What is a medical information system. Marketing Information System (MIS)

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The relevance of the problem of implementing information systems in healthcare is determined, first of all, by the need to improve the efficiency of healthcare management processes and the quality of medical care provided to the population. Until the mid-70s of the last century, the development of informatization lagged behind the growing needs of the healthcare system in the use of information technologies, after which the intensification and acceleration of work on the creation of computer systems for medical purposes began to appear.

Hospital departments and small administrative units had the opportunity to purchase computer equipment to create local information systems, but attempts to create medical automated systems in our country were based on computer technology that did not provide for mass use, and therefore did not imply further replication.

Large teams of people and entire computer centers were involved in maintaining and supporting the functioning of these systems. The situation changed when the first personal computers were created, which significantly expanded the basis for computerization of health care and served as the impetus for the development of a new generation of software tools that made computer operation possible for people without programming skills.

In our country, the computer boom occurred at the end of the 1980s, when it was considered mandatory for every institution to have at least one personal computer. The development of domestic computer systems proceeded in several directions, using, as a rule, the forces and resources of a medical institution (Fig. 21.2).

At the same time, various requirements for software by personnel of many medical specialties, the presence of a large number of ready-made programs supplied with equipment and implemented on various platforms, the use of various information processing algorithms in different institutions in conditions of a severe shortage of material resources extremely complicate the task of developing an integrated information system. One of the main obstacles to the development of any health information system is the lack of uniform standards approved by law.

Nevertheless, the use of computer technology allows a specialist to be relieved of routine paperwork by using the computer’s information processing capabilities for formalized data entry, automated reporting, etc. This is important, considering that a clinic doctor is given from 10 to 15 minutes to see one patient, and about 50% of this time is spent on filling out a medical history.

Reduction of paper document flow occurs due to the use of computers when entering, storing, searching, processing, and analyzing patient data.

The modern concept of medical information systems involves combining existing information resources into the following main groups:
. electronic patient records;
. results of laboratory diagnostic tests;
. financial and economic information;
. drug databases;
. databases of material resources;
. labor resource databases;
. expert systems;
. standards for diagnosis and treatment of patients, etc.

Medical information systems (MIS) serve as the basis for the gradual creation of health and healthcare monitoring at the federal and regional levels. Based on their purpose, these systems are divided into three groups: systems whose main function is the accumulation of data and information; diagnostic and consulting systems; systems that support the medical care process.

It is quite difficult to unambiguously classify information systems used in healthcare due to the ongoing evolution of their structures and functions. A multi-level structure of healthcare management (municipal, regional, federal levels of management) can become the basis for the classification of medical information systems.

Information systems in healthcare within each management level, depending on the specifics of the tasks being solved, are classified according to the following functional characteristics:
. administrative medical systems;
. search information systems;
. systems for laboratory diagnostic research;
. expert systems;
. hospital medical information systems;
. Automated workstations (workplaces for specialists);
. telemedia systems, etc.

Administrative medical systems provide information support for the functioning of a medical institution, including automation of administrative functions of personnel. MIS of this level provide management of hospital, outpatient clinic and specialized services at the administrative-territorial level. In functional terms, the system can be divided into five basic components: planning and forecasting of activities; accounting and control over the activities of institutions and reporting; operational management of individual services and auxiliary tasks (creation and maintenance of classifiers, standards, etc.).

This also includes information systems for solving specialized medical problems that provide information support for the activities of employees of specialized medical services, in particular information systems for certain areas: mutual settlements in the compulsory medical insurance system; management of emergency medical assistance to eliminate the consequences of emergencies; drug provision; personalized registers.

Personalized registers at the territorial level contain information on the assigned contingent of a municipal entity or a subject of the Russian Federation. Registers replace numerous paper forms of documentation (magazines for registering patients for individual diseases, for age and sex composition, for dispensary observation) and facilitate the transition to paperless technology. The register provides solutions to the following tasks: storage of police files to obtain data at the request of specialists; formation of state reporting. In addition, the register allows for a more objective assessment of the effectiveness of preventive, therapeutic, diagnostic and rehabilitation measures. Personalized registers, in essence, serve as the “building blocks” of a territorial health and healthcare monitoring system.

