2.1. BASIC TERMS AND DEFINITIONS

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

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

In addition, the amount of information that the doctor must constantly keep in mind in order to be able to assess the condition of each patient is certainly enormous. When the amount of processed information exceeds the value of some critical parameter, individual for each person, the ordering and systematization of this information becomes impossible. To save the ability handle continuously increasing volumes of data, a transition to a new way of collecting and processing information is necessary, which can be considered as some individual information revolution, the result of which should be the start of using 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, 95): "An information system is an organizationally ordered set of documents (arrays of documents) and information technologies, including the use of computer technology and communication tools that implement information processes.

For this tutorial, we will use the following definition: Information system - it is a set of methodological, software, technical, information and organizational tools that support the functioning of an informatized organization.

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

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

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

The introduction into medical practice and the development of computer hardware and software will be called automation of the treatment and diagnostic 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 the processes occurring in a medical institution.

Open medical information systems. The definition of “open” HIS 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.

We emphasize that openness systems in this case does not mean the general availability of the information stored in them. The owners of each system decide for themselves what information can and cannot be transferred to other institutions.

2.2. MAIN OBJECTIVES OF IIA CREATION

the main objective Informatization of healthcare in general can be formulated as follows (Concept of informatization of healthcare): the creation of new information technologies at all levels of healthcare management and new medical computer technology that improve the quality of medical 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, the IIA faces a number of interrelated and very important tasks, among which the following can be noted:

Creation of a single information space to speed up access to information and improve the quality of medical records;

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

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

Analysis of the economic aspects of the provision of 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. FUNCTIONAL CAPABILITIES OF MIS

The main features of MIS include:

Collection, registration, structuring and documentation of data;

Ensuring the exchange of information and the creation of an information space;

Storage and retrieval of information;

Statistical analysis data;

Monitoring the efficiency and quality of medical care;

Decision support;

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

Support for the economic component of the treatment process;

Training.

Similar information.

Humanity, in the course of its existence, comes up with various opportunities to make life easier for itself and to simplify life. One of these tools, which frees from routine, is a medical information system (MIS), which helps to coordinate the work of the health care system.

Information system

What is generally understood by them? An information system is defined as an information processing system that works together with the people and financial resources on which the provision and distribution of information depends.

Automated system

An automated system is a complex that consists of automation tools for human labor and the personnel who serve it. The speaker performs the functions programmed in advance for it. If there are several automated systems (from two pieces), provided that the functioning of one directly depends on the other (others), then they are called integrated.

Medical Information Systems

Different definitions of MIS are given by the luminaries of science. But the most popular option sounds like this: a set of software, information, technical and organizational tools that aim to automate medical processes / organizations. But for completeness of information, you should read one more. It sounds like this: MIS is a form of organization of medical processes that enable medical personnel, with the necessary technical support, to use a set of tools that ensure the collection, processing, analysis, storage and output of medical information related to health and its condition for specific person. In addition to conventional MIS, diagnostic and related IS are additionally distinguished. It was not possible to designate them in clear defined groups due to the fact that there is no clear state standard that would be qualitatively processed, therefore there is no generally accepted division into various medical information systems. Classification, however, is carried out by individuals or groups of specialists.

Classification of information medical systems

Due to the novelty of the technology, there are no state-approved standards yet, so I bring to your attention the following classification:

1. Information services. Information service for patients. Aims to provide the widest coverage of operation and service maximum number people in the shortest amount of time.
2. Information technology medical systems. The object of work is the patient, the user is a medical worker.
3. Information-statistical medical systems. Generates the population of the served region. The division is carried out by objects and by the territorial principle.
4. Research information medical systems. The main subjects of work are documents and objects of science. Additionally, they are divided into subsystems depending on the differences in the objects of description.
5. Information-training and educational medical systems. Trainers provide support to those who go through the training and learning process. Educational systems are used to assess the level of knowledge.

But besides this, MIS are further divided into subsystems and have a number of additions. Thus, medical information systems, the classification and purpose of which is difficult, were moved to diagnostic and related types. Additionally, a determination is made as to whether the system is complex or not.

Complex systems

A medical information system (MIS) that deals with both administrative and clinical functions, and for which an electronic medical record is chosen as the core, is called an integrated automated medical information system. It includes:

1. Caring for the automation of accounting, personnel and economic services, office work, engineering support, logistics - everything that allows you to automate administrative and economic activities.
2. The system of personal accounting of medical care. Maintaining support for subsystems of procedural and diagnostic departments with a hospital pharmacy.
3. Reference information. It can be as a complex description various problems, methods of their treatment, symptoms, as well as the schedule of doctors, laboratories, their level of employment and a brief dossier.

