Informatica Telematica Management

                                
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GUIDE TO THE SYSTEM

Health-care institutions experience some of the most serious medical diagnostic problems and consume the highest volume of expenses within the public health care system; furthermore, they have a key role in public medical education and technological advancement as they concentrate considerable material and human resources.

Implementing health reform within this sphere is a serious challenge for managerial and clinical teams in terms of organizational, informational and managerial tasks to be completed under shortage of funds and of technical, technological and human resources. The management of Bulgarian hospitals today faces an acutely growing new “aspect” of the hospital function – to secure financing for its existence and development.

For several years now the ITM company (Informatica Telematica Management) – Ruse has been successfully distributing its integrated automated system IAS “HOSPITAL – XXI” as an integral health management model for health-care institutions of the 21st century. Our company has become the national leader in the implementation of modern integrated management technologies thanks to our acknowledged pack of integrated systems including IAS “Firm – XXI”, IAS “TEMIDA – XXI”, IAS “MUNICIPALITY-XXI”, etc.

 The system has been based on some 40 years of extended experience in the automation of management activities including management in the public health care sphere. The health care systems and databases of a number of European countries have been thoroughly studied in order to secure the compatibility and comparability of the factors between European systems and our one. IT has been created in cooperation with specialists experienced in modern diagnostic and therapeutic practices. 

IAS “HOSPITAL – XXI” is far more than a hospital information system, it is a hospital management system, applying contemporary methods and instruments of management in the specific medium of “hospital production”. It is, therefore, a health management system in the full meaning of the term. This is the first EPR system within public health care sphere which unites the possibilities of EPR business management systems and the specificity of hospital management. It spans over the complete management process in a hospital – the hospital and clinical units managers have round-the-clock access to information about the indices, technology and decision-making options. Up-to-date system architecture and information, management and communication technologies are applied in the system. It integrates the three major aspects of health management in hospitals, namely:

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clinical management ( to the level of process-oriented management);

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economic-financial management (of human, material and financial resources);

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hospital product quality management;

Furthermore, external communication is also provided with the Ministry of Health, the National Health-Insurance Agency, Municipality, etc. Each of these aspects has been worked up to the smallest detail: from preparing initial documentation up to complex and comprehensive analyses of activities, costs and quality.

The system is successfully applicable in all health-care institutions regardless of their ownership status and funding sources.

IAS “HOSPITAL – XXI” implies the philosophy, as much as the organizational and management technology of a hospital, and features the following properties:  

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The only national system for modern hospital management;

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Operates a fully closed cycle of clinical management by providing a feedback with the pre- and post-hospital care and rehabilitation  units;

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Functions in real time with the medical-diagnostic processes, financial-economic and management activities and external  communications;

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Combines the planning of activities and the distribution of resources with effective control of the costs and the quality of hospital services at all levels – starting from the specific diagnostic – medical process on to the individual physical and statistical patient and on to the specific disease (Medical Code of Disease) and a group of diseases(GD), and further to the hospital team and the hospital unit, and finally applying factor and comparative analyses for the hospital as a whole, reaching to every participant in the production process and his/her responsibility for the quality of the hospital product.

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Maintains a detailed health file for the hospital treatment of each patient from the date of his/her first attendance to the hospital, and calculates the actual cost of treatment (bill for the stay), submits the file to the pre-hospital units who have directed the patient for hospital treatment immediately before and after the treatment process.

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Completely document-free – operates with electronic documents, optimizes the number and type of the documents and the document circulation; ‘on  the spot’ (at the register desk, patient reception hospital units and consulting rooms, hospital wards, pharmacy, storehouses, kitchen, cash desk, paraclinical units, etc.) all documents (initial, secondary, chronological); the system contributes for diminishing the volume of document processing by medical staff by eliminating the doubling of information and by automating all info checks, reports, statistical records, etc. It stores for unlimited time periods all documents and provides immediate access to them; 

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Developed in strict compliance with the acting legislative and regulatory documents and requirements; it uses approved primary documents specified by the Ministry of Health, the Ministry of Finance, the National Social Security Institute, the National Statistical Institute as well as the relevant forms with coding corresponding to the adopted international and national classifiers; it provides in the needed form and content, periodicity and carrier practically every document, such as reports, information records, statistical records, specifications, etc.

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Provides new opportunities and options to hospital managers and clinical staff, such as marketing, logistics, budgeting, comparative and case-mix analyses, prognoses, etc.

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Object-designed and object-programmed to provide optimizing of the integrated database (access to the database and organization of the procedures generating info checks, reports and analyses at random levels). The database contains the 14 adopted basic indices in the integrated system (IS) as well as some additional indices for quality management, thus ensuring the availability of one of the main quality management instruments – comparability of hospital work results with the set standards. The database can be enlarged and used by hospital specialists for new applications;

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Shows for each health index the current (moment) value, the value for a set past period of time by months, quarterly periods and years; comparative analysis of the index in terms of an average value for the whole period and outliers in sub-periods, an average value for the country, for the type or volume of the health-care institution, for the IS by sub-periods and outliers, CASE MIX analysis and Outliers, etc.

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Has a modern financial-accounting system focusing on the technology of management of the specific hospital ‘production’ which functions fully on documental basis and in real time. The documental nature of the system provides management information at the moment of creating the documents, independently and apart from the process of accountancy structuring and terminology, and accounting operations;

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Contains models for decision-making, analyses and prognoses in the form of written technology for management of activities, procedures and operations concerning the staff.

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Menu-oriented, with an in-built menu generator, allowing free definition of a menu for each employee or a group of positions within a desired structure, content and regulations of activity which allows optimizing the distribution of the system without functional and documental doubling;

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Features an ergonomic, user-friendly and intelligent interface for end users, based on natural actions and dialogues involved in documentation processing, allows working with object designations rather than with object codes or ciphers, in their natural structures, and provides options for search by multiple properties: text, Personal number (EGN), IZ, first names, ciphers according to national and international classifiers, etc. This type of interface allows end users to attain proficiency in operating the system in just a few days;

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Has a special system access control to prevent unauthorized access and demolition – up to 6 levels; a special access mode is provided to the patients’ personal and medical treatment information, and their health files;

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Offers a pack of administrating instruments, applicable also for the database and accessible only by the system administrator;

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Features high adaptability and allows adjusting the system to the specific structure and work organization of any hospital, to meet amendments in the legislative and regulatory norms;

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Does not require establishing of specialized informational departments or of coding operator teams for inputting packs of accountancy information.

 

Начало | НОВИНИ | ЕДИННИ СИСТЕМИ | УСЛУГИ | КЛИЕНТИ | Ресурси | Документация | Въпроси и отговори | Кариера | Референции | Структура на ITM | Карта на сайта

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Последна редакция: 09/21/06.