Transcript Document
The achievements in creation of hospital`s information system Hospital for traumatology and orthopaedics Riga Latvia 2001. - 2007. Hospital backgraound Specialized orthopaedic hospital ISO 9001 certified hospital since 2001. 500 beds 550 employees 2000000 – 3000000 EUR yearly budged 6500 surgical procedures per year 8000 patients per year Intranet structure buildings – pavilion type structure Optical connection cables 3 servers + 200 PC + 46 printers Internet connection Connection to Health Insurance IT system 2 system administrators 9 The history of IT implementation 2001. Computerised accounting and business management Office Line 2001. Hospitals intranet with e-mail 2002. Computerised staff management Personal Navigator 2005. Computerised document management DocLogix 2005. Hospital`s web page 2006. Computerised patient information in ambulatory care Acceleration of IT processes 2005.-2006. Increased number or PC in local intranet Increased staff computer skills ISO9001 quality management in computerised DocLogix DocLogix becomes an enviroment for all manegement processes Ārsta birojs is sucessfully introduced in seperate units . The executive board is ready to push the process The medical notes in ambulatory care unit The planning of the patient flow The necessety for IT at the hospital Hospital`s management Quality management Accounting Document management Staff management Management of the medical care The necessety for IT at the hospital Themain task of the hospital is to treat the patient The quality of the treatment could be only mesuared by medical notes The doctors mind must be with the patient not with the paperwork What is quality in medical care ? Quality for the provider - The hospital Quality for the client – The patient The organisational stucture of the hospital Todays situation Ārsta birojs Reģistratūra Ambulatorā vēsture Diktofons Uzņemšana Stacionārā vēsture Pacientu aprūpe Kase Asins kabinets Laboratorija Radioloģijas IS PACS Reanimācija un anestezioloģija Dispanserizācija Konsīlijs Lēmumu atbalsts Operatīvās operāciju rindas Perioperatīvais atbalsts Operācijas resursu pārvaldība Finansu vadības sistēmas Operāciju rindas Perio Statistika (ambulatorie taloni, stacionāru kartes, pārskati) Portāls, e-pasts Analīze (datu noliktava) Quality for the hospital The golden standart result of the treatment The real life result of the treatment Quality for the patient The degree of satisfaction about the final result of treatment accordings to patient`s expectations before the treatment Demand for new tipe of medical notes The notes should be mesuarable, comperable and they must be analised on regular basis The doctor need quick access to easy understandable patient`s data The patient desires better understanding of his desease and often wants to keep his date by himself for second opinion The first lessons of Ārstu birojs The staff is happy The introduction process runs faster than expected Everybody has new ideas Surlprisingly less paper cosumption The patient receives readable paper notes and CD with e-rays immediately after visiting the emergency department Computer teaching is mandatory The advantages of the new version of Ārstu birojs All the notes are created in real time There is a common enviroment of patient data for all the hospital staff The doctor or nurse has selfservice for information No delays in medical notes No missing bills Easy exchange of date with other institutions Slimnīcas informācijas sistēmas pārskats (ideālais) Saskarnes Saskarnes Apdrošinātāji Pārvaldība Ķimiskā diagnostika · · · · · Vizuālā diagnostika (PACS, DICOM) · Katastrofu medicīnas centra IS Ģimenes ārsti Citas ārstniecības iestādes Citas organizācijas, iestādes Integrācijas platforma (XML messaging / webservices, HL7) VOAVA MIS Grāmatvedība Pašizmaksa Noliktava Algas Personāla vadība U.c. Slimnīcas infrastruktūras vadība Analīze, datu noliktava Integrācijas platforma (XML messaging / webservices, HL7) Uzņēmšana Iekšējais portāls Ārstēšana Izrakstīšana Ārstniecības lēmumu atbalsts Ārējais portāls Pacientu un ārstniecības vadība Slimnīcas informācijas sistēma The pathogenesis of computermania P C Circulus vitiosus IS e-health worth to implement? Thank You ! Valdis Zatlers Orthopaedic surgeon