Henrique Martins rejects the responsibility to create a Portuguese nucleus of eHealth and criticizes companies that “never had it so good” but are “ignorant maintenance management” .
President of Services shared the Ministry of Health (SPMS), Henrique Martins, censorship ICT Portuguese suppliers by the lack of willingness to cooperate, a counterattack in response to criticism for not helping the internationalization of Portuguese companies, how they want. The industry has advocated a smaller software development activity on the part of the public organization, claiming more business opportunities.
Without produce software, says the executive, the public organization could not meet the requests of the National Service Health (SNS), due to harmful practices and disabilities of the industry.
Henrique Martins points to defects, starkly, the management of some manufacturers and believes that should be “grateful” by the action of SPMS in increasing the “ICT consumption” on health, particularly in the private sector.
Although it was expressed satisfied with the budget of SPMS for 2015 (in first part of this interview ), Henry Martins warns that the NHS has to spend on ICT at least 3% of its budget
Computerworld -. What is the role of SPMS in software development for health
Henrique Martins – is to develop good software [as] the DREAM and the SINUS that have so many years and still work. Therefore, we are a good “software house”
CW -. What about the criticisms and complaints of Portuguese ICT sector about it
? HM – What must be as good as we
CW -.? But that’s the way it intends to promote the Portuguese ICT eHealth
HM – But I do not have to promote it. This is with the Ministry of Economy. I just need to worry about having good systems, the function and the low. But I agree that Portuguese companies make software for health
CW -.? The SPMS could not be a driving force of a “cluster” or core companies
HM – is a huge pole
CW -. How
HM – This year alone provide the industry 15 highly specialized people. They went out of our paintings and went to work for these companies
CW -. But some say that even hired people for above market values
CW -.. This is not always as linear
HM – The average salary in SPMS is much lower than the market. And who says so should be ashamed, because you are insulting the people who work here. If there are people here won 700 euros, and I was not to hire them, they will not make it in business.
There is a constant manifestation of that the state has to be stupid and ignorant industry, and can not hire anyone. This is to get companies to hire the same people for twice the money.
I did not hire anyone and they came here to hire 15. They kept the “expertise” [skills] all. This does not give to boost? I think that gave a lot. If absorbed 15 people, is because they have market and have never been so good. Were formed with 15 people!
And do not do more than its obligation to sell abroad. A Portuguese company should have to sell is out there. And not to the Ministry of Health, because it is not so enriches the country
CW -. They say that if they have cases of deployment and national examples, are more difficult to sell abroad.
HM – Then ask the Alert because never normalized to zero cost software installed in the emergency room, in order to say abroad who had 20 emergency room with the same module. They say it but does not want. Why are not available to do free upgrades, have a homogeneous version and can say that they have to work in 20 emergency
CW -. If they have to pay for facilities and invest, as you can do this ?
HM – But Siemens and other manufacturers make [free] updates the world, for it is cheaper to keep a single version in the whole of Europe than several. The fact that the Alert, Glintt, and others do not do so, only proves that they are ignorant in maintenance management.
The industry has is to focus on providing services abroad. There is floor to make the state a ‘cash cow “, without making minimal updates, technological developments unless inject millions and millions more.
And that is why there is still a” software house “in SPMS – because if there were, it would not correspond in time to many requests. Was dependent on contracts and will provide, in addition to being the unrealistic prices, once charged to the State. Some cases are in court
CW -.? And the SPMS can not become an agent that depletes the market around
HM – No. Singapore decided to have a single solution for electronic record and will likely develop it within the public administration, for example.
It is unfair to blame the SPMS it. If there is authority, which through transversal systems – electronic prescription, electronic death certificate, electronic journal living will – promoted the need for computerization of the private sector, was the SPMS. She has created the need to keep pace with the computerization of the NHS.
And is not it that provides the private sector. The industry turnover in the private sector has increased greatly at the expense of the central initiatives. These will be so much more powerful and impactful these institutions the more the SPMS make progress quickly
CW -. This is how the SPMS intends to boost the sector 
HM – Companies should be grateful that we impose and dinamizamos the adoption of a set of best practices that are making the private sector invest in technologies like never invested. We push a lot, but in a different way.
