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Tender for a transactional information system for pharmacy for the Catalan Health System

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The main aim of this document is to provide an overview of the main characteristics of the tender recently published by the Catalan Health Service under the title Transactional information system for pharmacy for the Catalan Health System. As the tender is published only in Catalonian, we aim this document to serve the purpose to facilitate international bidders in the process of understanding the nature of the services requested.

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S/ Tender for a transactional information system for pharmacy for the Catalan Health System Servei Catal de la Salut November 14th, 2022
Table of contents Disclaimer Purpose of this document Rationale and background Current status Aims and objectives of the tender Object of the contract Mandatory requirements of the solution
Disclaimer This document is strictly informative. It does not supplement or amend the tender which can be found at https://contractaciopublica.gencat.cat/ecofin_pscp/AppJava/ca_ES/notice.pscp? idDoc=111717892&reqCode=viewCn Any query or request for additional information about the tender must be addressed to concursos@catsalut.cat in accordance with the public tender process
Purpose of this document The main aim of this document is to provide an overview of the main characteristics of the tender recently published by the Catalan Health Service under the title Transactional information system for pharmacy for the Catalan Health System. As the tender is published only in Catalonian, we aim this document to serve the purpose to facilitate international bidders in the process of understanding the nature of the services requested.
Rationale and background The Catalan Health Service (CatSalut) is the fundamental axis of health management in Catalonia. It is configured by all public health resources and has full population coverage (7.7M inhabitants). Its ultimate objective is the maintenance and improvement of the health status for the Catalan population, guaranteeing quality health care with public coverage, through an adequate adaptation of the offer to the needs of the population. CatSalut holds the functions of organization, planning, programming, evaluation and inspection, as well as the distribution of financial resources in the financing of services and the management of services and benefits of the public health system of Catalonia. The structure of the Catalan Health System consists of: 68 Hospitals. 434 Primary Care Centers. 32 Primary Care Emergency Centers 784 Local Consultations. 102 Intermediate Care Centers. 40 Mental Health Centers.
Current status Primary care medication is managed through a single electronic prescription and dispensation system covering >99% of activity Hospital medication, including hospital medication for outpatients, is managed by diverse systems that barely interoperate Difficulties for coordination across healthcare levels and transitions Outpatient prescription of medicines In-hospital medication Hospital medicines for outpatients
Need for an integrated, patient-centric therapeutic plan Prescription, hospital medication for outpatients and internment information, all available in real time Expert system that integrates all relevant information for a safe prescription Improvement in information to the user Improvement in coordination between professionals Administrative simplification in collecting information, avoiding duplication and minimizing errors Improvement in reimbursement and billing Outpatient prescription of medicines In-hospital medication Hospital medicines for outpatients Current status
Objectives of healthcare professionals Clinical objectives Economic objectives IT management objectives Objectives of the CatSalut Information Systems Master Plan Objectives of Interoperability within SISCAT Aims and objectives of the tender
Objectives of healthcare professionals Improving the experience of healthcare professionals in all areas, allowing them to increase the quality of care. Provide an integrated therapeutic and clinical vision on the patient. Minimize the risk of medication-related safety issues. Increase efficiency and time, avoiding redundant data entry and providing the professional easy access to the data regardless of where the patient was treated. Improve compliance with objectives of quality of the prescription. Reduce the administrative burden on the staff involved in the invoicing process.
Clinical objectives Related to desirable outcomes and well being of the Catalan population To obtain a therapeutic information system centred on the patient. Implement an integrated and unique medication plan across the Catalan Health System. Guarantee accessibility to the patient's therapeutic plan, and its monitoring and reconciliation, in a context of continuity of patient care. Improve the availability of information for decision making related to health care. Integrate therapeutic guides, protocols and treatment schemes into medication management Systems, to promote quality and equity in the use of medications. Increase the clinical safety of the patient regarding the use of medicines. Homogenize processes and the collection of data intended for healthcare management, fostering continuous improvement and equity in services provided to patients.