A mandatory requirement is the presence of a system for protecting the confidentiality of personalized data when transmitted over telecommunication networks.

Ultimately, we are talking about creating a corporate information system that directly combines the information resources of health care facilities and health care authorities using telecommunication networks. To implement this task, large financial resources will be required (comparable to the annual budget of the entire healthcare system of a particular territory), as well as the training of management personnel capable of using modern computer technologies.

In this regard, the initiative in the field of introducing computer technologies and automating resource management processes in healthcare should come from healthcare authorities and the Federal Compulsory Medical Insurance Fund, which in a number of constituent entities of the Russian Federation are quite effectively carrying out this work. Such territories include the Novgorod, Murmansk, Rostov regions, Moscow, St. Petersburg, etc.

At the federal level, the creation of administrative medical systems makes it possible to solve problems that provide a strategic level of management:
. monitoring the implementation of the program of state guarantees of providing free medical care to citizens of the Russian Federation;
. monitoring the implementation of the national project “Health” and monitoring the effectiveness of government bodies (State Automated System “Management”);
. social and hygienic monitoring;
. monitoring the health of the population of Russia (analysis of the dynamics of the health status of the population in connection with socio-economic and environmental factors);
. maintaining state registers (register of preferential categories of citizens of the Pension Fund of the Russian Federation, etc.);
. management of medical educational institutions, movement and retraining of medical personnel;
. accounting and analysis of material, technical, financial resources of healthcare, etc.

Search information systems solve the problems of information support for medical personnel: preparation of abstract information for employees; development and support of web servers and Internet search; creation and maintenance of professionally oriented databases, registers of medicines, registers of medical services, etc.

Systems of this class do not process information, but provide quick access to the necessary data. Typically, search systems are divided by types of stored information (clinical, scientific, regulatory, legal, etc.), by its nature (primary, secondary, operational, review-analytical, expert, prognostic, etc.), by functional characteristics (activities Health care facilities, material and technical base, medicines, etc.). There are documentographic, factual and full-text search engines.

The growth in the number of factual and documentographic search systems is explained by the fact that in the management activities of the head of a healthcare institution, in the clinical work of a doctor, in scientific and medical research, prompt access to factual data is more important than access to bibliographic data. The latter contain information about documents that require additional study, while the factual ones provide ready-made results for searching for information. There are currently a large number of commercial search engines available. Of particular importance is the integration of medical search engines into a unified information network on the Internet, which ensures any doctor-user’s access to information and the exchange of this information.

Systems for laboratory diagnostic studies are designed for automated diagnosis of pathological conditions (including prognosis and development of recommendations for treatment methods), for individual nosological forms and groups of patients. Moreover, there are several classes of such computer systems: laboratory analyzers; digital X-ray diagnostic systems; computed tomography; ultrasound diagnostics; visualization and comparative analysis of the results of histological studies, etc. Historically, this type of system began to develop as one of the first among medical information systems.

The most important areas of application of laboratory diagnostic systems are emergency and life-threatening conditions with insufficient clinical symptoms, limited examination capabilities and a high degree of threat to life. Such systems can be used as part of telemedicine systems of multidisciplinary hospitals for remote consultation of patients in primary care institutions (medical outpatient clinics, general medical (family) practice centers, central district hospitals).

Expert systems are effectively used in solving diagnostic problems, interpreting data, predicting the course of the disease and complications. One example of an expert system is the AKDO software and hardware complex, developed under the guidance of Professor V.V. Shapovalov, which is used for medical examinations of the population.

As information systems are implemented in healthcare institutions, expert systems can be used at a higher quality level - as systems for intelligent data analysis, searching for patterns and developing alternative solutions in the management of medical institutions.
The main components of such systems are: a database (knowledge), a modeling algorithm, user interfaces and interfaces with factual databases.

