"Integrated Health Information System (EU-IHIS)" Project Final Conference
15 June 2015.
Seventh EU-IHIS Project Steering Committee Meeting
15 April 2015
Start of the Hospital Information System operation in the Special Hospital for Rehabilitation and Orthopaedic Prosthetics – “Belgrade”
24 March 2015
WHO Expert for eHealth visited the EU-IHIS Project
16-18 March 2015
Visit of Grete Faremo, United Nations Under-Secretary-General and UNOPS Executive Director
9 March 2015.
No-cost Extension of the EU-IHIS Project
The Survey for End Users of the Hospital Information Systems Initiated
The News on the EU-IHIS Project activities published on the web site of the Delegation of the EU
Adoption of the Law on Health Records and Statutory Records in the Field of Health
8 November 2014
The sixth meeting of the EU-IHIS Project Steering Committee
21 Oktober 2014
Implementation of Hospital Information System
Establishment of the Unit for Integrated Health Information System of the Ministry of Health
The EU Donated Additional Equipment
European Focus on eHealth
23 May 2014
Representatives of the National Health Insurance Fund visit the University Children's Hospital
9 April 2014
Ministry's Instruction Enables Electronic Registry of Health Data
24 March 2014
Electronic keeping of healthcare records and documentation represent a key prerequisite for functioning of the integrated health information system and decision making based on reliable and high-quality information at all healthcare levels.
The Instructions of the Ministry of Health resolves the dilemmas that can cause duplication of healthcare record keeping in both electronic and written form. These guidelines lead to the increased efficiency of the health system and enhanced collection of information aimed at improvement of healthcare. The Instruction enables a smooth transition to the pending Law on Healthcare Records and Statutory Records in the Field of Health, which will, along with the associated sub-laws, further regulate this area and encourage the use of information systems in the healthcare.
The full text of the Instruction can be found here:
The EU-IHIS Technical Documentation Published
28 February 2014
These documents represent open specifications that are based on generally accepted international standards, are neutral in relation to the implementing technology and now are available to experts, users and all those interested in development and integration of IT solutions in the healthcare sector. Publishing of this documentation will contribute to the transparency and national and international visibility of specification and exchange mechanisms developed through the Project and will encourage public discussion, improve the solutions quality and promote establishment of standards at the national level.
The documents can be found in the technical documentation, section of the EU-IHIS website, and if necessary, will be further developed during the Project implementation. All comments and suggestions can be submitted by using the Project contact address.
The Fifth EU-IHIS Project Steering Committee Meeting
12 February 2014
"I would like to express my satisfaction with the implementation pace and regular organisation of the PSC meetings, which is justified by the fact that the Project represents not only the promotion of the Serbian healthcare system, but also the donor and organization in charge of its implementation. In the coming days, the Minister of Health will send the instruction to hospitals, which will allow printing of the official documentation from the HIS on plain paper and eliminate duplication of administrative work. This will be used to bridge the period until the adoption of the new law, expected to be discussed in the Parliament upon formation of the new Government", Vladimir Đukić, the State Secretary in the Ministry of Health and the PSC President emphasized.
During the meeting, it was confirmed that the procurement of additional equipment for hospitals is in progress. In addition, it was stressed that the Ministry of Health should take advantage of opportunities provided through the European Union donation for establishment of the Health Informatics Unit. Furthermore, the Ministry of Health should establish framework for coordination of ICT in the healthcare and the Delegation of the European Union to the Republic of Serbia will support this strategic orientation by expert and technical assistance. It was agreed to publish the technical documentation on Electronic Health Record (EHR) and data exchange through Health Level 7 International (HL7) standards on the Project website. They are neutral in terms of technology, and their publication will contribute to the national and international visibility, transparency and accessibility, which will encourage public discussion and standards establishment.
The meeting was attended by the representatives of the Ministry of Health, the Directorate for Digital Agenda, the Institute of Public Health of Serbia and representatives of hospitals that are PSC members.
