1. Regionalhospitalof TukumsDr. Viesturs VīndedzisDeputyDirector

2. RegionandHospitalbackground Region • Hospitalwasbuildon 1980 (newpartofhospital • Tukums regionpopulationis55 000 • Tukums citypopulationis19 000 inhabitants Hospital • 150 beds (alldepartments) • 6648 patients • 46640 ambulatorypatients

3. Hospitaldepartments • Surgery • Neurologic • Orthopedic • Ginecologic • Pediatric • Maternity • Reanimation • Therapy • Ambulatory • Receiving room

4. Hospital IT Backround • Patientmanagementsystem“Ārsta birojs”, v.2, • Financemanagementsystemforaccounting“Ozols” /connected to municipalityserver, outdated, to bereplaced/ • External Web mailsystem • Ambulatirydepartment(patientsregistration 2 computersatserver • Receptionroom1 computeratserver • IT infrastructure – 31 workstationnetwork

5. Keychallenges • To decreasepatientwaitingandtreatmenttime • bydecreasingtimeforinformationcollectionandAnalysis • To increasepatientturnover • bydecreasingpatienttreatmenttime • To improvetimeandqualityofadminisdtrativeprocesses, anddocumentmanagement • By process automationandoptimization • To increasehospitalpersonellefectivenessandlevelofeducationandqualification • Byadditionaltrainingofcomputerskillsandbasictechnologiesunderstanding • To allignwithNational e-Healthinitiativeandactions • Byfulfillingalltheabovementioned

6. Long-termgoalofthe Tukums hospitalis to ensureelectronicflowofallinformationrelated to patientandtreatment process, andhospitaladministration, while paper documentsareusedonlywhenrequestedbylaw, orinspecificcaseswhennecessary.

7. Necessary IT solutions • Patientmanagementsystem • To providefullandup-to-datepatientinformation, history, to help to effectivelyplanandprovidetreatment • Laboratoryinformationsystem • To save, retainandprovideprecisepatientanalysisandtestinformation • Radiologyinformationsystem • To ensurevisualdiagnosticsinformationandspecialistcommentsdatabase, anddataavailability, remoteaccesibility, • HospitalResourceplanningsystem • To establishefficient financial flow control, transparent management of procurement, stock optimization, supply chain management. • Corporatecollaborationenvironment • To communicateandplanefficientlywithinorganizationandwithpatientsthroughstandardcorporate e-mailandcalendar

8. To Do’s 1 • Hospital IT developmentstrategy • Preparedin 2006 • Fundsrequest • Thestrategydocumentwillbeusedasbasis • Pilot projectofPatientmanagementsystem • Bugetrequested, plannedin 2007 • Basicinfrastructureimplementation • State-of-the- art IT environmentimplementation • Computers, software licences, step-bystep process • Informationsystemsimplementation • According to budgetsandavailableresources

9. To Do’s 2 • Radiology • Inthebeginingofsummerwewillhavedigital x-rayforemegencyandwillconnectinonesistemwith CT. Inthisweekweincreaseourinternetbandwidthtill 8mbps fordatasending to accidentcenterandotherhospitals. • Clinicallaboratorydigitalisation • conectionwithallhospitaldepartmentsandambulatoryspecialists. • Workstation purchase • indepartmentsfordoctorsandnurses (conectwithreceptionroom, x-ray, laboratoryandambulatoryspecialists )

10. Keyobstacles • Lackoffunds • 328 000 LVL totalbudget, 176 000 LVL stillneeded • No informationonspecial EU programs • Poor IT knowledgewithinpersonell • Lackofresources, bithmedicaland IT

11. Thank you !