The training system contains a database containing methodological and reference information that allows you to evaluate and deepen the student’s knowledge, test tasks and multimedia applications for visual learning.

Standard programs represent various sets of training exercises and practical techniques; more complex ones are designed to help students master the skills to solve problems such as making a diagnosis, developing a treatment plan, and predicting long-term consequences. Modern expert medical systems are integrated with other types of information systems.

Hospital medical information systems combine, based on an electronic medical record (EHR), the functionality of automated systems of several types and comprehensively solve the problems of managing a healthcare institution. The development and adoption of integrated solutions based on the analysis of EIB make it possible to manage the processes of improving the quality of medical care for patients. The EIB serves as an electronic analogue of the patient’s summary medical history, which must be maintained throughout his life and accumulate all information relating to his health.

EIB allows a doctor to access in real time structured information about a patient of any date stored in the archive, and use it for further examination, treatment and monitoring of the patient.

The functioning of the EIB is ensured by a DBMS. The database for the EIB consists of two main components: a module of normative and reference documentation and a data storage module. Regulatory and reference documentation includes territorial and intra-institutional regulatory and reference information (directories and classifiers).

The data storage module is an EIB bank for treated (archival) and undergoing treatment (surgical) patients. The database ensures that all information for each patient is stored under a unique identification number. The widespread implementation of such systems is hampered by the insufficient development of corporate information networks of medical institutions, as well as the lack of the necessary regulatory framework.

When informatizing both medical institutions and health care authorities, the following requirements should be adhered to. First of all, the use of computer technology should not increase the workload of medical personnel and significantly change the style of their work. Secondly, initially those structural units where information is first recorded should be automated.

Management tasks require a manager at any level to use and process a large amount of information, analyze it in various planes, model processes and situations, and structure material for making management decisions. For the prompt and high-quality implementation of these tasks, an automated workplace for managers plays a significant role, for the development of which modern information technologies are used, such as operational analysis of distributed databases and public network technologies, statistical packages and decision support systems, geographic information systems.
The workstation of a clinician (therapist, surgeon, obstetrician-gynecologist, traumatologist, ophthalmologist, etc.) is subject to requirements that correspond to the specifics of their medical functions.

The AWS may include expert systems, mathematical models that provide analysis of various situations and provide the specialist with additional information for making clinical decisions.

The most important area of ​​use of information systems in healthcare is telemedicine.

The origins of telemedicine date back to the organization of medical supervision of astronauts during space flights. With the advent of network technologies and modern methods of information transmission, which made it possible to ensure multilateral exchange of video and audio information, telemedicine received a new powerful impetus in its development.

The main condition for the development of telemedicine was the development of a multi-level medical infrastructure, for the interaction of individual elements of which the introduction of these technologies turned out to be most in demand (Fig. 21.3).

Rice. 21.3. Scheme for organizing telemedicine consultations

This made it possible to carry out the necessary diagnostic and treatment consultations from federal and foreign medical centers, regional medical institutions for patients undergoing treatment in the Central District Hospital, and general medical (family) practice centers.

The economic efficiency of the introduction of telemedicine in practical healthcare can be assessed by such Criteria as a reduction in treatment costs due to a reduction in the number of erroneous diagnoses and inadequately selected treatment regimens, and a reduction in unproductive time spent by medical personnel on training away from their jobs.

One of the areas for using telemedicine technologies is the introduction of distance forms of medical education, which make it possible to improve the quality, first of all, of the postgraduate training system for healthcare workers.

Without qualified personnel with practical skills in working with computer technologies, it is impossible to ensure the effective functioning of the entire healthcare system.

O.P. Shchepin, V.A. Medic

2.1. BASIC TERMS AND DEFINITIONS

During the period of electronic presentation of information, computer systems become a tool of labor, for which the subject and result is information, and collective access to this information becomes the most common way of organizing production. Thus, the purpose of computer systems is gradually shifting from automating the manual labor of individual workers to informatization of the activities of all personnel. Information is becoming the main corporate resource.

In medicine, ensuring timely access to information becomes critical when it comes to people's lives. Possession of the necessary information, current or historical, is often the only thing a doctor lacks in order to provide the patient with the necessary medical care in a timely and qualified manner. Routine document flow, lost copies of documents, geographically dispersed information about the same patient, lack of qualified search methods - all this takes up time and energy from medical specialists and significantly reduces the efficiency of their activities.

In addition, the amount of information that a doctor must constantly keep in mind in order to be able to assess the condition of each patient is certainly enormous. When the volume of processed information exceeds the value of a certain critical parameter, individual for each person, organizing and systematizing this information becomes impossible. To maintain the ability process continuously increasing volumes of data, a transition to a new method of collecting and processing information is necessary, which can be considered as some kind of individual information revolution, the result of which should be the beginning of the use of a new tool in the professional activity of a specialist - an information system.

Let's try to define what is meant by an information system. The official definition of the concept of “information system” is given in the “Federal Law on Information, Informatization and Information Protection” (N24-O3, adopted by the State Duma on January 25, 1995, signed by the President of the Russian Federation on February 20, 1995): “An information system is an organizationally ordered set of documents (arrays of documents) and information technologies, including the use of computer technology and communications that implement information processes.”

For the purposes of this manual, we will use the following definition: “ Information system – this is a complex of methodological, software, technical, information and organizational tools that support the functioning processes of an informatized organization.”

Depending on whether it functions independently (without human intervention) or not, an information system can be automatic or automated.

Automated information The system provides the ability to perform both manual and automated processes. The user (operator), who is a link in such a system, and computer tools work together to process and further use information.

Since the diagnostic and treatment process cannot proceed without the participation of a person (doctor), in the future we will only refer to automated systems.

We will call the introduction into medical practice and development of computer hardware and software automation of the diagnostic and treatment process.

From here we can give the following definition of a medical information system: “ Medical information system (MIS)“is a set of software and hardware tools, databases and knowledge designed to automate processes occurring in a medical institution.”

Open medical information systems. The definition of “open” MIS means that they implement procedures for the exchange of medical and economic documents with other systems that meet generally accepted rules and standards. To implement the openness of medical information systems, it is necessary to first develop rules and standards for their interaction. Ideally, two open health information systems can interact without any additional effort on the part of their developers.

Let us emphasize that openness systems in this case does not mean the information stored in them is publicly available. The owners of each system themselves decide what information can and cannot be transferred to other institutions.

2.2. MAIN OBJECTIVES OF CREATION OF MIS

The main goal of healthcare informatization as a whole can be formulated as follows (Healthcare Informatization Concept): the creation of new information technologies at all levels of healthcare management and new medical computer technologies that improve the quality of treatment and preventive care and contribute to the implementation of the main function of protecting public health - increasing the duration of active life.

In addition to the designated main goal, MIS faces a number of interrelated and very important tasks, among which the following can be noted:

Creation of a unified information space to speed up access to information and improve the quality of medical documentation;

Monitoring and managing the quality of medical care in order to reduce the likelihood of medical errors and eliminate redundancy of prescriptions;

Increasing the transparency of the activities of a medical institution and the effectiveness of management decisions;

Analysis of the economic aspects of providing medical care is a very important task for domestic healthcare, which is moving to a commercial basis;

Reducing the time of examination and treatment.

2.3. MIS FUNCTIONALITY

The main capabilities of MIS include:

Collection, registration, structuring and documentation of data;

Ensuring the exchange of information and creating an information space;

Information storage and retrieval;

Statistical data analysis;

Monitoring the effectiveness and quality of medical care;

Decision support;

Analysis and control of the institution’s work, management of the institution’s resources;

Supporting the economic component of the treatment process;

Personnel training.

Related information.

The medical information system MEDWORK was developed by the MASTER LAB company to solve a complex of medical and management problems facing a modern clinic and hospital. Today, thanks to twenty years of experience in operating and developing the system, we can offer a fully functional, scalable and open product - a working tool for the manager, doctor and all clinic employees. MIS Medwork meets the requirements of GOST R 52636-2006 “Electronic medical history”, follows the recommendations for ensuring the functionality of MIS MO of the Ministry of Health of the Russian Federation. As part of open source software support, integration with and is provided.

Computer program MedWork © is designed for automation of medical institutions of any profile and provides:

• Maintaining medical history and outpatient records
• Coverage of all main stages of the treatment process
• Receiving and processing medical and financial statistics
• Preparation and printing of statements
• Planning appointments and treatment work
• Generating patient invoices and accounting for services provided
• Automation of printing sick leave certificates
• Interaction with organizations and insurance companies on compulsory medical insurance and voluntary medical insurance
• Design and generation of output reporting forms
• Applicable in all types of medical institutions thanks to:

1. Fully customizable by the user of all input forms and statements
2. Ease of administration and training
3. Scalability of the system from use in a medical center to a large clinic, diagnostic center, hospital of several buildings
4. Flexibility and convenience of the system in setting up user profiles, integrating with existing programs, exporting and importing data from existing programs
5. Openness of the system for modification and maintenance by both clinic staff and third-party developers

Medical history

In Medwork, the Patient's Illness History is presented in the form of a patient's chart, which is familiar to doctors, consisting of a set of documents (forms). Documents can contain various types of data: text, images, tables, charts, etc.

This allows you to store electronically any information about the patient and the progress of treatment, including:

• survey results;
• descriptions of the patient's functional state, diagnoses;
• information about operations, procedures;
• laboratory test data;
• medical bills;
• images obtained from medical devices, scanner or digital camera.

Filling out the card is significantly accelerated through the use of formalized treatment regimens and updated and customizable reference books.

A convenient interface with the ability to group and sort documents allows the doctor to quickly find the necessary information in the patient’s record.

Data from devices (ultrasound, cardiograms, tests, etc.) can be directly transferred to the patient’s card using a special interface.

Extract from medical history with one keystroke

Data from the patient's record can be presented in a customizable form using a powerful and customizable statement engine. The creation of statements occurs automatically and frees users from the lengthy work of collecting information - a few seconds, and you receive a ready-made statement in the form of a Microsoft Word document.

The most convenient work with certificates of incapacity for work

Working with sick leave certificates of the new type (approved by Order No. 347n dated January 26, 2011) in MedWork is as simple and intuitive as possible. The document “Certificate of Incapacity for Work” is inserted into the patient’s card; MedWork itself fills in most of the fields of the certificate with data from the database or templates. Verified data from MedWork is printed on the temporary disability certificate form. Data on all issued certificates of incapacity for work are stored in MedWork.

Statistical reports on all areas of activity

Medwork allows you to receive any statistical reports for any period: on medical work, admission statistics, morbidity, various financial reports, etc. Creating a new report does not require additional programming and is performed using a special wizard included in Medwork. The open data format makes it possible to access the system from any well-known report generators.

Convenient scheduling of patient appointments

Users can interactively create a variety of queues and lists of patients for referral to other workplaces. A simple and convenient interface for working with groups of patients makes it possible to plan appointments at any workplace, from the treatment room to planning and recording operating lists

Setting up and developing the system during the work process by specialists from the medical institution

Medwork is highly customizable and can work in any healthcare setting. Concepts such as departments, queue lists, user groups allow you to flexibly describe the structure of the clinic and the technology for passing the patient through the various stages of the treatment process.

Editing and expanding the library of introductory forms, statements and reports using a convenient and powerful editor, as well as changes in the database structure, can be done in the process and does not require special qualifications. The open architecture of the system makes it possible to connect software modules developed by users to it, which allows the system to be functionally expanded as the clinic expands or new treatment regimens are introduced.

