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Scope of Medical Information Management at the Regional Level in Russia

Scope of Medical Information Management at the Regional Level in Russia. Alexander Shoshmin , Yanina Besstrashnova Department of Information Technologies for Disability Problems ,

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Scope of Medical Information Management at the Regional Level in Russia

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  1. Scope of Medical Information Management at the Regional Level in Russia Alexander Shoshmin, YaninaBesstrashnova Department of Information Technologies for Disability Problems, Federal State Institute “Saint Petersburg Scientific and Practical Center of Medical and Social Expertise, Prosthetics and Rehabilitation of the Disabled named after G.A. Albrecht of Federal Medical-Biological Agency”

  2. Contents • Need for Medical Information ManagementSystem (MIMS) • Difficulties in MIMS development and implementation • Solutions • Capabilities of MIMS • Perspectives for MIMS

  3. Need for MIMS • People are lost, sometimes by reason of medical errors. • Expensive treatment is not always justified. • Evaluation of treatment effectiveness is complicated. • There is lack of data about citizens needs for medical care (and so about resources). • There are no certain datafor health care management.

  4. Difficulties in MIMS development and implementation • Information technologies evolve quickly. It seems they can fulfill almost all things. How to use them? • Low effectiveness of MIMS implementation is the result of rare using of integrated solutions which coordinate citizens health, modern technologies and knowledge, economics and management.

  5. Main reasons for decreasing MIMS effectiveness • No measurable target indicators (both during MIMS development as a whole and during implementation at a working place); • Low administrative competence of persons responsible for implementation;

  6. Main reasons for decreasing MIMS effectiveness • Implementation period • MIMS modules depend on each other as usual. In the long implementation period they irritate users because of limited (unavailable) functionalities; • MIMS itself, ITand medicine are in progress. The latest subsystems may be incompatible toones in use;

  7. Main reasons for decreasing MIMS effectiveness • Fear to lose one’s work (not to meet new requirements, changed processes may result in decreasing number of employees); • Unwillingness by managers to change business processes(statistics is close to managers’ point of view); • Underestimation of required investments…

  8. How do these reasons act at the regional level in Russia?Disadvantages • Low automation level as a whole and in hospitals as usual; • No integrated programmes for health care IT implementation; • Misunderstanding the fact: IT implementation means changes in ALL processes rather than automation of some functions!

  9. How do these reasons act at the regional level in Russia?Disadvantages • Enthusiasts attain spontaneous financing and start implementation of whatever software (without experience in implementation it is difficult to estimate differences in suggested solutions); • Integrated automation programmes for health care are approved rarely in the regions of Russia.

  10. How do these reasons act at the regional level in Russia? Advantages • There are no old information systems with patients data almost at all; • An opportunity to implement MIMS which meets certain requirements exists(to implement a standard); • It is possible to develop a common electronic health record; • Those who started implementation and failed(80% according to statistics) know how need not to do;

  11. Solutions • To integrate existing information systems: • Difficult from the manager’s point of view; • Difficult technically; • To install a common MIMS at once if possible; • To do nothing (we’ll have spontaneous MIMS elements in 1-3 years and start to integrate them).

  12. MIMS structure • multilevel system that integrates information resources including distributed network of health institutions, regional health care authorities, territorial fund of obligatory medical insurance and insurance companies; • integrationof informationfrom theseinstitutionsin a data base.

  13. MIMS structure Органы управления здравоохранением субъекта РФ ТФОМС СМО Органы управления здравоохранением муниципальных образований СМО • Development and support of actual integrated register of insurants in a region; • Creating an integrated regional register of obligatory medical insurance agreements and policies; • Holding certification of regional health care institutions and their licenses; • Forming a common resources register of regional health care; • Creating a regional programme of state guarantees. • Patients registration and monitoring of: • provided medical services; • costs for medical care; • medicaments and costs for them; • sickness rate. ЦБР Больницы (многопрофильные, специализированные) Диспансеры Станции переливания крови Родильные дома Госпитали для ветеранов ТУБ Поликлиники Медсанчасти Больницы Санатории

  14. Capabilities of MIMS • Holding a detailed register of regional and territorial health care institutions including data about service districts; • Creating a register of health care institutions with their lists of licencedservices;

  15. Capabilities of MIMS • Certification of health care institutions (providing consolidation of detailed information about every institution into an integrated data base); • Collection of identifiers, bank and tax essential information about health care institutions; • Determining indicators of institutions network (till the level of department) and resources;

  16. Capabilities of MIMS • Statistics gathering and analyzing: • Organizational structures, • staff members lists, • personnel information, • data about material resources and equipment, • location of departments, • number of beds;

  17. Capabilities of MIMS • Listing provided medical services(health care institutions, citizens); • Determining indicators of sickness rate, volumes of medical care(type, profile, financing, place and time of a service, groups of patients…).

  18. Capabilities of MIMS • Determining indicators of additional medicaments provision system: • personal prescriptions; • personal lists of distributed medicaments; • totals and personal statistics of: • quality • costs

  19. Capabilities of MIMS • Reports and references about insurants; • Monitoring of plans-tasks; • Analytics about programmes of regional state guarantees and municipal tasks;

  20. Capabilities of MIMS • State medical statistical reports, obligatory medical insurance reports at the institutional, municipal and regional level; • Budgeting of health care institutions according to a regional programme of state guarantees(providing state guarantees in health care forcitizens);

  21. Capabilities of MIMS • Citizens needs in health care in the context of institutions; • Data about provided medical services(health care institutions, groups of citizens); • Data for prices calculations for medical services…

  22. Perspectives for MIMS • Integration of existing resources for more effective health care!

  23. Thank you for your attention! E-mail: shoshminav@mail.ru; besstjan@mail.ru

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