1. Regional hospital of Tukums Dr. Viesturs Vīndedzis Deputy Director

2. Region and Hospital background
Hospital was build on 1980 (new part of hospital
Tukums region population is
Tukums city population is inhabitants
Hospital
150 beds (all departments)
6648 patients
46640 ambulatory patients

3. Hospital departments Surgery Neurologic Orthopedic Ginecologic
Pediatric
Maternity
Reanimation
Therapy
Ambulatory
Receiving room

4. Hospital IT Backround Patient management system “Ārsta birojs”, v.2,
Finance management system for accounting “Ozols” /connected to municipality server, outdated, to be replaced/
External Web mail system
Ambulatiry department (patients registration 2 computers at server
Reception room 1 computer at server
IT infrastructure – 31 workstation network

5. Key challenges To decrease patient waiting and treatment time
by decreasing time for information collection and Analysis
To increase patient turnover
by decreasing patient treatment time
To improve time and quality of adminisdtrative processes, and document management
By process automation and optimization
To increase hospital personell efectiveness and level of education and qualification
By additional training of computer skills and basic technologies understanding
To allign with National e-Health initiative and actions
By fulfilling all the above mentioned

6. Long-term goal of the Tukums hospital is to ensure electronic flow of all information related to patient and treatment process, and hospital administration, while paper documents are used only when requested by law, or in specific cases when necessary.

7. Necessary IT solutions
Patient management system
To provide full and up-to-date patient information, history, to help to effectively plan and provide treatment
Laboratory information system
To save, retain and provide precise patient analysis and test information
Radiology information system
To ensure visual diagnostics information and specialist comments database, and data availability, remote accesibility,
Hospital Resource planning system
To establish efficient financial flow control, transparent management of procurement, stock optimization, supply chain management.
Corporate collaboration environment
To communicate and plan efficiently within organization and with patients through standard corporate and calendar

8. To Do’s 1 Hospital IT development strategy Funds request
Prepared in 2006
Funds request
The strategy document will be used as basis
Pilot project of Patient management system
Buget requested, planned in 2007
Basic infrastructure implementation
State-of-the- art IT environment implementation
Computers, software licences, step-by step process
Information systems implementation
According to budgets and available resources

9. To Do’s 2 Radiology Clinical laboratory digitalisation
In the begining of summer we will have digital x-ray for emegency and will connect in one sistem with CT. In this week we increase our internet bandwidth till 8mbps for data sending to accident center and other hospitals.
Clinical laboratory digitalisation
conection with all hospital departments and ambulatory specialists.
Workstation purchase
in departments for doctors and nurses (conect with reception room, x-ray, laboratory and ambulatory specialists )

10. Key obstacles Lack of funds Poor IT knowledge within personell
LVL total budget, LVL still needed
No information on special EU programs
Poor IT knowledge within personell
Lack of resources, bith medical and IT

11. VOAVA
Statistic and emergency departments use IPSEC VPN for dates sending.

12. Ambulatory department
patients registration ,Ambulatory statistic form u 024.
Patients data basis is in hospital server
Pay office conected with patients registration and accountancy. (every month they send bill to insurance companys and regional social department)

13. Hospital part
Patients registration( include diseases cards, statistic forms Nr U66)
Conect with hospital server

14. What prevent progress
Financing( all prise Ls; For next steps we still need Ls)
Personel education (nurses 124; Phisitions 35)

15. Accountancy and pharmacy
Work with program “Ozols”
Accountancy conect with region goverment server
Hospital pharmacy work with program “Ozols” and connected with accountancy

16. Thank you !