ADVANCES IN HOSPITAL AND CLINICAL

INFORMATIONS SYSTEMS

Entela ZEQO National Center of Bimedical

Engineering Email: entzeqo yahoo.it﹫

OBJECTIVES

Future: Best Health Care Syatem in developing the quality components in health

Based: Best Practice

Ensure support and increase development in terms of safety and costs

ALBANIA

Population 3 milion

Sip. 28.000 km²

Regional Hospitals 12

University Hospita l 4

District Hospitals 26

Health System

Financing models State Health Insurance Free

market

Organization Primary Secondry Tertiary

Ownership (State – Public)State Health insurance Private

Organizational Health System in Albania

The health system is organized on three levels of Primary Health Care

Secondary care – District Hospital

Tertiary care – University Hospital

The system coverage, access and utilization of health care services.

In capital Tirana Regional Health Authority which is responsible for planning and managing primary health care services and public health programs in Tirana, through the system of 10 Policlinics.

Organizational Health System in Albania

Health System in Albania is mainly public. The great part of the services are offered by state.

Part of the population services offerd in the field of promotion, prevent, diagnostic and treatment.

Private sector is offer in hospitals and cover mostly the pharmaceutical service, stomatology and some of hospitals specialized which are placed in Tirana.

In the public sector the lieder is the MoH which is responsible for the strategies and policies of the health system sector and budget.

MoH

ISKSHPrimary

Health CareSecondry

Health Care (District Hoapital)

Tertiar Health Care

(University Hospilal)

National Health System

ICD-9 CodificationASTRAIA

(Maternity Hospitls)

Telemedicine

Implementation Projects in Hospital

Hospital Management in Albania have involve project as opportunity to:

- Manage the health care delivery system introducing up-date methods and modern .

- Administrative techniques into hospitals being able to offering better service in safety and in time to the patients.

- Managers more control improves their service maintain proper clinical standards, enhance control costs at their facilities.

Clinical Service Information System in Primary Health Care

SISP Information Health System

SISP – is one of the information system which is started in colaboration with the MoH and National Agency of Technology Development . The project have started in october 2010.

SISP is project –started in French Hospital in the receptions which is consisting in automatization of Health System.

In 2011 SISP – was present in organised 16 recetions of Mother Teresa Hospital

Second Phase

In 2011 the implementation of the project was in function the informatisation of 11 Pharmacies of the hospital.

Applied SISP During 2012– February 2013 is done the

informatisation of all (pavione) in Hospital. The sitem consist in ambulatory patient are registerd in the reception of Ward

The systemis offering on time chef Nurses the information notonly to the patient but even the situation of drug situation inventory. The quantity of medicines is daily consume in ward.

This system give the Institution of Health Care the possibility to analyse the real costs for the patient insured and have in real time pharmaceutical expenses second wards.

Applied SISPThired Phase

Consist in registring and monitoring the movement of the patient: the data base to the clinical chart (like generalities of the patient like name, date of birth, place of birth, adress, Id, blood, cod of national institution of health insurance etc.)

Working inthe system is used diagnostic cods based

on the ICD-9 sugested by WHO codification and approved by MoH. The MoH is evaluated to developed the system (use of the ICD – 10 or 11).

Aplication and report in SISP system

The system allow trasparency, shared work adaptation for better use of exsistin reports core model in automatisation of Health System

The conectivity in network to all point and have an secure system.

The software application for difrent clinical process in the hospitals.

Aplication of the system for managment of Clinical charts adaptable.

SISP in Tertiar Hospital «Mother Teresa» Tirana University Hospital Center have

1442 beds. Is the center of professional leader in health and hospital care of

Tirana and tertiary level of care for whole Albanian population.

Tirana University Hospital Center is as a centre of excellence with main academic

teaching facility in Albania and as a center of innovation, assimilation and introduction new technologies.

The health care system is financed from a number of sources like the Health

Insurance Institute.Ministry of Health remains the major player in terms of the allocation of

investment and capital expenditure to hospital providers. Ministry of Health have introduce a new “request” system in which

we have SISP system implementation

Working SISP System

OP ReceptionNumber of Visits: 120 OP per day

Number of consult rooms (for OP) : 27

Specialties covered:: ORL, OMF, oculist, professional disease, alergology, examination (view, oudiometry)

There are 3 new pc + 1 printer there. There is a camera’s monitor inside the reception.

Admission room

Number of visits: 60 IP Only IP folderEmergency Number of visits: 321 ER per year and 60 IP per month

The reception OP Mother Teresa Hospital

TELEMEDICINE One other project is Telemedicine which

is presented by one year in 6 centers allocated the centers in the 6 regional hospitals like Tirana, Durres, Shkoder etc.

The 6 centers are connected in internet supported by AKSHI

Telemedicine is developing mostly telecommunication, distance continuous medical education and electronic library

Iniciatives and Devepolments

E - HealthFor the creation of e-health, the Ministry of Health is negotiating

with the World Bank for a comprehensive credit where the e-health component is an integral part of the negotiation package.

The Ministry of Health in collaboration with some of its institutions of dependency has started creating some projects in the field of informatisation of the health system:  The e-prescription project: The Track & Trace project Hospital Management System Inventory of biomedical equipment. Health Facility Inventory List