Regional hospital of Tukums Dr. Viesturs Vīndedzis Deputy Director

Region and Hospital background Hospital was build on 1980 (new part of hospital Tukums region population is 55 000 Tukums city population is 19 000 inhabitants Hospital 150 beds (all departments) 6648 patients 46640 ambulatory patients

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

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system “Ārsta birojs”, v.2, Finance management system for accounting “Ozols” /connected to municipality server, outdated, to be replaced/ External Web mail system Ambulatiry department (patients registration 2 computers at server Reception room 1 computer at server IT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

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

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.

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 e-mail and calendar

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

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 )

Key obstacles Lack of funds Poor IT knowledge within personell 328 000 LVL total budget, 176 000 LVL still needed No information on special EU programs Poor IT knowledge within personell Lack of resources, bith medical and IT

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

Ambulatory department patients registration ,Ambulatory statistic form u 024. Patients data basis is in hospital server 3. Pay office conected with patients registration and accountancy. (every month they send bill to insurance companys and regional social department)

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

What prevent progress Financing( all prise 328000Ls; For next steps we still need 176700Ls) Personel education (nurses 124; Phisitions 35)

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

Thank you !