Presentation from the Fifth Project Steering Committee Meeting can be found here:
Study tour to Norway
11-13 December 2013
All the meetings took place in St. Olav's Hospital in Trondheim, a regional teaching hospital of the Middle Norway Region. During two days of intensive professional information exchange, the representatives of the Ministry of Health and Care Services, Directorate of Health of Norway from Oslo and Trondheim, Norwegian Research Centre for Electronic Patient Records (NSEP) and Department of Computer and Information Science at the Norwegian University of Science and Technology, Norwegian Health Network and St. Olav's Hospital and HEMIT, presented their extensive experiences in this area. The topics included the national EHR and core patients summary and its organizational and academic perspectives, technological infrastructure and implementation of the ICT in health and the EHR, reporting and secondary use of health data and legislation, financing and reimbursements relevant to health care in Norway.
In Norway, all public hospitals are funded from the national budget and are run by four Regional Health Authorities owned by the Ministry of Health and Care Services. Municipalities in Norway are responsible for the organization and the delivery of primary health care services. The Central-Norway Regional Health Authority (Norwegian: Helse Midt-Norge RHF) is a state-owned health authority responsible for operating the hospitals in each Region. All hospitals are managed by the Directorate for Hospitals of Central Norway (Helsebygg Midt-Norge), a division of the health authority. Other central agencies include the Central Norway Health Authority for IT (Helse Midt-Norge IT) that operates the information technology systems as well as the Health Network of Norway (Midt-Norsk Helsenett) that operates the healthcare information network in the Central Norway. St. Olav's Hospital cooperates with the Norwegian University of Science and Technology to provide medical education in Trondheim.
EU-IHIS Team Visited the General Hospital Sombor
21 November 2013
"It's easy to master the HIS programme, which is especially significant since it reduces the time needed for administration. For example, it takes me 90 seconds to write the data from a Health Card to the administrative record of provided services, while this is done in ten seconds through the system. If the obligation to keep written records is to be abandoned, our job would be considerably easier" said Jelena Budimčić, a nurse performing the administrative work in the orthopaedic out-patient room.
Ines Potkonjak, a nurse working in the same out-patient room stressed that she is satisfied with the performances so far: "Although we are facing spatial and technical limitations, we manage to cope. We started entering data on Monday, and today we have administered all patients, over 100 of them, through the system."
Milan Bošnjak, one of the most experienced doctors in the cardiology out-patient room, accepted the new system with great enthusiasm and expects to see its benefits: "The system is very good. Once the implementation is finalized, it will facilitate our work. With one click on the computer mouse, all patient data are displayed. If a problem occurs, members of the EU-IHIS team react as soon as possible."
"I am pleased with the reception of the system by the end-users, and their efforts to administer all patient data through HIS from the very beginning", stressed Dušan Ogrizović, the Head of the IT department in the GH Sombor. "This will be fully accomplished once the additional equipment is allocated to all departments."
Besides GH Sombor, HIS is being implemented in GH Ćuprija, GH Paraćin and the Clinical Hospital Centre Zvezdara. So far, the EU-IHIS Project, financed by the European Union with 2,5 million Euros, has been introduced in eight healthcare institutions: General Hospitals in Čačak, Kruševac, Pirot, Kikinda, Pančevo and Smederevo, as well as the University Children's Hospital and the Institute for Oncology and Radiology of Serbia.
Hospital Information System Implemented in another Four Hospitals
Although the previously implemented IT system was used in out-patient rooms of the University Children's Hospital, the HIS implementation enabled recording of clinical practice in all hospital departments.
HIS is implemented at 147 working stations in the Institute for Oncology and Radiology of Serbia. Besides using the system in hospital wards and outpatient rooms, scheduling of consultative examinations works successfully too.