Diagnostic information medical systems

The task of this type is to receive, transmit and analyze data that have been obtained as a result of certain diagnostic or laboratory studies, using special external devices. Due to the frequency of cases when DIMS or MIS is installed and the difference in their functionality, they are considered as separate systems. But if there are medical information systems, then DIMS is considered to be its subsystem. Its purpose is to complement the main one.

Related information medical systems

Modules with purpose special use(as a rule, medical or economic). SIMS can include personnel or accounting systems, full-fledged pharmacy systems (which can provide planning, procurement, and distribution of medicines and medical equipment), systems for automating processes in specific departments. Despite the inclusion of this topic in the article, in practice it is considered solely as an addition, the purpose of which is to increase the functionality.

Modern systems and their use

And finally, about some medical information systems in Russia, which are used (though not very common) in medical institutions.

A medical information system built on a modular basis. It is designed to automate the processes of hospitals and clinics. The number of modules for them is 11 for each institution. Allows data exchange and centralized collection of required indicators. Supports interaction between staff, collects data to inform the management of the institution in which LARS is installed. A medical information system allows you to work not only with staff, but also with patients and facilitate their interaction with a medical institution in matters of making an appointment, issuing prescriptions, sick leave, calling an emergency. Based on the received data, it can generate reports on the status of individual patients, doctors and medical institutions.

It is an integrated information and functional environment that has combined various classes of medical information systems (MIS). Support for hospital services - from financial reports and documentation to individual patient records. Important is the integration with and support of decision-making systems.

An information system of a medical institution that automates activities, planning and optimizes patient treatment processes. Allows you to reduce the time spent on documentation, coordinates the work of medical offices and laboratories, optimizes the use of labor resources, and organizes a rapid exchange of information.

A medical information system is an electronic database that helps to effectively organize work with patients, keep operational records of the warehouse and employees, and control administrative and financial issues. At its core, the MIS system is software for automated document management in medical institutions and medical centers of general and narrow specialization (for example, dentistry, ophthalmological centers, etc.).

MIS – a need for modern healthcare

In modern society, the automation of medicine is an inevitable process. Huge volumes of medical information, strict reporting and its standardization, high requirements for the quality of services - all this leads to the need for automatic processing and electronic storage of data. To make it convenient to process, store and use all this information, many hospitals and health centers have already switched to electronic document management, others are preparing for its implementation.

The main advantage of an integrated medical information system is the increase in the efficiency of health facilities. Starting from the work of the registry and ending with the adoption of managerial decisions.

Problems of managing a modern clinic

Medical automated information systems allow solving many management tasks with modern medical center.

First of all, the informatization of medicine creates optimal conditions for maintaining a database of clients, storing their personal information, data on the services provided, diagnoses and diseases, the results of examinations and analyzes ( electronic card). Having this information in electronic format here and now without searching through archival records, it is much easier for a doctor to navigate the data, make diagnoses and plan further treatment and follow-up. The doctor reduces the amount of paper work, since the information at the appointment is also entered into a computer, if necessary, printed out based on a standard text blank. Eliminates the risk of losing important data and the need for re-examinations due to loss of information. For example, according to statistics, 11% of the laboratory tests performed have to be re-assigned precisely because of the inability to find the results in the paper dominance of the institution. These are additional costs and time costs that reduce the efficiency of the health facility as a whole.

Also, through the medical information system, an appointment with specialists is carried out, the distribution of clients by branches, taking into account the workload and work schedule of employees. The work of call-centers is built.

At the same time, it is easy to assess the demand for specific services, doctors, branches, convenient visiting hours, etc. With regards to commercial clinics, MIS keeps records of each client according to the loyalty system, with automatic calculation of discounts, bonuses, certificates, VHI policies and other programs. Payment is made for services (possible connection of cash equipment). The medical information system allows reporting and interaction with insurance organizations.

It makes it possible to quickly monitor the state of the warehouse and receive always up-to-date information on stocks and consumption of the nomenclature, deliveries and settlements, the movement of drugs and consumables by type of service, specialization, branches, etc.

With the help of MIS, the pricing of medical centers is carried out. Price lists are formed for certain types of services or complex programs. Changes are made to the cost, discounts and other bonuses are automatically taken into account individually for customers or as part of promotions, etc. The entire history of prices is also stored.

