Medical information systems. Presentation on the topic "medical information systems" Tips on how to make a good presentation or project report

“Compulsory health insurance” - Citizens of the Russian Federation. Federal body. Medical services. able-bodied citizens. Lawyers. Intelligence. Protection of personal information. Non-profit organizations. Structure of the compulsory medical insurance system. Specialists. A number of practically important methodological documents. Organization. Federal Fund. Accounting of information.

“Occupational diseases of teachers” - Prevention of occupational diseases of teachers of preschool educational institutions. Avoid unnecessary competition. Prevention of voice disorders. Be healthy. Brain. Prevention of colds and flu. Psychohygiene. Whisper. Recommendations for maintaining health. Prevention of visual fatigue. Prevention.

“Russian Railways Medicine” - Features of healthcare of JSC Russian Railways. Comprehensive solution to health issues. Automated systems have been introduced. The financing system is on a contractual basis. The system of departmental medicine using the example of JSC Russian Railways. There are 66 centers successfully operating at the Russian Railways National Health Institution. Perspective. Composition of the network of health care facilities of JSC Russian Railways.

"Medical statistics" - Areas of application of averages. Non-repetitive selection of observation units. Main sections of medical statistics. The relationship between the parts of a whole. Population health statistics. Sample population. Fundamentals of medical statistics. Medical statistics. Number of deaths per year. Health statistics.

“Payment for medical services” - Payment for a retired patient. Per capita financing. Estimated financing. Payment for individual services. Global budget method. Payment is based on the bed-day spent. Payment for the patient. Global budget. Payment for certain medical services. General requirements. Improving the efficiency of the healthcare system.

“Consent to medical intervention” - Medical intervention. The procedure for giving informed voluntary consent. Consent to certain types of medical intervention. Citizen. Medical organization. Possible consequences. Informed voluntary consent to medical intervention. Compulsory medical measures.

There are 20 presentations in total

GOST “Information processing systems. Terms and definitions" Information Data Knowledge Information systems (IS) Information environment Information technologies (IT) Textbook E.V. Mikheeva “Information technologies in professional activities”, pp. 7-10

MIS functions: collection, registration, structuring and creation of information space; ensuring information exchange; storage and retrieval of information; statistical data analysis; monitoring the effectiveness and quality of medical care; decision support; analysis and control of the work of institutions, management of institution resources; support for the economic component of the treatment process; training

1. Basic level medical information systems a) information and reference systems are designed to search and provide medical information at the user’s request Examples:

1. Basic level medical information systems b) consultative and diagnostic systems for diagnosing pathological conditions, including prognosis and development of recommendations for treatment methods for diseases of various profiles

1. Basic level medical information systems d) automated workstations for specialists to automate the entire technological process of a doctor of the relevant specialty and provide information support when making diagnostic and tactical medical decisions

2. MIS at the health care facility level a) IS of advisory centers (designed to ensure the functioning of the relevant departments and information support for doctors when consulting, diagnosing and making decisions in emergency conditions), b) information banks of medical services (contain summary data on the qualitative and quantitative composition of the institution’s employees , attached population, basic statistical information, characteristics of service areas and other necessary information),

2. MIS at the health care facility level c) personalized registers (containing information on the assigned or observed contingent based on a formalized medical history or outpatient card), d) screening systems (for conducting pre-medical preventive examination of the population, as well as for identifying risk groups and patients in need of specialist help)

2. MIS at the level of health care facilities e) Information systems of health care institutions (based on the integration of all information flows into a single system and provide automation of various types of activities of the institution), f) Information systems of research institutes and medical universities (solve 3 main tasks: informatization of the technological process of training, research work and management activities of research institutes and universities)

3. MIS at the territorial level a) IS of the territorial health authority; b) IP for solving medical and technological problems, providing information support for the activities of medical workers of specialized medical services; c) computer telecommunication medical networks, ensuring the creation of a unified information space at the regional level;

Slide 1

Lecture 3 Information systems Contents of educational material: 1. Information technologies of medical organizational and managerial informatics. 2. Information system for compulsory health insurance. 3. Information systems of health authorities

Slide 2

At the present stage of development of society, new requirements for healthcare are being developed: Cost containment (population growth and aging, chronic diseases appearing at an increasingly younger age, rising drug prices) Improving quality (reducing medical errors, standardizing processes) Patients demand greater awareness and quality of care Increasing complexity of health information

Slide 3

The key link in healthcare informatization is the information system.

