Automation of accounting and reporting of preventive medical exams and clinical examination in medical organizations

10.12737/7354 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Теплякова ◽  
E. Teplyakova ◽  
Щербаков ◽  
S. Shcherbakov

Implementation of information technology in health care is one of the urgent tasks of modernization. Questions automation of accounting and reporting on clinical examination carried out by certain groups of adults, clinical examination of orphans, professional examinations and adult medical examination of the child population (preventive, preliminary, periodic) make up a significant part of the activities of medical organizations both in terms of achieving the goals of the organization. The implementation of a software system "health card", its implementation and use in the medical organization is effectively used in the integration of medical information system in a medical organization. The functions of the system meet all the requirements necessary to meet its work regulations governing the procedure and forms for clinical examination and professional examinations, monitoring of accounting work, the results of clinical examination and analysis of professional examinations, the acceleration of employees by automatically filling out forms, flexible system configuration. Integration of "health map" with electronic medical records enables to collect card baseline medical examination (clinical examination) of the input specialists medical examinations and investigations.Automation of accounting and reporting of preventive medical exams and clinical examination allows medical organization to reduce the labor of doctors and other staff to fill in the documentation and accounting work to avoid mistakes in documents and reports, provide timely and accurate reporting of the established forms of the Ministry of Health.

1970 ◽  
Vol 09 (03) ◽  
pp. 149-160 ◽  
Author(s):  
E. Van Brunt ◽  
L. S. Davis ◽  
J. F. Terdiman ◽  
S. Singer ◽  
E. Besag ◽  
...  

A pilot medical information system is being implemented and currently is providing services for limited categories of patient data. In one year, physicians’ diagnoses for 500,000 office visits, 300,000 drug prescriptions for outpatients, one million clinical laboratory tests, and 60,000 multiphasic screening examinations are being stored in and retrieved from integrated, direct access, patient computer medical records.This medical information system is a part of a long-term research and development program. Its major objective is the development of a multifacility computer-based system which will support eventually the medical data requirements of a population of one million persons and one thousand physicians. The strategy employed provides for modular development. The central system, the computer-stored medical records which are therein maintained, and a satellite pilot medical data system in one medical facility are described.


2015 ◽  
Vol 4 (3) ◽  
pp. 19-26
Author(s):  
Ekaterina Kldiashvili

This article will present the architecture of the medical information system (MIS) developed in Georgia and its application for image-based second opinion consultations. The primary goal of the MIS is patient management. However, the system can be successfully applied for image based second opinion consultations. Five hundred Georgian language electronic medical records from the cervical screening activity illustrated by images were selected for second opinion consultations. It has been shown, that the MIS is perspective and actual technology solution. It can be successfully and effectively used for image based second opinion consultations. The ideal of healthcare in the information age must be to create a situation where healthcare professionals spend more time creating knowledge from medical information and less time managing this information. The application of available and adaptable technology and improvement of the infrastructure conditions is the basis for eHealth applications.


Author(s):  
Katarzyna Klimas

The patient’s right to access to electronic medical recordsThe article is devoted to the issue of electronic medical records as a progressive instrument of implementation the patient’s right to information. Reason for such analysis is an obligation of archiving medical records only in electronic form in force since 1 January 2018 as well as possibility to share documentation in the Polish Medical Information System planned from 1 August 2017. Therefore there is a fundamental change in the form in which the patient will obtain access to the records and perform his information rights.In following considerations, the author will peform evaluation of expected law modifications, starting with explanation of the term „electronic medical records” and marking the historical background of development in this range. In the further part, will be presented the advantages of processing electronic.


2017 ◽  
Vol 16 (1) ◽  
pp. 49-55
Author(s):  
O. Yu Kolesnichenko ◽  
A. L Mazelis ◽  
A. E Nikolaiev ◽  
A. V Martynov ◽  
V. V Pulit ◽  
...  

The article considers a mathematical cluster analysis of data obtained in medical information system "qMS" for annual period of data registration in three medical institutions. To evaluate cost, duration of treatment and scope of examination of patients with hypertension heart disease a special software was developed by A.L. Mazelis using Python interactive environment. The clustering was implemented in two directions: according number of medical examinations and procedures (Series treatment) and according time of waiting for medical examinations and procedures (Series time). Two groups of patients were established according distribution of cost and duration of hospital treatment. Also, based on analysis of data of medical information system, a description of social medical portrait of patient with hypertensive heart disease was presented. A proposal was made of implementing adjustment of treatment standards considering medical social portrait of patient according to established actual demands of patients. In analyzed sampling almost equal attention is paid to examination of heart and gastrointestinal tract that testifies wide prevalence of gastrointestinal diseases that requires increased diagnostic attention to them as concomitant ones to hypertension disease.


