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    New National Health Card New: CNS - Eletronic Health Record

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    bellati
    1) Brazil is implementing a new National Health Card and electronic health record system called CNS to streamline its healthcare system. 2) The current CNS system has issues like a lack of control over card distribution and double registrations, but around 92% of SUS clients have been identified. 3) The new CNS card will serve as the access key to the planned National EHR system and help reduce disparities in access to care, optimize resource allocation, and increase billing efficiency to save over $588 million per year.

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    New National Health Card New: CNS - Eletronic Health Record

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    bellati
    18 views16 pages
    1) Brazil is implementing a new National Health Card and electronic health record system called CNS to streamline its healthcare system. 2) The current CNS system has issues like a lack of control over card distribution and double registrations, but around 92% of SUS clients have been identified. 3) The new CNS card will serve as the access key to the planned National EHR system and help reduce disparities in access to care, optimize resource allocation, and increase billing efficiency to save over $588 million per year.

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    1) Brazil is implementing a new National Health Card and electronic health record system called CNS to streamline its healthcare system. 2) The current CNS system has issues like a lack of control over card distribution and double registrations, but around 92% of SUS clients have been identified. 3) The new CNS card will serve as the access key to the planned National EHR system and help reduce disparities in access to care, optimize resource allocation, and increase billing efficiency to save over $588 million per year.

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    18 views16 pages

    New National Health Card New: CNS - Eletronic Health Record

    Uploaded by

    bellati
    1) Brazil is implementing a new National Health Card and electronic health record system called CNS to streamline its healthcare system. 2) The current CNS system has issues like a lack of control over card distribution and double registrations, but around 92% of SUS clients have been identified. 3) The new CNS card will serve as the access key to the planned National EHR system and help reduce disparities in access to care, optimize resource allocation, and increase billing efficiency to save over $588 million per year.

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    of 16

    Key for Streamlining Healthcare in Brazil

    New National Health Card


    New CNS Eletronic Health Record
    Agenda
    Current statusof implementation
    Survey inthe useof health cards inhealth
    card
    The New National Health Card
    National Health Information Network
    Keywords
    CNS=nationalhealthcard
    SUS=nationalpublichealthsystem
    DataSUS =SUSITdepartment
    Mais Sade=BetterHealth
    MS=MoH
    CNS
    CNS

    Current
    Current
    status
    status
    About 145mregistrations in4.976municipalities (89,4%) asof April
    2009.
    Lack of control of Card distribution, double-registrations have occurred,
    we estimate that 130mpersons properly identified,i.e.92%SUS
    clients.
    The investiment was not sufficient so,over10yinvested R$400M
    (230KUSdollars representing R$1,50USDperperson
    National Distribution of cards stopped in2006.
    Records fragmented among municipalites,statesand national level
    Growth of proprietary systems in the municiplaities and states non-
    integrated,nostandards,but financed by MoH
    Useof CNSmainly forbilling inmost municipalities
    Review of current model (started in2000)
    HealthCardsSurvey
    Purpose:InordertoresumetheNationalHealthcard,anational surveyon
    theuseandmaincharacteristicsofhealthcardsinBrazil,and their
    conformitytoISOstandards,bothinpublicasinprivatesector,wasdone
    DatacollectionendedonlastSeptember30
    th
    .
    Preliminarynumbers:
    1149privatehealthplanscarriers(82%ofcoveredlives)
    6municipalitieshavetheirownhealthcard(coveringmorethan10million
    inhabitants)
    Federalgovernment nationalhealthcard
    ReadinesstostrengthenstandardsadoptioninBrazil
    11%oftheprivatehealthcardshavesomeclinicaldatarecorded inthecard
    95%doesnotusedigitalsignatureorcertification
    Only2,4%ofthehealthinsuranceplansusecardsforhealthprofessionals
    Standardizationprocess
    8of10ISOTC21521549(healthcard)standardsaretranslated andreadytobe
    ballotedasnationalstandards.
    The new CNScard will be the access key tothe National EHR
    Strategic platform of national health system.
    Identify and authenticate citizens-patients and professionals.
    Reduce disparities inthe access tohealthcare
    Optimize resources allocation.
    Increase efficiency of SUSclaims and billing process.
    Produce morereliable health indicators.
    Speed up the delivery of care and and reduce waiting times.
    Strengthen Continuity of care
    Integration of public and private healthcare sectors together
    with Regulatory Agency forplans and Insurance (ANS).
    Cost savings of overR$1bi(U$588mil)peryear (source
    FGV/Sade)
    The new National Health Card The
    The
    new
    new
    National
    National
    Health
    Health
    Card
    Card
    Alternatives forcollecting addresses (National
    Statistic Office)
    Ongoing Steps On
    On