Economic objectives Related to the sustainability of the system Contribute to the sustainability of the system by enhancing a rational use of medicines, optimizing safety and the amount of medicine delivered and administered to patients. Reduce the development and maintenance costs of the different hospital management systems that currently coexist in the Catalan Health System.
Objectives of Information Technologies management Related to the operation of the acquisition in the future Incremental acquisition based on component-level products and platform interface conformance. Minimize integration risks by minimizing unvalidated connections, for example, important integrations such as messaging between hubs. Quickly establish internal dexterity with the platform so that internal components can be designed for the patient. Ability to add new domain data elements, plans, rules, etc. without dependencies of the supplier or need to incur new contractual costs.
Objectives of the CatSalut Information Systems Master Plan Related to the desired type of technological environment Interoperability and integration as an automatic result. Guarantee a homogeneous and standardized data structure. Orientation towards knowledge and the model; convert implicit knowledge into explicit. Maximize the independence of domain semantics (application logic, queries, reports) with respect to infrastructure technology (operating system, database, etc.). Unique applications for different types of devices. Allow the evaluation and verification of clinical safety to be carried out efficiently. Facilitate the design and integration of suppliers' workstations. Provide the necessary means for the technological and functional update of the clinical workstation programs.
Interoperability objectives Related to CatSalut's approach to standardization, that prioritizes fitness for purpose and consistency of the platform as a whole Four types of standards are distinguished: Semantic standards , e.g. ontologies, terminologies, ICDx and SNOMED CT. Persistence clinical information model standards for Health information systems e.g. openEHR. Interoperability standards focused on standardizing specific communications between systems and/or applications. e.g. _ HL7v2, HL7 CDA, HL7 FHIR, IHE profiles, DICOM etc. Quality standards focused on improving the quality of specific artifacts developed by Health IT , e.g. ISO/TR 14639-2:2014 (Health informatics Capacity-based eHealth architecture roadmap ), ISO/TS 21564:2019 (Health Informatics Terminology resource map quality measures ( MapQual ). The Health Information Technology Platform wants to make use of these categories, with a model- based approach to its architecture, particularly openEHR as the foundation for the patient-centric health record, and also terminological standards and other standards ( e.g. IHE) adopted and/or adapted by other main components ( e.g. system logs , access control, etc.)
Central strategic objective To obtain a single therapeutic plan that includes at least the patient's outpatient treatments (prescription and hospital medication for outpatients). To improve the experience of users in the collection and sending of the data necessary for the clinical monitoring of the treatments and for the billing process. Object of the contract
Object of the contract The tender aims to obtain: An interoperable transactional information system for pharmacy for the outpatient setting, available to sites providing healthcare services in the Catalan Health System, including applications for the management of hospital medications for outpatients, guaranteeing integration with community prescription treatments, as an essential enabler for the future achievement of the strategic objective. Where necessary according to the organizational needs, activity and will of the hospitals, the solution must also provide solutions for management and prescription of in-hospital medications. Therefore, the tenderer must provide the following services Universal and indefinite license for the duration of the solution for all Catalan Health System users. Implementation of the solution in health centers, as detailed in the implementation plan. Solution integrations, as detailed in the solution integrations section. Evolutionary development to achieve the implementation of the solution in health centers.
5.1. Functional and technological requirements 5.2. Integration requirements Mandatory requirements of the solution
Mandatory requirements of the solution 5.1. Functional and technological requirements All solutions that do not cover at the time of award will be excluded: Prescription by national product code and by active principle. Validation of prescriptions that require it. Technological architecture that allows deployment on hosting infrastructures of the catalog offered by the CPD4-Critics supplier of the Telecommunications and Information Technologies Center of the Generalitat de Catalunya (CTTI). 5.2. Integration requirements All solutions that do not cover at the time of implementation will be excluded: Connectivity with the CatSalut Master Patient Index and Catalog Server. Integration with the Electronic Prescription System. Persistence of the pharmaceutical process data, RPT and all those that are the subject of the scope of this tender in a clinical data repository based on the openEHR standard , according to the model of archetypes and templates defined and provided by CatSalut.