Slide 4

Structural components of information systems: Legal framework. Applied information support. Computer infrastructure.

Slide 5

The computer infrastructure includes: Computer equipment. Network and telecommunications infrastructure. General software and information support and organizational component that determines the procedure for servicing and supporting these tools.

Slide 6

The regulatory framework includes a list of regulations and internal standards established by law, establishing a certain procedure for processing various categories of information.

Slide 7

The applied information support includes a set of software and hardware applications that provide solutions to specific problems in accordance with the applied functionality of the medical institution.

Slide 8

Information technologies of medical organizational and managerial informatics: Administrative and managerial information systems and systems of medical and statistical accounting of health care institutions Information systems of compulsory health insurance Information systems of health care authorities

Slide 9

According to the requirements of the Ministry of Health and Social Development of the Russian Federation and the Federal Compulsory Medical Insurance Fund, all health care facilities have automated data processing using accounting forms: “Unified outpatient card” (form No. 025-10/u) “Card of a person leaving the hospital” (form No. 066/u) Uniform requirements for the primary document have been formulated: Administrative and managerial information systems and systems of medical and statistical accounting of healthcare institutions Administrative and management information systems and systems of medical and statistical accounting of healthcare institutions

Slide 10

Standard accounting forms have been developed and used for automated processing of information for the following specialized health care institutions: Oncology dispensary Anti-tuberculosis dispensary Clinical drug treatment hospital Clinical psychiatric hospital Maternity hospital Administrative and management information systems and medical and statistical accounting systems of health care institutions

Slide 11

Computer programs that process this static information form: A database of patients who sought medical care All reporting forms approved by the Ministry of Health and Social Development of the Russian Federation Registers of accounts for patients insured in the compulsory medical insurance system Registers of accounts are submitted to medical insurance companies in electronic form Administrative and managerial information systems and systems for medical and statistical recording of healthcare institutions

Slide 12

Information system of compulsory health insurance Operational analysis and control of the work of health care facilities, cost planning and reduction of irrational use of resources is facilitated by: Transfer of the diagnostic and treatment process to an economic basis Creation of insurance organizations and compulsory medical insurance funds in healthcare

Slide 13

Information system for compulsory health insurance Information technologies that contribute to the successful functioning of health care facilities: Promptly obtaining information on the balances of accounts of all types Comprehensive analysis of the budget of health care institutions Supporting relationships with banks Maintaining a register of property and funds Scheduling the use of available resources (personnel, premises, equipment)

Definition of MIS health care facilities

Medical information system
Health care facility is an automated system,
intended for collection, storage
and analysis of data required for
solving management problems,
arising in everyday practice
work of a medical institution.

Goals of creating MIS healthcare facilities

Management of the activities of a medical institution;
Optimization of the activities of a medical institution;
Creation of a unified information space;
Control over the maintenance of medical records;
Analysis of economic indicators of provision
medical care.
Analysis of the effectiveness of adopted
management decisions

Levels of automation of management functions in health care facilities

1. Automated accounting systems
completed volume of system work
mass service.
2. Management automated
systems.
3. Integrated institution-wide
systems.

