Turkey's e-Health Activities A Country Case Study

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The working groups and respective coordinators were; WG1 Action Plan Working Group, Ministry of Health WG2 Health Information Standards Working Group, Turkish Medical Informatics Association WG3 Health Identifier Working Group, Ministry of Health WG4 Minimum Health Data Set/Sets Working Group, Hacettepe University WG5 Security and Confidentiality of Health Related Data Working Group, Turkish Medical Association WG6 Early Warning Systems for Health Threats Working Group, Ministry of Health WG7 Virtual Private Network for Healthcare Working Group, Turkish Telecom WG8 Training Working Group, Higher Education Committee WG9 Telemedicine Working Group, The Scientific and Technical Reearch Council of Turkey WG10 Coordination and Monitoring Working Group, State Planning Organization These working groups conducted the assessment of the current situation, projects, initiatives, and policy studies in their respective fields. National Health Information System Action Plan is finished at the end of May, 2003 by Action Plan Working Group and published on January 2004. In the framework of the e-Transformation Turkey Project which was initiated under the coordination of the State Planning Organization within the framework of the Urgent Action Plan, Ministry of Health has undertaken the coordination of e-Health Study Group. The Short Term Action Plan including 74 actions which was published on the Official Gazette by the Prime Ministry’s Circular dated December 4, 2003 and numbered 2003/48 consists of 15 actions concerning e-Health. 15 e-Health actions were determined by giving priority among Turkey’s Health Information System Action Plan. In addition, Turkey’s e-Health Project was proposed to the International Telecommunication Union (ITU) by taking the future needs into consideration. The proposal was accepted and the actions initiated cooperation with senior consultant Dr. Salah MANDIL who gives high-level consultancy services on the issue of e-Health in many countries in the world. Turkey’s e-Health Project is one of the rare supports provided by the ITU for Turkey. With the support of ITU the Ministry’s Information Technologies experts have prepared detailed road maps for Turkey’s e-Health Strategy and Application in October and November 2004. Turkey’s e-Health Strategy covers the following activities: 1) The enhancement of the existing MoH Wide Area Network into a National Health Information Platform (tentatively called Saglik-Net) hosting and enabling access to nationally required systems and services, by all Turkey health sector institutions. 9
2) The strategic and technical importance of preceding the introduction of a “Family Physicians system” with the conception and core development of a National Health Care Management Information System, or NHC/MIS, based on individual MISs in each health care institution which should, as far as possible, be a “national solution” optionally offered to, and not imposed upon, any and all interested hospitals and health centres. 3) The adoption of national standards for data items, entities and related procedures, and the development of the current and new content of health information in Turkey in accordance with such standards, and its storage in a National Health Data Dictionary that should be accessible over Saglik-Net. 4) The development and operation of a National Electronic Medical Records system, that is functionally tied to the Electronic Patient Records components of the Health Care MISs referred to in (2) above. 5) The expansion of the existing security measures of Redundancies, Firewalls, Anti- Virus, Passwords, etc. to cater for profound Digital Security of all health care transactions that ascertains the Identification and Authentication of all users; and the Integrity, Confidentiality and Non-Repudiation of all health care messages and transactions. In the scope of the e-Health activities, health information standards which are the health services’ preliminary needs have been specified and started to be applied; within the terms of the Transformation in Health Program, the project of information system has been completed for the Family Physicians; the coordination necessary for the exchange of electronic data between the health service providing and health service financing was ensured, a protocol was signed and projected between the Ministry of Health, Ministry of Finance, Ministry of Labour and Social Security and Hacettepe University, the needs were determined concerning the issue of e-signature for providing the security, privacy and confidentiality regarding health records and the cooperation platform was formed with universities in order to establish the human resources who are trained in the field of health information. The first action of the e-Transformation Turkey Short Term Action Plan which was published in the Official Gazette in December 2003 was the development of the National Information Society Strategy. After an intensive work co-ordinated by the State Planning Organization the Information Society Strategy and the attached Action Plan approved by the High Planning council dated 11/07/2006 by number 2006/38 has been take into force after published in the Official Gazette dated 28/07/2006. 111 Actions took place in the Strategy. In the action plan, 4 actions were taking place under the responsibility of Ministry of Health were as below: • Establishment of the Health Information System • Data Sharing between Blood Banks • Online Health Services • Telemedicine Systems 10
Page 1 and 2: Author: Nihat Yurt, M.D. Date: 1 Ju
Page 3 and 4: List of Abbreviations ATC Anatomic,
Page 5 and 6: Executive Summary When we make an o
Page 7 and 8: Country Profile Turkey is a Eurasia
Page 9: According to the results of ICT Usa
Page 13 and 14: As of June 2008, some statistics co
Page 15 and 16: scale of the production than the re
Page 17 and 18: The data which is sent from health
Page 19 and 20: Figure 10 Family Medicine Informati
Page 21 and 22: In addition, the procedures which s
Page 23 and 24: Saglik-Net Portal Saglik-Net Portal
Page 25 and 26: • It will be used in the fields o
Page 27 and 28: citizens will have smart cards in B
Page 29 and 30: telemedicine to tele-health in the
Page 31 and 32: Annex: A Country Profile for Turkey

Turkey's e-Health Activities A Country Case Study

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