/Salut

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Tender for a transactional information system for pharmacy for the Catalan Health System

  • 1. S/ Tender for a transactional information system for pharmacy for the Catalan Health System Servei Catal de la Salut November 14th, 2022
  • 2. Table of contents Disclaimer Purpose of this document Rationale and background Current status Aims and objectives of the tender Object of the contract Mandatory requirements of the solution
  • 3. Disclaimer This document is strictly informative. It does not supplement or amend the tender which can be found at https://contractaciopublica.gencat.cat/ecofin_pscp/AppJava/ca_ES/notice.pscp? idDoc=111717892&reqCode=viewCn Any query or request for additional information about the tender must be addressed to concursos@catsalut.cat in accordance with the public tender process
  • 4. Purpose of this document The main aim of this document is to provide an overview of the main characteristics of the tender recently published by the Catalan Health Service under the title Transactional information system for pharmacy for the Catalan Health System. As the tender is published only in Catalonian, we aim this document to serve the purpose to facilitate international bidders in the process of understanding the nature of the services requested.
  • 5. Rationale and background The Catalan Health Service (CatSalut) is the fundamental axis of health management in Catalonia. It is configured by all public health resources and has full population coverage (7.7M inhabitants). Its ultimate objective is the maintenance and improvement of the health status for the Catalan population, guaranteeing quality health care with public coverage, through an adequate adaptation of the offer to the needs of the population. CatSalut holds the functions of organization, planning, programming, evaluation and inspection, as well as the distribution of financial resources in the financing of services and the management of services and benefits of the public health system of Catalonia. The structure of the Catalan Health System consists of: 68 Hospitals. 434 Primary Care Centers. 32 Primary Care Emergency Centers 784 Local Consultations. 102 Intermediate Care Centers. 40 Mental Health Centers.
  • 6. Current status Primary care medication is managed through a single electronic prescription and dispensation system covering >99% of activity Hospital medication, including hospital medication for outpatients, is managed by diverse systems that barely interoperate Difficulties for coordination across healthcare levels and transitions Outpatient prescription of medicines In-hospital medication Hospital medicines for outpatients
  • 7. Need for an integrated, patient-centric therapeutic plan Prescription, hospital medication for outpatients and internment information, all available in real time Expert system that integrates all relevant information for a safe prescription Improvement in information to the user Improvement in coordination between professionals Administrative simplification in collecting information, avoiding duplication and minimizing errors Improvement in reimbursement and billing Outpatient prescription of medicines In-hospital medication Hospital medicines for outpatients Current status
  • 8. Objectives of healthcare professionals Clinical objectives Economic objectives IT management objectives Objectives of the CatSalut Information Systems Master Plan Objectives of Interoperability within SISCAT Aims and objectives of the tender
  • 9. Objectives of healthcare professionals Improving the experience of healthcare professionals in all areas, allowing them to increase the quality of care. Provide an integrated therapeutic and clinical vision on the patient. Minimize the risk of medication-related safety issues. Increase efficiency and time, avoiding redundant data entry and providing the professional easy access to the data regardless of where the patient was treated. Improve compliance with objectives of quality of the prescription. Reduce the administrative burden on the staff involved in the invoicing process.
  • 10. Clinical objectives Related to desirable outcomes and well being of the Catalan population To obtain a therapeutic information system centred on the patient. Implement an integrated and unique medication plan across the Catalan Health System. Guarantee accessibility to the patient's therapeutic plan, and its monitoring and reconciliation, in a context of continuity of patient care. Improve the availability of information for decision making related to health care. Integrate therapeutic guides, protocols and treatment schemes into medication management Systems, to promote quality and equity in the use of medications. Increase the clinical safety of the patient regarding the use of medicines. Homogenize processes and the collection of data intended for healthcare management, fostering continuous improvement and equity in services provided to patients.
  • 11. Economic objectives Related to the sustainability of the system Contribute to the sustainability of the system by enhancing a rational use of medicines, optimizing safety and the amount of medicine delivered and administered to patients. Reduce the development and maintenance costs of the different hospital management systems that currently coexist in the Catalan Health System.