Hospital structure

Main
doctor
Deputy
Ch. doctor
Medstat.
Personnel
Operating
block
Pharmacy
Accounting
Medical departments
Server
node
ICU
Food department
Diagnostic
department
Pathological-anatomical
department
Laboratory
Reception department

Classes of problems solved in MIS healthcare facilities:

Electronic medical history
Personnel
Accounting
Medical statistics
Reception department
Pharmacy
Diet
Laboratory
Diagnostic units
Profile medical department
Resuscitation and intensive care

MIS
Systems to support employee activities
health management
Systems to support employee activities
practical health care
Demand
medical information systems in
RF
systems for
administration
medical-technological
systems
=
1
2

Really used
MIS
82%
59%
23%
systems for
administration
systems for compulsory medical insurance
75-80 %
market
medical
information
systems
16%
10%
6%
2%
legal
reference
systems
actually
"medical
tasks"
10%
statistics

Classification of MIS (Gasparyan S.A., 2001)

Basic level MIS
MIS level of health care facilities
MIS at the territorial level
Federal MIS

Basic level MIS

- information and reference
systems
-consultative and diagnostic
systems
-instrument and computer systems
-automated workstations
specialists

MIS health care facility

IP advisory centers
Information banks of medical services
Personalized registers
Screening systems
IS health care facility
IS of research institutes and medical universities

MIS at the territorial level

IP of the territorial body
health
IP for solving medical technology problems
Computer telecommunications
medical networks

Federal MIS

IP of federal health authorities
(ministries, headquarters, departments)
Statistical information medical
systems
Medical and technological IP
Industry MIS (Ministries of Defense,
Ministry of Emergency Situations)
Computer and telecommunication networks

Doctor's workstation - workplace,
equipped with means
computer technology and, with
necessary, medical
equipment for
information support
performed professional
tasks.

Classification of workstations

Administrative (workstation of the chief physician,
Head of department)
Technological (pulmonologist's workstation,
radiologist, etc.)
Mixed (workstation of the city’s chief radiologist,
Workstation of the chief cardiologist of the region, etc.)

Registry subsystem

MIS allows
automate
registry and
emergency room of a health care facility,
effectively
streamlining the flow
patients,
registering
passport details,
policies and benefits.
Right at the reception
the patient can
get
necessary certificate
about the work of health care facilities

Electronic medical record

MIS includes over 270
electronic documents:
Medical history (form 003/у)
Card of a person leaving the hospital (form 066/у)
Day hospital card (003-2/у-88)
Outpatient card (025/у04)
Outpatient coupon (025-12/u and
other forms)
Primary and repeat examinations of most
specialists
Operation protocol
Sheet of temporary incapacity for work
Recipe (forms F148-1/u, F107/u,
machine-readable form with barcode Ф1481/у06(л))
Dispensary observation card (form 030/у
and form 030/у-04)
Radiation exposure sheet
Final diagnosis sheet
Vaccination sheet
Referral to ITU (form 088/у-06)
Protocol for recording clinical expert work
Diagnostic examination protocols
Physiotherapeutic patient card
branches (form 044/у) and much more

Replacing paper records

One of the most important tasks
systems - increase
quality and
information content
medical
documentation. For this
the system contains
electronic analogues
practically all
documentation +
special means,
allowing to simplify
mastering the program,
paperwork and
their processing...

Example of a document in MIS

Automatic download
passport details
Access to standards, orders
MH and help system
Automatic calculation
load indicators
Auto
calculation of the deadline
pregnancy
Accurate date control
and inspection time
Automatic
inheritance
latest data
inspection
Auto
weight gain calculation
Electronic digital
signature protects
counterfeit document
Control of the next
appearance deadline
Auto
filling
recommendations for
term basis
pregnancy and
standard

Essential Requirements

MIS meets the following essential requirements
automation of healthcare facilities based on electronic documents:
Single entry, multiple use of information
Working with electronic documents, not spreadsheets
Possibility of printing, sending by e-mail, exporting to other IPs
or carriers of any documents
Close (most often invisible to the user)
information exchange of data of all subsystems with each other
Possibility of integration with other systems (RIS, LIS,
RIAMs, etc.)
Reduction of routine operations
Saving working time, simplifying work with documents

Document template support

Completing inspection documents may
carried out using templates.
Templates can be supplemented or
edit taking into account the established
standards and capabilities of health care facilities.
Templates can be stored centrally
or individually by user
Hyperlink to order No. 50

Parameter monitoring

List
additional
parameters
Time scale
Change curve
parameter
patient's health
Borders
norms

Support for any archives

Statistical accounting documents are filled out automatically and
then used to form the corresponding shapes (16-VN, 12..)
Multiple forms support
statistical coupon, including
arbitrary
Fully automatic
passports are filled out
data, including data
Compulsory medical insurance policy and benefits
Fully automatic
data about
diagnoses, temporary
disability, attendance,
about the appeal, etc.