Activities in the GH Smederevo are finished on time and daily use of the system in patients' treatment is continuously increasing, approximately 20% per month. With this tendency of growth, it is expected that all the data regarding patients' treatment will be soon administered through the HIS.
Although HIS was implemented in the GH Pančevo during the summer months, professional approach of the hospital management and staff significantly facilitated the work of the EU-IHIS team, which resulted in more than 90% users being trained for daily HIS use.
HIS implementation process started in four additional hospitals: GH Ćuprija, GH Paraćin, GH Sombor and the Clinical Hospital Centre Zvezdara.
The EU-IHIS project is carried out under the leadership of the Ministry of Health in cooperation with the World Health Organization (WHO) and the United Nations Office for Project Services (UNOPS) and it will last until February 2015, with HIS implementation completed in 19 hospitals, which will lead to further development and improvement of the integrated health information system in Serbia.
Workshop on Developing a National eHealth Strategy for Serbia
12-13 November 2013
The participants discussed the National eHealth Strategy Toolkit, jointly developed by the WHO and the International Telecommunications Union, which enabled them to comprehend the necessary eHealth development processes, to be undertaken on the national level.
The WHO eHealth experts and workshop lecturers, Clayton Hamilton and Peter Drury, stressed that although different countries throughout the World have taken different routes to developments of health information systems and eHealth, the common elements enable usage of the Toolkit in all of them. They emphasized that the current level of eHealth advancement is not relevant, and that the regular update of the national eHealth strategy in accordance with the current developments, needs and opportunities, along with the establishment and implementation of the relevant responsibilities are of key importance for success of projects being implemented in this field and ownership over their results.
All relevant institutions and stakeholders involved in the process of IT development in Serbia's health care system were present at the Workshop, including representatives of the Ministry of Foreign and Internal Trade and Telecommunications, Directorate for Digital Agenda, Institutes of Public Health, the Republic Fund of Health Insurance, the Association of IT Specialists of Serbia, representatives of the Delivery of Improved Local Services Project, as well as representatives of various health institutions and the Republic Expert Committees.
"The United Nations has been actively involved, from its beginnings, in the worldwide promotion and protection of health. The World Health Organization is leading this effort within the UN system, and contributes to the achievement of the Millennium Development Goals by helping its partners strengthen the health systems and improve the access to health care services. We in the UN family believe that the health represents one of the highest societal priorities. We also believe that by improving the health care system we are not only improving health, but also saving lives. This initiative, financially supported by the European Union, provides the opportunity for the UN family to build the partnership with the biggest donor to the public sector of the Republic of Serbia, which would, hopefully, lead to further support of the health system strengthening in Serbia", stressed Irena Vojackova-Sollorano, the UN Resident Coordinator.
The Fourth Meeting of the EU-IHIS Project Steering Committee Held
25 September 2013
"Today, when hospital information systems exist in many health institutions, the Ministry of Health should issue an interpretation that official documents could be printed out from HIS on plain paper, without using the previously printed forms, or keeping of administrative record of provided services by hand. That would eliminate the duplication of work of health professionals who are currently obliged to write data manually", said Maja Vučković Krčmar, Programming and Coordination Manager of the Delegation of the EU to the Republic of Serbia.
It was confirmed that the Ministry of Health will include IT professionals in HR plans for the hospitals and will recommend generating documentation and administrative records of provided services from the HIS, where the preconditions exist, in order to overcome the duplication of work of the health professionals. The Ministry of Health will consider the possibility for provision of the additional equipment. Also, the project will continue to support the initial processes of the Health Informatics Unit establishment in the Ministry of Health of Serbia, as well as the activities of the Working Group for Development of the Draft Law on Health Records.
The importance of the Workshop on eHealth Strategy Development that will be held in November 2013 was emphasized, especially because of the necessity of having the Government's strategic approach in development of the integrated health information system that represents a process, which requires strategic planning, great resources and many years of effort.
