Whose problem solve automation of hospitals


In the past few years significantly accelerated the spread
information technology in health care facilities. One side,
this was due to the increase in budget financing
Health. In any case, before the start of the 2008 crisis growth
computerization and purchase of software costs has been quite noticeable.

On the other hand, the national health care begins with the "low
start ". According to specialized press reports, even in 2007
the penetration rate of integrated health systems in the Russian
medical facilities amounted to only a few percent
of the total number.

Now, during the crisis, the question of the appropriateness and the possible effect
the use of IT becomes especially important. What gives
automation of medical institution? Who benefits from it? Not
whether there are "side effects" that can negate the advantages
Automation? Because, in the end, there are health
patients, the answer to these questions is logical to begin with them.

Automation of hospitals in terms of the interests of patients

Whose problem solve automation of hospitalsOf all the persons involved in the automation andgroups of patients are the most indisputable beneficiaries of this process. Start with the fact that the patients get the medical records in a legible form. In contrast to the "paper era" discharge prescriptions or test results - all these documents are available in principle with a higher quality. The automated system is fundamentally solve the problem of doctor's handwriting. In addition, computer input, especially in the presence of built-in prompts and guides the system, significantly reduces the number of errors. The doctor is enough to print the document, sign and personal stamp.

As a result of the medical system cansignificantly improve the level of information and reference patient care. The growing popularity of these solutions, as the integration of the software with information kiosks and TV panel allows you to quickly update and to communicate to the citizens they are interested in open data and information messages. Open for viewing information can be presented to the public access to the premises of medical institutions, management companies and social services. Schedule of reception of doctors, schedule diagnostic rooms and thematic reference data on specific request with the introduction of an information system, patients can learn without any additional calls to the registry or employees, especially to medical staff. And the integration of medical information system with call-center can significantly accelerate and improve patient care.

Modern Integrated Healthinformation system greatly simplifies the calculations for the provision of paid medical services. Patients convenient to have the choice between different forms of payment for commercial services. And the development of health information systems support and cash payments through cash and credit cards, and cashless payment and payment through insurance programs.

Another important win for patients withintroduction of medical information system - information processing speed. Various services within health care settings and even different medical facilities that use automation tools, can exchange patient data much more quickly than before. Quite often it happens that the laboratory is separated from outpatient clinics or processes orders several clinics. In such cases, it becomes particularly significant advantage of the use of information technology for the rapid transmission of electronic directions for research and obtain data on the results of the treating specialist.

All this suggests that with the introduction of the patients in the majority of cases, medical information systems receive a higher level of medical care.

Automation of hospitals in terms of the interests of doctors

For physicians computers combined into a singlemedical information system, can render service in some areas of work: as a physician assistant in solving various kinds of clinical problems in the preparation of documents and for planning treatment and diagnostic measures. At the same time for the doctor as for the main character, the automation carries with it not only new features and amenities, but also some difficulties.

Still, we should start with the positive points. admission procedure for patients undergoing a number of positive changes. The doctor did not need so much to write by hand. He receives electronic means for recording inspection results and the formation of lines. Depending on the "advancement" of medical information system, these tools may be more or less comfortable to learn and use.

Further, the compound selected workstation doctor(Computer workstations) into a single medical institution network greatly simplifies the exchange of information and simplifies some of the organizational action. Your doctor may direct at the reception, if there is such a need, without going through the registry, record of the patient to another doctor, appoint through a system of diagnostic, therapeutic and preventive procedures. There are solutions that can make an appointment to carry out, for example, the insurance organization associated contractual relationship with the network of commercial clinics.

In terms of solving clinical problems Useinformation technology can improve the results of studies, for example, to suggest options in the process of diagnosis through rapid access to treatment standards. The doctor gets access to high-quality operational information for the correct diagnosis and determine the treatment strategy, thereby significantly reducing the number of medical errors when assigning patients to different drugs (interacting with each other, causing side effects that have contraindications, etc.). Of course, as part of a medical system the physician gains access to the standard handbooks medicaments, illnesses and other decision support functions.

