ICT collaboration between private and public sector: The experience at IMSS
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Transcript of ICT collaboration between private and public sector: The experience at IMSS
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ICT collaboration ICT collaboration between private and between private and public sector: The public sector: The experience at IMSSexperience at IMSS
International Conference on Information and Communication Technology in Social Security
Moscow, Russian Federation
29 June – July 1 2005.
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A highly diversified organization…
Sports &Culture
200,000 kids inChildcare centers
US $7 billion inreserves
2nd largest tax authority in Mexico
46 million beneficiaries in urban areas
50% stake in Afore XXI (private pension fund)
IMSS-Oportunidades:12 million people inRural areas
Largest healthcare provider in Mexico
Retirement and disability pensionsFor 2 million people
40% of National Research Programs
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Our major challenges
0 A 9
10 A 19
20 A 29
30 A 39
50 A 59
40 A 49
60 A 64
65 Y MAS
25 20 15 10 5 0 5 10 15 20 25
HOMBRES
MUJERES
2000 2010
POBLACIÓN TOTAL:
112.2 MILLONES
25 20 15 10 5 0 5 10 15 20 25
RA
NG
O D
E E
DA
DE
S
% EN EL TOTAL DE LA POBLACIÓN
97.4 MILLONES
CONTROL, PREVENCIÓNY/O
ERRADICACIÓN
• POLIOMIELITIS• DIFTERIA• TOSFERINA• GASTROINTESTINALES Y RESPIRATORIAS
ENFERMEDADES CRONICO-DEGENERATIVAS, DE RECIENTE IMPACTO EN LA POBLACION
• CANCER
• SIDA
• AFECCIONES CARDIOVASCULARES
• DIABETES MELLITUS
• PADECIMIENTOS RENALES
PEA crecerá más rápido que el resto de
la población
Afiliación del rezago
Incorporación masiva de la mujer al trabajo
Inversión física anual promedio se mantiene en los mismos niveles en los
últimos diez años
1990 --- $4 500
2000 --- $4 500
MILLONES DE PESOS DEL 2000
Población atendida creció en la última década en 27.5%
Mas guarderías y prestaciones
FACTORES
Ritmo esperado de crecimiento 5 a 7%
PRESIONES
Saturación en algunas regiones
AUMENTAR L
A
COBERTURA
SOCIEDAD MAS CRITICA Y
PARTICIPATIVA
•MAS INFORMACION
•MAS PARTICIPACION
•MEJOR TRATO
•MAS OPCIONES
EXIGENCIA DE:
CALIDAD
Demographic profile
Morbidity profile
Macroeconomic factors
Assertiveness
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Quality Management &Customer Service
Long TermSustainability
Crystal box
ICT inCore Processes
Civil Service
BudgetaryControl
Six strategic lines
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The beginings…
• December 2000– President Fox launched e-Mexico Program
• e-government• e-health• e-learning• e-economy
• December 2001: Reforms and Additions to Social Security Law
– Autonomous Tax Authority– Electronic Transaction– Electronic Signature (Digital Certificate)– Electronic Patient Record– CURP in replacement of SSN– ID - Card
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IMSSIMSS
Tax & RevenueTax & RevenueAuthorityAuthority Healthcare ProviderHealthcare Provider
Economic & SocialEconomic & SocialServicesServices
Back to basics: the structure
US $12 billion per year95% efficiency 30 days137 field offices
120 million medical events per year46 million beneficiaries1,500+ points of service1,250 outpatient250 general hospitals25 tertiary medical centers3,000 points of service at IMSS-oportunidades
Retirement pensionsDisability pensionsChildcareTheatersVacation CentersSports facilities
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Public and Private partnerships for the provision of e-ServicesPublic and Private partnerships for the provision of e-Services
a.a. e-Taxe-Tax• IMSS desde su empresa: IMSS from your companyIMSS desde su empresa: IMSS from your company• SIAREFISIAREFI
b.b. e-Healthe-Health• National Initiative for Electronic Health Record National Initiative for Electronic Health Record • Outpatient: SIMF – SICEHOutpatient: SIMF – SICEH• Inpatient: VISTAInpatient: VISTA• Preventive vs Curative: PrevenIMSSPreventive vs Curative: PrevenIMSS• Medical Disability AdvisorMedical Disability Advisor
c.c. e-Procuremente-Procurement• Transparency: El IMSS va a comprar, el IMSS compró.Transparency: El IMSS va a comprar, el IMSS compró.• Supply chain: SAISupply chain: SAI
d.d. GRP: Planeación de Recursos InstitucionalesGRP: Planeación de Recursos Institucionales• Cadenas productivasCadenas productivas
f.f. Pension processingPension processing• Electronic paymentsElectronic payments
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e-Services Visione-Services Vision
20072007 20052005
Numbering & updatingNumbering & updating 95%95% 62%62%
CertificationCertification 98%98% 18%18%
InvoicingInvoicing 95%95% 5%5%
PaymentPayment 95%95% 5%5%
Self-determinationSelf-determination 99%99% 99%*99%*
Tax and Revenue Practice Tax and Revenue Practice
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• Availability: 7 x 24 (99.95%)Availability: 7 x 24 (99.95%)• Distribution ChannelsDistribution Channels