    going
    going
    Steps
    Steps
    INTEGRATION WITH NATIONAL REGISTRIES
    INTEGRATION WITH NATIONAL REGISTRIES
    NATIONAL SOCIAL INFORMATION REGISTRIES
    Government Social
    Inclusion Pograms
    (Family Grant Program)
    CADSUS -
    NATIONAL
    PATIENT ID
    Ministry of Education CNIS
    SOCIALSECURITY ID
    New National Health Card New
    New
    National
    National
    Health
    Health
    Card
    Card
    Integration of Health Organizations Networks
    GPs
    Diagnosis and ancillary
    facilities:
    Labs, image clinics etc
    Medical Home
    program
    Amb / day care
    Public health surveillance
    (~ CDC)
    Emergency
    care
    Psycho-social
    (mental health,
    Addiciton, geriatric,
    etc)
    Basic care
    (EHR) (EHR)
    1.Issuing of card inhealthcare facilities
    National
    repository
    New National Health Card New
    New
    National
    National
    Health
    Health
    Card
    Card
    Networks
    PROPOSEDMODEL PROPOSEDMODEL
    EHR EHR
    2.AccesstoEHRfrom various /multiple Healthcare
    providers,healthcare professionals and secondary users
    NacionalEHR
    repository
    PROPOSEDMODEL PROPOSEDMODEL
    New National Health Card New
    New
    National
    National
    Health
    Health
    Card
    Card
    EHR EHR
    National EHR
    repository
    3.Integration of National EHR repository to point of care
    PROPOSEDMODEL PROPOSEDMODEL
    New National Health Card
    New New National National Health Health Card Card
    4.Building of anational health information networkbased on asemantic
    framework
    Nationwide
    New National Health Card
    New New National National Health Health Card Card
    PROPOSEDMODEL PROPOSEDMODEL
    National
    National
    Health
    Health
    Information
    Information
    Network
    Network
    01 datacenter for 10,000 healthcare
    providers (will be about 5 datacenters).
    Response time < 10s for EHR access.
    Security and high availability
    with mirroring among systems.
    Outlookin2011
    Tech infrastructure
    Integrated managementand data-sharing
    Ongoing Steps On
    On

    going
    going
    Steps
    Steps
    Connection
    Connection
    Model
    Model
    Municipal
    healthcare
    providers
    5565
    Municipal
    Health
    Secretaries
    EHR PLATFORM (ENTERPRISE BUS)
    BASED ON A
    SEMANTIC FRAMEWORK
    EHR PLATFORM (ENTERPRISE BUS)
    BASED ON A
    SEMANTIC FRAMEWORK
    MoH
    Other
    Govs
    ID Orgs
    27
    State
    Health
    Secretaries
    State
    healtcare
    providers
    Public
    & Private
    Pharmacies
    Private
    healthcare
    providers
    Regulatory
    Agency for
    Health Plans
    Regulatory
    Agency for
    Health
    Surveillance
    Universities
    & 2ndary
    users
    A coherentplatformtohandleacentral,distributed
    Thank you!

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