Ehtel Conference Economics in e-Health Brugge, November 2002
-
Upload
remedios-carrillo -
Category
Documents
-
view
39 -
download
5
description
Transcript of Ehtel Conference Economics in e-Health Brugge, November 2002
Ehtel ConferenceEconomics in e-Health
Brugge, November 2002
Slovenian HIC Programme- Exercise and Lessons
Marjan SušeljAssistant to Director General, HIC System
Health Insurance Institute of Slovenia
Introduction Slovenian HIC Programme - Outline Cost Analysis Direct Benefit Analysis Development Benefits Conclusions
Contents
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 2
Slovenian HC and HI- In the Macroeconomic Perspective
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 3
Introduction - HIC System Background and Rationale
HIIS position in the HCHIIS position in the HC statutory provider of compulsory health insurance custodian, manager and administrator of HI funds mission: efficient economics of HC, friendly and efficient
services HIIS investments in IT in HC:HIIS investments in IT in HC:
virtually all HC work posts computerized EDI HI databases IT literacy
Comprehensive local IT support, bottlenecks in Comprehensive local IT support, bottlenecks in communications and data transmissioncommunications and data transmission
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 4
Cost containment; Transparent operation (income and expenditure side); Accurate and up-to-date data for management and
policy makers; Data security; Streamlined communications; Advancing of services (elimination of non-essential
procedures); Financial and national economy benefits at
reasonable financial investment; Infrastructure for integration of different IT systems in
HC and HI - paving the way to the e-environment
HIC Project - Goals
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 5
HIC System - Outline
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 6
HIC System - Dimensions
Component / Item
TotalImplementation: Health insurance cards
1.950.000 Health professional cards
16.700 Card readers
6.640 HC service providers
1.036 SW houses participating
43 Self-service terminals
290 SST locations
270Operation: SST transactions / month
450.000 HIC renewed / year
47.087 SST information sessions / month
256.000
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 7
HIC System - Analysis of Costs
CBA (1997): Investment (purchased goods and services):
Equipment (cards, terminals, readers, …) New/upgraded software Development services (outsorced) Card personalisation and mailing
Implementation: In-house work costs for HIIS Communications, overhead Training for HC workers Migration costs
Routine operation costs: Card renewal Maintenance of technology Equipment depreciation On-going costs (leases, energy,…) HIIS service overhead
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 8
HIC System - Analysis of Benefits
CBA (1997): Time savings:
Insurance validity updating (insured persons, employers, insurance clerks)
Patient reception at the doctor’s (administrator) Quality data for reporting and accounting purposes
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 9
HIC System - CBA Payback Period
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 10
HIC System - Actual vs. Predicted Investment Costs
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 11
02.0004.0006.0008.000
10.00012.00014.00016.00018.00020.000
Forecasted costs Actual costs Sources of financing
HIC Card readers SST network Implementation in HC Other
VHI
CHI
in 1000 EUR
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 12
Average monthly costs: 150 kEUR
HIC System - Maintenance Costs
Two years of routine operation: Decreased volume of administrative chores; elimination of
non-essential procedures; Faster and easier access to HC services; Uniform technology and interfaces for all
insurance providers - operation simplified for HC workers and patients;
Strict monitoring of contribution andpremium payment - increased discipline
HIC Project - Evident Benefits
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 13
Hands-on use - stimulus for new ideas, needs and demands; User proficiency - building the foundations for e-health; Infrastructure for medical data; Enabling infrastructure for internet communications; Identification of patient and HC worker - availability of
evidence, data for analyses and studies of new HC service payment models
HIC Project - Development Benefits
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 14
Progress: small steps, far-reaching effects; Technology in the service of citizen; Paramount importance of consensus; Sharing of investments and benefits; Tenacity and pioneering vision; Mix of tangible (financial) and
non-measurable benefits
In the service of the patient Quality of life and health
Concluding Remarks
Ehtel Conference - Economics in e-HealthBrugge, November 2002 Marjan Sušelj, HIIS 15