Informācijas Tehnoloģiju ieviešana Informācijas Tehnoloģiju ieviešana Jēkabpils rajona centrālajā slimnīcāJēkabpils rajona centrālajā slimnīcā

Dr. Ruta MiķelsoneDr. Ruta MiķelsoneSIA “Jēkabpils rajona centrālā slimnīca”SIA “Jēkabpils rajona centrālā slimnīca”

19.04.2007.19.04.2007.

Introducing Information Introducing Information Technologies in a hospitalTechnologies in a hospital

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About the presentation About the presentation

ContentsContents Pilot project in Jēkabpils hospitalPilot project in Jēkabpils hospital Stages of implementing HIS “Ārsta Birojs” in the Stages of implementing HIS “Ārsta Birojs” in the

hospitalhospital Gains and challenges from users’ viewpointGains and challenges from users’ viewpoint

About author:About author: Dr. Ruta MiķelsoneDr. Ruta Miķelsone

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Daudzprofilu neatliekamās Daudzprofilu neatliekamās medicīniskās palīdzības slimnīcamedicīniskās palīdzības slimnīca

4Alignment with

collective state e-health policies

Attracting

funds

Purchase of hardware

Purchase of software

Creation of IT department

Staff training and motivation

Accountancy of materials and medications

Tracking of financial flow

Assured evaluation of expense efficacy

Computerized creation of reports

Distribution of responsibilties

Improved mutual communications

Improved staff level of content

Improved patient level of content

Shortened wait time

Secured access to information Creation of medical

information database

Tracking of patient

flow

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Pilot project Pilot project

Year 2004. Jēkabpils regional hospital was Year 2004. Jēkabpils regional hospital was selected for a pilot project of implementing a selected for a pilot project of implementing a hospital information system (HIS)hospital information system (HIS)

For implementation in November 2004 was For implementation in November 2004 was chosen HIS “Doctor`s Office”, developers – chosen HIS “Doctor`s Office”, developers – Meditec Ltd (Latvia)Meditec Ltd (Latvia)

Year 2007. – implementation of cash register Year 2007. – implementation of cash register module module

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Project goalProject goal

......to improve hospital work by processingto improve hospital work by processing patient treatment data electronically and to patient treatment data electronically and to improve the financial and statistical data improve the financial and statistical data exchange with governing bodiesexchange with governing bodies

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Choosing HIS Choosing HIS

Technical solutionTechnical solution Functional solutionFunctional solution Adherence to standardsAdherence to standards Service and maintenanceService and maintenance

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Technical solution Technical solution

IS IS had tohad to provide: provide: Multiple Multiple concommitant concommitant useuse of of computer network computer network Data securityData security CContinuity ontinuity of sof system ystem functioningfunctioning

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Functional solution Functional solution

Recognized the functions the system Recognized the functions the system must support must support

Determined priorities, introduced the Determined priorities, introduced the system graduallysystem gradually

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Accordance to standards Accordance to standards

Compliance with the State defined classifiers Compliance with the State defined classifiers Possible access to State registers (SKDR, ...)Possible access to State registers (SKDR, ...) Data is exchanged using given standards (State Data is exchanged using given standards (State

defined standards,...)defined standards,...) State language is used in the ISState language is used in the IS IS complies to the Data State Inspection IS complies to the Data State Inspection

requirementsrequirements

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Service and maintenance Service and maintenance

New IS versions reflecting change in legislation New IS versions reflecting change in legislation and other alteration requests (update)and other alteration requests (update)

Maintenance - well organized service (help Maintenance - well organized service (help desk, ...) and fast reactiondesk, ...) and fast reaction

New versions with extended functionality New versions with extended functionality (upgrade)(upgrade)

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Implementation of HIS “Doctor`s Office” Implementation of HIS “Doctor`s Office”

Emergency department – first point of stationary data Emergency department – first point of stationary data entryentry

Infection and therapy departments – patient illness Infection and therapy departments – patient illness history, documentationhistory, documentation

Ambulatory registry – first point of ambulatory data Ambulatory registry – first point of ambulatory data entryentry

statistical department – data accumulation and statistical department – data accumulation and analysis, data exchange with governmental analysis, data exchange with governmental institutionsinstitutions

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Main challenges Main challenges

Implementation is resource challengingImplementation is resource challenging Implementation requires involvement of all level Implementation requires involvement of all level

employeesemployees Real gain is only achieved if all IS users know and want Real gain is only achieved if all IS users know and want

to use possibilities given by ISto use possibilities given by IS The result of IS implementation is reorganization of the The result of IS implementation is reorganization of the

functioning of hospitalfunctioning of hospital

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Benefits #1 Benefits #1

Automated data exchange between hospital Automated data exchange between hospital departmentsdepartments

Reliable, convenient and faster data exchange with Reliable, convenient and faster data exchange with governmental bodies (HCISA (VOAVA),HSMTA governmental bodies (HCISA (VOAVA),HSMTA (VSMTA))(VSMTA))

Reliable and convenient information accumulation Reliable and convenient information accumulation – information is entered at the place where it – information is entered at the place where it emerges, correct information, no duplicationemerges, correct information, no duplication

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Benefits #2 Benefits #2

Reliable and convenient data processing – possibility to Reliable and convenient data processing – possibility to acquire financial and statistical information timely and in acquire financial and statistical information timely and in individually tailored formatsindividually tailored formats

Structured and transparent organization processes and Structured and transparent organization processes and financial flow – objective calculations for doctors paymentsfinancial flow – objective calculations for doctors payments

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Benefits #3 Benefits #3

Complete and precise information about previous Complete and precise information about previous patient treatment at doctors’ work placepatient treatment at doctors’ work place

State of art organization of work – less paperwork, State of art organization of work – less paperwork, more time, better service for patientsmore time, better service for patients

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Thank Thank you!you!

QuestionsQuestions

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Contacts: Contacts:

Dr. Ruta MiķelsoneDr. Ruta Miķelsone

SIA “Jēkabpils rajona centrālā slimnīca”SIA “Jēkabpils rajona centrālā slimnīca”

A. Pormaļa 125, Jēkabpils, LV 5201A. Pormaļa 125, Jēkabpils, LV 5201

Ph.: +371 5237810Ph.: +371 5237810

Email: ruta.mikelsone@rcs.zednet.lvEmail: ruta.mikelsone@rcs.zednet.lv