Meeting was attended by representatives of the Delegation of the EU to the Republic of Serbia, the WHO Country Office in Serbia, the Ministry of Health, the Directorate for Digital Agenda, the Institute of Public Health of Serbia, the Republic Health Insurance Fund and representatives of hospitals that are PSC members.
Presentation from the Fourth Project Steering Committee Meeting, can be found here:
UNOPS Workshop on Project Management Best Practices
17 September 2013
The importance and value of the project management, the role of a project manager, as well as mechanisms for project monitoring and control were presented during the Workshop. Representatives of the UNOPS' partners from the public administration, local self-government, regional institutions, donors and other UN agencies took part in this workshop.
The EU-IHIS Project partners, who also participated in the workshop, assessed it as very useful and important and as another confirmation of the UNOPS' commitment to the work with partners in order to create better living conditions for the citizens of Serbia.
Start of the Hospital Information System operation in the General Hospital in Kikinda
23 July 2013
Jovan Jakonić, Deputy Director of the GH Kikinda, emphasized that the implementation of hospital information system implies an entirely new approach in the work of health institutions that includes usage of electronic patient records, enables delivery of faster and more efficient examinations, as well as reduction of patient queues, which will greatly simplify the work of health professionals.
Martin Kern, the Head of Operations of the Delegation of the EU to the Republic of Serbia, stressed that the EU-IHIS Project represents a continuation of EU support to the health system reform in Serbia, by employing 2,5 million Euros donated for the implementation of hospital information system, using previously installed equipment and network and allowing their integration through the development of the Electronic Health Record. Technical assistance provided by the EU aims to help the Ministry of Health in developing and sustaining a comprehensive e-Health system.
Vladimir Đukić, the State Secretary in the Ministry of Health underlined that the EU-IHIS Project provides support to the strategic commitment of the Ministry of Health of Serbia to constantly improve the quality of the health care delivery and further develop the information and communications technologies in the health system in Serbia.
EU-IHIS Project implemented the Hospital Information System in General Hospitals in Pirot, Čačak and Kruševac. Systems are currently being implemented in the Institute for Oncology and Radiology of Serbia, the University Children's Hospital, GH Pančevo and GH Smederevo. By the end of the Project, Hospital Information System should be implemented in the Clinical Hospital Centers Bežanijska kosa, Zemun and Zvezdara, General Hospitals in Sombor, Ćuprija, Bor, Prokuplje, Subotica and Paraćin, the Institute for Orthopedic Surgery Banjica and the Institute for Rheumatology in Belgrade.
TV broadcast aired by Produkcijska grupa Mreza thought Euronet can be watched here
Hospital Information Systems Implemented in Four Hospitals
Also, the work is completed in GH Kikinda and system is in full production in the entire hospital, even though they have only one IT expert.
Until the end of May, over 95% of users and IT staffs in GH Kruševac were trained and system was implemented in outpatient rooms and departments despite the lack of equipment necessary for full production.
Even though the Healthcare Centre "Dr. Dragiša Mišović" in Čačak is in a process of separation of General Hospital and Primary Healthcare Centre, focus of hospital's management and health professionals remained on HIS usage. In GH Čačak, about 90% users are trained.
HIS implementation process started in the second group of four hospitals. These are University Children's Hospital, Institute for Oncology and Radiology of Serbia, GH Pančevo and GH Smederevo.
Organization of the Third Meeting of the EU-IHIS Project Steering Committee
11 June 2013
It is agreed that hospitals with insufficient IT equipment should make internal reallocation of the existing equipment and focus on the hospital HIS implementation in departments with the highest patient flow. Also, hospitals should continue to explore solutions for the lack of necessary IT equipment and consider options for additional purchasing with the Ministry of Health, National Health Insurance Fund and local Self-Government. Another conclusion of the meeting is that the new budget lines should be planned and allocated to IT staff financing and system maintenance following the implementation, in order to achieve the system sustainability. Also, the project will continue to support the initial processes of the establishment of the Health Informatics Unit in the Ministry of Health of Serbia, as well as the activities of the Working Group for Development of the Draft Law on Health Records.
