In addition to modernizing the information systems, the project will help to optimize the quality of care, patient safety, and the quality of clinical decision making and improve the use of healthcare resources.
The Governing Council of the Community of Madrid has approved the contracts for services that will migrate the current clinical information systems of seven public hospitals to make them into digital hospitals.
To meet this objective, the Council of Health will invest – between 2014 and 2017 – almost 10.6 million euros which will allow it to modernize all the IT systems at the Ramón y Cajal, La Paz, Clínico San Carlos, Getafe, Santa Cristina, Niño Jesús and Central de la Cruz Roja Hospitals.
With this initiative, the Community of Madrid will be able to update the healthcare information systems of 27 of the 36 public hospitals in the network, including specialty centers.
The project will serve to optimize the quality of care, therapeutic continuity, patient safety, and the quality of clinical decision making and improve the use of healthcare resources. It will also make it possible to advance with the implementation of the Electronic Health Record.
The Spanish autonomous community of Extremadura will soon have a Common Electronic Health Record that will integrate data from the SES and SEPAD into a single electronic health record.
From the first trimester of 2014 it will be possible to implement an administration platform for all administrative and economic procedures governed by the Law of Dependency, part of the first phase of the data integration process, it was announced by the head of Health and Social Policy Luis Alfonso Hernández Carrón, during his report on the SEPAD centers for the Parliament of Extremadura.
The administration platform, which will integrate data from SES and SEPAD into a single electronic health record, will include the electronic digital management of all requests, evaluations, fund allocations and payments. It will also provide one of the key elements for their subsequent complete integration; the unique identification of the user, based on the same database as that used by the Extremadura Health Service, so that the same patient will not be identified differently between one system and another.
“It might seem a basic factor, but up until now this information has been processed on Excel or Access spreadsheets which differ even depending on how the technician processes the file”, said Hernández Carrón.
He also said that the estimated investment for the first phase will be 415 million euros, although, as he explained, the application will not cost the public treasury anything because it is financed by the Technology Fund.
Before the end of the year, all healthcare professionals working at social centers will be able to see and complete the clinical information of their patients.
The Government of Galicia has approved the modification of a decree that regulates access to the electronic health records by which public health centers can access their user’s records.
As the President of the Council of Galicia, Alberto Núñez Feijóo, noted, a pilot scheme of the integration of care has been running since August with very favorable results in the Volta do Castro area.
The updated law also stipulates the regulation of access that social workers in the Galician Health Service (Servizo Galego de Saúde) will have to EHRs. Healthcare professionals will be able to register their activity in the social and socio-health sections of the patients’ electronic health records.
Seeking to safeguard the security of users, the regulation states: “Access to electronic health records will make it possible to preserve the personal data of the patient separately from the clinical-care information in such a way that anonymity is guaranteed unless the patient gives their consent for them to be kept together”.
The nurse María Teresa Soria Sarnago, an honor graduate, is proposing the creation of a space to support the professional development and strengthening of intermediate managerial nursing posts at the Navarro Health Service.
In the report “Texere. A Plan for a Nursing Leadership School”, María Teresa Soria Sarnago explains that her project consists of designing a leadership school for nursing management. “It is an complementary educational proposal for professional training to enhance skills, capabilities and attitudes”, she says.
The study was carried out to finish a Master’s Degree in Nursing Care Administration at the Universidad Pública de Navarra (UPNA), Spain, and helped the student to graduate with honors.
Between 2010 and 2012, Soria Sarnago has been Assistant Director of Nursing at the Complex Hospital of Navarra and this role, in addition to her work as a nurse, has made it possible for her to draw up the report making use of her own experience.
A report brought out by Johns Hopkins University and the Commonwealth Fund reveals that, due to an increase in efficiency, American doctors will be able to attend between 4 and 9 per cent more patients in the future.
According to researchers at the Bloomberg School of Public Health at Johns Hopkins University in Baltimore, Maryland, USA, and the Commonwealth Fund, the use of medical services by patients will change drastically as the use of electronic health records and healthcare applications spreads.
“The results of our study are important because they provide a vision of how information technologies will have a profound impact over the next decade or two”, said one of the leading authors of the report, Jonathan Weiner, a professor of Health Policy and Administration at the Bloomberg School and the Director of the Center for Population Health Information Technology (CPHIT).
The increasing use of technology by doctors can be seen by the fact that over 70 per cent of professionals use electronic health records – ten years ago that figure was 10 per cent.
Consumers are also making more and more use of the internet and mobile telephones to manage their healthcare. It is thus probable that in the future the majority of patient interactions with the healthcare system will be digital.
The doctor Verónica Sosa Delgado, a researcher at the University of California, visited the hospitals of Torrevieja and Vinalopó to analyze the model of public-private partnership in the Community of Valencia.
“The administration of the hospitals of Torrevieja and Vinalopó is an example for other Spanish regions and other countries seeking to improve the health of their citizens apart from improving infrastructure,” said Verónica Sosa Delgado, a researcher at the University of California during her visit to the hospitals that follow the Alzira Model.
The Alzira Model has been functioning in several Spanish hospitals for over a decade. It is a public-private partnership system that is applied to public hospitals as an administrative concession.
The La Ribera Hospital was the first public Spanish hospital to be privately run. It is based around four central pillars: public property, public control, public finance and private administration.
Doctor Sosa, a member of the Global Health Group (GHG), spoke to the heads of the Torrevieja and Vinalopó Hospitals and noted: “This partnership model has demonstrated its potential to provide healthcare services to the population with innovative schemes.”