Najwyższa Izba Kontroli

Supreme Audit Office

Informatization of hospitals

2013 PL2013hospitalsIT
SCALE
  • - a unified system where all the information about a patient's medical history will be available to doctors at any stage of the therapeutic process
  • - costs of adapting healthcare providers to the requirements of the Information System estimated to 281 751,82 thousand euros
  • - only 13 out of 78 registers have been reported and the validity of their creation should be analysed
COMPLIANCE FOCUS
  • - Act on the health care information system (2011)
  • - regulations of the Minister of Health
  • - National Plans for the Computerization of Healthcare in Poland
PERFORMANCE ASPECT
  • - - efficiency of cooperation across administration
  • - - effectiveness of strategic project implementation

The Ministry of Health and its subordinate unit, i.e. CSIOZ, did not have full knowledge on this subject, allowing for effective coordination of the health care informatization process. This was a consequence of the lack of a system enabling the acquisition of current and comprehensive data on implemented IT projects. (…) ICT systems of some service providers (30.9%) were dispersed and consisted of many noncooperating subsystems, which did not ensure interoperability with other external entities operating in the field of health care, and moreover, it only slightly facilitated communication between patients and the healthcare provider

11 months from the date of entry into force of the Act on the Information System, the Minister of Health has not issued any implementing act to this Act (…) The draft of implementing acts, the preparation of which was entrusted to CSIOZ by the Minister, contained a number of formal and substantive errors, and the Center itself, despite previous work on this act, did not formulate a coherent concept of the functioning of the IT systems being built.

Equipping healthcare providers with IT software, broadband Internet connections and medical equipment enabling digital recording of test results and maintaining electron-ic medical records was insufficient to perform the tasks arising from the Act on the Information System.

The heads of individual facilities are confused. There are no regulations and so they do not know what and how to prepare themselves to start the system implementation. Some of them started to act on their own. They set up independent, local systems that will cover only the service providers that are willing to cooperate. NIK warns against incoherence or doubling of the systems which may cause problems with settling the EU funds.

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The items above were selected and named by the e-Government Subgroup of the EUROSAI IT Working Group on the basis of publicly available report of the author Supreme Audit Institutions (SAI). In the same way, the Subgroup prepared the analytical assumptions and headings. All readers are encouraged to consult the original texts by the author SAIs (linked).