Health Information Think Tank Workshop
29-30 May 2013
HITT members were joined by representatives of hospitals in which HIS was recently implemented, as part of the EU-IHIS Project activities.
Since the expert group is made up of various professionals as representatives of institutions - key players in the development of the health information system in Serbia, its role in the development of the EU-IHIS project is to contribute at the conceptual and technical level and serve as the "first filter and a correction factor" for proposals developed by project team based on the EHR system, in the context of an integrated health information system.
Based on the multi-professional and multi-sectoral expertise, which was integrated in work during the workshop, in the collegial, open and very useful discussion, in the atmosphere of professional trust, elaborated solutions were upgraded with new proposals, useful for the future development of the EU IHIS project. In addition to professional contributions, the continuity of work of the Expert Group also represents one of the processes in which the ownership over the EU- IHIS Project results and products is shared and passed on to the accountable and responsible institutions in the health system in Serbia, and ensures the quality of project results and its accordance with standardized and professional solutions in the field on one hand and, on the other, that these results are as much as possible tailored to the needs of end-users, in case of the EU-IHIS Project represented by the health system and the population of Serbia.
WHO Consultative Meeting on eHealth Data Standardization and Interoperability
15-17 May 2013
Harmonized and interoperable health data are of key importance for the establishment of a functional integrated health information system. WHO coordinates development of the Handbook in order to standardize health data and interoperability in the context of e-Health development and, as part of the consultative process, holds a series of technical meetings with individuals representing states from other regions.
Apart from the consultative process, all participants had the opportunity to learn about the Estonian Health Information System that was systematically presented by the representatives of the Estonian Ministry of Social Affairs and Estonian e-Health Foundation. Beside these activities, joint team from Serbia had the opportunity to visit the largest hospital in Estonia and learn about experiences in the company "Affecto", responsible for the development and maintenance of the Estonian Electronic Health Record.
Study visit by the delegation of the Ministry of Health of the Republic Moldova
14-17 April 2013
The Clinical Hospital Centre "Dr. Dragiša Misović" in Belgrade and the General Hospital in Valjevo were presented as examples of good practice. IT specialists from these institutions, together with the medical professionals from different departments presented the implementation and usage of information system, through representation of cases and IT support for the delivery of health care services.
As examples of good practice, guests from Moldova had the opportunity to visit Clinical Hospital Center "Dr Dragisa Misovic" in Belgrade and General Hospital in Valjevo and to learn about their experiences in developing information systems in healthcare institutions. IT specialists in all three healthcare institutions, together with medical professionals from diffrent departments presented on how the information system has been implemented and utilized, through case presentations of patients' care and IT support for better delivery of health care services.
The Head of the Delegation of the Ministry of Health of the Republic Moldova, Alexandru Rousiorou, emphasized that the Republic Moldova has been passing through transition and democratic consolidation processes and that one of the goals of these processes is the development of IT sector and implementation of ICT in the health system in the country. He also expressed appreciation and gratitude to the Ministry of Health of the Republic of Serbia for enabling them to learn about Serbian experiences in these areas, which they will use for the development of an integrated health information system in their country.
WHO expert for e-Health and ICT visited the Ministry of Health
11-13 March 2013
During his stay in Belgrade, Mr. Hamilton also pointed out that the establishing of EHR is important step in the development of technical solutions for obtaining and monitoring high-quality indicators of the health system. Data from public services and other relevant sources should be included in the next phases of the development of an integrated health information system in Serbia. Making better and evidence based decisions for the improvement of citizens' health, wellbeing and their protection as well as the enhancing management, capacities and efficiency of the health system and addressing of health determinants will be enabled through the analysis of the obtained data.
