Ehtel Conference Economics in e-Health Brugge, November 2002 Slovenian HIC Programme - Exercise and Lessons Marjan Sušelj Assistant to Director General, HIC System Health Insurance Institute of Slovenia
Contents w w w Introduction Slovenian HIC Programme - Outline Cost Analysis Direct Benefit Analysis Development Benefits Conclusions Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
Slovenian HC and HI - In the Macroeconomic Perspective Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
Introduction - HIC System Background and Rationale w HIIS position in the HC w w w statutory provider of compulsory health insurance custodian, manager and administrator of HI funds mission: efficient economics of HC, friendly and efficient services w HIIS investments in IT in HC: w w virtually all HC work posts computerized EDI HI databases IT literacy w Comprehensive local IT support, bottlenecks in communications and data transmission Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
HIC Project - Goals w Cost containment; w Transparent operation (income and expenditure side); w Accurate and up-to-date data for management and w w w policy makers; Data security; Streamlined communications; Advancing of services (elimination of non-essential procedures); Financial and national economy benefits at reasonable financial investment; Infrastructure for integration of different IT systems in HC and HI - paving the way to the e-environment Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS 5
HIC System - Outline Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
HIC System - Dimensions Component / Item Total Implementation: w w w w Health insurance cards Health professional cards Card readers HC service providers SW houses participating Self-service terminals SST locations 1. 950. 000 16. 700 6. 640 1. 036 43 290 270 Operation: w w w SST transactions / month HIC renewed / year SST information sessions / month Brugge, November 2002 450. 000 47. 087 256. 000 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
HIC System - Analysis of Costs CBA (1997): w w w Investment (purchased goods and services): w Equipment (cards, terminals, readers, …) w New/upgraded software w Development services (outsorced) w Card personalisation and mailing Implementation: w In-house work costs for HIIS w Communications, overhead w Training for HC workers w Migration costs Routine operation costs: w Card renewal w Maintenance of technology w Equipment depreciation w On-going costs (leases, energy, …) w HIIS service overhead Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
HIC System - Analysis of Benefits CBA (1997): w Time savings: w Insurance validity updating (insured persons, employers, insurance clerks) w Patient reception at the doctor’s (administrator) w Quality data for reporting and accounting purposes Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
HIC System - CBA Payback Period Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
HIC System Actual vs. Predicted Investment Costs in 1000 EUR VHI CHI Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
HIC System - Maintenance Costs Average monthly costs: 150 k. EUR Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
HIC Project - Evident Benefits Two years of routine operation: w Decreased volume of administrative chores; elimination of non-essential procedures; w Faster and easier access to HC services; w Uniform technology and interfaces for all insurance providers - operation simplified for HC workers and patients; w Strict monitoring of contribution and premium payment - increased discipline Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
HIC Project - Development Benefits w w w Hands-on use - stimulus for new ideas, needs and demands; User proficiency - building the foundations for e-health; Infrastructure for medical data; Enabling infrastructure for internet communications; Identification of patient and HC worker - availability of evidence, data for analyses and studies of new HC service payment models Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
Concluding Remarks w w w Progress: small steps, far-reaching effects; Technology in the service of citizen; Paramount importance of consensus; Sharing of investments and benefits; Tenacity and pioneering vision; Mix of tangible (financial) and non-measurable benefits w In the service of the patient w Quality of life and health Brugge, November 2002 Ehtel Conference - Economics in e-Health Marjan Sušelj, HIIS
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