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National Electronic Health Records (e-Health) Dr Fawzi A Amin MBBch, FPC, MPH, PhD. Consultant Family Physician Kingdom of BAHRAIN
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National Electronic Health Records
(e-Health)Dr Fawzi A Amin MBBch, FPC, MPH, PhD.
Consultant
Family Physician
Kingdom of BAHRAIN
The content
• History of Bahrain Numbers.• Bahrain Health System.• E-Government Services• Journey in KHU Hospital.
5
6
Distribution of health facilities
Central Population Register (CPR)
Addressing system
Immigration
Housing
Traffic
NationalHealth
Information(NHIS)
National Information System
1,000,000
1,000,000
Previous system New with Health IT Outsourced
External acquisition
Management
Internalprocessing
of all ICT tasks with
intermediate management
Specific MoH internal tasks
OutsourcedHealth IT program
ManagementComplexity &
workload increases
Change based on Vision 2030
. Project Plan
Project Phases
Project Management
Change Management of HealthIT Program scope
Quality Assurance Checkpoints
Phase 1Vendor Prequalification
Phase 0Project Initiation
Phase 2ICT Strategy & Business case
Phase 3Tendering & Selection
Phase 4Negotiation & Contracting
Phase 5Project Closure
METHODOLOGY
P 1Initiation &
Vendor Prequalificatio
n
•Kick-off Presentation•Project Charter•Project Plan•Vendor Prequalification Comments
P 2ICT Strategy & Business
cases
•HealthIT Business Analysis Model (BAM)•HealthIT Strategy•HealthIT Executive Analysis
P 3Tendering &
Selection
•Request For Proposal•Selection Criteria•Business Scenario & Demo Scripts•Vendor Selection Report•Selected Solution Description
P 4Negotiation & Contracting
•Memorandum Of Understanding (MOU)•Negotiation Strategy•Contract between MoH and selected company
Health I T Scope
APPLICATION SCOPE
TECHNICAL SCOPE
OPERATION & SERVICE SCOPE
HELP DESK, MAINTENANCE AND UPGRADE FOR 10 YEARS
USERS WORKPLACE – SERVERS – NETWORK
PATIENT MEDICAL DATA AND RESOURCES UTILIZATION
PROGRAM IMPLEMENTATION SCOPE
CUSTOMIZATION AND IMPLEMENTATION
Electronic Health RecordFrom birth to death
From primary to secondary care
Including electronic data – lab, radiology, anesthesia –
Including medical reports – diagnostic
For preventive and curative purposes
For epidemiologic analysis
Workflow & Procedures ManagementThe glue that makes all the system working together
For e-Prescription and e-Result
For administrative purposes
For reporting and procedures
Core Applications
Health I T Scope
Patient Management – In/out patients, Admission, Transfer, Discharge
Electronic Prescription & Results – Lab, Radio, Pharmacy.
General Medical System - Update the e-HR
Appointment Planning and Scheduling
Radiology – PACS and DICOM support
Anesthesia, Intensive care, Surgery – Direct bio-medical devices input.
Accident, Emergency & Ambulances
Lab & Blood bank – analyzer input, bar-coding and e-results
Pharmacy Management – links with the inventory system, e-prescription
Medical Modules
For example:
Health I T Scope
Drug registration Birth & Death registration
National Modules
Invoice and billing related to patient Decision support and statistics
Support & Administration Modules
Financial & Inventory Applications (Ministry of Finance) Human Resource Applications (Civil Services Bureau) Patient Demographics (Central Informatics Organization)
Major Interfaces
Health I T Scope
Electronic communications – SMS, paging, voice messages Voice recognition – voice to text system Barcode – reader, label printer, application enabled System security and user permissions Online real-time links to CIO Transaction links – MoF, Human Resources Medical equipments links Electronic archived data incorporation
Technical Modules
Health I T Scope
Health I T Scope
Operation & Service Scope
Helpdesk & SupportMaintenance
SoftwareHardware
UpgradeBack office operations
Server maintenanceDatabase managementData backup
Why we want to change?Is it cost effective ?
BD 25 Million /10 years
BD 2.5 Million / year
BD 2.5 / file / year
1 Million Citizens
Paperless filesPaper files
• Access• Transfer• HR Demand• Space• Safety
Health IT Timeline
Evaluation & Selection
Implementation Phase 1
Operation Phase 1
2010 2011 2012 2013
Mobilization & Preparations
Contracting Sep
Operation Phase 2
Implementation Phase 2
Oct
Nov + Dec
[email protected] 5757
OLD PUBLIC HEALTHDIRECTORATE
DIRECTORATE OFHEALTHCENTERS
PUBLIC HEALTHDIRECTORATE
DIRECTORATEOF FINANCE
DIRECTORATEOF TRAINING
RUFAIDABUILDING
HUMAN RESOURCEDIRECTORATE
SMC AREA BUILDINGS
CIO
HEALTH CENTERS
MATERNITY HOSPITALS
PERIPHERAL HOSPITALS
[email protected] 5858
KHUH
I-SEHA OVERVIEW AND APPROACH
Peripheral Hospitals
Salmaniya Medical Complex
24 Health Centres
2012-2013
Q2 2012
Q2 2013
Q4 2011
PROGRAM IMPLEMENTATION SCOPE