Diagnostic protocols

MIS includes support
over 200 types of diagnostic
examinations:
The diagnostic subsystem allows you to easily and
effectively automate
diagnostic service of health care facilities. Included
system supplies include all the most
popular forms, templates
paperwork, statistical
reports and electronic journals. Available
built-in load metering system and
cost of research.
ECG
VEM
Daily monitoring
Spirometry
Vibration Sensitivity Test
Reflexometry
Capillaroscopy
Echo Dopplercardiography
Electrophysiological study of the heart
Duplex scanning of blood vessels
Rheovasography
Tetrapolar rheography of the body
Cardiac rhythmography
Ultrasound examinations
Endoscopic studies
X-ray studies, including
mammography, fluorography, radiography,
fluoroscopy
Tomography (CT, SCT, RT)
Angiography
Neurophysiological studies
Radioisotope research, including –
scintigraphy and much more

The MIS includes a built-in
laboratory information
system (LIS):
Flexible options for customizing any
parameters
Integration with MIS in terms of ordering
and transfer of results
Manual and automatic entry of results
Supports a wide variety of drivers
laboratory analyzers
Built-in quality control module
Built-in statistical reporting
Built-in financial reporting
Laboratory journal
Ability to export results and reports to
Microsoft Office / Open Office / PDF
Online help system

Built-in laboratory system

International code
indicator
Russian name of the indicator
Meaning
Unit
Lower and upper limit
norms
Indicator release marks
outside the norm

Making an appointment for patients

The working time planning subsystem consists
from doctors’ calendars, diagnostic rooms and
other services.
Patient registration is carried out collectively from
various offices and thus forms
an ordered list for each day.
The use of calendars allows up to 90-95%
reduce queues of patients and at the same time
ensure optimal workload for staff

In order not to rewrite
the same information over and over again,
the system automatically generates
various electronic magazines.
Administrators can configure
any form
magazine
The MIS provides 22
electronic journals:
Vaccinal prevention
House calls
Hospitalizations
Women's consultation
KEC work
LVN Magazine
Radiation department
diagnostics
Transaction log
Logbook
outpatients
Recipe magazine
SSMP Journal
Department of functional
diagnostics
Endoscopy Department
Clinic passport, etc.

MIS contains 6 ready-to-use
work of reference books, including:
Central directory of health care facilities
personnel, system settings, services,
statistical codes, etc.
ICD-10 for coding diseases.
Over 11 thousand nosological forms.
KLADR for location coding
residence with update function.
Contains 179 thousand settlements and
798 thousand streets throughout the Russian Federation.
Radar for recording medicines,
dietary supplements and consumables with
update function. Over 99 thousand
names of drugs.
The MES Directory contains over
64 thousand ready-to-use MESs
Document Template Center
Printing Center for
MIS electronic documents

Working in the DLO system

Electronic prescription form
Accounting for preferential prescriptions
Automatic filling and printing of form 148-/1у-88
Print machine-readable recipe with barcode

From the “recipe” form access to:

medicine reference book
information about benefits

Accounting for temporary disability

Support for centralized and
decentralized statement form
LVN
Using the “Direction” documents
on a sheet of temporary incapacity for work"
and “Temporary disability certificate”
Printing of a new form of LVN, approved
by order of the Ministry of Health of the Russian Federation No. 347n dated April 26, 2011
Automatic generation and printing
"LVN Magazine"
Automatic formation
statistical reporting, including
form No. 16-VN
Inheritance of information in secondary
medical and statistical
documents
Automated control and
compliance with terms of incapacity for work
patients

Automation of consultations

Electronic consultation form
Planning your work time using calendars
Automatic generation of a journal of consulting work
(by consultants, by dates, by enterprises and workshops)

Treatment control

List of patients who
medical treatment was prescribed
procedures
Complete list of medicinal
appointments
Quantity Information
prescribed procedures and progress
their implementation
Automation of treatment rooms
allows the doctor and hospital administration
clearly see the load on medical
offices, control execution
patients with medical appointments,
control the work of the middle
medical staff and, accordingly, adequately
plan work on the medical part...