On the basis of the medical information system, employees are recorded, their activities are analyzed, the work schedule of specialists is filled in, on the basis of which salary is calculated and financial relations with the employee are recorded.

Thus, the medical information system is a huge electronic archive of data from the work of the institution, which is easy and quick to navigate.

Service capabilities allow you to create access to different groups of information for employees and managers.

MIS from "First BIT" will simplify the work with medical information

The company "First BIT" has developed a unique medical information system for healthcare institutions. It is suitable for the work of budgetary and commercial organizations. It can be used in multidisciplinary and highly specialized clinics.

BIT program. The management of the medical center was created taking into account real needs medical institutions. It implements the ability to automate the accounting of customers, warehouse, employees, equipment, pricing, financial settlements with suppliers and other counterparties. There is also a billing service wages, maintaining mutual settlements with employees, analyzing their effectiveness.

BIT program. The management of the medical center creates a convenient workplace for the administrator, who can quickly record clients, issue examination results, conclude contracts, and make payments (with the connection of commercial equipment).

On the basis of the system, it is possible to carry out analysis, collect statistical data on the enterprise and keep records of patients. With our system, work will become easier and more transparent.

The program has open source, thanks to which it is possible to independently refine the system for specific requests. Regular updates are being made.

MIS is compatible with any professional versions of 1C products.

We offer favorable prices for modules for clinics with licenses for a different number of workplaces (up to 100 or more).

The program from the "First Bit" has already been successfully implemented and is working in multidisciplinary medical institutions in Moscow and the region. and other cities of Russia.

The year 2019 has come and all medical organizations will need to implement medical information systems or MIS for short.

The benefits of such a system for all employees are obvious:

• For the director of the clinic - a convenient display of statistics on the work of the clinic and a report builder.
• For the clinic administrator - a convenient system for displaying the schedule of each specialist, bookkeeping and printing the necessary documents at the click of a mouse.
• For doctors - appointment reminders, full medical history, various treatment plans and price lists for services.

Now the market for these products in Russia has more than a hundred solutions. In this article we publish the most popular solutions in the Russian Federation.

Before you start choosing which information system to implement, contact MIS integration specialists. The main criterion for selecting a future contractor should be implementation experience and knowledge of the specifics of business processes in the clinic.

If suddenly, your MIS does not meet the stated requirements of the Ministry of Health of Russia and you suddenly decide to replace it, then it is worth noting that if you purchased a medical information system as part of the Basic Informatization program, which took place in 2011-2012, you can get charged inefficient use of public funds.

How to do the right thing in this case:

• Conduct an independent review of your IIA
• Send a letter to your regional health authority to change the MIS

Or there is an option to agree with the developers to replace the information system, and spend the implementation costs as a service, and not as the purchase of new software.

The composition of medical information systems for each medical organization may differ in the composition of the included modules.

For example: HIS of hospitals needs modules - admissions department, maintenance of electronic stationary cards of patients, management of the bed fund.

You can read which modules are necessary for your organization in the “Methodological recommendations for ensuring functionality medical information systems of medical organizations” approved by the Ministry of Health of the Russian Federation.

We also recommend that you familiarize yourself with the Unified Register of Russian Programs for Electronic computers and databases”, which is located on the website of the Ministry of Communications. You have the right to buy IIAs only from those included in this register.

IMPORTANT! From January 1, 2016, there is a legislative ban on foreign goods and works in the public procurement system!

On this, with the legal part, let me finish and go directly to the review of the most common medical information systems.

MEDODS

Cost: from 3900 rubles

MEDODS is a new generation medical system. It is used both in private clinics and in public institutions.

It does not require long training to work with the system thanks to a friendly and simple interface.

It has both basic common functions such as appointment and billing, as well as powerful marketing modules.

The main advantage for which it is most often chosen is the cost of MEDODS, it is very democratic and quickly pays off.

MEDODS includes:

• cloud solution
• SMS and email notification of patients
• Online appointment with a doctor
• Templates for various protocols
• Electronic medical record of the patient
• Possibility of warehouse accounting
• Report creation
• Integration with online cash registers
• Integration with laboratories
• Integration with booking portals
• Telephony Integration

medesk

Cost: on request

Control private clinic with the Medesk medical system, this combination modern technologies and medicine.

The system is distinguished by a simple and clear interface, which allows your specialists to master the work with the system without much effort.