If we talk about the negative aspectsautomation, faced by doctors and junior medical staff, they appear mainly on the stage of implementation of the information system. It is noted that any, even the most that neither is a high technology may initially slow down due to the fact that requires appropriate skills and knowledge. And the more complex the technology solution, the greater the specialties and services included in it per unit of time, the higher the risks of misunderstandings, mistakes and dissatisfaction with the first results.

Partly as a result of the described difficulties,partly under the influence of rumors that accompany any reorganization, people may initially have a negative attitude to new technology. Some of the fear of losing their jobs, some because of the low computer literacy (this applies in the first place, the health care facilities, where previously there were no computers). But practice shows that within three to six months medical staff becomes accustomed to the new order of doing things. Speed ​​entering data into the system increases and now exceeds the speed of writing by hand. Often, employees can no longer imagine the reverse transition to the paper medical record. For the most active professionals and managers of such a regression would have been much greater shock than the transition from "paper" office to work in the information system.

As hospital medical information system takes into account the interests of the administration

Heads of medical institutionsWe should get the most real benefits from automation, since they decide on the allocation of funding. Therefore, in many cases, positive impact for IT management is faster and more tangible than for physicians. Through the information system they gain control of your finances in almost real time.

Managerial decision-making requires muchless time, because the necessary information is available to the head are not from time to time, but always. In terms of information easier to exercise control over the compliance of the quality of the treatment of established standards. On the basis of detailed data management accounting and internal statistics, they can motivate doctors to use payment plans depending on the personal performance of each specialist.

Modern systems help trackthe cost of medical services, analyzing the key parameters such as time professionals, the use of drugs and materials, download the diagnostic and laboratory equipment. For example, the automation of the warehouse of medicines and consumables to optimize their use and improve the storage, organization, increase the return per unit of area occupied by warehouses.

Based on these data administrationmedical institutions can form part of the regulatory services and to carry out a comparative analysis of regulatory and actual performance. Those same tools can be used to develop the medical and economic standards on the scale of a network of institutions, and even the entire health care industry.

In those cases where the clinical management hasthe ability and desire to compare the quantitative indicators of health care facilities before and after the introduction, observed such positive changes as increasing the capacity of the offices, the optimization of the medical staff load (in particular, through the use of electronic schedules to optimize the loading function), reducing the time of reporting and other improvements. Are achieved and certain benefits in terms of resource use. The same amount of work carried out fewer staff, there is an economy of medicines and consumables (eg, x-ray films), reduced the number of purchased forms, etc. etc.

One of the main benefits of automation -saving time and effort to routine operations and, most importantly, reduce the number of human errors. Thus, for example, are completely excluded errors in transcribing nurses prescribing in appropriate journals, since the latter are automatically generated.

If the patient a variety of forms of payment -the issue of additional amenities, for the management of medical institutions - it is a serious factor in the struggle for the market for commercial services. Particularly important may be to build cooperation with insurers. In connection with the planned transition to the insurance model of health care financing becomes more relevant the task of settlements with insurance companies, in the framework of mandatory and voluntary health insurance. It is in such cases, the information system provides a very powerful economic effect.

Not last question for guidancehealth care facilities may be the safety and security of patient data. With the formation of a unified database, especially based on industrial platforms, we can talk about a marked decrease in the risk of loss of patient data. Unlike traditional paper maps, electronic medical records can not carry or lose, and much more difficult to destroy. And the state standards in the field of information, compliance with which is gradually becoming the norm for the industrial development of medical systems, can significantly enhance the security of personal data.

Today it is still difficult to evaluate all the possibilities,which opened for clinical practice with the implementation of information systems. As in other sectors, there should work the effect of "critical mass", when the growth of the number of users of information systems and automated medical institutions leads to an increase in their number of proposed solutions, to the rapid development of their functionality, many of which are only a few years ago can not be it was present.

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