Integration Of Federal Medical Institutions Into The Unified State Health Information System: Problems And Ways To Solve Them

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Integration Of Federal Medical Institutions Into The Unified State Health Information System: Problems And Ways To Solve Them
Integration Of Federal Medical Institutions Into The Unified State Health Information System: Problems And Ways To Solve Them

Video: Integration Of Federal Medical Institutions Into The Unified State Health Information System: Problems And Ways To Solve Them

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Integration of federal medical institutions into the Unified State Health Information System: problems and ways to solve them

What problems a medical organization may face when integrating into the Unified State Health Information System and what options exist for their solution.

Integration of federal medical institutions into the Unified State Health Information System: problems and ways to solve them
Integration of federal medical institutions into the Unified State Health Information System: problems and ways to solve them

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Until April 10, 2020, federal medical institutions directly subordinate to the Ministry of Health had to send plans to the Ministry for the development of their MIS and full integration into the Unified State Health Information System. This responsibility was assigned to these health facilities in February by Letter No. 18-0 / 150. It is necessary to implement the plans and achieve all the key indicators specified in them during 2020-2021. What problems medical organizations will inevitably face in this case and what options exist for their solution, we will tell below.

In Russia, there are slightly more than 100 health care facilities that are directly subordinate to the Ministry of Health. “The level of informatization is different everywhere. Somewhere it almost meets the requirements of the ministry. But often in institutions there is an MIS developed by employees 20 years ago, which does not meet the requirements of the Ministry of Health at any point and does not solve any of its tasks,”says Andrey Vasilchenko, specialist at Master Lab, developer of the medical information system MedWork.

The expert names three main options that these medical organizations can use to bring their IIAs in line with the requirements of the ministry and start sending information to the Unified State Health Information System.

Option # 1: The existing solution is completely removed and replaced with a new one

Suitable for: those who have an outdated MIS installed, which cannot be modified to meet the requirements of the Ministry of Health and does not integrate with the Unified State Health Information System.

How it's done: the modules of the new MIS are connected gradually, the work does not stop health facilities. Temporary converters are used to provide communication between those departments of health care facilities that have already switched to using the new system and those who are still working on the old one.

During the replacement of the medical information system:

the adaptation of the new MIS to the needs of a particular institution is carried out;

  • documents that were formed by the old system are transferred;
  • data is imported if it was stored in a structured form.

When replacing an old MIS with a new one, it is important to pay special attention to the functionality of the installed system: it must fully meet the requirements not only “here and now”, but have the potential for development and growth. It is possessed by open systems, which include a set of fundamental tools for refinement and alignment with current requirements.

For example, MIS MedWork, installed in 2001-2006 at the Center for Cardiovascular Surgery named after A.N. Bakuleva, today it can provide full integration with the Unified State Health Information System, which began to be developed and developed much later - in 2011. However, a medical information system is capable of:

fully interact with all subsystems of the Unified State Health Information System;

  • upload data to the FSS system.
  • Option number 2: in parallel with the existing solution, a second MIS is installed, which interacts with the existing one and transfers the necessary data to the Unified State Information System

    Suitable for: those who, for some reason, do not want to abandon their MIS, although it does not meet the requirements of the Ministry of Health, and it is impossible to finalize it within a reasonable time frame and with reasonable means.

    How to do it: by using an integration gateway - this module is installed together with the second, a "parallel" MIS:

    the gateway collects data from the old medical information system of the institution and sends it to the new one;

    • in the new MIS, data is converted into the EMSD format, which is necessary for transferring information to the Unified State Information System;
    • after conversion, the data is automatically sent to the Unified State Health Information System.

    All the necessary functionality for "communication" between the MIS medical organization and the Unified State Health Information System is supported by this integration gateway. It provides: exchange of documents with REMD services, receiving and transmitting information about making an appointment with a doctor through the FER, unloading and receiving documents from IEMK services, supporting the operation of an EDS. Federal directories used to transfer correct data to the Unified State Health Information System system are updated automatically.

    How the information gateway will work (for example, MIS MedWork):

    Image
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    Option number 3: revision of the existing solution to meet the requirements of the Ministry of Health and integration with the services of the Unified State Health Information System

    Suitable for: those who do not want to abandon the existing MIS and are confident that it can be upgraded to the required level.

    How it is done: the solution is being finalized by the staff of the IT department of the institution (if the MIS was written independently) or with the help of the developer of this system. However, the disadvantage is that in most cases it is still impractical. Many such systems were written in the early 2000s, contacts with developers may be lost, and there are often no descriptions of the system. Moreover, according to experts, the revision of such solutions can result in truly "space" money, which is not even close in the budgets for the automation of medical facilities.

    Surprisingly, it is a fact: until now, federal medical institutions subordinate to the Ministry of Health have not been included in the architecture of the Uniform State Health Information System, which has been developing in the country for 9 years. Now, within two years, they need to fulfill plans for the development of IIAs and full integration into the Unified State Health Information System. The task is quite solvable if you choose the best option for its implementation

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