HOSPITAL INFORMATION SYSTEMS IN BULGARIA – 20 YEARS

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HOSPITAL INFORMATION
SYSTEMS IN BULGARIA –
20 YEARS OF EXPERIENCE
Jivka Vinarova, Polina Mihova, Ilia Penjurov
Department of biomedical sciences, NBU, Sofia, 1618, Bulgaria
Evaluation scheme - 1987
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In 1987 a scientific group develops a detailed
multifunctional scheme with the following
evaluation types of IS in healthcare and medicine:
Quantity characteristics
Evaluation of the entrance
Evaluation of the exit and interconnections
Simplified evaluation scheme
Types of evaluated Information Systems
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With little adaptation to the time
of evaluation – 20 years later, we
choose to evaluate the most
popular Information System types
in Bulgaria:
-HIS
-Dental IS
-IS for occupational services
-Laboratory IS
-Pharmacy IS
Type of Information System
Hospital Information Systems:
1. HIS Svogija
2. " e-HOSPITAL XXI"
3. Gammaconsult
Dental IS:
1. Dental Master Pro
2. Profi
3. Dentist 2005
IS for occupational services :
1. Dasian
2. STM consult
3. Azimut
Laboratory IS:
1. iLab
2. Danina G
3. MSMeLab
Pharmacy IS :
1. Libra
2. PharmaStar
3. Pharma
Hospital Information System “Svogija”
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HIS “Svogija” is developed in
2005, and constantly adapts to the
National Health Insurance Fund’s
requirements for documentation of
acceptance and discharge from a
hospital,
including
hospital
statistics and billing papers.
It is designed and based on
sectional principle – every separate
hospital section has its own EHH,
and in the same time the patient has
a generated Electronic Health
Record (EHR) database with his
very own health history.
Developers: I.Penurov, P.Mihova, J.Vinarova, NBU
IS for occupational services “DASIAN”
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The functional characteristic of OHS consists of
three main groups:
y Examination, prevention and improvement of
workplace with:
{
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Tracing the health condition of the employee
with:
{
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measuring the factors of workplace in the
following subgroups: physical-chemistry
factors, toxic-chemical factors and
specialized factors, which are followed by
evaluation of health risk from their influence
and reorganization of the workplace,
considering the results in an adequate way. It
is obligate to maintain the whole specialized
information for these inconstant factors.
medical and health examination at the
moment of entrance of a new employee,
preventive medical examinations, preparing
individual health records, periodic
generalized health analysis of all employees
Education for prevention from work traumas
through:
{
preparation for first and urgent medical aid,
self-aid and mutual aid, development and
application of rules, instructions and norms
for healthy work conditions.
Developers: I.Penurov, P.Mihova, J.Vinarova, NBU
IS for occupational services “STM Consult”
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Developer: STM Consult ltd., Kazanlak, Bulgaria
Dental IS “Dental Master Pro”
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Dental Master Pro is software for
dentists , created in 1998 in
Bulgaria. Some of the characteristics
are:
{
{
{
{
{
Patient's file
personal data
medical treatment and recommendations
specific inf. for the patient
specific inf. for the medical treatment
{
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Status:
{
{
{
{
{
{
{
{
{
{
{
detailed status
take down "quick" status in case the
doctor is alone in the cabinet
history of disease
notes to the patient
status of each tooth
paid/unpaid
healthy/cured/diseased
extracted
scheme of made протези
discern of scanned photos
quick insert diagnoses and treatments
with possibility to editing your own
recruitment of often used diagnosis and
treatments.
Developers: GudaSoftware, Sofia, Bulgaria
Dental IS “Profi”
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Developers: Profi ltd., Haskovo, Bulgaria
Dental IS “Dentist 2005”
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Developers: EMG Soft, Sofia, Bulgaria
Pharmacy software “Libra”
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“ Pharmacy 2000” is professional, flexible and
immediately reacts to any change of the market,
from the National Health Insurance Fund, etc.