Implementation process started in the first group of hospitals
27 February 2013
HIS implementation and training is being carried out by the teams which are prepared for the hospital staff (end-user) training and HIS configuration according to the hospital needs. The aim of HIS implementation is to increase the support to the treatment of patients and management and to enhance the efficiency of administration. Training of end users encompasses their introduction to the new system, its features and functionalities and practical use in the workplace.
In addition to achieving the immediate objectives of HIS implementation, the experience of implementation in these four hospitals should represent the basis for improving the HIS implementation process in other beneficiary hospitals.
Second EU-IHIS Project Steering Committee Meeting
19 February 2013
It was agreed that reporting on project activities shall be done on a monthly basis and that the meetings of Project Steering Committee thematic groups shall be held quarterly. The Project Steering Committee members gave their full support to further activities of the EU-IHIS Project.
Presentations from the Second Project Steering Committee Meeting, can be found here:
Second Health Information Think Tank (HITT) workshop
14 February 2013
The legal framework analyses produced by the EU-IHIS Project legal expert was presented during the workshop, followed by the discussion on suggestions for change of the EHR related legislation. Participants also discussed the presented minimal data set and indicators to be produced based on the EHR.
Presentations from the HITT workshop, can be found here:
EU-IHIS Health Information Think Tank (HITT) Seminar and visit of Rudolph Samoszynski, WHO expert for health information
14 December 2012
During the Seminar, Mr. Samoszynski presented the international experiences, standards, perspectives and approaches in the EHR and IHIS development. Furthermore, participants were able to hear advices regarding the conceptual framework and project management.
According to the Mr. Samoszynski's opinion, continuous cooperation and communication between all stakeholders are crucial for the project success. He emphasized the fact that EHR has to be patient- centered and focused on their needs, since it is of importance primarily for the patients, but also for health workers and health institutions in the health care system in Serbia.
Presentations from the HITT Seminar, can be found here:
Health Information Think Tank (HITT) Workshop
28-29 November 2012
The Workshop was led by Branko Marović, EU-IHIS Project Manager and Predrag Životić, Health Information Unit Manager.
Two presentations were held during the Workshop, namely "Review of the legal framework for use of the electronic health record (EHR) and development of the integrated health information system (IHIS) in Serbia: current situation, required conditions and gap analyses" presented by Aleksandar Zavišić, EU-IHIS Project legal expert, and "Classification systems and indicators to be used in EHR: proposal for discussion" presented by Predrag Životić, Health Information Unit Manager.
Participants were working in groups, followed by discussion sessions. Plenary discussion was held at the end of the Workshop.
Participants agreed to use the term "elektronski zdravstveni dosije' as the translation of "EHR" to Serbian. They defined EHR goal as delivering quality health care and increasing the overall system efficiency, in order to provide benefits primarily for patients, to enable access to quality data for health professionals and to provide information for the development of strategies and quality promotion. EHR purpose is to integrate the information systems of health institutions through collection of the significant health related data, enabling better communication between health workers. These EHR data will be collected through automatic data extraction from the places where services are provided. Although it lacks formal mandate, it was underlined that the Project could contribute significantly to the development of needed legislation by proposing amendments to the Law, since it is supported by the Ministry of Health of the Republic of Serbia and the National Health Insurance Fund of Serbia.
Presentations from the HITT Workshop and additional materials can be found here:
Introductory Meeting of the Health Information Think Tank (HITT)
2 October 2012
It was agreed that main HITT tasks are to identify, obtain, review and recommend the sources of information, information products and flow of health information, which will strengthen the evidence base and inform decision making processes, in relation to the relevant health policies and further development of the Integrated Health Information System.
List of HITT members can be found here:
EU-IHIS Project Steering Committee started with work
3 July 2012
The members of the PSC can be found here:
EU-IHIS Project Kick-off Meeting
20 June 2012
Presentations from the HITT Workshop and additional materials, can be found here: