program systems institute russian academy of sciences
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Program Systems Institute Russian Academy of Sciences. INTERIN TECHNOLOGY : A COMPLEX INFORMATION MANAGEMENT SOLUTION FOR A HEALTH CARE DELIVERY INSTITUTION. Medical Informatics Research Centre. INTERIN Technology About the project. - PowerPoint PPT PresentationTRANSCRIPT
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Program Systems Institute Russian Academy of Sciences
INTERIN TECHNOLOGYINTERIN TECHNOLOGY:: A COMPLEX INFORMATION A COMPLEX INFORMATION
MANAGEMENT SOLUTION FOR A MANAGEMENT SOLUTION FOR A HEALTH CARE DELIVERY INSTITUTIONHEALTH CARE DELIVERY INSTITUTION
INTERIN TECHNOLOGYINTERIN TECHNOLOGY:: A COMPLEX INFORMATION A COMPLEX INFORMATION
MANAGEMENT SOLUTION FOR A MANAGEMENT SOLUTION FOR A HEALTH CARE DELIVERY INSTITUTIONHEALTH CARE DELIVERY INSTITUTION
Medical Informatics
Research Centre
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INTERIN Technology About the project
INTERIN TECHNOLOGY, a complex of software tools and
techniques for building health care information systems, was
developed in the Program Systems Institute, Russian Academy of
Sciences.
Objective: improve the efficiency of care providers and enhance
the overall quality of clinical care, increase the productivity of
diagnostic laboratories and clinical units by putting into practice
the potential of new health care information technologies.
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INTERIN Technology Strategy
Care monitoring
Medical document flow
Servicemanagement
Decision support
Reference information
Common information space
Patientcare
TRANSPARENCY
Ancillary services
Medical supplies
MANAGEABILITY
OPTIMIZED
resource
usage
ANALYZABILITY
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INTERIN Technology Applied tasks
- general and administrative tasks
- diagnosis and treatment process
- laboratory and diagnostic studies
- information support for specialist physicians
- supervision of care by more experienced physicians, heads of divisions
and other officials
- information support for the efficiency evaluation of care
- information servicing of the personnel
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INTERIN Technology Functionality classes
Office tasks – enterprise information support and document management.
Resource planning and enterprise management – physician scheduling, room and equipment scheduling, appointment and treatment scheduling, etc.
Care monitoring – patient record keeping; record review, processing, and analysis.
Laboratory and diagnostics – entry, storage, processing and analysis of diagnostic results.
Decision support – expert assessment and quality control of the care process.
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INTERIN Technology Patient’s total medical record
Medical record (MR)
Outpatient recordOutpatient record
Information security system
1st user Remote accessN-th user
Case historyCase historyCase historyCase historyCase historyCase history
7Patient’s total medical record
INTERIN Technology Patient-centred approach
Diaries
Physical examinations
Examination results
Passport data
Health inspections
Medication orders
Diagnostic orders
EpicrisesOperation and
transfusion protocols
Preventive medical checkups
Prescriptions
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INTERIN Technology Key principles and features
Integration of information flows
Prevention
Diagnostics
Treatment
Supplies
Commercial activity
Research Clinical nutrition
Supervision
Staff management
Planning
Embracing all dimensions of health care enterprise activity
Administration
Nutrition unit
Personnel department
Commercial department
Supplies department
Library
Clinic
Paraclinic
Office
Pharmacy
Medico-social expert commissions
Financing
Chief specialists
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INTERIN Technology Standards maintained
Maintenance and development of standards
Data communication standards:
XML (W3C recommendations);
CENTC1251 recommendations.
Health care delivery standards:
MES (Medical-Economic Standards);
Moscow health care standards.
Project Management Standards:
State Standard (34.201, 34.601);
CSDS (Common Software Documentation
Standard).
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INTERIN Technology Key principles and features
System being developed relies on a number of user-edited reference guides and directories:
• IDC-10
• health care services and procedures offered by the institution
• clinical guidelines
• surgery guides and directories
• State registry of medicines
• institution’s functional structure
• service location
• companies and their essential data
• referral sources
• list of staff members
• specialists’ examinations
• physician order templates, etc.
