Modern medical information systems. What is a medical information system (MIS) and its assistance in the work of the clinic What does a medical information system consist of

In successful organizations, marketing information is collected, analyzed and distributed within the marketing information system (MIS), which is part of the organization's management information system.

MIS is a set (single complex) of personnel, equipment, procedures and methods designed to collect, process, analyze and distribute reliable information at a specified time necessary for the preparation and adoption of marketing decisions (Fig. 3.1).

Rice. 3.1. Marketing Information System (MIS)

MIS transforms data obtained from internal and external sources into information necessary for managers and specialists of marketing services. MIS distributes information among managers and specialists of marketing services who make appropriate decisions. In addition, MIS, interacting with other automated systems of the organization, supplies the necessary information to the heads of other services (production, R&D, etc.). Internal information contains data on product orders, sales volumes, product shipments, inventory levels, payment for shipped products, etc. Data from external sources is obtained on the basis of marketing intelligence (from the current external information subsystem) and marketing research.

Marketing intelligence is an ongoing activity to collect current information about changes in the external marketing environment, which is necessary both for the development and adjustment of marketing plans. While internal information focuses on the results obtained, marketing intelligence explores what can happen in the external environment.

Sources for obtaining current external information can be of a very different nature; formal and informal procedures are used to collect it. Such information is obtained by studying books, newspapers, trade publications, reports of competing firms; as a result of conversations with customers, suppliers, distributors and other persons external to the organization, who should be effectively motivated to collect and provide the necessary information; based on conversations with other managers and employees, for example, employees of the sales departments of this organization; by conducting industrial and commercial espionage (although foreign books write a lot about the ethical problems of marketing research).

Marketing research, unlike marketing intelligence, involves the collection and analysis of data on specific marketing situations that an organization has encountered in the market. Such information is not collected in the two previously discussed systems. Such activities are carried out periodically, and not continuously, as certain problems arise, based on the use of special methods for collecting and processing the collected data.

The MIS also includes a marketing decision analysis subsystem, in which, using certain methods (for example, correlation analysis models, break-even point calculation), based on the created marketing database, access to the information necessary for managers to make decisions is carried out and its analysis is carried out in a given direction. .

The marketing decision analysis subsystem may include a set of procedures and logical algorithms based on the experience of experts and called expert systems.

The management of the organization and its marketing services makes its own specific requirements for information, it is guided by its own ideas, both about its own organization and about its external environment; he has his own hierarchy of needs for information and his own individual leadership style, depending on the personal and business qualities of the employees of the administrative apparatus and the relationships that have developed between them. Moreover, an effective IIA can only be the result of the gradual development of the original system.

Different companies organize the performance of the marketing research function in different ways. Some have a dedicated market research department, others have only one specialist responsible for market research.

Large companies usually have special marketing research departments, in some cases only one specialist is appointed in the company responsible for marketing research.

One of the new methods of working with information, which is becoming more widespread, is database marketing, which has gained particular popularity due to the transition from mass marketing to targeted marketing. Database marketing is based on the creation and maintenance of a database that contains information about each consumer. Modern databases are not just an address list of buyers, but complete information about consumer behavior over a relatively long period. This information includes what products and in what combinations this customer bought, at what prices, in which stores, what incentives he participated in, etc. The content of the database is updated with each subsequent purchase, the company has the ability to track the behavior of each individual buyer over time, maintaining a constant dialogue with the consumer.

The advantage of interactive marketing is that it allows you to track the consumption data of individual buyers and link various market activities and the entire marketing mix with this data, analyze the response of a particular buyer to these activities, taking into account his socio-demographic characteristics, and thus improve the effectiveness of marketing events, more fully satisfying the existing needs of the market. As a result of this approach, communication and promotion become a single information flow for the company.

Currently, there are various ways to maintain a dialogue with buyers using databases. Address databases can be formed on the basis of postal addresses, telephones, various coupons for the purchase of products. One of the popular ways is to create regular customer cards, which, for example, is actively used by the KLM airline.

The integration of all available information sources and the transition from a system consisting of a set of disparate data to a marketing knowledge system (knowledge system) is an important modern trend in working with information for most Western companies. Marketing knowledge is the accumulated intellectual capital of the company, which includes data, information and ideas and is necessary for making the best and most effective decisions by the company's management staff.