Ultimately there is a group of suppliers who, in fact, grow much, because they have a national platform and reasonably priced. The link, for example, has a national patient transport platform management. But the road is the development of consumption of ICT throughout the health sector, which has grown a lot. In addition, two-thirds of our spending is with outsourcing
CW. – Want to reduce
HM – is a value normal, but can range as the number of human resources, and other factors
CW -.? There was producing mobile applications that never had the opportunity to make proposals to the SPMS
HM – never contacted us
CW -. Some people complain of lack of speed in the decision of SPMS, to invest and innovate.
HM – One thing is to decide, another is to have money to implement the decision. For example, we have the specifications ready and approved by WADA for a medical imaging system integration, worth half a million euros. We will launch an international tender this year – because in 2014 we had no money. But it is true that there are delays
CW -.? When should launch
HM – Also in this quarter.
CW – In compliance with software licenses, no problems to solve
HM – I have this idea. But about it entered into agreements with the two largest companies, Oracle and Microsoft last year. And it was paid what is due
CW -. But there seems to be misuse of licenses, ie not covered by contracts, and without being paid. This is under control
HM -. is a question for those who use these licenses illegitimately
CW – But is not a problem that knows
HM -. I have a contract with these companies, I am honor and to pay
CW – But as controlling the use of licenses
HM – Within the SPMS, control well. All SPMS products are controlled by the production area. Are clear about the databases that are creating, have licensing or not
CW -. That view has for the IS security of health, considering the stakes and use of mobility platforms ?
HM – is still not the problem, although I agree that it will be one. Before that you need to do on terms, what should have been done for many years
CW -. In that aspect
In the previous term safety was a concern. We are expressing it more evident and do an audit with Novabase, the security policy.
We also started collaborating with Cybersecurity Center in December, to see where we can improve our practices. And we have an agenda of initiatives for this year and own financing
CW -. In training
HM – Not only . Includes redundancy of the most relevant databases, authentication issues with the Citizen Card in some applications
CW -. What is the strategy for open source
HM – It is thought that open source is free, but a lie. And there is misinformation about it among the top decision makers and intermediate. So the question is: how much? Because neither is good or is bad, depends
CW -. And therefore, must be examined case by case
Hm? – Yes. There are open source email solutions more expensive than proprietary, for always being to collapse, and pay more on the consequences. We have to make sure we buy good and cheap systems, whether open source. Although in some strategic materials is whether or not it is.
For example, our interoperability platform is open source and we will use it in deployments DREAM II. A software with a single support provider can not be considered open source.
We are also involved in many initiatives. We lead the open source community epSOS as National Contact Point
CW -. And with what results 
HM – Half, has to do with the opening of people to try to use parts and not get the code from scratch. Although the result will not be as homogeneous, may be more interesting.
The platform of the SICO and mortality surveillance EVM is open source. We have more internal resources to experience these technologies.
I see open source as exploration and learning opportunity. In some areas can be used in an economic sustainability strategy, but for critical systems, there is still much fear and some reasoned
CW -. What are these fears
HM – A national register of users in a less consolidated platform than a proprietary database, still has a large exposure. And sometimes, many dependencies against a local supplier because then there are not many qualified.
That is, we do not buy, suppliers do not develop, then can not give guarantees and we have fears … But say it can not be a fad and is a way to do
CW -. So the policy of adopting open source with priority, does not work
? HM – It works, but in each case. We have much history of use and have a routine use to the millisecond. Therefore, it is also complicated to backport
CW. – The relationship between AMA, SPMS and esPAP satisfies
? HM – It is good
CW -. As can be most effective
HM – There is a problem of aggregation [equipment to buy] the esPAP being resolved. The hardware is considered very old, hospitals complain, suppliers do not compete to framework agreements …
Regarding the AMA, we have cooperated well with the portals, with digital mobile key, with the GPTIC
CW -. You can summarize the results of this initiative
HM – We have lead to significant savings, as in 2013 and 2012. In the future I not be possible to reduce more. The NHS spending SI are necessary, and should have more.
The NHS does not spend even 1% of their budget on ICT. In a knowledge organization and services, that is not enough
CW -. As considers it appropriate
HM – At least 3%. Depends on the maturity and dependence
CW -. In October, there will be elections. If the government changes, puts the place available
HM – will end the mandate in December 2016. I do not expect any change: regardless of party color ruling, we have our action plan. The systems do not change on election day.
However, with the new government, there are other priority health. And health policies have impact on what we do and should have it, except in the system pillars.
The consolidation of entities in the Directorate-General Health and ACSS, priority of this government, led to a greater demand in the consolidation of SI.
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