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INTERIN Technology Key principles and features
Patient accounting and billing
Health service directory
Contracts
Payments
Affiliation: assignment, insurance policy, etc.
Services
Price lists
Health care programmes
Medical and economic standards
Balances
Σpayments=Σservices
Generalized and detailed
Registries
Controlof order justification
Billing of persons and organizations
Health careinstitution
Institutions
Patients
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INTERIN Technology Key principles and features
Document management
Replication-free
multiple access to
patient data
Passportdata
Case history title page
Operation protocol
Various
auto-fill options
Use of document
templates
Automatic
generation of
documents to be
printed
….
Epicrisis
Physical
Complaints, history...
Preset
values
Document
Updating
Template
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INTERIN Technology Key principles and features
The integrated information system handles data of various nature – texts, images, etc.
Temperature and vital signs
Subject reference guides
Physical examination summary containing images
Integration of heterogeneous data
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INTERIN Technology Key principles and features
Autogeneration of aggregate reports
Inpatient medical record
Chronic Hemodialysis Dept. Patient transfer
summary for a specified period
Summary of
medication orders
for a specified period
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INTERIN Technology Key principles and features
Visualizing the dynamics of medical dataCase History 32. Intensive Observation Data Chart
PulseBlood pressure
Breath rate
Sex M Age 70Weight 95 kgHeight 185 cm
Orders
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On the one hand, every workstation can be accessed from any hospital computer via the local network.
INTERIN Technology Key principles and features
Patient information access regulation
On the other hand, the user access level is determined by his/her job responsibilities.
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INTERIN Technology Key principles and features
The integrated information system
architecture enables patient
information to be accessed both from
specialized hospital workstations and
via the Internet, as determined by the
user rights and established regulations.
Telemedicine
In that way, specialist physicians can have
access to all of the information they need
from their patient’s medical record.
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INTERIN Technology Key principles and features
Diagnosis and treatment support
Objective evidence (total medical record)
Diagnosis, treatment
HIS
Planning of diagnostic studies and treatment
Supervision of diagnosis and treatment
Access to patient information
Clinical guidelines
Order justification
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INTERIN Technology A HCI common information space
HCI located at a single site (hospital, outpatient clinic, etc.)
Geographically distributed HCIs (hospital – oupatient clinic)
HCI – a network of health units
HCIs – mobile agents
Combined option
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INTERIN Technology Paper-based documents, summaries, reports
Bed use summary for a
specified date
Hospital monthly activity summary
Inpatient medical record
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INTERIN Technology Information analysis
Examining an ECG wave. Data can be displayed on different charts and graphs.
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INTERIN Technology Interface solution
The conceptual interface solution relies on:
• the conception of a Desktop
• the idea of a so-called «Botkin’s chart»
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The user’s Desktop is a unified interface that handles data via Information objects.
The Desktop is configured for a particular user.
INTERIN Technology Desktop
Desktop objects
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INTERIN Technology «Botkin’s chart»
Visualization of information from the patient’s total medical record, according to clinical practice standard requirements and the user access rights.
Medical
information
«Botkin’s chart»
Admission diagnosisMitral valve prolapse. Congenital heart disease
Temperature
Medication orders
Test orders
Blood sugar
Leucocytes (WBC), 10^9/liter
Print vital signs chartPrint
entire record
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INTERIN Technology Economic benefits
Permanent storage of EMR No data duplication
Resource planning Efficient resource utilization
Telemedicine Cost reduction
Clinical nutrition management
Minimizing food product loss
Bed management, hospitalization plan
Full use of inpatient facilities, even provision of health care services
Efficiency control of unit operation
Ensuring flexible and maximum efficient operation
System openness Minimizing expenses for the repeat development of subsystems
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INTERIN Technology Economic benefits
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Complex health centres
Various outpatient facilities
Aid posts Diagnostic centres
INTERIN Technology Key principles and features
Supporting various types of health care institutions
Inpatient clinics Specialty outpatient clinics Sanatoriums
Health care information system
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INTERIN Technology Applications: scales of implementation
• Number of users: 10 to 1000
• Number of computers in the network: 5 to 600
• Number of servers: 1 to 15
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INTERIN Technology Implemented systems
Interin Technology has been the basis for several implementations of health
care information systems:
- Automated patient care management system of the Мedical Centre of the
Central Bank of Russia. Developed jointly with the Medical Centre’s
clinicians and other staff.
