Beyond e-health. S. Baris Dinler International Projects Director

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1 1 Beyond e-health S. Baris Dinler International Projects Director

Birim INFO Birim Information Technologies - Founded in ; 1990 - # of Employess ; +1500 -Specialized Birim is the in leading ; - Health supplier Informatics, of integrated health information

2 Birim INFO Birim Information Technologies - Founded in ; # of Employess ; Specialized Birim is the in leading ; - Health supplier Informatics, of integrated health information management services to public and private healthcare providers. - e-health projects Founded in 1990 by Mr. Ayhan Yildirim, a Turkish entrepreneur, Birim is headquartered in - integration Izmir Turkey projects and has regional offices across the country. - consultancy Birim is the lead contractor of the Turkish government to digitize the National Health Information System (NHIS). 2

- Market leader (by far) since 1995 - First

3 Birim INFO - Main Contractor of Turkey s e-health project. - Market leader (by far) since First Digital Hospital implementation in Turkey - First Regional Health Project in Turkey 3 3

4 Where We live Dr. Suat Seren Göğüs Hastalıkları ve Cerrahisi Eğitim ve AraĢtırma Hastanesi - ĠZMĠR KarĢıyaka Devlet Hastanesi - ĠZMĠR Nevvar Salih ĠġGÖREN Alsancak Devlet Hastanesi - ĠZMĠR Afyon Devlet Hastanesi - AFYON Dr. Vedat Ali Özkan Kayseri Devlet Hastanesi - KAYSERĠ Av. Cengiz Gökçek Gaziantep Devlet Hastanesi - GAZĠANTEP Elazığ Devlet Hastanesi - ELAZIĞ UĢak Devlet Hastanesi - UġAK Aydın Devlet Hastanesi - AYDIN Antakya Devlet Hastanesi - ANTAKYA Konya Numune Hastanesi KONYA Antalya Devlet Hastanesi ANTALYA Dr. Faruk Ġlker Bergama Devlet Hastanesi - ĠZMĠR Menemen Devlet Hastanesi - ĠZMĠR Dr. E. Hayri Üstündağ Kadın Hastalıkları ve Doğum - Hastanesi - ĠZMĠR Sandıklı Devlet Hastanesi - AFYON Yozgat Devlet Hastanesi - YOZGAT Afyon Göğüs Hastalıkları Hastanesi - AFYON Gaziantep Çocuk Hastanesi - GAZĠANTEP Diyarbakır Göğüs Hastanesi - DĠYARBAKIR Dr. Halil Ġbrahim Özsoy Bolvadin Devlet Hastanesi - AFYON Dinar Devlet Hastanesi - AFYON Egekent Devlet Hastanesi - ĠZMĠR Düziçi Devlet Hastanesi - OSMANĠYE 4

5 4th Biggest Software Vendor 5 5

6 First 500 IT Companies / Türkiye Healthcare IT # 1 Sectoral Software #3 Main List #88 6 6

7 2010 Promer 7

8 2009 Birim Lighting the way Technology Fast 500 EMEA 2008 Ranking and CEO Survey Birim: 151 st fastest growing technology company in EMEA 8

9 2010 Promer 9 9

National Health Information System 01.06.2005 I.R.D. Has been published. 01.08.2006 Tender has been announced. 09.10.2006 Tender has been done.

10 National Health Information System I.R.D. Has been published Tender has been announced Tender has been done. Birim took a leading part in the consortium which -implemented It 8 The consisted co. tender attended the nearly document for National tender. all the has Health aspects. been Information argued. -System - In MoH Again July has in tried 2005 te Turkey. searhed to be 7 The co. within postponed. platform attented the proposals will their allow for the data information to 4 be months. shared documents among local and international institutions - 25 co. has by bought using a tender data collection documents. system ı at -international Tender Vestel has Birim standards. been JV postponed has signed The system. the e-health is the 1st in the world agreement to use HL7 at February V3 messaging 1st format. 10

11 NHIS 11 11

12 NHIS / HL7 Birim is the lead contractor and main architect of Turkey s National Health Information System, first national system in the World to adopt HL7 v3. This has led foreign Governments including those who are establishing their NHISs for the first time (MENA, CIS countries) as well as countries ((Western Europe) )that wish to upgrade from earlier versions of HL7 to call on Birim for its services either as a consultant or contractor. 12

13 NHIS / HL7 Birim is one of the major and well known industry specialized companies in HL7 v3, and an important contributer to v

NHIS / HL7 http://www.waset.org/pwaset/v34/v34-55.

14 NHIS / HL7 Saglik-Net, Turkey s NHIS, for which Birim has been the lead contractor has been studied academically as a positive step in Turkey s efforts to improve the quality and efficiency of healthcare. 14

Central Hospital Appointment System Implementing the System Room ( OC ) & Having Call Center Service had been handled in 2 steps CHAS Hardware & Software Call

15 Central Hospital Appointment System Implementing the System Room ( OC ) & Having Call Center Service had been handled in 2 steps CHAS Hardware & Software Call Center Service CHAS Project Jan 2009 CHAS In Use April 2009 Distributing Nationally March 2011 Call Center Project November 2009 Pilot Project Kick-Off March

16 Beyond e-health Infrastructure (hardware network communication) Applications Interoperability Services Interface Saglik.NET Portal 16 16

17 What we need is.. Integrated Standardized Data Standardized Processes Dublication Prevented; Functional e-health solution. 17

18 What we have is.. Non- Integrated Standardized Data? Standardized Processes? Dublication not Prevented; Functional? e-health solution. 18

Beyond e-health - Reality -Nearly done just via the - Minimum hospitals. -No B2B Data Sets - No data interactioncould not -What be about -Most of mining the developed the rest?

19 Beyond e-health - Reality -Nearly done just via the - Minimum hospitals. -No B2B Data Sets - No data interactioncould not -What be about -Most of mining the developed the rest? - No MoH more integration Departments - Non functional with other- No still use their Businessplayers. Common own paperbased Intelligence International Processes systems for decision support

20 Regulations / Like a Roller Coaster - Change could not - No stability mean better in HIS - HIS just projects - No patient for privacy billing? - No system / - No change data - No doctor management / security nurse privacy 20

21 What s next in Health IT? 21 21

22 Getting Out of the Trough Visibility Surveys and benchmarking Government portals Initial enterprise e-government strategies Single department online services Information - only sites Technology Trigger Peak of Inflated Expectations Online not always good Poor ROI on initial efforts Security issues Channel management troubles Failures and no return on investment drive divestments E-government stagnates Back-office interoperability Enterprisere-engineering architecture Trough of Disillusionment Multichannel strategies Slope of Enlightenment Performance metrics E-government becomes government Integrated data management Plateau of Productivity Curtailing channels Borderless service

23 Beyond e-health / Joined- Up Strategy Let s focus on - Interoperability - Enterprise Architecture - Multichannel Strategy - Back-Office Re-engineering - Performance Metrics - Integrated Data Management 23

24 Tomorrow s Needs Technology Wireless Network Sensor Networks Forecasting Analytics SOA & EDA Virtualization Business World From Product to Services Dynamic Pricing Inc. Energy Costs Global Micro-Trade Transparency Society Aging Population Inc. In Ambient Assisted Living I-Generation Security - Privacy 24 24

25 Beyond e-health Success in e-health brings you health-e generations. Time to join- up, Time to do the best Time to work. 25

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