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 workflow of medical institutions and medical centers of general and narrow specialization (for example, dentistry, ophthalmological centers, etc.).

MIS – a need for modern healthcare

AT modern society 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 management decisions.

Problems of managing a modern clinic

Medical automated Information Systems allow solving many management tasks of a 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 in archival records, it is much easier for a doctor to navigate the data, make diagnoses and plan further treatment and observation. 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. it additional expenses 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 the stock and consumption of the nomenclature, deliveries and settlements, the movement of drugs and Supplies by types of services, specializations, 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 data of the work of the institution, in which it 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 budget 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 the real needs of 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 service for calculating wages, conducting mutual settlements with employees, and analyzing their effectiveness.

BIT program. Management of the medical center creates a convenient workplace an administrator who can promptly record clients, issue survey 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 MEDWORK medical information system was developed by MASTER LAB to solve a set of medical and management tasks facing a modern clinic and hospital. Today, thanks to twenty years of experience in the operation and development of the system, we can offer a full-featured, scalable and open product - a working tool for the manager, doctor and all clinic staff. MIS Medwork complies with the requirements of GOST R 52636-2006 "Electronic medical history", follows the recommendations for ensuring functionality MIS MO of the Ministry of Health of the Russian Federation. As part of the open source software support, integration with and .

computer program MedWork © is designed to automate medical institutions of any profile and provides:

• Keeping a medical history and outpatient card
• Coverage of all main stages of the treatment process
• Obtaining and processing medical and financial statistics
• Preparation and printing of statements
• Planning appointments, medical work
• Formation of invoices for patients and accounting for services rendered
• Automation of the printing of certificates of incapacity for work
• Interaction with organizations and insurance companies on CHI and VHI
• Design and generation of output reporting forms
• Applicable in all types of medical institutions due to:

1. Full user customization of all input and output forms
2. Ease of administration and learning
3. System scalability from use in a first-aid post to a large clinic, diagnostic center, multi-building hospital
4. Flexibility and convenience of the system in setting up user profiles, in integration with existing programs, export-import of data from existing programs
5. Openness of the system for refinement and maintenance both by the clinic staff and third-party developers

Disease history

In Medwork, the patient's case history is presented in the form of a patient's card, which is familiar to physicians, and consists of a set of documents (forms). Documents can contain data of various kinds: text, images, tables, charts, etc.

This allows you to store in electronic form any information about the patient and the course of treatment, including:

• survey results;
• descriptions of the functional state of the patient, diagnoses;
• information about operations, procedures;
• laboratory test data;
• treatment bills;
• images obtained from medical devices, a scanner or a digital camera.

Filling out the card is significantly accelerated through the use of formalized treatment regimens and replenishable and customizable reference books.

A user-friendly interface with the ability to group and sort documents allows the doctor to quickly find the necessary information in the patient's record.

Data from devices (ultrasound, cardiograms, analyzes, etc.) can be directly transferred to the patient's card using a special interface.

Extract from the medical history at the touch of a button

Data from the patient record can be presented in a freely defined form using a powerful and customizable statement mechanism. The creation of statements occurs automatically and frees users from the lengthy work of collecting information - a few seconds, and you get a ready-made statement in the form of a document Microsoft Word.

The most convenient work with disability certificates

Working with sick leave certificates of a new sample (approved by order No. 347n of 01/26/2011) in MedWork is as simple and intuitive as possible. The document "Sick leave sheet" is embedded in the patient's card, MedWork itself fills in most of the fields of the sheet with data from the database or templates. Verified data from MedWork is printed on the sick leave form. Data on all sick leaves issued are stored in MedWork.

Statistical reports for all areas of activity

Medwork allows you to get any statistical reports for any period: on medical work, statistics on admissions, incidence, various financial reports, etc. Creating a new report does not require additional programming and is done using a special wizard included with Medwork. The open data format makes it possible to access the system from any known report generators.

Convenient appointment scheduling

Users can interactively create a variety of queues, lists of patients for referral to other workplaces. A simple and convenient interface for working with patient groups makes it possible to schedule appointments at any workplace, from a treatment room to planning and recording operating lists

Setting up and developing the system in the process of work by the specialists of the medical institution

Medwork is highly customizable and can work in any healthcare setting. Concepts such as departments, lists, queues, user groups allow you to flexibly describe the structure of the clinic and the technology for passing the patient through various stages of the treatment process.