- “COTEM-2001” – Information management system of the Clinical Hospital
No. 83, “MedBioExtrem” Federal Department, Ministry of Health of the
Russian Federation. Developed in cooperation with the hospital staff.
- Information management system of the State Hospital No. 1 – National
Health Care Centre, Ministry of Health of the Republic Sakha (Yakutia).
Implemented with the participation of the Health Care Centre specialists.
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INTERIN Technology Integration with laboratory systems and equipment
Integrated information system of a health care institution
Third-party vendor products
Interaction with laboratory equipment Integration
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Integration with LIS Ordering diagnostic studies
Для анимации 1
Для анимации 2
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Integration with LIS Integration with LIS ILIMS, ILEX Medical
Для анимации 1
Для анимации 2
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INTERIN Technology Academic accomplishments
• 3 PhD theses
• Over 50 publications
• 8 PhD students majoring in medical informatics (currently)
• 2 monographs are being prepared, and 1 PhD thesis is in the works
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INTERIN Technology Interin PROMIS
Interin PROMIS, a model information system based on INTERIN
technology, is an integrated informational and functional
environment incorporating elements of different classes of
information systems.
Interin PROMIS provides information support to the entire range of
services involved in patient care: from document management and
accounting to patient record keeping, integration with clinical
equipment, and decision support.
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Interin PROMIS Computerized divisions
HospitalHospital
• Admissions deptAdmissions dept• Ward sectionsWard sections• ICUsICUs
HospitalHospital
• Admissions deptAdmissions dept• Ward sectionsWard sections• ICUsICUs
Outpatient clinicOutpatient clinic
• ReceptionReception• Medical certificates Medical certificates office office• Assignment and Assignment and hospitalization dept hospitalization dept • Physicians roomsPhysicians rooms• At-home assistanceAt-home assistance
Outpatient clinicOutpatient clinic
• ReceptionReception• Medical certificates Medical certificates office office• Assignment and Assignment and hospitalization dept hospitalization dept • Physicians roomsPhysicians rooms• At-home assistanceAt-home assistance
ParaclinicParaclinic
•Functional diagnosticsFunctional diagnostics•Clinical diagnostic Clinical diagnostic laboratories laboratories •RadiodiagnosticsRadiodiagnostics
ParaclinicParaclinic
•Functional diagnosticsFunctional diagnostics•Clinical diagnostic Clinical diagnostic laboratories laboratories •RadiodiagnosticsRadiodiagnostics
Ancillary unitsAncillary units
•Nutrition unitNutrition unit•PharmacyPharmacy•Personnel deptPersonnel dept•LibraryLibrary•Information serviceInformation service
Ancillary unitsAncillary units
•Nutrition unitNutrition unit•PharmacyPharmacy•Personnel deptPersonnel dept•LibraryLibrary•Information serviceInformation service
Administrative unitsAdministrative units
•AdministrationAdministration•OfficeOffice•Medical statisticsMedical statistics•Commercial deptCommercial dept•Financial deptFinancial dept
Administrative unitsAdministrative units
•AdministrationAdministration•OfficeOffice•Medical statisticsMedical statistics•Commercial deptCommercial dept•Financial deptFinancial dept
SanatoriumSanatorium
• Document Document management management• AccommodationAccommodation• Physicians and Physicians and nurses rooms nurses rooms• ServicesServices
SanatoriumSanatorium
• Document Document management management• AccommodationAccommodation• Physicians and Physicians and nurses rooms nurses rooms• ServicesServices
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For further detail, please contact:
Medical Informatics Research CentreProgram Systems Institute
Russian Academy of Sciences152020 Pereslavl-Zalessky Russia
Phone/Fax: +7 (48535) 98911E-mail: [email protected]
Web-site: http://www.interin.ru
Thank you for your attention!