Why?

1. VIS - Health Care Information SystemCOUNTY COUNCIL OF NORRBOTTEN vis.nll.seA decision support- system wich make it possible tolift quality and patient safety improvement to a higher level VIS

2. Why? • Difficult to find documents • shortcomings in structure and regulatory framework - how documents are categorized, stored and tracked. • dont know if there is a developed routine document • Many of the same but different • Need to quality assure documents • current? • Changed health care structure • Develop health care in line with patient process VIS

3. VIS- Care A decision support-system which: • Supports health care main processes • Independent of medical / organizational structure • Enables a process-oriented approach • Provides access to evidence / best practice standards • National guidelines • Procedure document • Standardized care plans • Patient information • Photos / videos • Easily accessible and user-friendly in the clinical work • Provides access to the right information whenever needed VIS

4. VIS- Care is built on a SharePoint plattformby County council of Norrbotten in cooperation withSOGETI Luleå and Microsoft Sweden • According: • National Board of Health regulations on management systems for systematic quality assurance. SOSFS 2011:9 • Guidelines for quality management in health care EN ISO 9001:2000 • ” The National Information Structure” • Goals in ”National knowledge-management” • The information (procedure documents) is structured and stored via meta data from national code registers, ICD-10, KVÅ, ATC, etc. • The information is searchable / traceable via free text and / or • Code register • Main process • Form of care • Keyword • Profession VIS

5. Vis vård Patient´s health care process Patient Patient Health condition Approved documents Utredning(Identifiera)/Åtgärd/Utvärdera ICD10.. TLV.. DSMIV.. KVÅ.. Analys NPU. KRÅ ATC.. VIS

6. The development journey and current state • Development • 2007 project assignment • 2009 New pilot study and prototype • Alignment with the national IT infrastructure • Coordinated to National Knowledge Management • January 2010 decision on the continued development and • October 2011 handover for introduction • ImpIementation of VIS – Care • Function manager • VIS-advisors (county wide) • Implementetion leaders (division) • User support • Local process structure for national guidelines • Steering committee • 10 professional groups VIS

7. VIS - care and future • VIS – strategic /management • VIS – support processes • The vision are VISAS = integrating VIS with our medical record system (VAS ) • Move a standardized care plan – to a active individual care plan into EPR • Ongoing follow up – feedback • Research VIS

8. Need for further national coordination • Common national identification of health care's main processes • Organize and store decision support with common meta-data according to national code register     (ICD-10, KVÅ, ATC, etc.) • Develop and improve communication with the      national quality registers VIS

9. VIS - Health Care Information SystemCOUNTY COUNCIL OF NORRBOTTEN vis.nll.seA decision support- system wich make it possible tolift quality and patient safety improvement to a higher levelThank you!Anna-Greta.Brodin@nll.se VIS