MIS architecture

The MEDWORK medical information system is a comprehensive solution.

The key concept of the system is the profile. For example, profile: receptionist, reception department, guard nurse, procedural nurse,…. etc. In total, within the framework of the Standard Configuration (full delivery of the system), more than 60 profiles have been developed for different types of medical institutions. All profiles are available for use. A set of profiles forms a Configuration. Examples of configurations – Standard (full), Hospital, Clinic, Private clinic, Dialysis, IVF clinic, etc. Clients can easily modify and develop profiles and configurations to suit their needs without losing data integrity.

MIS profile selection

Key functionality

"Electronic medical record"

An “electronic medical record” (EMR) is a convenient automated outpatient patient record or (for hospitals) an electronic medical history. The EHR meets the requirements of the state standard “Electronic Medical History” (GOST R 52636-2006).

It is installed at the workplace of medical specialists of various profiles: a doctor, a nurse, a laboratory assistant, managers at various levels of a medical institution, as well as wherever there is a need to enter information into a patient’s record.

Brief list of features:

• Provides users with the ability to quickly and conveniently enter patient information.
• Ensures the security of access to the EHR, taking into account the access rights of users to medical information approved by the medical institution.
• Allows you to view the patient’s EHR and quickly find the necessary information in large volumes of medical documentation.
• Makes it possible to generate various extracts, certificates, epicrises based on the EHR, print them and store a copy of these documents.
• Provides the opportunity to visually view medical data on the patient: diagnoses, prescription list, build various graphs, etc.
• Allows you to set up convenient protocols for doctors of any specialty.
• Makes it possible to attach various documents, for example, voice messages, to the EHR.
• Allows you to electronically transfer to the patient his EHR on various media in a format that can be viewed on any computer.
• Closely integrates with almost all modules of the MEDWORK system: service accounting, pharmacy, bed capacity, image processing and others.

Features and Benefits

Quickly fill out an outpatient card and medical history

Entering examinations, test results and other medical information is done by creating records of various profiles, specially designed for doctors of different specialties: therapists, ophthalmologists, surgeons, cardiologists, pulmonologists, etc.

The EHR/electronic medical record comes with ready-made input forms, developed jointly with doctors and fine-tuned over many years of using the system in medical institutions.

The system provides tools designed to speed up typing text information:

• Context references are attached to input fields and contain frequently used terms and phrases. The hierarchical structure of directories allows you to automatically construct long phrases. The standard delivery of an EHR includes many ready-made reference books that can be expanded independently.
• Mode search allows you to quickly find the necessary terms in the reference book.
• Tool templates allows you to copy data from previous records of the medical history, and also facilitates the entry of the same type of information (protocols of operations, medical examinations, etc.).

Entering various information

The MEDWORK EHR/electronic medical record offers the physician a powerful arsenal of data entry tools tailored to a variety of types of information.

The program provides the possibility of typed input, that is, filling out fields of text, numeric, logical types, lists and dates, which in turn provide additional opportunities for collecting statistics and constructing graphs. The diagram editor allows you to make graphic notes and drawings, for example, on an image of the cornea of ​​the eye. Images in any of the most common formats can be placed in the EHR.

Data entry tools are varied. They can be universal, highly specialized, with elementary or complex logic of behavior. The open architecture of the program allows you to constantly expand and improve the set of such objects.

Flexible configuration of the database structure and input interface

Data can be entered not only quickly, but also in full accordance with the professional needs of the specialist.

The standard set of screen forms included in the MEDWORK medical information system can be easily modified and expanded using built-in form editor. Using this convenient tool, the user creates new forms and input fields, changes the appearance of the desktop and the relative position of the main interface objects. Thus, you can reflect new types of research in the system at any time or optimize the maintenance of an electronic medical record without resorting to the help of developers.

Switching between data entry mode and input form editing mode is instantaneous, but can be locked to protect against unauthorized use.

