Medico-social Information System « Petrozavodsk »

1. A.S.A.P. – Effective administrative structures as a prerequisite for sustainable economic development under the conditions of demographic shift Medico-social Information System «Petrozavodsk»

2. Medico-social information system «Petrozavodsk» Main components of the system • Medico-social Internet portal • Intranet system • Bundled software “Polyclinic”

3. Medico-social Internet portal

4. Medico-social information system «Petrozavodsk» Key goals of the Medico-social Internet portal • Information about the activities of Petrozavodsk Health Agency • Reference data • Facilities on the city map • Search for medicines in drugstores

5. Facilities on the city map

6. Search for medicines in drugstores

7. Medico-social information system «Petrozavodsk» Key goals of the Intranet system • Collection of data from the servers of health facilities of the city • Production of statistical reports • Planning in-patient care in city hospitals

8. Interface of the Intranet system

9. In-patient care planning subsystem

10. Bundled software «Polyclinic» Special features and advantages, realized at present • Possibility of combined operation with the systems of electronic arrangements for queues • Booking tags for visiting doctors via the Internet • Preliminary distance advice from a doctor at the point of booking a tag for visiting a specialist • Automatic export of the condition of data files from the existing software (shift for a new system is possible any time without destroying the integrity of reports)

11. Bundled software «Polyclinic» Special features and advantages embedded into the architecture of the system • Possibility of distance service of many polyclinics from one service center • Distance receipt of reporting information at any authorized computer via Internet • Possibility to connect diagnostics expert modules at doctors’ workplaces • Possibility of combining “Polyclinic” software with the programs of monitoring dangerous diseases • Possibility of timely transfer of critical information about patients to mobile pocket computers of emergency doctors

12. Overall structure of «Polyclinic» software Anamnesis III STAGE Registration office software Stomach disease I STAGE Examinationdata Diabetes Doctors’ workplaces Special communication protocol Thyro pathology Investigationresults Pregnancy complications Laboratory and diagnostics software Guard expert diagnostics modules Examinationdata II STAGE Emergency aid software

13. Example of a diagnostics expert module for introducing into the system in 2007 • 1361 logical diagnostics function • 185 diagnostics conclusions • 368 factors for analysis • Possibility for interactive work at the computer of a physician • Possibility of guard work at data transfer protocol transponder Expert diagnostics system for thyropathology

14. Step-by-step introduction of «Polyclinic» software Stage I February – December 2006 “Registration office” system Electronic schedule with Internet access Statistical porting system The first part of physician workplace software Stage II January – December 2007 Main body of electronic IH software “Laboratory” bundled software Integration with emergency aid service Stage III – 2008 Integration with the systems of medico-social and diagnostics monitoring

15. “Polyclinic”bundled software Some additional features embedded in the system • Possibility to plan a visit to a doctor based upon his/her workload using the Internet system of booking tags for visits • Transfer of information about the need for recurring visit to a doctor to the registration office and to the personal file in the Internet portal on the bases of tests’ results • SMS notification about available tags, need to visit a doctor, reminder of timely taking a medicine

16. “Polyclinic”bundled software Overall structure of the first part of the system System administrator’s workplace Registering clerk’s workplace Operator’s workplace - statistics Physician’s workplace Electronic schedule management module Distance booking management system Economist’s workplace – statistics

19. “Polyclinic”bundled software Administrator’s workplace (WP) functions Data import from existing programs Work with the database of OMIF Work with database of offices Electronic schedule management Supporting doctors’ databases Archiving all information Access rights management

20. “Polyclinic”bundled software Administrator’s workplace (ex: work with doctors’ DB)

21. “Polyclinic”bundled software Registering workplace functions Tag booking quotes management Printing and service of statistical coupons Interaction with the system of arranging electronic queue Management of electronic tags and printing paper ones Patient and insurance policy identification, work with passport modules of IH patients Internet booking control

22. “Polyclinic”bundled software Registering clerk’s workplace (ex: work with a statistical coupon

23. “Polyclinic”bundled software Registration clerk’s workplace (work with electronic schedule)

24. “Polyclinic”bundled software Functions of Operator’s workplace–statistics In case of lack of equipment at doctors’ workplaces – data entry on patients’ visits in databases Analysis of database integrity, search for duplicates and errors. Error correction If necessary – register of used tags

25. “Polyclinic”bundled software Functions of Operator’s workplace–statistics

26. “Polyclinic”bundled software Physician’s WP functions: 1st stage of system introduction Work with journal of patients’ visits Booking recurring tags for visits to a doctor Entering information about visits to a doctor into electronic files of patients Access to reference books on diseases and medicines Work with information on health promotion register

27. “Polyclinic”bundled software Physician’s WP (making a tag for the recurring visit

28. “Polyclinic”bundled software Economist’s WP functions–statistics Reporting forms editing Formation of reports Data export in OMIF formats Statistical data processing

29. “Polyclinic”bundled software Interface of Internet tag booking page

30. “Polyclinic”bundled software Functional opportunities of components of the 2nd part of the system Access to electronic DB from doctors’ PCs Possibility to provide prescriptions Joint work with software in emergency vehicles Work with laboratory and diagnostics data Overall city system for providing tags for visiting specialists at physician’s PC Module of distance calling for a doctor to a patient’s home