The achievements in creation of hospital`s information systemHospital for traumatology and orthopaedicsRiga Latvia2001. - 2007.

Hospital backgraoundSpecialized orthopaedic hospitalISO 9001 certified hospital since 2001.500 beds550 employees 2000000 3000000 EUR yearly budged6500 surgical procedures per year8000 patients per year

Intranet structure9 buildings pavilion type structureOptical connection cables3 servers + 200 PC + 46 printersInternet connectionConnection to Health Insurance IT system2 system administrators

The history of IT implementation2001. Computerised accounting and business management Office Line2001. Hospitals intranet with e-mail2002. Computerised staff management Personal Navigator2005. Computerised document management DocLogix2005. Hospital`s web page2006. 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

rsta 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 hospitalHospital`s managementQuality managementAccountingDocument management Staff managementManagement of the medical care

The necessety for IT at the hospitalThemain 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 hospitalQuality for the client The patient

The organisational stucture of the hospital

Todays situation ReistratraUzemanaFinansu vadbassistmasOperciju rindasStacionr vsturePacientu aprpeKaseOperatvsopercijurindasAmbulatorvsturePeri-operatvaisatbalstsRadioloijas ISLaboratorijaAsinskabinetsDiktofonsDispanse-rizcijaKonslijsOpercijas resursuprvaldbaStatistika(ambulatorie taloni,stacionrukartes,prskati)Reanimcija un anestezio-loijaPortls,e-pastsAnalze (datu noliktava)PACSLmumuatbalstsrsta birojsPerio

Quality for the hospital The golden standart result of the treatment The real life result of the treatment

Quality for the patientThe degree of satisfaction about the final result of treatment accordings to patient`s expectations before the treatment

Demand for new tipe of medical notesThe 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 rstu birojsThe staff is happyThe introduction process runs faster than expectedEverybody has new ideasSurlprisingly less paper cosumptionThe patient receives readable paper notes and CD with e-rays immediately after visiting the emergency departmentComputer teaching is mandatory

The advantages of the new version of rstu birojsAll the notes are created in real timeThere is a common enviroment of patient data for all the hospital staffThe doctor or nurse has selfservice for informationNo delays in medical notesNo missing billsEasy exchange of date with other institutions

Slimncas informcijas sistmas prskats (idelais)

Slimncas informcijas sistma

Integrcijas platforma (XML messaging / webservices, HL7)

rjais portls

Uzmana

Izrakstana

Pacientu un rstniecbas vadba

PrvaldbaGrmatvedbaPaizmaksaNoliktavaAlgasPersonla vadbaU.c.

Slimncas infrastruktras vadba

Apdrointji

VOAVA MIS

Analze, datu noliktava

Iekjais portls

Citas organizcijas, iestdes

imisk diagnostika

Saskarnes

Vizul diagnostika (PACS, DICOM)

Saskarnes

Katastrofu medicnas centraIS

Citas rstniecbasiestdes

imenes rsti

rstniecbas lmumu atbalsts

Integrcijas platforma (XML messaging / webservices, HL7)

PCThe pathogenesis of computermaniaCirculus vitiosus

IS e-health worth to implement?

Thank You !Valdis Zatlers Orthopaedic surgeon