Perspectives of computer technologies implementation in pilot
Meeting the goals of the EU "Health Financing and Management Project" is
possible only by implementing new information and communication technologies
(ICT) in Ukraine. Extensive use of ICT contributes first, the efficiency of
financing and insurance process and second, efficient provision of health
Therefore, the project decided to implement a medical information system for
the pilot regions.
The pilot ITC system is based on the following principles:
information is stored only once and then used for several purposes;
tight information security which prevents a non-authorized access to
user-friendly interface using a window interface;
ICT network , which enables quick access to databases and data transmission
within the system;
hierarchical system, which enables accumulation of personified information and
its application at various levels of the healthcare system;
possibility to develop and adapt the system further .
Based on the objectives of the pilot project the ITC system
support following functions:
medical register of the rayon's population;
maintenance of basic electronic medical documents from which patient's
movements during the treatment process can be traced;
health service cost calculation based on the service groups and their
financial accounting of a healthcare facility;
statistics on morbidities of population and provision and costs of health
electronic transferring of statistical information to the general database and
to appropriate administrative bodies.
The information system will create a "corporate network" based on Internet
technology and modern telecommunication technologies. All information will be
stored on the regional level on places where actual medical services are
carried out and statistical data is the transferred to the oblast level and
then to the Ministry of Health of Ukraine. The primary statistical data will be
stored both at the rayon level and at the level of the oblast healthcare
administration. Financial and accounting information is grated at the rayon
level, consolidated in oblast administration and then send to the appropriate
Special attention will be paid to the development and implementation of new
electronic medical documentation. At present the basic manual registration
forms are the Outpatient Card and the Inpatient Card. They contains information
about the patient's treatment process. All this information can be divided by
several blocks: identification data, data on the patient's examination,
diagnosis, and data on medical actions. Thus, the electronic document will also
be realized according to this pattern. Together with current state medical
accounting forms, reporting system will be created to better reflect the
activities of medical services providers under new economic conditions.
Implementation of the pilot ICT systems will be carried out in several steps
according to the work schedule. However, computer and network equipment will be
installed at first. The extensive training module is included to use the
computers and ITC applications installed. The main modules are the patient
administration and financial management.
According to the experts use of new ICT will provide an opportunity to optimize
working processes and documents circulation hence reducing the time of the
medical personnel's working with storing and processing medical and accounting
Information and software provision will be developed according to
international standards, including the standard Health Level 7 (HL7). It will
make it possible to unify and standardize electronic medical documentation.
Thus, implementation of new ICT in the pilot regions is supposed to enhance
efficiency and effectiveness of the pilot institutions.