Medesk includes:

• cloud solution
• SMS notification of patients
• Online appointment with a doctor
• Templates for various protocols
• Integration with online cash registers
• Remote work on counseling patients

MedElement

The main goal of MedElement developers is to improve the quality of medical services for the population.

The main advantages of the system are:

• Cloud storage
• Electronic doctor's office system
• Large database of medical reference books
• Mobile application can be downloaded for free
• A separate module for automating the catering unit of the clinic
• Frequent updates to the medical system

Clinic365

Cost: from 25,000 rubles.

This medical information system has a friendly interface for all the main functions of the medical information system

This solution includes modules such as:

• patient file
• timetable
• medical document management
• finance to control payments.

The main feature of MIS Clinic365 is the ability to build an algorithm for working with a patient. The card includes information such as client preference, patient contact history, and of course medical information.

There is a strong technical support for the product.

Infoclinic

Cost: from 25,000 rubles.

The medical information system "INFOCLINIC" will help to build a structured information space of a medical clinic. This solution will be convenient for both patients and clinic staff.

MIS “Informatics” has all necessary tools, which allows you to easily set up integration with other systems in your clinic, and also allows you to set up flexible communication with patients.

The system includes many prepared templates for reports, protocols, case histories.

IDENT

Cost: from 4900 rubles per month

IDENT is a medical information system for dentists that will allow you to get away from paperwork with patients. Distinctive feature it will be that it was created under the guidance of dentists and actually for dentists.

There are several versions of MIS, the difference is in the number of modules included.

Even with basic functionality, the information system will allow you to:

• Handle scheduling and appointments quickly
• Keep bookkeeping
• Quickly print documents for the patient
• Conduct statistical reports

ClinicIQ

Cost: from 2400 rubles per month

This product is online service for dentistry and medical centers.

It has a wide functionality ranging from the patient database, ending with billing and accounting.

There is integration with the DocDoc portal and the Viber messenger. The main advantage of this service is a very well-thought-out system for making an appointment and registering patients.

MedWork

Cost: 69 900 rubles

System customization flexibility is the trump card up MedWork's sleeve.

Each clinic, whether it is a small clinic or a large one, has its own nuances. The MedWork system is designed in such a way that the variability of settings for any task is inherent in the architecture.

There is convenient editor according to the WYSIWYG principle, which allows you to edit any form of service for the tasks of the clinic

MedOffice

Cost: 16990 rubles

One of the oldest medical systems. Development dates back to the mid-90s.

The system is designed to optimize and automate the work of both outpatient clinics and hospitals as much as possible. There is a drug accounting system.

It is also worth noting the built-in Call-center and API. Preliminary appointment is possible, there is a call center and API for integration. In order to learn how to manage this system, there are many video lessons.

Renovation

Cost: from 24,000 rubles

This medical information system has an intuitive interface, which makes it easy to master it at the start.

It is possible to automatically import into the system, for example, you can quickly create a price list for your services and upload it to Renovatio.

There is a convenient built-in printable editor.

1C-Rarus: Attending physician

Cost: from 10,000 rubles

This system was developed with the participation of leading experts who are engaged in medical practice. 1C-Rarus: The attending physician aims to reduce the time for receiving patients and keeps the entire history of visits to the doctor.

The system also includes such functions as a classifier of diseases, templates of basic documents, an appointment scheduler, SMS mailing with a reminder of an appointment, Email reports on the results of the examination.

It is convenient to work with the system both from a computer and from a smartphone or tablet.

BARS.Med

BARS.Med allows you to quickly transfer all the work of a medical clinic from paper to electronic form. It is easy to customize for the tasks of the clinic.

Of the main functions, it is worth noting the presence of a remote appointment and the creation of an electronic patient card.

Also, with the help of this system, you can easily build the business processes of your clinic.

MeduzaPRO

Cost: from 2800 rubles per month

MeduzaPro is a cloud service for automating the work of a medical clinic.

The system, in addition to maintaining outpatient cards, also allows you to create mailings in the form of SMS messages to patients (advertising, congratulatory, informational).

It is possible to book an appointment with a doctor online. This function has a database in which the work schedules of doctors are recorded, which allows the patient to always see the free hours and days of the appointment.

A personal account of the patient has been implemented, where the entire history of visits is stored, as well as tests and examinations. All documents can be downloaded.

There is the possibility of integration with the touchscreen, where patients in the foyer of clinics can automatically make an appointment.

Medialog

Cost: from 82,500 rubles

The interface of the MEDIALOG system is quite easy to learn for the user. A system of hints about the operation of the system has been set up, work with filling out forms has been simplified by automatically filling in standard information.