Clinical expert work

KER accounting protocol (form No. 035/u-02 and
instructions for filling it out)
Presentation on VK
VK protocol
Referral to ITU (Form N 088/у-06,

Return coupon ITU (Form N 088/у-06,
Order of the Ministry of Health and Social Development No. 77 of January 31, 2007)
Conclusion of a clinical expert
commissions
Medical report on damage
health in case of an accident
production
Health research report
Protocol for assessing the quality of medical
help
Journal of clinical expert work
commission (Form No. 035/у-02)

Dispensary observation

Special section
"Dispensary registration" in
electronic outpatient
patient card
Full information about appearances
patient, stage epicrises,
invitations to DN, etc.
Application of the medical examination subsystem
allows healthcare facilities to significantly simplify
maintaining patient documentation,
constantly observed in the clinic.
This allows you to maintain a high level
continuity in clinical
understanding of the patient, his diagnosis
and treatment, which, in turn, reduces
costs of healthcare facilities and increases attractiveness
for the patient

Control of those under surveillance

Export information to Word,
generation of invitations
on DN
List of patients
who are at the dispensary
observation
List of all patient appearances on
DN in chronological order
Flexible Installation Options
filters and shaping
samples from the database on DN maps

Electronic fluoroteca

All performed on the patient
X-ray diagnostic studies
stored electronically in the MIS database.
Moreover, during the application
information about completed
x-ray examination
a special one is automatically created
document “Radiation exposure sheet”
Having all the information allows
perform automated
fluorotheca work planning:
compile lists of “debtors” and maintain
accounting of performed fluorograms...

Doctor's house calls

Automation of recording of doctors' home calls
There is a special electronic journal for recording calls
Doctors from their workplaces can open at any time
electronic call log
Information about completed calls is automatically placed in
statistics subsystem

Medical examination

The medical examination subsystem allows flexible
configure and automate
planning and conducting medical examinations.
The doctor can see from his workplace
all necessary information, including
information about the place of work, contraindications,
appointments for medical examination and notes on
fulfillment of the medical examination plan...

Vaccinal prevention

The vaccination subsystem allows flexible and
conveniently enter data on completed
vaccinations, as well as automate
vaccination planning. IN
MIS delivery set included “Children’s”
and “Adult” vaccination calendar, which
can be flexibly configured. Besides,
the system automatically generates reporting
documentation, including forms 5 and 6...

Pharmacy MIS

MIS Pharmacy allows
automate the accounting of medicines
funds and consumables. IN
delivery kit for the “Pharmacy” module
MIS" comes ready to work
reference book "Register of medicinal
funds", numbering over 100
thousands of different items
drugs and their release forms over
20 indicators (trade name,
INN, manufacturer, release form and
etc.)
"Pharmacy MIS" contains programs
electronic appointment sheet and others
tools that allow implementation in health care facilities
personalized accounting
medicines, and also receive
all the necessary statistical
reporting...

The work of guard nurses

MIS food service

For large
hospitals or
sanatorium subsystem
nutrition is very
valuable opportunity
MIS: she allows
fully
automate all
cooking process
food, starting from order
diets, food accounting
power up
automated
menu layout calculation
and all others
documents...

Information boards

Integration with other IS

Regional IP
Electronic systems
document flow
Integration with other information
systems allows you to provide health care facilities
maximum flexibility in choice
specialized solutions and not
waste developer resources on
too wide a range of tasks.
PACS systems