Transcript Advances in Hospital and Clinical Informations Systems

Entela ZEQO
National Center of Bimedical Engineering
Email: entzeqo﹫yahoo.it
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Future: Best Health Care Syatem in
developing the quality components in health
Based: Best Practice
Ensure support and increase development in
terms of safety and costs
 Population 3 milion
 Sip. 28.000 km²
 Regional Hospitals 12
 University Hospita l 4
 District Hospitals 26
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Financing models
State Health Insurance
Organization
Primary
Secondry
Free market
Tertiary
Ownership (State – Public)
State
Health insurance Private
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The health system is organized on three levels of
Primary Health Care
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Secondary care – District Hospital
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Tertiary care – University Hospital
The system coverage, access and utilization of
health care services.
In capital Tirana Regional Health Authority which is
responsible for planning and managing primary
health care services and public health programs in
Tirana, through the system of 10
Policlinics.
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Health System in Albania is mainly public. The
great part of the services are offered by state.
Part of the population services offerd in the field
of promotion, prevent, diagnostic and treatment.
Private sector is offer in hospitals and cover
mostly the pharmaceutical service, stomatology
and some of hospitals specialized which are
placed in Tirana.
In the public sector the lieder is the MoH which
is responsible for the strategies and policies of
the health system sector and budget.
ISKSH
MoH
Telemedicine
Tertiar Health
Care
(University
Hospilal)
ASTRAIA
(Maternity
Hospitls)
Primary Health
Care
Secondry
Health Care
(District
Hoapital)
SISP in ICD-9
Codification
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Hospital Management in Albania have involve project as
opportunity to:
- Manage the health care delivery system
introducing up-date methods and modern .
- Administrative techniques into hospitals being
able to offering better service in safety
and in
time to the patients.
- Managers more control improves their service
maintain proper clinical standards, enhance control
costs at their facilities.
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SISP – is one of the information system which is started in
colaboration with the MoH and National Agency of
Technology Development . The project have started in
october 2010.
SISP is project –started in French Hospital in the
receptions which is consisting in automatization of Health
System.
In 2011 SISP – was present in organised 16 recetions of
Mother Teresa Hospital
Second Phase
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In 2011 the implementation of the project was in function
the informatisation of 11 Pharmacies of the hospital.
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During 2012– February 2013 is done the
informatisation of all (pavione) in Hospital. The sitem
consist in ambulatory patient are registerd in the
reception of Ward
The systemis offering on time chef Nurses the
information notonly to the patient but even the
situation of drug situation inventory. The quantity of
medicines is daily consume in ward.
This system give the Institution of Health Care the
possibility to analyse the real costs for the patient
insured and have in real time pharmaceutical expenses
second wards.
Thired Phase
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Consist in registring and monitoring the
movement of the patient: the data base to the
clinical chart (like generalities of the patient like
name, date of birth, place of birth, adress, Id,
blood, cod of national institution of health
insurance etc.)
Working inthe system is used diagnostic cods
based on the ICD-9 sugested by WHO codification
and approved by MoH. The MoH is evaluated to
developed the system (use of the ICD – 10 or 11).
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The system allow trasparency, shared work
adaptation for better use of exsistin reports
core model in automatisation of Health System
The conectivity in network to all point and
have an secure system.
The software application for difrent clinical
process in the hospitals.
Aplication of the system for managment of
Clinical charts adaptable.
Tirana University Hospital Center have 1442
beds. Is the center of professional leader in
health and hospital care of Tirana and
tertiary level of care for whole Albanian
population.
Tirana University Hospital Center is as a
centre of excellence with main academic
teaching facility in Albania and as a center
of innovation, assimilation and introduction
new technologies.
The health care system is financed from a
number of sources like the Health Insurance
Institute.
Ministry of Health remains the major player
in terms of the allocation of investment and
capital expenditure to hospital providers.
Ministry of Health have introduce a new
“request” system in which we have SISP
system implementation
Working SISP System
OP Reception
Number of Visits:
120 OP per day
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Number of consult rooms (for OP) : 27
Specialties covered:: ORL, OMF, oculist,
professional disease, alergology, examination
(view, oudiometry)
There are 3 new pc + 1 printer there. There is a
camera’s monitor inside the reception.
Admission room
Number of visits:
60 IP Only IP folder
Emergency
Number of visits: 321 ER per year and 60 IP per
month
The reception OP
Mother Teresa Hospital
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One other project is Telemedicine which is
presented by one year in 6 centers allocated the
centers in the 6 regional hospitals like Tirana,
Durres, Shkoder etc.
The 6 centers are connected in internet
supported by AKSHI
Telemedicine is developing mostly
telecommunication, distance continuous
medical education and electronic library
E - Health
For the creation of e-health, the Ministry of Health is
negotiating with the World Bank for a comprehensive credit
where the e-health component is an integral part of the
negotiation package.
The Ministry of Health in collaboration with some of its
institutions of dependency has started creating some projects
in the field of informatisation of the health system:
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The e-prescription project:
The Track & Trace project
Hospital Management System
Inventory of biomedical equipment.
Health Facility Inventory List