service providers aspect on ehr quality labeling and certification tripkovic en.pdf · aspect on...

Service providers

aspect on EHR quality

labeling and certification

Ilija Tripković, Jugoslav Kandić,

Marija Obućina, Damjan Cvetković,

Nikola Petrović, Ivica Ivanković,

Ivan Lesendrić, Katarina Bukovski

Health Center Valjevo

User expectations

Continuous electronic record (electronic health history) throughout the whole life of the patient generated by the different participants of the health system

Easy and quick access (regardless of time and location) to the electronic data to health workers in accordance with the access rights and safeguards

Integration

Possibility of integrating HIS with other specialized sub-systems (RIS, LIS, FIS)

Electronic Health Record as a central node of communication and connection between different hospital information systems

Data exchange between institutions (hospitalRFZO)

Possibilites

The possibility of statistical reporting, planning and analysis

• Medical

• Health

Finance

Sustainability

User experiences

The population of the whole Kolubara County

Seven health institutions

Developed network infrastructure

Hardware equipment

• 700 working stations

• 15 servers

Fully functional “system” since 2007.

Achievements

The unique EHR integrates:

• Specialists and diagnostic examinations of outpatients

• Inpatient hospital treatment

• Preventive check-ups

in all sectors of primary and secondary health care level

Available data

Demographical data Data about all participants of health care

processes General medical data

• Diagnosis • Alergies • Lab tests • Radiology images archive • …

Documents, forms … Provided services Medicines and materials used Invoice

Reports

Standard statistical reports

Specific reports (use of medical materials per patient, per sector, number of prescriptions per doctor)

HIS usage reports

…

Functionality

Connection with LIS (communication through HL7 protocol)

Connection with RIS

Scheduling primary health care patients to the secondary level

Call center scheduling – primary health care level

HIFHIS (Web service), HISHIF

(invoice)

Advantages

Archive

Availability (speed, safety, reliability)

Security

Scientific research activity

Improving leadership and management

Quality of service

Difficulties

Economic sustainability

Legislation

Realization

Inadequate coordination between sectors

Perspective

The development of health care in general

The development of health facilities

Decision supporting

Expert systems, knowlegde base creation

Easier testing and implementig of new methodologies (DRG, clinical pathways ...)

Better allocation of resources and personnel