“ Expert Pharmacy ” is not only a storehouse
program, but also incorporates all other functions
such as accountancy, statistics, reporting.
Implementing it, the customers will be able more
successfully to manage their pharmacy and thus
achieve greater success.
Developers: Libra AD, Sofia, Bulgaria
Pharmacy IS “PharmaStar”
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Developers: I.Penurov, P.Mihova, J.Vinarova, NBU
Laboratory IS “MSMe Lab”
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The development is done with
Oracle; SQL Server; MySQL and
MaxDB.
The system consists of:
•nomenclatures,
•all kind of data for laboratory
exams,
•patients data,
•current and archived requests,
•apparatus connections,
•AI software application.
Developers: MedSoft, ltd. Sofia, Bulgaria
Laboratory IS “iLab3”
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Developers: SKYWARE Group, Sofia, Bulgaria
System entrance evaluation parameters
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1.
2.
3.
4.
5.
6.
Tolerance – development of preconditions for adaptation of
the IS to the user’s habits. Here should be kept in mind all
types of entrance information and ways of recording of any
concrete event.
Mistake stability – the entered information should be
subject of every familiar to the authors check and control, so
the chance of mistake to be reduced as much as it possible.
Entry type unification – every subsystem should enter
unified types of information.
Eligibility – the user can chose on his own how to present
the information at the system entrance
Flexibility – the controllers can be assigned from the user.
Corrections – the records can be edited after entering.
System entrance evaluation -`87
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Adapted System entrance evaluation -`07
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Results in points for entrance evaluation
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Type of Information System
Hospital Information Systems:
1. HIS Svogija
2. " e-HOSPITAL XXI"
3. Gammaconuslt
Dental IS:
1. Dental Master Pro
2. Profi
3. Dentist 2005
IS for occupational services :
1. Dasian
2. STM consult
3. Azimut
Laboratory IS:
1. iLab
2. Danina G
3. MSMeLab
Pharmacy IS :
1. Libra
2. PharmaStar
3. Pharma
Points
13
8
14
11
12
9
11
9
12
8
10
12
10
13
11
Graphical representation
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Evaluation system for quantity
parameters
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1.
2.
3.
4.
5.
6.
Effectiveness is defined as correlation between factors numbers, that
are entered in the AMIS and the number of factors that are necessary
to make a precise decision.
Information type – it concerns the possibility to add different types of
information to EHR.
Evolution – whether the elaboration of the system could be done
without replacement and only with software updates.
Archiving – it points out whether the system ensures secure back-ups
and archives.
Security level – system security passwords and level access.
Program adaptation level – it measures the provident possibilities in
the software for extension and introduction of modifications
Evaluation system for quantity parameters
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7. Standardization level – characterizes the adopted of the system
8.
9.
10.
11.
12.
developers standards of work
Education – it reflects the clearness and easy adaptation of the users
through additional Menu Helps and User guides
Communication – application of the system in a network
Compatibility – potential possibility to adapt the system to another
working at the center systems.
Playing – measures the presence of premises for playing possible
doings
Attractiveness – effective and effectively user friendly dialogue
between users and system.
Evaluation system for quantity
characteristics /1987
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Adapted evaluation system for quantity
characteristics /2007
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Types of evaluation Information Systems
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Type of Information System
Hospital Information Systems:
1. HIS Svogija
2. " e-HOSPITAL XXI"
3. Gammaconuslt
Dental IS:
1. Dental Master Pro
2. Profi
3. Dentist 2005
IS for occupational services :
1. Dasian
2. STM consult
3. Azimut
Laboratory IS:
1. iLab
2. Danina G
3. MSMeLab
Pharmacy IS :
1. Libra
2. PharmaStar
3. Pharma
Points
16
12
18
13
16
8
13
11
13
14
16
16
14
17
15
Graphical representation
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Thank You for Your attention!
y Polina Mihova - pmihova@nbu.bg
y Jivka Vinarova - jvinarova@nbu.bg
y
Ilia Penjurov - penjurov@nbu.bg