ICT collaboration between private and public sector: The experience at IMSS International Conference on Information and Communication Technology in Social.

Presentación del tema: "ICT collaboration between private and public sector: The experience at IMSS International Conference on Information and Communication Technology in Social."— Transcripción de la presentación:

1 ICT collaboration between private and public sector: The experience at IMSS
International Conference on Information and Communication Technology in Social Security Moscow, Russian Federation 29 June – July

2 A highly diversified organization…
46 million beneficiaries in urban areas 40% of National Research Programs Sports & Culture Largest healthcare provider in Mexico 200,000 kids in Childcare centers IMSS-Oportunidades: 12 million people in Rural areas 2nd largest tax authority in Mexico Retirement and disability pensions For 2 million people US $7 billion in reserves 50% stake in Afore XXI (private pension fund)

3 Our major challenges Demographic profile Macroeconomic factors
PEA crecerá más rápido que el resto de la población Afiliación del rezago Incorporación masiva de la mujer al trabajo Inversión física anual promedio se mantiene en los mismos niveles en los últimos diez años $4 500 $4 500 MILLONES DE PESOS DEL 2000 Población atendida creció en la última década en 27.5% Mas guarderías y prestaciones FACTORES Ritmo esperado de crecimiento 5 a 7% PRESIONES Saturación en algunas regiones AUMENTAR LA COBERTURA 0 A 9 10 A 19 20 A 29 30 A 39 50 A 59 40 A 49 60 A 64 65 Y MAS HOMBRES MUJERES 2000 2010 POBLACIÓN TOTAL: 112.2 MILLONES RANGO DE EDADES % EN EL TOTAL DE LA POBLACIÓN 97.4 MILLONES Demographic profile Macroeconomic factors CONTROL, PREVENCIÓN Y/O ERRADICACIÓN • DIFTERIA • POLIOMIELITIS • TOSFERINA • GASTROINTESTINALES Y RESPIRATORIAS ENFERMEDADES CRONICO-DEGENERATIVAS, DE RECIENTE IMPACTO EN LA POBLACION • CANCER • SIDA • AFECCIONES CARDIOVASCULARES • DIABETES MELLITUS PADECIMIENTOS RENALES SOCIEDAD MAS CRITICA Y PARTICIPATIVA MAS INFORMACION MAS PARTICIPACION MEJOR TRATO MAS OPCIONES EXIGENCIA DE: CALIDAD Morbidity profile Assertiveness

4 Six strategic lines Budgetary Control Crystal box Long Term
Sustainability ICT in Core Processes Civil Service Quality Management & Customer Service

5 The beginings… December 2000 President Fox launched e-Mexico Program
e-government e-health e-learning e-economy December 2001: Reforms and Additions to Social Security Law Autonomous Tax Authority Electronic Transaction Electronic Signature (Digital Certificate) Electronic Patient Record CURP in replacement of SSN ID - Card

6 Back to basics: the structure
IMSS Tax & Revenue Authority Healthcare Provider Economic & Social Services US $12 billion per year 95% efficiency 30 days 137 field offices 120 million medical events per year 46 million beneficiaries 1,500+ points of service 1,250 outpatient 250 general hospitals 25 tertiary medical centers 3,000 points of service at IMSS-oportunidades Retirement pensions Disability pensions Childcare Theaters Vacation Centers Sports facilities

7 Public and Private partnerships for the provision of e-Services
e-Tax IMSS desde su empresa: IMSS from your company SIAREFI e-Health National Initiative for Electronic Health Record Outpatient: SIMF – SICEH Inpatient: VISTA Preventive vs Curative: PrevenIMSS Medical Disability Advisor e-Procurement Transparency: El IMSS va a comprar, el IMSS compró. Supply chain: SAI GRP: Planeación de Recursos Institucionales Cadenas productivas Pension processing Electronic payments

8 Tax and Revenue Practice
e-Services Vision Numbering & updating 95% 62% Certification 98% 18% Invoicing 95% 5% Payment 95% 5% Self-determination 99% 99%*

9 Tax and Revenue Practice
Availability: 7 x 24 (99.95%) Distribution Channels 12 Private Application Service Providers Telefonica Telmex Microsoft General Electric Government Chanels Citizen portal IMSS portal State governments portals Co-branding Web-Services Estimated savings per year US $40 billion

10 e-Health: Electronic Health Record
Co-development with private sector to develop a virtual nation-wide backbone for all Health Information Management Systems Adoption of International Standards HL7 Ver Mexican Chapter in operation Standardization CDA V.2 DICOM CCOW PKI 2005: 800 primary clinics (85% of potential ) Laboratory, Hemodialisis and Blood Bank providers using HL7 V3 FULLY FUNCTIONAL Decision Support EVENT FLOW Demographics Local Modeling Guideline & Protocols Messaging ID Clinical Reference Models Terms EHR Update QUERY Vital Signs Monitoring MINIMAL FUNCIONALITY MULTIMEDIA EXTERNAL PROVIDERS RealTime Bill Collection Management PORTAL SECURITY & Access Control Telemedicine Online Sources Terminology Government Insured Base Online Model Repository Patients