– 12 Private Application Service Providers12 Private Application Service Providers• TelefonicaTelefonica• TelmexTelmex• MicrosoftMicrosoft• General ElectricGeneral Electric
– Government ChanelsGovernment Chanels• Citizen portalCitizen portal• IMSS portalIMSS portal• State governments portalsState governments portals
– Co-brandingCo-branding• Web-ServicesWeb-Services
– Estimated savings per yearEstimated savings per year• US $40 billionUS $40 billion
Tax and Revenue PracticeTax and Revenue Practice
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e-Health: Electronic Health Record
• Co-development with private sector to develop a virtual nation-wide backbone for all Health Information Management Systems
• Adoption of International Standards– HL7 Ver. 3 - Mexican Chapter in operation– Standardization
• CDA V.2 • DICOM• CCOW• PKI
• 2005: 800 primary clinics (85% of potential )
• Laboratory, Hemodialisis and Blood Bank providers using HL7 V3
FULLYFUNCTIONAL
DecisionSupport
EVENTFLOW
Demographics
Local Modeling
Guideline &Protocols
Messaging
ID
ClinicalReference
ClinicalModels
Terms
EHREHR
Update QUERY
Vital SignsMonitoring
MINIMALFUNCIONALITY
MULTIMEDIA
EXTERNALPROVIDERS
RealTime
Bill Collection
Management
PORTAL
SECURITY & Access ControlTelemedicine
OnlineSources
TerminologyOnline
Government Insured Base
OnlineDemographics
Online ModelRepository
Patients
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VPN IMSS
40 Unidades Medicas de Alta Especialidad
223 Hospitales de Segundo Nivel
>1200 Unidades Medicas Familiares
CENATI Monterrey
CENATI México
On-Line operation
e-Health: Electronic Health Record
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INTEGRATED SERVICES
Laboratory
ImpromedFalcon
Centrum
BloodBank
FalconHemoser
Hemodialysis
PisaBaxter
FreseniusNipro
Gambro
Outpatient Imagenology
HL7 y DICOM3
ECE
HIS
e-Health: Electronic Health Record
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RMIM LabsRMIM Labs
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HMD LabsHMD Labs
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Medical Disability Advisor
e-Health: DSS
e-Health
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OutpatientOutpatient
FunctionalityFunctionality • SchedulingScheduling• Outpatient (Medical records, Outpatient (Medical records, clinical notes, disability, ancillary, clinical notes, disability, ancillary, special formats, reference, special formats, reference, presciption)presciption)• PREVENIMSSPREVENIMSS• AdministrativeAdministrative• Reportes Operativos – Estadísticos Reportes Operativos – Estadísticos (DSS)(DSS)
e-Health
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GRP: Government Resource PlanningGRP: Government Resource Planning
• Backbone for strategic areas: ERP / GRP
• Standarized information• Centralized treasury
Contabilidad FinancieraContabilidad General Cuentas por cobrar Cuentas por pagar Contabilidad de activosConsolidación
Administración de Inversiones
Planeación de la Inversión
Presupuesto de Inversión
Control de Inversión Cálculo de eficiencia
Administración de órdenes y proyectos
Pronóstico de Depreciación
Simulación de depreciaciación
Cálculo de depreciación
Administración de Inversiones
Planeación de la Inversión
Presupuesto de Inversión
Control de Inversión Cálculo de eficiencia
Administración de órdenes y proyectos
Pronóstico de Depreciación
Simulación de depreciaciación
Cálculo de depreciación
Contraloría (Administración de costos y presupuestaria)
Administración de costos
Contabilidad de centros de costos
Contabilidad de costos de proceso
Contabilidad de costos de productos/servicios
Análisis de rentabilidad
Contraloría (Administración de costos y presupuestaria)
Administración de costos
Contabilidad de centros de costos
Contabilidad de costos de proceso
Contabilidad de costos de productos/servicios
Análisis de rentabilidad
Contraloría Institucional (Enterprise controlling)
Sistema de información ejecutivo
Planeación y presupuesto
Contabilidad de Centros de responsabilidad
Consolidación
Contraloría Institucional (Enterprise controlling)
Sistema de información ejecutivo
Planeación y presupuesto
Contabilidad de Centros de responsabilidad
Consolidación
Tesorería
Administración de efectivo
Administración de tesorería
Administración de riesgos de mercado
Administración de fondos
Tesorería
Administración de efectivo
Administración de tesorería
Administración de riesgos de mercado
Administración de fondos
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Supplier financing
• Co-developed with Nacional Financiera (Development Bank)
• Electronic transactions• 24 hours after Reception of Goods or Services
GRP: Government Resource PlanningGRP: Government Resource Planning
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e-Procurement
• Largest single purchaser of goods and services in Mexico: US$3 billion dollars
• Network centric supply chain system: Sistema de Abasto Institucional
• On-line transaction & monitoring: 2,000 points of services (warehouses, in-house drugstores, clinics, hospitals, etc.)
