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Automated Information System for Primary Health Care (AIS PHC)

Client

Ministry of Health, Republic of Moldova

Challanges and objectives

Automated Information System for Primary Health Care (AIS PHC) is designed at the national level for the activities management of public healthcare institutions in the primary healthcare system of Republic of Moldova. The information solution provides the automated management, control and coordination of medical, administrative and management staff activity of the healthcare units, offering the needed information for the real time assessment of the health condition of the population, for identifying the main problems of primary healthcare system and making the right decisions.

The major objectives of this project were:

  • to manage the data processed by general practitioners;
  • to optimize the medical activities, facilitating the medical-patient interaction;
  • to development a powerful management instrument for the medical system;

The beneficiaries

The main entities that benefit from the project implementation were:

  • The Population – all the insured citizen of Republic of Moldova, who benefits from the medical assistance services;
  • Ministry of Health – as an administrative role for the system and the coordinator of the project;
  • State Registry of the Population;
  • National Center for Management of Health ( CNMS);
  • National Center of Public Health and the district centers of public health;
  • National Health Insurance Company (CNAM);
  • Public Healthcare Services providers environment from Republic of Moldova – all units of medical assistance and public healthcare services providers that contribute to the primary healthcare assistance;
  • Other authorities and institutions directly interested and involved in the healthcare field.
Solution

The Automated Information System for Primary Health Care provides:

  • The management of the Patient Electronic File;
  • The management of patient appointments to the General Practitioner (GP) based of the working hours;
  • The electronic schedule of the GPs appointments;
  • The electronic record for vaccinations or other activities done by the GPs;
  • The management of the patient file with details about patient`s interactions with the primary medical system with the possibility to extend it to the regional and national level of medical system;
  • The statistical reports administration for monitoring the health status of the population;
  • The management of the medical staff from the primary healthcare system.

The main system`s functionalities have a modular structure in order to reflect the roles and the main responsibilities of the medical and paramedical staff. These modules could work together or independent. The system`s modules are:

  • Registry
  • Human Resources
  • Sorting
  • Medical Practice
  • Stocks administration
  • Laboratory
  • Statistics and Reporting
  • System Administration

The patient is the beneficiary of the medical services offered by the general practitioners. The medical staff has as a final goal patient’s health and the patient electronic document is the starting point of an ¨electronic file¨ that represents the logic key of a unitary medical system, its presence being related to the existing national medical strategic objectives.

The Patient Electronic File meets the following requirements:

  • Collects and displays the main information about the demographic data of the patient, such as: name, data of birth, gender etc;
  • Manages the patients diagnostics: coded diagnostic, starting data, history, when it becomes chronic, current stage;
  • Collects and displays data about the drugs administrated to the patient;
  • Collects and displays data about the patient`s allergies;
  • Collects and displays the tests results;
  • Displays clinical notes in structured or open text format;
  • Manages the sick leave certificates as part of the patient`s electronic file;
  • It archives the data in the patient's electronic file as a result of death certificate registration.

The key project numbers

  • 2.021.442 insured citizens of Republic of Moldova
  • 288 healthcare centers and regional hospitals
  • 1.854 general practitioners
  • 5.337 medical assistants of general practitioners and specialists
  • Over 10.000 users
  • 155 system administrators

The system is used in all public healthcare institutions in the Republic of Moldova Primary HealthCare System and it is used by any general practitioner and specialist, which has basic IT equipment.

Results
  • The automatic scheduling to the lab and specialist directly from the general practitioner office;
  • Very well structured and accessible information for doctors, making more efficient the time spent for the examination;
  • Patient's medical file that can be accessed by the specialist;
  • A decision making support for the medical staff, that determines the increase of the number and quality of the medical services offered to patients;
  • Management of the medical staff from the primary healthcare system;
  • The demographic distribution of the medical staff;
  • Clear record of the medical staff according to the needs of medical services from a district, region etc;
  • Real time electronic registry of appointments of each general practitioner;
  • Automation of different registries;
  • Different types of notifications (appointments, vaccinations);
  • Significant increase of efficiency in the management of medical files;
  • Complete stock management for drugs and other products;
  • Real time records of drugs and other products distribution on each medical institution, doctor and patient;
  • Detailed expenses record at the health center, doctor and patient level;
  • National database with information that allows the creation of the patient medical file;
  • The development of informational national resources about health and movement of population;
  • Automation of the information flow between public health institutions;
  • Permanent support in medical activity through a Call Center;
  • M-Cloud centralized data processing, considerably decreasing the expenses for IT equipment and staff;
  • Statistic reports and accounts necessary to monitor the citizens' health.