MEDIALOG is a modular system, you can buy each module separately, which allows you not to overpay for unnecessary functionality.

The second advantage of the modular system is its easy scalability.

MGERM

Cost: from 27,900 rubles per month, installment plan for 12 months.

The system allows you to work with a large database without loss of performance.

For the management of the clinic, there is a tool for flexible control.

The case history system was created by doctors for doctors.

The design of the system has a minimalist design, which allows you to work with the system without being distracted by unnecessary interface elements.

The system has an open code and allows you to work with the system without the involvement of third-party developers.

BIT: Medical Center Management

Cost: from 3600 rubles

BIT.Management of a medical center is a system that is aimed at reducing the costs of working in a medical center.

Three advantages of this system

• Simple and convenient operation for staff.
• Flexible control over all areas of the clinic: finances, staff, patients.
• Customer focus. Informing patients by SMS, thorough record keeping, clinic promotions, certificates for patients.

IntraMed

Cost: on request

The Intramed system became the best in 2010 in the competition held by the Ministry of Health of the Russian Federation.

Advantages of MIS Intramed:

• powerful reporting system for the medical clinic;
• a system for monitoring the quality of services and comparing them with standards;
• the patient knowledge base collects data over a long period of all changes in health;
• built-in system of online recording and contact center;
• stores all personal data about patients separate module systems

Medix CRM

Cost: from 29 900 rubles

Medix CRM modular medical system made in a minimalist design.

Key Features:

• Clear distribution of roles (everyone sees only what he is responsible for)
• Flexible configuration allows you to easily create both departments and staff
• Fight against the routine, all templates of the main documents are included in the system and are automatically filled out
• Planning system, separately for doctors, separately for medical clinic departments
• Powerful analytical center, easy to get statistics on finances and employee hours.

MIS MedOsmotr

Cost: on request

The system was created to simplify and speed up such a process as a medical examination. In this system, only best solutions in this region.

Thanks to the MedOsmotr system, you will be able to:

• build a system of control over your staff
• up to 90% reduction in appointment time
• the possibility of individual improvement of the functionality
• automatic generation of frequently filled documents
• the results of the examination of patients are available without getting up from the office chair
• flexible queuing system

ArchiMed+

Cost: on request

Clinics choose the ArchiMed+ medical information system due to its modules:

• Module Reports - allows you to create more than 15 reports in two clicks
• Module Doctor - allows you to fill out a medical history in the shortest possible time, thereby reducing the time of one appointment
• Info-plasma module - this module will show the real employment of doctors and reduce queues at the clinic
• Self-recording terminal - we all know that sometimes the registry can not cope, the patient self-recording module will come to the rescue

And also you get:

• Built-in IP telephony
• Working with online cash registers
• Notification of patients by SMS
• Laboratory module, thanks to which all analyzes automatically fall into the medical history

Cost: from 1900 rubles per month

The medical information system Medmis has both a boxed version and a cloud version.

The Medis system has a simple control panel for the functions of the information system. Of the obvious chips of this simplicity, we can highlight the ability to display all the schedules of doctors on one page and the ability to reserve appointments.

There is also a great form builder for case histories.

According to 54FZ, everyone is required to have online cash registers. so Medmis fully supports the integration of work with online cash registers.

Ident24

Cost: from 3315 rubles per month

Medical information system for dental clinics IDENT24 is good for both clinic directors and staff professionals.

"Zdravookhranenie" (LLC "KOMTEK")

Cost: from 99,000 rubles.

The software package/Medical Information System (PC/MIS) "Zdravookhraneniye" is intended for the full-fledged maintenance of an electronic medical record (EMR), automation of the medical and diagnostic process and accounting activities of large medical institutions of various profiles. MIS "Healthcare" has been successfully operating in large medical institutions of the Russian Federation for 13 years. The system is built taking into account the specifics of domestic medicine and forms the business model of a medical organization in the best possible way.

The main list of decisions of the MIS "Health":

• Polyclinic
• hospital
• Dentistry
• Highly specialized help
• Automation of individual services
• Paid services
• Data upload and reporting
• Patient communication system

Finally

Any medical information system is aimed at optimizing processes in the clinic. Reducing paperwork and increasing the time provided to patients by your specialists.

Your patients and doctors will be happy and grateful for the introduction of a medical information system only after its full development. The presence of problems at the implementation stage is a normal practice.

Need to implement MIS in the clinic? for a free consultation. And we will create an action plan for you!.