Service providers
aspect on EHR quality
labeling and certification
Ilija Tripković, Jugoslav Kandić,
Marija Obućina, Damjan Cvetković,
Nikola Petrović, Ivica Ivanković,
Ivan Lesendrić, Katarina Bukovski
Health Center Valjevo
User expectations
Continuous electronic record (electronic health history) throughout the whole life of the patient generated by the different participants of the health system
Easy and quick access (regardless of time and location) to the electronic data to health workers in accordance with the access rights and safeguards
Integration
Possibility of integrating HIS with other specialized sub-systems (RIS, LIS, FIS)
Electronic Health Record as a central node of communication and connection between different hospital information systems
Data exchange between institutions (hospitalRFZO)
Possibilites
The possibility of statistical reporting, planning and analysis
• Medical
• Health
Finance
Sustainability
User experiences
The population of the whole Kolubara County
Seven health institutions
Developed network infrastructure
Hardware equipment
• 700 working stations
• 15 servers
Fully functional “system” since 2007.
Achievements
The unique EHR integrates:
• Specialists and diagnostic examinations of outpatients
• Inpatient hospital treatment
• Preventive check-ups
in all sectors of primary and secondary health care level
Available data
Demographical data Data about all participants of health care
processes General medical data
• Diagnosis • Alergies • Lab tests • Radiology images archive • …
Documents, forms … Provided services Medicines and materials used Invoice
Reports
Standard statistical reports
Specific reports (use of medical materials per patient, per sector, number of prescriptions per doctor)
HIS usage reports
…
Functionality
Connection with LIS (communication through HL7 protocol)
Connection with RIS
Scheduling primary health care patients to the secondary level
Call center scheduling – primary health care level
HIFHIS (Web service), HISHIF
(invoice)
Advantages
Archive
Availability (speed, safety, reliability)
Security
Scientific research activity
Improving leadership and management
Quality of service
Difficulties
Economic sustainability
Legislation
Realization
Inadequate coordination between sectors
Perspective
The development of health care in general
The development of health facilities
Decision supporting
Expert systems, knowlegde base creation
Easier testing and implementig of new methodologies (DRG, clinical pathways ...)
Better allocation of resources and personnel