  • 12. Objectives of Information Technologies management Related to the operation of the acquisition in the future Incremental acquisition based on component-level products and platform interface conformance. Minimize integration risks by minimizing unvalidated connections, for example, important integrations such as messaging between hubs. Quickly establish internal dexterity with the platform so that internal components can be designed for the patient. Ability to add new domain data elements, plans, rules, etc. without dependencies of the supplier or need to incur new contractual costs.
  • 13. Objectives of the CatSalut Information Systems Master Plan Related to the desired type of technological environment Interoperability and integration as an automatic result. Guarantee a homogeneous and standardized data structure. Orientation towards knowledge and the model; convert implicit knowledge into explicit. Maximize the independence of domain semantics (application logic, queries, reports) with respect to infrastructure technology (operating system, database, etc.). Unique applications for different types of devices. Allow the evaluation and verification of clinical safety to be carried out efficiently. Facilitate the design and integration of suppliers' workstations. Provide the necessary means for the technological and functional update of the clinical workstation programs.
  • 14. Interoperability objectives Related to CatSalut's approach to standardization, that prioritizes fitness for purpose and consistency of the platform as a whole Four types of standards are distinguished: Semantic standards , e.g. ontologies, terminologies, ICDx and SNOMED CT. Persistence clinical information model standards for Health information systems e.g. openEHR. Interoperability standards focused on standardizing specific communications between systems and/or applications. e.g. _ HL7v2, HL7 CDA, HL7 FHIR, IHE profiles, DICOM etc. Quality standards focused on improving the quality of specific artifacts developed by Health IT , e.g. ISO/TR 14639-2:2014 (Health informatics Capacity-based eHealth architecture roadmap ), ISO/TS 21564:2019 (Health Informatics Terminology resource map quality measures ( MapQual ). The Health Information Technology Platform wants to make use of these categories, with a model- based approach to its architecture, particularly openEHR as the foundation for the patient-centric health record, and also terminological standards and other standards ( e.g. IHE) adopted and/or adapted by other main components ( e.g. system logs , access control, etc.)
  • 15. Central strategic objective To obtain a single therapeutic plan that includes at least the patient's outpatient treatments (prescription and hospital medication for outpatients). To improve the experience of users in the collection and sending of the data necessary for the clinical monitoring of the treatments and for the billing process. Object of the contract
  • 16. Object of the contract The tender aims to obtain: An interoperable transactional information system for pharmacy for the outpatient setting, available to sites providing healthcare services in the Catalan Health System, including applications for the management of hospital medications for outpatients, guaranteeing integration with community prescription treatments, as an essential enabler for the future achievement of the strategic objective. Where necessary according to the organizational needs, activity and will of the hospitals, the solution must also provide solutions for management and prescription of in-hospital medications. Therefore, the tenderer must provide the following services Universal and indefinite license for the duration of the solution for all Catalan Health System users. Implementation of the solution in health centers, as detailed in the implementation plan. Solution integrations, as detailed in the solution integrations section. Evolutionary development to achieve the implementation of the solution in health centers.
  • 17. 5.1. Functional and technological requirements 5.2. Integration requirements Mandatory requirements of the solution
  • 18. Mandatory requirements of the solution 5.1. Functional and technological requirements All solutions that do not cover at the time of award will be excluded: Prescription by national product code and by active principle. Validation of prescriptions that require it. Technological architecture that allows deployment on hosting infrastructures of the catalog offered by the CPD4-Critics supplier of the Telecommunications and Information Technologies Center of the Generalitat de Catalunya (CTTI). 5.2. Integration requirements All solutions that do not cover at the time of implementation will be excluded: Connectivity with the CatSalut Master Patient Index and Catalog Server. Integration with the Electronic Prescription System. Persistence of the pharmaceutical process data, RPT and all those that are the subject of the scope of this tender in a clinical data repository based on the openEHR standard , according to the model of archetypes and templates defined and provided by CatSalut.