The Contribution of ICT to Health Ministerial Conference and Exhibition 2223 May 2003 Brussels

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The Contribution of ICT to Health Ministerial
Conference and Exhibition22-23 May 2003Brussels
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Thematic Parallel sessions on exciting new
eHealth applications National and Regional
eHealth Networks

• Spanish experiences and ConclusionsThe
  Andalusian Health network
• J. A. Cobeña Fernández
• Secretary General of the Andalusian Health
  Service. Director of IT Strategy
• Consejeria de Salud, Junta de Andalucia. Seville.
  Spain
• joseantonio.cobena_at_juntadeandalucia.es

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Digital humanism qaumáxein pánta

• mala gàr philosóphou touto tò páthos, tò
  thaumázein, ou gàr alie arkhè philosophias hè
  haúte It is precisely a characteristic of the
  philosopher this state of mind (pathos) the
  amazement, which is the principle of
  philosophy...
• Platón, Teeteto, 155 d
• dià gàr tò thaumázein hoi ánthropoi kaì nyn kai
  prôton ércsanto philosophein through the
  admiration, the men arrives now and arrived
  formerly at the origin from to philosophize
• Aristóteles, Metafísica, 1, 2, 982 b 12 ss.

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ANDALUSIA

• Andalusia, known to many as "the bridge between
  two continents", "the gateway to Europe", "a
  melting pot of cultures" or "a meeting point of
  two seas" fits perfectly within any of these
  definitions.
• A direct link between Europe and Africa, and the
  place where the Atlantic Ocean meets the
  Mediterranean, Andalusia has been fought over by
  numerous cultures since the earliest times of
  civilization, being one of the areas of
  settlement of our prehistoric ancestors.
• Andalusia covers 17.3 of Spanish territory,
  87,268 km² in total, making it the largest single
  region, with an area greater than countries such
  as Belgium, Holland, Denmark, Austria and
  Switzerland.

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ANDALUSIA-EUROPE
Andalusia covers 17.3 of Spanish territory,
87,268 km² in total, making it the largest single
region, with an area greater than countries such
as Belgium, Holland, Denmark, Austria and
Switzerland
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DIGITAL STRATEGY ANDALUSIAN HEALTHCARE PUBLIC
SYSTEM
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• Health Regional Ministry/ Andalusian Health
  Service (SAS)
• In Andalusia, it manages and supervises the
  public healthcare service transfered to the
  Andalusian Autonomous Community.

33 areas of Primary Assistance
It provides healthcare services to 7.4 million
citizens
and a complex healthcare network
Hospitals (31)
Specialized assistance (150 centers)
Primary assistance (1,420 centers)
80,000 employees (17,000 doctors)
BUDGET 2003 5.762.651 M
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e-EUROPE 2005

• The e-Europe action plan is based on two groups
  of actions which reinforce each other.
• On the one hand, it aims to stimulate services,
  applications and content, covering both online
  public services and e-business on the other hand
  it addresses the underlying broadband
  infrastructure and security matters.
• By 2005, Europe should have
• modern online public services
• e-government
• e-learning services
• e-health services
• a dynamic e-business environment
• and, as an enabler for these
• widespread availability of broadband access at
  competitive prices
• a secure information infrastructure

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e-HEALTH e-EUROPE 2005

• Health information networks. By end 2005, Member
  States should develop health information networks
  between points of care (hospitals, laboratories
  and homes) with broadband connectivity where
  relevant. In parallel, the Commission intends to
  set up European-wide information networks of
  public health data and co-ordinate actions for
  Europe wide rapid reactions to health threats.

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CORPORATE DATA NETWORK OF THE HEALTH MINISTRY OF
ANDALUSIA

• Current Situation and Achieved Milestones.
  Andalusian Health Services Backbone Network in
  the Junta de Andalucias Corporate Network
  Backbone

Communication Infrastructure
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Corporate Data Network ofRegional Health
Ministry of Andalusia
Characteristics

• Operative and Technological
• It interconnects more than 1400 centers dependent
  on the SSPA with a great geographical dispersion
  (770 municipalities in 87.597 km2).
• Availability and access "on-line" 24x7
• High capacity of transmission of information
  (Broad Band Sanitary Net).

• Strategy
• It allows the homogenization of the IT Systems in
  the Regional Health Ministry of Andalusia (SSPA).
• It makes possible the implantation of high
  complexity and capillarity IT Systems.

• Management
• Unified management based on Service Level
  Agreements that makes possible a cost reduction.

• Security
• It guarantees integrity, privacy and
  confidentiality of the information that is
  transmitted trough the net (clinical records,
  diagnostics and treatments, ) according with the
  information protection laws.

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Corporate Data Network ofRegional Health
Ministry of Andalusia
Coverage indicators

• More than 1,400 centers
• 33 Hospitals
• 33 Primary Attention District Headquarters
• 1,200 Primary Attention Centers
• 17 Managerial Centers
• 8 EPES Centers (Public company of Sanitary
  Emergencies).
• 150 Others CPE, CRTS, ...

• Broad Band Healthcare Network
• Initiative for the interconnection of Sanitary
  Health Nets in regional supra-areas.

• Network Thecnologies
• Lines ATM, Frame Relay, FrameRelay over ISDN,
  ISDN, ADSL, FrameRelay over ADSL, FrameRelay over
  Satellite
• More than 4,000 network active devices routers,
  switchs, hubs, bridges,