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Andalusian eHealth Strategy & System (DIRAYA)

The Andalusian Public Healthcare System has adopted corporate information systems, accessible to all health professionals, as a strategy to cater for citizens’ mobility and the participation of many multidisciplinary teams of professionals involved in healthcare processes. The AeHS (Diraya) helps health professionals in their daily work, integrating all health information for each patient in one single record. Reduction of administrative tasks has contributed to its use. Of particular interest is the e-prescription module, as well as the e-lab and the x-ray ones. Patients also benefit from the AeHS, thanks to the use of the centralised appointment systems, the use of electronic prescription (Receta XXI), avoiding unnecessary visits to the health centre just to ask for repeated medication (of special interest for long term conditions), as well as personal access to their healthcare information through ClicSalud. Different health apps are being connected to the system.
Background
Geographical scope: 
Regional level
Region involved:
Countries involved:
Download information: 
Organisation
Organisation name: 
Regional Ministry of Health of Andalusia
Organisation address: 
Avenida de la Innovación, Edificio Arena 1 – 41071 Seville (Spain) www.juntadeandalucia.es/salud/sites/csalud/portal/index.jsp ...
Kind of organisation: 
Hospitals
Primary care centres
Specialised physicians
General practioners
Regional public authorities
Viability
Time for deployment: 
More than three years
Preparation of implementation: 
Development of Diraya began in 2000. The new system replaced the local health information system used in primary healthcare centres (PHCs). Many PHCs received the first release of Diraya in 2003 with a mixed architecture of data stored in central and local databases. The centralised version was...
Investment per citizen / service user / patient: 
Between 100 – 1.000 EUR per targeted citizen / patient
Cost calculation: 
Calculations based on direct and indirect costs estimations performed under the EHR-Impact study. Total estimations were less than 100 EUR per citizen.
Evidence of practice: 
Agreed evidence. Evidence is based on an agreed established monitoring system/process before and after implementation of the good practice
Evidence creation: 
Specific studies and assessments based on healthcare service information systems have been carried out. Also specific assessments have been made of specific services in some European projects (i.e., Patients’ empowerment in PALANTE project - www.palante-project.eu). In addition there has been a...
Maturity level: 
The practice is “on the market” and integrated in routine use. There is proven market impact, in terms of job creation, spin-off creation or other company growth.
Maturity level detalis: 
Diraya is the basic tool for healthcare professionals in the Andalusian Public Healthcare system. It is also the integrated health information system for healthcare management
Time of impact: 
Long term and sustainable impact – e.g. a long time after the pilot project ended and routine day-to-day operation began
Kind of impact: 
Better care integration (economic and societal)
Aspects time of impact: 
Some of the most significant benefits include: • Reduction of more than 15% in GP visits for patients who have their first prescription using Receta XXI for an episode of care. • Sustained cumulative cash savings from generic prescribing of some €100 million • Reduction of non-attendances in...
Transferability level: 
The innovative practice has been transferred in other locations or regions or national scale in the same country
Transferability details: 
Within the AeHS-Diraya, the e-prescription module, Receta XXI, has meant a paradigm of technological system for e-prescription in the rest of regions in Spain, including the model of cooperation between public healthcare services and pharmacies. Likewise, it led the national Ministry of Health to...
Initiative
Type of Practice: 
Good practice
Stakeholders concerned: 
Hospitals
Primary care centres
Specialised physicians
General practioners
Pharmacists
Nurses
Private companies
Small-sized industry
Medium-sized industry
Large-sized industry
Research centres
Academia
Regional public authorities
Reach of initiative: 
> 100,000
Age group: 
Irrelevant
Baseline information: 
Several factors contributed to the decision to create Diraya as the strategic information system that can eventually knit patients’ health information gathered in different healthcare environments into a single, accessible EHR: • Integration of clinical and patient information as part of its...
Source of funding: 
Regional funding