Author(s):  
V.A. Gandzyuk

The goal is to develop a system for monitoring and assessing individual risk factors for the development of NCDs by implementing an advanced anamnesis questionnaire into the Unified Medical Information System of the healthcare institution.Materias and methods. The results of the anamnestic survey of 854 patients undergoing a planned prophylactic examination (male patients - 44%, women - 56%, average age of the respondents - 48.0 ± 10.3 rubles) testify to the expediency of introducing into the practice of the primary care physician. The subject of the study was anamnestic questionnaire on advanced questionnaires to determine the necessary diagnostic interventions in order to conduct an annual preventive medical examination, that is, the development of an individual prophylactic program.Results and discussion. Among the respondents, the proportion of those who adhere to the basic principles of a healthy lifestyle - spend on walking at a moderate pace more than 30 minutes a day (69.68% of respondents), daily 4-5 servings of vegetables and fruits (57.4%) or / or 100 grams of fish (62.96%) twice a week and pay attention to the content of fat and / or cholesterol in products when purchased (43.51% respectively) - was quite high - only 4.63% 0.8%, with 19.44% of those polled noted that their habit was to smoke more than one cigarette on the day of the respondents. Among patients, on the basis of anamnestic survey, on average, 13.84% confirmed the presence of illnesses in their close relatives (mother, father, brother, sister) that can provoke the development of NCDs in patients. In particular, 18.29% of the respondents answered the affirmative response to myocardial infarction in mother or sister up to 65 years old and father or brother up to 55 years old. It is the presence of certain risk factors for the development of NCDs, automatic processing of questionnaires and automated analysis of results allowing the formation of an individual prophylactic program of the patient.Conclusion. Thus, an approach to the formation of individual prophylactic programs with the use of monitoring and evaluation of risk factors for the development of NCDs, allows to determine the list of diagnostic examinations for the development of an individual program of passing an annual preventive medical examination, taking into account the results of anamnestic questionnaire, implemented to the Unified Medical Information System of the Health Care Institute.


Author(s):  
I. A. Zheleznyakova ◽  
L. A. Kovaleva ◽  
T. A. Khelisupali

In the modern economic conditions, the rational planning of costs and the complex process optimization are essential requirements to all organizations. Knowledge of costs is needed to correctly assess the economic performance of an organization. Competent and timely correction of tariffs for the obligatory medical insurance and rationalization of the requested financing of the medical organization depends on this assessment. In the present study, we analyze various methods of personalized cost accounting: the ratio of costs to charges (RCC); relative value unit (RVU); time-driven activity-based costing (TDABC), and the possibility of their adaptation to the specific needs of medical organizations. The personalized cost accounting incorporated into a medical information system allows for controlling, planning and carrying out a close internal management of financial activity. This function helps decision-makers: control the use of funds for medical care provision; increase the efficiency of management decisions; justify the prices of paid medical services; define the deficit and surplus work units; analyze the treatment cost for each patient, considering the diagnosis, method of treatment, age and other classification signs, including the reference to specialized departments; reduce the unnecessary “paper” work load on the medical personnel; model the future needs of the organization in accordance with the planned changes in the hospitalization policy; optimize, control and plan the budget with regard to the established standards of financial expenses. Implementation of this approach is expected to increase the work efficiency in most medical organizations and the entire healthcare system.


2020 ◽  
pp. 17-23
Author(s):  
A. A. Ovanesyan ◽  
◽  
A. V. Levichev ◽  
D. V. Belyshev ◽  
◽  
...  

The statements and algorithms for solving the problem of scheduling medical examinations and treatment of patients in a medical information system are considered. The problem of the optimal multi-day route for the provision of medical procedures to a patient is solved, taking into account the doctors’ work schedule. Cases of one- and multi-day service are considered. A description of the algorithms is given and their comparison is performed.


2020 ◽  
pp. 63-70
Author(s):  
K. N. Tsaranov ◽  
◽  
E. M. Klimova ◽  
T. V. Akimov ◽  
A. B. Zvansky ◽  
...  

The article presents the results of an empirical study of the value orientations of dental clinic employees. It is suggested that gaps in human values are factors that influence professional activities in terms of communication (in the production team) and ultimately the profitability of the individual in the teams. The initial data is obtained from the reports of the clinic’s medical information system and the Schwartz’s Value Survey (SVS) and Portrait Values Questionnaire (PVQ). In addition, we used a retrospective analysis and a questionnaire survey. Doctors were divided into two groups based on the impact of value gaps on the share of revenue plan fulfillment (type one and type two groups). Attention is drawn to the direction of relationships in the group of the first type, all correlations of average strength are direct, in the group of type 2 – reverse. In the structure of the profile of value orientations, there are differences between the groups on the second place in importance for the respondents in the group of the first type are the value orientation (VO) “Achievement” and secondly, “Self-Direction”, third place in the group of the first type is “Benevolence”, whereas in the group of the second type of “Benevolence” in 4th place. To increase economic efficiency, managers of medical institutions need to organize activities to create cultural artifacts about the normative ideals of those values that affect the workflow, take into account the data of the employee’s value profile for optimal selection of the team composition (work shift).


Sensors ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 713
Author(s):  
Hsuan-Yu Chen ◽  
Zhen-Yu Wu ◽  
Tzer-Long Chen ◽  
Yao-Min Huang ◽  
Chia-Hui Liu

With the development of the internet, applications have become complicated, and the relevant technology has diversified. Compared with medical applications, the significance of information technology has been expanding to include clinical auxiliary functions of medical information. This includes electronic medical records, electronic prescriptions, medical information systems, etc. Although research on the data processing structure and format of various related systems is becoming mature, the integration is insufficient. An integrated medical information system with security policy and privacy protection, which combines e-patient records, e-prescriptions, modified smart cards, and fingerprint identification systems, and applies proxy signature and group signature, is proposed in this study. This system effectively applies and saves medical resources—satisfying the mobility of medical records, presenting the function, and security of medicine collection, and avoiding medical conflicts and profiteering to further acquire the maximum effectiveness with the least resources. In this way, this medical information system may be developed into a comprehensive function that eliminates the transmission of manual documents and maintains the safety of patient medical information. It can improve the quality of medical care and indispensable infrastructure for medical management.


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