Editing and replenishment of the library of introductory forms, statements and reports with the help of a convenient and powerful editor, as well as changes in the structure of the database can be done in the process of work and does not require special qualifications. The open architecture of the system makes possible connection to it software modules developed by users, which allows the functional expansion of the system as the clinic expands or new treatment regimens are introduced.

MIS architecture

The MEDWORK medical information system is a comprehensive solution.

The key concept of the system is the profile. For example, the profile of the registry, the admissions department, the guard nurse, the procedural nurse, .... etc. In total, within the framework of the Standard Configuration (complete delivery of the system), more than 60 profiles have been developed for different types of medical institutions. All profiles are available for use. A set of profiles forms a Configuration. Examples of configurations - Typical (full), Hospital, Polyclinic, Private clinic, Dialysis, IVF clinic, etc. Clients can easily modify and develop profiles and configurations to suit their needs without loss of data integrity.

Selecting a MIS profile

Key functionality

"Electronic medical record"

An Electronic Health Record (EMR) is a convenient, automated outpatient patient record or (for hospitals) an electronic medical record. EHR complies with the requirements of the state standard "Electronic Medical History" (GOST R 52636-2006).

It is installed at the workplace of medical specialists of various profiles: a doctor, a nurse, a laboratory assistant, managers of various levels of a medical institution, as well as wherever there is a need to enter information into a patient's card.

Short list of features:

• Provides users with the ability to quickly and conveniently enter patient information.
• Ensures the security of access to the EHR, taking into account the user's access rights to medical information approved by the medical institution.
• Allows you to view the patient's EMR and quickly find the information you need in large volumes of medical records.
• It makes it possible to generate various extracts, certificates, epicrises on the basis of the EHR, print them and store a copy of these documents.
• Provides the ability to visually view the medical data on the patient: diagnoses, appointment list, build various graphs, etc.
• Allows you to set up convenient protocols for doctors of any specialty.
• Allows you to attach various documents to the EHR, for example, voice messages.
• Allows you to electronically transfer to the patient his EHR on various media in a format that can be viewed on any computer.
• It is tightly integrated with almost all modules of the MEDWORK system: service accounting, pharmacy, bed capacity, image processing, and others.

Features and Benefits

Rapid completion of the outpatient card and medical history

Entering examinations, test results and other medical information is done by creating records of various profiles, specially designed for doctors of various specialties: general practitioners, ophthalmologists, surgeons, cardiologists, pulmonologists, etc.

The EHR/electronic medical record comes with ready-made entry forms, developed in collaboration with doctors and debugged over many years of using the system in medical institutions.

The system provides tools designed to speed up the typing of text information:

• Context directories are attached to input fields and contain frequently used terms and phrases. The hierarchical structure of directories allows you to automatically construct long phrases. The standard delivery of the EMC includes many ready-made reference books that can be expanded independently.
• Mode search allows you to quickly find the necessary terms in the reference book.
• Tool templates allows you to copy data from previous records of the medical history, and also facilitates the input of the same type of information (protocols of operations, medical examinations, etc.).

Entering heterogeneous information

The MEDWORK EHR/Electronic Health Record offers the clinician a powerful arsenal of data entry tools tailored to a variety of types of information.

The program provides for the possibility of typed input, that is, filling in fields of text, numeric, boolean types, lists and dates, which in turn provide additional opportunities for collecting statistics and plotting graphs. The scheme editor allows you to make graphic marks and drawings, for example, on the image of the cornea of ​​the eye. EHR can contain images in any of the most common formats.

Data entry tools are varied. They can be universal, highly specialized, with elementary or complex logic of behavior. The open architecture of the program allows you to constantly expand and improve the set of such objects.

Flexible configuration of the database structure and input interface

Data can be entered not only quickly, but also in full accordance with the professional needs of a specialist.

The standard set of screen forms included in the MEDWORK medical information system package can be easily modified and expanded through the use of built-in form editor. Using this handy tool, the user creates new forms and input fields, changes appearance desktop and the relative position of the main interface objects. Thus, it is possible at any time to reflect new types of studies in the system or optimize the maintenance of an electronic medical record without resorting to the help of developers.

Switching between data entry mode and input form editing mode is instantaneous, but can be disabled to protect against unskilled use.

