1. Informācijas Tehnoloģiju ieviešana Jēkabpils rajona centrālajā slimnīcā Dr. Ruta Miķelsone SIA “Jēkabpils rajona centrālā slimnīca” 19.04.2007. Introducing Information Technologies in a hospital

2. 2 About the presentation Contents Pilot project in Jēkabpils hospital Stages of implementing HIS “Ārsta Birojs” in the hospital Gains and challenges from users’ viewpoint About author: Dr. Ruta Miķelsone

3. 3 Daudzprofilu neatliekamās medicīniskās palīdzības slimnīca

4. 4 Alignment with collective state e- health policies Attracting funds Purchase of hardware Purchase of software Creation of IT department Staff training and motivation Accountancy of materials and medications Tracking of financial flow Assured evaluation of expense efficacy Computerized creation of reports Distribution of responsibilties Improved mutual communications Improved staff level of content Improved patient level of content Shortened wait time Secured access to information Creation of medical information database Tracking of patient flow

5. 5 Pilot project Year 2004. Jēkabpils regional hospital was selected for a pilot project of implementing a hospital information system (HIS) For implementation in November 2004 was chosen HIS “Doctor`s Office”, developers – Meditec Ltd (Latvia) Year 2007. – implementation of cash register module

6. 6 Project goal...to improve hospital work by processing patient treatment data electronically and to improve the financial and statistical data exchange with governing bodies

7. 7 Choosing HIS Technical solution Functional solution Adherence to standards Service and maintenance

8. 8 Technical solution IS had to provide: Multiple concommitant use of computer network Data security Continuity of system functioning

9. 9 Functional solution Recognized the functions the system must support Determined priorities, introduced the system gradually

10. 10 Accordance to standards Compliance with the State defined classifiers Possible access to State registers (SKDR,...) Data is exchanged using given standards (State defined standards,...) State language is used in the IS IS complies to the Data State Inspection requirements

11. 11 Service and maintenance New IS versions reflecting change in legislation and other alteration requests (update) Maintenance - well organized service (help desk,...) and fast reaction New versions with extended functionality (upgrade)

12. 12 Implementation of HIS “Doctor`s Office” Emergency department – first point of stationary data entry Infection and therapy departments – patient illness history, documentation Ambulatory registry – first point of ambulatory data entry statistical department – data accumulation and analysis, data exchange with governmental institutions

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14. 14 Main challenges Implementation is resource challenging Implementation requires involvement of all level employees Real gain is only achieved if all IS users know and want to use possibilities given by IS The result of IS implementation is reorganization of the functioning of hospital

15. 15 Benefits #1 Automated data exchange between hospital departments Reliable, convenient and faster data exchange with governmental bodies (HCISA (VOAVA),HSMTA (VSMTA)) Reliable and convenient information accumulation – information is entered at the place where it emerges, correct information, no duplication

16. 16 Benefits #2 Reliable and convenient data processing – possibility to acquire financial and statistical information timely and in individually tailored formats Structured and transparent organization processes and financial flow – objective calculations for doctors payments

17. 17 Benefits #3 Complete and precise information about previous patient treatment at doctors’ work place State of art organization of work – less paperwork, more time, better service for patients

18. 18 Thank you! Questions

19. 19 Contacts: Dr. Ruta Miķelsone SIA “Jēkabpils rajona centrālā slimnīca” A. Pormaļa 125, Jēkabpils, LV 5201 Ph.: +371 5237810 Email: ruta.mikelsone@rcs.zednet.lv