11 e-Health: Electronic Health Record
On-Line operation CENATI Monterrey 40 Unidades Medicas de Alta Especialidad 223 Hospitales de Segundo Nivel VPN IMSS CENATI México >1200 Unidades Medicas Familiares

12 e-Health: Electronic Health Record
INTEGRATED SERVICES Laboratory Impromed Falcon Centrum Hemodialysis Pisa Baxter Fresenius Nipro Gambro Blood Bank Falcon Hemoser Outpatient Imagenology HIS HL7 y DICOM3 ECE

13 RMIM Labs

14 HMD Labs

15 e-Health Medical Disability Advisor e-Health: DSS

16 e-Health Outpatient Functionality Scheduling
Outpatient (Medical records, clinical notes, disability, ancillary, special formats, reference, presciption) PREVENIMSS Administrative Reportes Operativos – Estadísticos (DSS)

17 GRP: Government Resource Planning
Backbone for strategic areas: ERP / GRP Standarized information Centralized treasury Contraloría (Administración de costos y presupuestaria) Administración de costos Contabilidad de centros de costos Contabilidad de costos de proceso Contabilidad de costos de productos/servicios Análisis de rentabilidad Contabilidad Financiera Contabilidad General Cuentas por cobrar Cuentas por pagar Contabilidad de activos Consolidación Administración de Inversiones Planeación de la Inversión Presupuesto de Inversión Control de Inversión Cálculo de eficiencia Administración de órdenes y proyectos Pronóstico de Depreciación Simulación de depreciaciación Cálculo de depreciación Contraloría Institucional (Enterprise controlling) Sistema de información ejecutivo Planeación y presupuesto Contabilidad de Centros de responsabilidad Consolidación Tesorería Administración de efectivo Administración de tesorería Administración de riesgos de mercado Administración de fondos

18 GRP: Government Resource Planning
Supplier financing Co-developed with Nacional Financiera (Development Bank) Electronic transactions 24 hours after Reception of Goods or Services

19 e-Procurement DELEGACION INFORMIX Adquisiciones Institucionales FARMACIA UNIDAD MEDICA ABASTO ALMACEN Contratos Altas contratos directas y Altas de compras Mínimos de la unidad. Contratos con máximos y REDBRICK IMSS VA A COMPRAR IMSS COMPRO Altas de compras directas y contratos SAI Registrar Solicitud de Compra recepción de bienes Genera Orden Compra y dictamen disponibilidad presupuestal Montos Compra O. de Catálogos Facturas CONSERVACION Y SERVICIOS GENERALES Partidas SIPADE Disponibilidad por Partida $$$ Autorizado Comprometido Devengado Pagado Registra pago de facturas y actualiza monto real por partida. Montos autorizados por partida presupuestal Montos comprometidos y devengados Registra facturas Genera Alta PRESUPUESTO CONTABILIDAD Y TRAMITE Asigna y/o Valida No. De Compromiso FINANZAS Compromisos Pasivos Pagos DBASE SQL SERVER Cierre Mensual. Largest single purchaser of goods and services in Mexico: US$3 billion dollars Network centric supply chain system: Sistema de Abasto Institucional On-line transaction & monitoring: 2,000 points of services (warehouses, in-house drugstores, clinics, hospitals, etc.) 4,000,000 purchase orders per year (98% internet based) 17,000 suppliers 14,000 people in logistics related jobs The Mantenimiento de Inventarios Pilot (inventory management program) Co-Developed with National Asssociation of Medical supplies manufacturers and distributors Service Level Agreement based Availability Reliability 3 Integrated logistics providers 18 companies In operation at Tertiary Hospitals

20 El IMSS va a Comprar, el IMSS compró
Prebases Calendario IMSS COMPRO A quién, términos y condiciones QUIEN ES QUIEN Proveeduría Gestión del abasto

21 Co-developments with Secretaría de Economía (Ministry of Economy)
Software development PROSOFT Program: National Program for the development of software industry 500,000 man/hours per year

22 Human Capital Management
Julio de 2002: Distance Learning Program Co-Developed with National University (UNAM) Nurses: Bachelor Degree MD: Family Medicine Advanced Management Programs 250+ executives Private Universities: IPADE (Panamerican), ITESM (Tec de Monterrey), Instituto Tecnológico Autónomo de México Information and Communication Technologies 60,000 + employees Private: IBM, Microsoft, Sun Microsystems, HP, Gartner Public: National University Quality Management: ISO 9000:2000, Six sigma 400 executives 20,000 employees Civil Service Union: SNTSS

23 All of these programs were developed with the cooperation of:
IDA/Infocom/Ie Singapore NHS UK HL7 Ministerio de Previsión Social – Brasil Dataprev – Brasil Tesorería de la Seguridad Social – España General Services Administration Social Security Administration Unidad de Servicios Electrónicos Gubernamentales (ahora SFP) e-México INEGI OIG Presidencia de la República

24 Thank You!