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e-Transformation Turkey at a Glance& Turkey’s e-Health Approach: 

e-Transformation Turkey at a Glance & Turkey’s e-Health Approach Dr. Nihat YURT Ministry of Health, Turkey RIDE Workshop Roadmap for Interoperability in e-Health 7 June 2007

Turkey at a glance*: 

Turkey at a glance* Population : 71.2 million Language : Turkish Currency : New Turkish Lira Capital City : Ankara GDP : USD 301.7 B Exports : USD 66.9 B Imports : USD 87.4 B Inflation Rate : 9.4 % GDP Growth rate : 8.9 % *2004 data

Agenda: 

Agenda Some Indicators (eGov) eTransformation Turkey Health Transformation Programme eHealth in Turkey

Central Europe e-Government Rankings: 

Central Europe e-Government Rankings Source: The Economist Intelligence Unit

Online Public Services For Business: 

Online Public Services For Business

Slide8: 

eEurope (EU Countries) eEurope+ (Candidate Countries) eTurkey Information Society For All December 1999 March 2000 EU Council March 2001 Stocholm Council September 2001 February 2003 Prime Minister’s Circular eEurope 2005 PublicNet E-Transformation TURKEY PublicNet June 2001 eEurope – eTurkey eTransformation Turkey

e-Transformation Turkey Project Organization: 

e-Transformation Turkey Project Organization Deputy Prime Minister Members (41) Representative of the Ministries NGOs Universities Members with/without Voting Rights Deputy Prime Minister Minister of Transportation Minister of Trade and Industry Undersecretary of State Planning Organization Advisor of the prime Minister Related Public Institutions (4) NGOs (4)

Slide10: 

“Becoming a hub of ICT development, using information technology as an effective tool, creating value through information-based decision processes, successful in global competition and has reached high levels of welfare” Turkey declared Information Society in 2004 with an ambitious vision…

e-Health in Turkey as Part of the Health Transformation Programme: 

e-Health in Turkey as Part of the Health Transformation Programme

e-Health Vision: 

e-Health Vision Improvement of healthcare services in Turkey by developing a Secure Health Information Platform that enables healthcare providers, health professionals and citizen, easy and safe access to health related information by using latest Information and Communication Technologies.

Health Care Institutions in Turkey: 

Health Care Institutions in Turkey Number of Hospitals: 1215 (801 -MoH) Number of Health Centres: 6066 Number of Village Health Station: 7676 Number of Physicians: 97.763

A Survey On HIS in 655 MoH Hospitals (2004): 

A Survey On HIS in 655 MoH Hospitals (2004)

A Survey On HIS in 801 MoH Hospitals (2006): 

A Survey On HIS in 801 MoH Hospitals (2006)

National Health Information Studies : 

National Health Information Studies 10 Working Groups Established Action Plan Working Group, Ministry of Health Health Information Standards Working Group, Turkish Medical Informatics Association Health Identifier Working Group, Ministry of Health Minimum Health Data Set/Sets Working Group, Hacettepe University Security and Confidentiality of Health Related Data Working Group, Turkish Medical Association

National Health Information Studies : 

National Health Information Studies Early Warning Systems for Health Threats Working Group, Ministry of Health Virtual Private Network for Healthcare Working Group, Turkish Telecom Training Working Group, Higher Education Committee Telemedicine Working Group, The Scientific and Technical Reearch Council of Turkey Coordination and Monitoring Working Group, State Planning Organization

National Health Information Studies : 

National Health Information Studies These working groups conducted the assessment of the current situation, projects, initiatives, and policy studies in their respective fields. NHIS Action Plan has been published in January 2004.

e-Health Activities in the context of e-Transformation Turkey Project: 

e-Health Activities in the context of e-Transformation Turkey Project e-Health Working Group established in the context of e-Transformation Turkey Project under the authority of SPO. 15 actions determined on e-Health as basic building blocks of HIS. Those actions mostly completed and evaluated by SPO.

ITU Support : 

ITU Support Through the Telecommunications Authority of Turkey, The Ministry of Health, Turkey, requested ITU to provide assistance in the implementation of Turkey’s e-Health Project and support in their Health Transformation Project.

ITU Support : 

ITU Support Turkey’s e-Health Strategy & Towards Implementation Document published with support of the ITU. The Minister of Health has approved their recommendation of the ITU.

Explanation of Tasks -1: 

Explanation of Tasks -1 The conversion of the existing LAN-WAN into a true health network platform to be known as Sağlık-Net, providing linkages, services and data repositories (e.g. minimum data sets of Electronic Health Records) to the all those authorized in the health sector. Saglik-Net is operational now.

Explanation of Tasks -2: 

Explanation of Tasks -2 Establishment of a Health Data Operation Centre for Electronic Health Records. Contract awarded. It is expected to be completed by the end of 2007.

Explanation of Tasks -3: 

Explanation of Tasks -3 A National Health Data Dictionary as one example of number of standards that have been either adapted or developed by the Ministry to ensure nation-wide compatibility of health information in Turkey. First Draft released. V 1.0 will be published by 4th quarter of 2007.

Explanation of Tasks -4: 

Explanation of Tasks -4 The adoption of the TUBİTAK (Technical and Scientific Research Council) solution for Digital Security in Turkey. A pilot study has been started under the umbrella of Information Society Strategy Action Plan. Health and Insurance sectors are determined for the first pilot implementation.

Family Physician Information System (Operational in 11 Provinces-7.5M Citizen Registered): 

Architecture: Distributed System Family Physician Information System (Operational in 11 Provinces-7.5M Citizen Registered) HL7 v3 (XML), http http HL7 v3, (XML) / http HL7 v3 (XML), http HL7 v3, (XML) / http

Health Information Platform: 

Current Backbone Legacy Systems MoH Network Management Health Information Platform National Health Data Dictionary Digital Security Systems e-Signature Health Code Reference Server

Target: 

Present Systems MoH Network Management Saglik - NET Health Insurance Integration Electronic Health Record Standards & Protocols Decision Support Systems Digital Security Systems e-Signature Target NHDD

Ingredients of success: 

Ingredients of success Strong political willness “Health in all Policies” 3C All stakeholders should work together Ask people what they want Adress the fears of people Do not re-invent the wheel, learn from the others

Slide32: 

Thank you for your attention*** Dr. Nihat YURT Ministry of Health, TURKEY nihat.yurt@saglik.gov.tr