It is also possible to change the database structure. You can add fields of different types to tables, change storage formats and

Convenient and quick search for patient information

The EHR/electronic medical history of the MEDWORK medical information system was designed in such a way that not only the entry, but also the subsequent viewing and analysis of data was convenient, visual and informative, and any information stored in the MEDWORK database was easily accessible to the user.

An important tool for viewing a medical record is the object "extract", reflecting the main indicators of the patient’s health status, the progression of the disease, prescribed courses of treatment and allowing you to quickly go to any screen in the dossier.

Object "Assignment sheet" shows when and what medications were prescribed to the patient, for how long and which medications were discontinued ahead of schedule.
Another interesting feature of the system is the ability to analyze using graphs change of any numerical parameters over time.

ICD-10 Handbook

The EHR/electronic medical history contains the reference book “International Classification of Diseases, 10th revision,” which is used to enter diagnoses in a standardized form.

It is possible to formulate your own diagnosis and link it with the “official” ICD diagnosis, as well as many other useful functions.

For example, a doctor can find a certain diagnosis in the ICD using a keyword, MEDWORK will translate it into English using the English version of the ICD and execute a query in the medical database MEDLINE on the Internet to search for articles on this topic.

VIDAL® Directory

The prescription tool is implemented based on the interaction of the MEDWORK system and the built-in database of the VIDAL® electronic drug reference book

Generating documents for printing

Creating documents of various types (reports, letters, extracts, conclusions) is the daily work of a doctor. The EHR/electronic medical record of the MEDWORK system provides tools that significantly facilitate this process, and also ensure reliable archiving of all documentation in electronic form.

Each patient's record contains a set of documents sorted into categories and provided with special descriptors. The simplicity of classification allows doctors to quickly find the necessary documents in the archive.

Working with texts can be done either through built-in text editor, or using Microsoft Word ® .

Data can be copied from the patient record directly into the document.
Letters and other standard documents can be created automatically based on pre-prepared templates. You can add fields from the electronic medical record to the templates, which are filled in with real data during the letter generation process. Documents created using templates are automatically attached to the map and can be edited manually.

Additional automation options

Integration with laboratory and other systems

Integration with laboratory systems significantly increases laboratory productivity and increases its throughput. The presence of a laboratory module in the system reduces the costs of a medical institution for automation, providing the opportunity to use a single information system in both medical and diagnostic departments without the need to integrate disparate software products.

The call center will automate the work of reception desks, reception areas, doctors and other departments for incoming calls, as well as systematize the information received. Based on the indicators obtained as a result of the work of the Call Center, the CC administration will be able to:

• evaluate various aspects of their activities, for example, the effectiveness of advertising campaigns and the dynamics of demand for medical services provided,
• optimize the work of various departments,
• determine the profitability of existing areas,
• determine promising directions for further development of the CC.

Integration of MIS with other application systems can be ensured, for example: accounting system, personnel, warehouse, etc.

Personal plastic cards

Personal plastic cards can be used in various processes, both by patients and employees. For example, using universal plastic cards, users can be identified in the System, preventing unauthorized access, patient identification at the registry, or the ability to use a plastic card as an “electronic wallet.”

Working remotely with the work schedule of a medical institution through the medihost.ru portal.

The ability to work remotely with the work schedule of doctors and offices through the portal www.medihost.ru allows you to:

• an employee can work remotely with the System, including with a patient’s electronic medical record or in consultation mode;
• the patient can remotely make an appointment with a specialist, find out the results of their tests, etc.

Additional information services also make it possible to increase the efficiency of the healthcare network and patient satisfaction. Among such services, the following possibilities can be considered:

Deployment of an information portal that allows:

• Inform patients about news
• Patients can remotely receive the necessary information (for example, find out the results of their tests)
• Allow patients to interact remotely with the healthcare network (for example, make an appointment with a doctor or cancel an appointment, contact the receptionist using an instant messaging service)