to contribute to the

improvement of the quality,

safety and sustainability of the

healthcare system, facilitating

decision making for citizens,

professionals, managers and

planners

GLOBAL MANAGEMENT OF THE

INFORMATION’S LIFE CYCLE

Agency of

Information,

Quality and

Assessment

in

Healthcare

Obtain

Information

Stru

ctu

re

Analyze

Gen

era

te

kn

ow

led

ge

TicSalut Foundation

The mission of TicSalut is to

encourage the development

and use of information and

communication technologies

to enhance the health system

in the region of Catalonia,

Spain

The ICT strategy and organization in CataloniaCATALONIA – TicSalut Foundation

INNOVATION

Telemedicine and

Tele-assistance

DEPLOYMENT

INTERNATIONAL RELATIONS

AND PROJECTS

Projects, agreements

NORMALIZATION

Office of standards

DEPLOYMENT

OBSERVATORY

Maps of ICT in health trends

Mission

Business

Council

Scientific

Council

Council of

Professionals

and

Citizens

Middle-out

approach

ICT

Catalan

Governing

Model

Collaborative

governing strategy

ICT introduction and

deployment on a

participative base

Continuity of care

Interoperability using

standards

Top-down approach

Bottom-up approach

The ICT strategy and organization in CataloniaThe ICT Catalan Governing model

Index

The Catalan Reality

The ICT strategy and organization in Catalonia

ICT Projects

Conclusions / Lessons learned

The ICT projects – GOVERNING CHARACTERISTICS

INTEROPERABILITY

Catalan Shared Medical Record

RESOURCES SHARING

Medical Image Digitalization Plan

NETWORKING MODEL

Telemedicine

CORESPONSIBILITY

Personal Health Folder

COLLABORATION MODEL

Electronic Prescribing

The ICT projects – GOVERNING CHARACTERISTICS

INTEROPERABILITY

Catalan Shared

Medical Record

Medical Image

Digitization Plan Telemedicine

Electronic Prescribing Personal Health Folder

RESOURCES SHARING NETWORKING MODEL

COLLABORATION MODEL CORESPONSIBILITY

Index

The Catalan Reality

The ICT strategy and organization in Catalonia

ICT Projects

Conclusions / Lessons learned

ConclusionsLessons learned

ConclusionsGoverning values