B. Cveticanin: Implementation of PACS and teleradiology in Slovenia

PLOŠNA BOLNIŠNICA IZOLA
OSPEDALE GENERALE ISOLA
IMPLEMENTATION OF PACS
AND TELERADIOLOGY IN SLOVENIA
Branko Cvetičanin, M.D.
General hospital Izola, Slovenia
Radiology Department

e-Medicine Medicine – Introduction
Hospitals: 27 (16 general hospitals)
Physicians: 4500
Dentists: 1200
Nurses and other profs.: 14200
Total health expenditure as % of GDP: 8.6

e-Medicine Medicine – Institutions
Health Insurance Institute of Slovenia (HIIS)
– Promotion and sponsoring of IT in HC
– Establishing infrastructural databases
– EDI
– National health insurance card system
Public Health Institute – national (PHIS) and regional (PHI)
– Health statistic
– Prenatal information system
– Register of sick leaves
Ministry of Health
– Health Sector Management Project

e-Medicine Medicine – Objectives
Till 2005 every EU member had ha to prepare national and
regional e-health e health plans
Use of standards, inclusion of open code initiative
Introduce personal identifiers
Connectivity of the patients’ patients electronic records
Ensure mobility of patients and health care workers
Advance infrastructure and technology
Introduce testing and accreditation for e-Health e Health
Increase investment in e-Health e Health
Make regulations and legal bases.

1996 – Portorose – First Congress of Slovenian Radiologists
Interexport Ljubljana Presents the AGFA PACS System
1996
1996 - ZZZS – Electronic Health Insurance Card
1997 – Ljubljana – Meeting of The Slovenian Radiologists
Interexport Ljubljana/AGFA Vienna – PACS Presentation
1997
1997 – College of Slovenian Radiologists establishes
the PACS committee – for recommendations -> >
after 2 years of “work work” the result was that there is
no money for such “high high” technology
1997
1998 ZZZS – Electronic Professional ID Card
2000 – General Hospital Izola
The General Manager approves the first steps to Digitalisation
2000
2001 – First mini-PACS mini PACS system in Slovenia
(PACS Server + CT Siemens Somatom Emotion +
Siemens X-Rays X Rays Fluorospot Compact, Fluorospot H )
2001
e-Medicine Medicine – the History

GH IZOLA “Mini Mini PACS” PACS , “own own RIS” RIS
National agreement ON:
patient ID
UNIQUE
Health Insurance Number
accession number
UNIQUE
study identificator
request ID
Unique
can handle several
accession numbers

Slovene HIC System

e-Medicine Medicine – Cards

e-Radiology
Radiology – the History
2001 – First Teleradiology Connection
“3DES 3DES” VPN GH Izola - Head of Radiology Home
2002 – mini-PACS mini PACS implementation in KOPA Golnik
2002 – First teleradiology Connection between two hospitals
GH Izola – KOPA Golnik “3DES 3DES” VPN / CT images /
2003 – Teleradiological Connection between
GH Izola and OH Valdoltra / wireless PtP Aironet
2004 – The start of the PACS – CR tender...
2005 – Installation and the start of the PACS system

SB IZOLA PACS SYSTEM
IMPAX BASIX ver. 4.5.
Inauguration MAY 2005
MINISTER OF HEALTH:
“Digitalisation Digitalisation will
be one of the
priorities”
priorities

Radiology Digitalisation in Slovenia
May 2005
PACS General Hospital IZOLA – IMPAX 4.5
November 2005
PACS Oncol. Institute Ljubljana – IMPAX 5.2
March 2006
PACS General Hospital Jesenice – IMPAX 5.2

e-Health Health 2010 - backgrounds
Slovenian Activities
of e-Health Health are driven by
European e-Health Health Action Plan* Plan
and are backed by Achievements,
Achievements,
experience and good practices
of Slovenian Health Informatics.
Informatics
*Communication
Communication on on e--Health e Health ––
making making healthcare healthcare better better for for European European citizens: citizens:
An An action action plan plan for for a a European European ee--Health Health Area, Area,
COM(2004)356, (30 (30
Apr. Apr. 2004)
2004)

e-Health Health 2010 - starting
National eHealth Strategy eZdravje2010 has
undergone public debate
National
National eHealth Strategy was publicly announced in
december 2005.
National
Initial activities including establishing national
bodies: bodies:
Health Informatics Council and Board for
Health Informatics Standards
Initial

e-Health Health 2010 - NHI
Establishing national Health Informatics Authorities
National Council for Health Informatics – CHI
(1st 1st constitutional meeting of CHI in june 2006)
National Board for Standards in Health Informatics BSHI
(1st meeting of Board in june 2006)
Center for Health Informatics – CHI
Temporary Function performed by Project Unit for CHI and Workgroup
for Initial Tasks. Tasks
Above entities are providing transparent and continuity
functions of National Health Informatics.
Informatics
Above

e-Health Health 2010 - Role of Authorities
Council for Health Informatics is the Body
responsible for Key decisions in National Health
Informatics,
Informatics,
Authorized to create Directives for all
other national bodies regarding National Priorities
and Activities in area of Health Informatics.
Informatics
National Board for Health Informatics
Standards is the main National Body covering
Standards in Health Informatics Recommends
acceptable National and International Standards in
Health Informatics to CHI for adoption.
adoption

e-Health Health 2010 - Future
Electronic patient record
Standardization of the th elements of electronic records of
medical data and of the interchange of data between
different HC providers:
Referral notes, dismissal notes, laboratory results, invoices
Telemedicine
Bedside PC
National health portal
Information support to standardisation through data
dictionary
Access to general and private HC related information.
Direct communication between the citizens and HC
providers

e-Health Health 2010 - Future
While PACS system could remain standalone, the teleradiological
connections demand the upgrade of the basic information
infrastructure in health care for safe and transparent exchanges of
information between hospitals
the establishment of safety and technological standards for safe
communication, management and storing medical data, setting up
minimum standards and range of technologies that should ensure
interoperability and safe communication also when public
communication networks are used ( Internet )

Probabl
What is next?
Probable tenders for the PACS systems in
the next 6 months:
- Clinical Center Center
Ljubljana
- General Hospital Maribor
- Outpatient Clinic Ljubljana
- Clinic for the Pulmonary Diseases Golnik
- General Hospital Novo Mesto
- Orthopeadic Hospital Valdoltra

National Projects
november 2006
TELERADIOLOGICAL NETWORK
– Clinical Center Ljubljana
– Oncological Institute Ljubljana
– General Hospital Izola
– General Hospital Jesenice
– Clinic for the Pulmonary Diseases Golnik
– Orthopeadic Hospital Valdoltra

Thank You!