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MANAGEMENT INFORMATION SYSTEM (MIS) Valentīna Ziedone Health Compulsory Insurance State Agency (HCISA) Latvia. The main goal of the Agency is. ... to implement state policy for availability of health care services and administrate the state compulsory health insurance resources.
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MANAGEMENT INFORMATION SYSTEM (MIS) Valentīna Ziedone Health Compulsory Insurance State Agency (HCISA) Latvia MIS 06.04.2006-07.04.2006
The main goal of the Agency is • ... to implement state policy for availability of health care services and administrate the state compulsory health insurance resources. MIS 06.04.2006-07.04.2006
From the Regulations of the Agency • The task of the Agency is: • .... • to create, to maintain, to increase Data Information Systems insuring accounting of health care services MIS 06.04.2006-07.04.2006
Management Information System (MIS) • Implementation of MIS: • 09.2003 – In-patient services • 2004 – Dental Care; Emergency Health Care; Reimbursed Medicine; • 2005 – Out-patient services; Medical Statistics; EHIC; • Budget of MIS 2.4 milj. LVL (Hardware, Software, 280 workstations,... ) MIS 06.04.2006-07.04.2006
Goals and Requirements of MIS • Goals • Common registers and classifiers; • Realization of settlements : • health care services (medical institutions -in-patient , out-patient, general practioners, ...); • reimbursed medicines • Common structure of Data Base and platform of Software; • Fast preparing of Reports ; • Registration of data change MIS 06.04.2006-07.04.2006
Requirements • Internet • Common Data Base • Safety of the patient information, entitlement to access MIS 06.04.2006-07.04.2006
Modules of MIS • System Kernel • Classifiers maintenance system • Register of participants of Health Compulsory Insurance • Register of Medical institutions and medical proffessionals • Waiting lists managemant (for some health care servises) • Kernel of Accounting System • In-patients services, contracts, finances • Reimbursed medicines for out-patients treatment, contracts, finances • Out-patients services, contracts, finances • Dentistry Services, contracts, finances • Emergency Medical Care , contracts, finances • Data analyses andStatistics • Centralized procurement of medical remedies, tenders, contracts • European Health Insurance Card (EHIC) MIS 06.04.2006-07.04.2006
General sheme of modules MIS 06.04.2006-07.04.2006
MIS functions and main users MIS 06.04.2006-07.04.2006
Users of MIS • 4152 Users from : • Ministry of Health • 2 Agencies (HCISA, HSMTA) • 5 HCISA territorial Departments • 100 hospitals • 42 Emergency medical care institutions • 1 232 GP • 500 specialists • 712 Drugstores • 282 Dentistry MIS 06.04.2006-07.04.2006
User’s levels • First level • Ministry of Health • Reports; • HCISA • Entitlement of users • Classifiers • Payment of hospital and emergency care servises, • Preparing bills with processes of MIS, • Preparing statements, reports of data analysis and statistics • HSMTA • Clasifiers of diagnosis ISD-10; Health professionals; Medical institutions; • Medical Statistical Reports • Second level • 5 HCISA territorial Departments • Payment of out-patient services and reimbursed medicines, • Preparing bills and statements • Third level • Medical institutions • Registration of information • Printing bills MIS 06.04.2006-07.04.2006
Out of scope of MIS • Administration Systems of Medical institutions and Drugstores • INTERNET providing for Medical Institutions and Drugstores MIS 06.04.2006-07.04.2006
Link with organizations • Information input - INTERNET; • Exchange of information (File) (open structure of data) MIS 06.04.2006-07.04.2006
Benefits • Using joint branches registers and classifiers (diagnosis, medicine, manipulations, Health professionals e.t.c); • Clasified conditions of payment in the contracts; • Safety and security of patients information; • Perfect and feasible information for medical statistical reports and other Reports from one Joint Data Base MIS 06.04.2006-07.04.2006
Benefits • Organizations manage their resourses (Information and Finances) themselves; • Facilitation in the Organizations: • Operative financial information for the managers of organisation • Improvement of professional skills of Personnel • Development of IT • Operative receiving of bills directly from MIS • Availability of current information for different users – online service MIS 06.04.2006-07.04.2006
Summary • One Centralized Information System - not many separated Systems; • IS for all users (accountants, economists, doctors-experts, statisticians,operators, pharmacists etc.) • IS was implemented and will continue to develop MIS 06.04.2006-07.04.2006
Further development of MIS • Outsoursing servises of technical infrastructure (servers) - May , 2006 • Issuing of electronic European Health Insurance card (eEHIC) - 2008 • New module – Supervision of Infection diseases ( Public Health Agency) – 2006 • Electronic exchange of information of E forms (E125, E127) – 2007 • Interface between MIS and IS of Latvian State Blood centre -2007 ; Social Insurance State Agency - 2007 MIS 06.04.2006-07.04.2006
Thank You MIS 06.04.2006-07.04.2006
Contact information Valentīna Ziedone Head of IT Department Valentina.ziedone@voava.gov.lv www.voava.gov.lv MIS 06.04.2006-07.04.2006