M edical I nformation S ystem Everest

1. MedicalInformationSystemEverest Kurgan Maternity Hospital No. 1 Sergei Kosintsev, Information Coordinator komkon3@kurgan.isp.ru

2. Scientific and Technical Organization AIT Moscow Office AOZT NTP AIT4 Startovaya St., Moscow, 129336 Telephone/Fax: (095) 188-99-33, 475-14-44 rintel@dol.ru www.ait.ru

3. EVEREST – an integrated system providing informational support for almost all services and sections within the medical facility.

4. The PC Everest consists of 16 functional subsystems

5. Analysis of Facility’s Operations A retrospective archive of data used for analyzing the operations of a facility. Viewing of archived data in a desired form, and preparation of a comparative analysis

6. InpatientManagement Registration of the patient in the Admissions Department. Flexible creation of a full list of documents in the patient’s medical file. Link with medical statistics, pharmacy, laboratory, nutrition, and the information desk. Electronic document archive.

7. Outpatient Management Registration of patients by the RegistrationOffice. Control of patient services. Flexible documentation of the patient’s history. Integration with linked subsystems. Archive.

8. Medical Statistics Keeping records of patient movement and bed occupancy. Entry and correction of strategic plans and generation of statistical parameters. Operational summaries. Report creation.

9. Laboratory Studies Exchange between the laboratory and departments with orders for tests and test results. Managing laboratory activities, reporting.

10. Keeping Medication Records Recording of the receipt and dispensing of medications. Producing reports. Links with departments and with Accounting.

11. Keeping Records on Blood and Blood Substitutes Recording of the receipt and dispensing of transfusion materials. Keeping a logto record transfusion materials. Creation of documents for statistical accounts on the use of blood and blood substitutes.

12. Management of Therapeutic Diets Keeping records on the receipt/dispensing of products. Creation of a menu, diet, meals, and dishes with consideration of the caloric and chemical product composition. Reporting. Links with departments and with Accounting.

13. Keeping Equipment Records Managing files on equipment, spare parts, and used materials. Keeping records on the receipt, movement, and removal of equipment. Supporting repair and technical services. Supporting of accounting/reporting, maintenance of information.

14. Personnel Records and Planning Automated record keeping of the staff at the facility in the files of personal staff cards. Work with list of staff members. Creation and automation of the delivery of orders. Links with almost all subsystems. Personnel accounts.

15. Business Accounting Automatedbusiness accounting by sections with concentration of data in the chief accountant’s section. Broad use of data from other subsystems (personnel, therapeutic diets, pharmacy, equipment, economic assessments, etc.).

16. Economic Functions Consists of the sections on Payroll, Cost of Treatment, Financials, and Information/Reference Service. Supports the economic functions of the facility (rate schedules, financial agreements, medical insurance, etc.)

17. Medical Services Management of the rate scheduler for medical services. Provision of joint accounts with insurance companies. Calculation of the cost of provided medical services. Creation of accounting records for mandatory medical insurance.

18. Managing Executive Functions Recording of incoming and outgoing documents. Recording and control of completed organizational documents (orders, directions) and operational messages to the supervisor. Electronic telephone book.

19. Accounting and Planning for Work Hours Automated creation of graphs and maintenance of timesheets. Printing timesheets, reports etc. Transfer of timesheet data to the Payroll Office.

20. Monitor Creation of a main menu. Administration of the work of all types of workstations. Access authorization. Utilities. Maintaining system manuals. Archive. Integration of outside software.

21. Hardware Local area network (37 computers) File server 486, RAM 16 MB, HDD 2 GB Workstations without hard drives 486SX, RAM 4 MB Software Tools Network software: Novell Netware 3.11 DOS 6.0 Database Management System: Clipper 5.2

22. User support by the developer includes: Supplying new versions of the software Information and consultation services Quick correction of errors Review and implementation of suggestions, corrections, and recommendations. 1 programmer and 0.5 electronic techniciansfrom the company deal with system operations MIS Support and Operation

23. Coverage of all areas of work Flexibility and adaptability of the system Interaction of subsystems Possibility of integrating outside modules intothe system Interactive and operational maintenance by developer Simple installation and operation of the system Insufficient software debugging because of the need to start the operations of the system as soon as possible No unified interface Outdated operational and software environment Lag between development and legislation Lack of coordination between local and central standards Limited access to data for interfacing with outside software Pros and Cons

24. Effect • Substantial reduction of manual operations • Acceleration of work processes • Standardization and formatting of documents • Informational support for decision-making • Day-to-day management • Cost reduction

25. Questions? roddom1@kurgan.isp.ru komkon3@kurgan.isp.ru