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Integrated system for medical information management with secure online access within the Emergency Hospital of Bucharest

Client

Floreasca Emergency Hospital Bucharest

Challanges and objectives

Improvement of medical services offered to patients, through access to real time medical information stored in system’s database and assuring a response time of an average 3 to 5 seconds for a common system transaction.

Solution

The system integrates and interconnects all medical activities within the hospital, laboratory, radiology, pharmacy, national medical programs, transfusion centres and ambulatory, with complex management and reporting activities in medical area.

 The system manages all activities related to patient from presentation to the emergency room or admission office, interdisciplinary examinations, to admission in a certain hospital ward, at a certain doctor and in a certain hospital bed. At the same time, the system manages the administrated medication, all the clinical investigations (laboratory, functional, radiology, etc.), patient’s diet and  patient’s discharge and gathers all data in Discharge Sheet, Discharge Note or Medical Letter.

During admission the system is automatically updating different inputs per patient (e.g. drugs, medical supply, laboratory and radiology investigations, etc.) including them in Patience Expenses Account. The system is automatically updating the statistics related to admission days, the average admission period or hospital beds used in a certain period. 

The system allows management of medical tests using a unique barcode for every test, centralizes the results from all lab’s equipment connected to the system and generates a unique analysis report. Analysis reports can be automatically sent through email and the results can be viewed on internet.

The system highlights the performance criteria that stands for the annual managers’ activity evaluation within the public hospital.The main functionalities of the system have a modular structure in order to reflect the roles and main responsibilities of the medical personal and not only. There moduls can function together and independent.

The application offers real-time information about the reached Case Mix Index (CMI) and a database  with the best similar diagnostic even from the discharge stage and before reporting to relevant authorities. 

The system automatically generates files in .xml format and printable spreadsheets with the possibility of checking the validity of data reported.

The system provides anytime access to real-time information and contains a highly flexible tool to configure reports according to multiple selection criteria. Each user can define and configure how to view reports and create templates. The beneficiary is able to configure any report required by the Ministry of Health, the hospital management or other relevant institutions based on the information registered in the system. Each generated report can be exported and displayed in various formats (xls, pdf, dbf, .doc, etc.).

The system also provides an automatic import mechanism that allows the import of different data or nomenclatures, according to client’s needs.

By this project implementation, the users gained qualified support to case’s codification process, so that the hospital can benefit of a more accurate funding and eliminate the gaps that may affect its budget, gaps caused by poor reporting.

The main functionalities of the system have a modular tree shape architecture in order to reflect the main roles and responsibilities performed by medical and paramedical personnel, the modules being able to work independently or together.

The web-based technology used in system deployment makes the system interface more friendly, intuitive and interactive. A “help” tab is available in each screen giving the necessary information to users, for easy and efficient run of the system. The application offers real time secure access to information, the access rights depending on roles and responsibilities of the user or group of users. 

The medical and nonmedical data is stored in a SQL database for a long term with daily backups.

Due to the web-based technology, support incidents or faults in the software are solved without intervention on client work stations. 

Being approved by NHIH (National Health Insurance House of Romania) through its advisory committee for approval of IT products compatible with the CNAS system, the supplied IT system complies with lows in force and supports further development/changes to be fully compliant with future legislation.

For hospital services paid by CJAS/CNAS, the application has all the necessary mechanisms for hospital activity reporting available in all formats required by the laws in force at national level (DRG, SIUI, PNS, etc.).

Results

By implementing the IT system in all medical and nonmedical departments of the Beneficiary, some of the following results had been achieved:

  • Improvement of current workflows;
  • Reducing the necessary time for drugs release;
  • Optimizing the laboratory time for releasing the tests’ results;
  • Increasing accessibility to information for medical personnel.