It is also possible to change the structure of the database. You can add fields of different types to tables, storage formats change and

Convenient and fast search of information about the patient

The EHR/electronic medical history of the MEDWORK medical information system was designed in such a way that not only the input, but also the subsequent viewing and analysis of data were convenient, visual and informative, and any information stored in the MEDWORK database was easily accessible to the user.

An important tool for viewing a medical record is the object "extract", which reflects the main indicators of the patient's state of health, the development of the disease, the prescribed courses of treatment and allows you to quickly go to any screen of the dossier.

An object "Appointment List" shows when and what medications were prescribed to the patient, for how long and which medications were canceled ahead of schedule.
Another interesting feature of the system is the ability to analyze using charts change of any numerical parameters in time.

ICD-10 Handbook

The EHR/Electronic Medical Record contains the 10th Revision International Classification of Diseases guide, which is used to enter diagnoses in a standardized manner.

It is possible to formulate your own diagnosis and link it to the "official" ICD diagnosis, as well as many other useful features.

For example, a doctor can find some diagnosis in the ICD according to keyword, MEDWORK will translate it into English language using the English version of the ICD and will complete the request in the medical database MEDLINE on the Internet to search for articles on the subject.

VIDAL® Handbook

The prescription tool is implemented based on the interaction of the MEDWORK system and the built-in database of the VIDAL® electronic drug reference book

Formation of documents for printing

Creating Documents different type(reports, letters, extracts, conclusions) is the daily work of a doctor. The MEDWORK EHR/Electronic Health Record provides tools that greatly facilitate this process, as well as ensure that all records are securely archived electronically.

Each patient's record contains a set of documents sorted into categories and provided with special descriptors. The simplicity of classification allows doctors to quickly find the necessary documents in the archive.

Work with texts can be carried out either through built-in text editor , or with using Microsoft Word®.

Data can be copied from a patient record directly into a document.
Letters and other standard documents can be generated automatically based on pre-prepared templates. You can add fields from the electronic medical record to the templates, which are filled with real data during the letter generation process. Documents created from templates are automatically attached to the map and can be edited manually.

Additional automation options

Integration with laboratory and other systems

Integration with laboratory systems significantly increases the productivity of the laboratory and increases its throughput. The presence of a laboratory module in the system reduces the costs of a medical institution for automation, making it possible to use a single information system in both medical and diagnostic departments without the need to integrate heterogeneous software products.

The call center will automate the work of registries, receptions, doctors and other departments with incoming calls, as well as systematize the information received. Based on the indicators obtained as a result of the work of the Call-center, the CC administration will be able to:

• evaluate various aspects of their activities, for example, the effectiveness advertising campaigns and dynamics of demand for medical services provided,
• optimize the work of various departments,
• determine the profitability of existing areas,
• determine promising directions for further development of CC.

MIS can be integrated with other application systems, for example: accounting system, personnel, warehouse, etc.

Personal plastic cards

Personal plastic cards can be used in various processes, both by patients and employees. For example, with the help of universal plastic cards, users can be identified in the System, preventing unauthorized access, identification of patients in the registry, or the possibility of using a plastic card as an “electronic wallet”.

Work at a distance with the schedule of the medical institution through the medihost.ru portal.

The ability to work remotely with the work schedule of doctors and offices through the www.medihost.ru portal allows you to:

• for an employee to work remotely with the System, including with the patient's electronic medical record or in consultation mode;
• for the patient – ​​to remotely make an appointment with a specialist, find out the results of their tests, etc.

Additional information services also improve the efficiency of the health facility network and patient satisfaction. These services include the following options:

Deployment information portal, allowing:

• Inform patients about news
• Patients remotely receive the necessary information (for example, to find out the results of their tests)
• Allow patients to remotely interact with the health facility network (for example, make an appointment with a doctor or cancel an appointment, contact a receptionist using an instant messaging service)

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. Ownership the right 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, 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 " federal law on Information, Informatization and Protection of Information" (N24-O3, adopted by the State Duma on January 25, 1995, signed by the President of the Russian Federation on February 20, 1995): "An information system is an organizationally ordered set of documents (document arrays) and information technologies, including using 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, informational 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 only have in mind 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 goal of healthcare informatization as a whole can be formulated as follows (Health informatization concept): the creation of new information technologies at all levels of healthcare management and new medical computer technologies 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 unified 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 providing 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 data analysis;

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.