• 4,000,000 purchase orders per year (98% internet based)• 17,000 suppliers
• 14,000 people in logistics related jobs
• The Mantenimiento de Inventarios Pilot (inventory management program)
• Co-Developed with National Asssociation of Medical supplies manufacturers and distributors
• Service Level Agreement based– Availability– Reliability
• 3 Integrated logistics providers• 18 companies• In operation at Tertiary Hospitals
DELEGACION
INFORMIX
Adquisiciones Institucionales
FARMACIA
UNIDAD MEDICA
ABASTO
ALMACEN
ContratosAltas
Altas de compras directas y contratos
Contratos con máximos y Mínimos de la unidad.
REDBRICK
IMSS VA A COMPRAR
IMSS COMPRO
Altas de compras directas y contratos SAI
Registrar Solicitudde Compra
Registrarrecepciónde bienes
Genera Orden Compra y dictamen disponibilidad presupuestal
ContratosMontosCatálogosO. de CompraFacturas
Registrar Solicitudde Compra
Registrarrecepciónde bienes
CONSERVACION Y
SERVICIOS GENERALES
PartidasMontosFacturas
SIPADE
Registrarrecepciónde bienes
Registrar Solicitudde Compra
Disponibilidad por
Partida $$$
Autorizado
Comprometido
Devengado
Pagado Registra pago de facturas y actualiza monto real por partida.
Montos autorizados por partida presupuestal
Montos comprometidos y devengados
Registra facturas Genera Alta
PRESUPUESTO CONTABILIDAD Y TRAMITE
Asigna y/o Valida No. De Compromiso
ABASTO FINANZAS
CompromisosAltasPasivosPagos
DBASE
SIPADE
DBASE
SAI
SQL SERVER
Cierre Mensual.
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El IMSS va a Comprar, el IMSS compró
• IMSS VA A COMPRARIMSS VA A COMPRAR• PrebasesPrebases• CalendarioCalendario
• IMSS COMPROIMSS COMPRO• A quién, términos y condicionesA quién, términos y condiciones
• QUIEN ES QUIENQUIEN ES QUIEN• ProveeduríaProveeduría• Gestión del abastoGestión del abasto
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Software development
• PROSOFT Program: National Program for the development of software industry
• 500,000 man/hours per year
Co-developments with Secretaría de Economía Co-developments with Secretaría de Economía (Ministry of Economy)(Ministry of Economy)
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• Julio de 2002: Distance Learning ProgramJulio de 2002: Distance Learning Program– Co-Developed with National University (UNAM)Co-Developed with National University (UNAM)– Nurses: Bachelor DegreeNurses: Bachelor Degree– MD: Family MedicineMD: Family Medicine
• Advanced Management ProgramsAdvanced Management Programs– 250+ executives250+ executives– Private Universities: IPADE (Panamerican), ITESM (Tec de Monterrey), Private Universities: IPADE (Panamerican), ITESM (Tec de Monterrey),
Instituto Tecnológico Autónomo de MéxicoInstituto Tecnológico Autónomo de México• Information and Communication TechnologiesInformation and Communication Technologies
– 60,000 + employees60,000 + employees– Private: IBM, Microsoft, Sun Microsystems, HP, GartnerPrivate: IBM, Microsoft, Sun Microsystems, HP, Gartner– Public: National UniversityPublic: National University
• Quality Management: ISO 9000:2000, Six sigmaQuality Management: ISO 9000:2000, Six sigma– 400 executives400 executives– 20,000 employees20,000 employees
• Civil ServiceCivil Service• Union: SNTSSUnion: SNTSS
Human Capital Management Human Capital Management
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All of these programs were developed with the All of these programs were developed with the cooperation of:cooperation of:
• IDA/Infocom/Ie SingaporeIDA/Infocom/Ie Singapore
• NHS UKNHS UK
• HL7HL7
• Ministerio de Previsión Social – BrasilMinisterio de Previsión Social – Brasil
• Dataprev – BrasilDataprev – Brasil
• Tesorería de la Seguridad Social – EspañaTesorería de la Seguridad Social – España
• General Services AdministrationGeneral Services Administration
• Social Security AdministrationSocial Security Administration
• Unidad de Servicios Electrónicos Gubernamentales (ahora SFP)Unidad de Servicios Electrónicos Gubernamentales (ahora SFP)
• e-Méxicoe-México
• INEGIINEGI
• OIG Presidencia de la RepúblicaOIG Presidencia de la República
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Thank You!