Institut Català de la

Salut

ICS Modernization Project

Barcelona, 16/03/2010

Mª Dolores González Cuyás

Economic and Organization Director

Institut Català de la Salut

ICS AT A GLANCEPrimary care

More than 450 productive units: 274 primary care teams

40 centers of extra-hospital specialties.

32 emergency centers

8 laboratories

32 image diagnosis services

15 rehabilitation services

8 mental health centers, …

It manages 80% of the whole primary care teams in the region

46 millions of outpatient visits a year

Acute Care

8 Hospitals: More than 4.000 inpatient beds

More than 130 Surgery theaters

More than 7000 outpatient rooms

Constitutes the 32% of the public hospitals inpatient beds and the 50% of the high-technology beds in Catalonia.

2008: 215.262 Inpatient visits

122.454 Surgeries

703.424 Urgencies

2.661.390 Outpatient visits

412 Transplants

Constitutes the 40% of the scientific production in Catalonia.

Research

Education Annual training of more than 1.500

masters.

More than 4.300 pre-grade students(medicine and nursery).

Training of 56% of General Practitionerand 66% of the specialists of Catalonia

Budget 2010: 3.000 M€

42.000 Professionals

External Context

- New Environment: globalization, consumerism, demographic shifts, increase burden of disease and expensive new technologies

- Quality Issues

- Rising Costs

- Access or Choice inadequate

- Financial

- Counterproductive societal expectations and norms

- Misalignment in incentives

- Short term response due to patient demands

- Inability to access and share critical information

THREATS

CONSTRAINTS

Internal Context (2004)

Organization

• No Formal Organizational Structure for Change.

• No Internal Customer Orientation (Corporate Information Systems).

Processes

• Need for Tighter Financial Control.

• Lack of Process Standardisation in Different Areas.

• Difficulty in Managing Demand.

Technology

• Inability to Share Critical Information.

• Discontinuity of Health Care. (Primary /Acute Care).

Objectives

HEALTHCARE SECTOR

MANAGEMENT

THE CLINIC

PATIENT

HealthcareSector

• Modernization Public Sector

• Leading position in Healthcare IT Systems

Management

• Business monitoring system

• Decision making tools

Clinic

• Tools for all the professionals

• Standardization of the clinical practice

Patient

• Patient centric Healthcare

• Integrated patient records

Principles

HEALTH SYSTEM SUSTAINIBILITY:

Greater efficiency, cost reduction, realignment of resources, shared

services, central procurement.

HEALTHCARE QUALITY:

Advanced technologic

equipments, health coordination,

Electronic clinical records.

HEALTH SYSTEM

ACCESIBILITY:

For the citizen to receive the best

healthcare.

Method

Project to transform the Back-Office functions

Project to transform Healthcare processes on the Hospitals area (HIS)

Project to redefine the HR function

Unique and integrated technology – SAP (Change Driver)

New Common Process Model

New ICSA new corporate culture

Model of Strategic Partnership

Roadmap

02/07 02/0802/0606/06

09/06 10/08 03/09 11/09 03/1006/09

2007 2008 2009 2010200606/10

11/08

GermansTrias i Pujol

Verge de la Cinta

Joan XXIII

Viladecans

Doctor Josep Trueta

Vall d’Hebrón

Bellvitge

Arnau de

Vilanova

SharedServicesCenter

Purchasing / Contracts

Roll-outFull Deployment

e-PayrollJob market

Career path

ResultsS

us

tain

ab

ilit

y

• Towards a Corporate Negotiation Unit• Third Party Invoicing

• Inventory Management

• Contract Negotiation Efficiency

• Purchasing

• Elimination of redundancies

• Management Tools

• Economies of scale in IT expense

• Digital records: paperand plates A

cc

es

ibil

ity

• Unified demandmanagemnt• Territorial approach

• Productivityenhancement

• Acute and Primary Care Integration• Shared agendas

• Paperless

• Health recodsaccessible across thewhole Catalan HealthSystem

• Telemedicine and Home hospitalization Q

ua

lity

• Increased Patient Security• Integrated Patient

electronic Records

• E-pharmacy

• Digital imaging

• Better informed Patients• SMS appointment

• Self-admission /information devices

• Standarization of nursery plans

• Reduction of movements to the hospital

Conclusions

Objectives

Principles

TransformationProgram

IT Implementation