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Telemedicine and electronic inventory: experience of the regions

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Presentation at the National Capitalization conference of the Swiss-Ukrainian Mother and Child Health Programme (Kyiv, Ukraine, April 23, 2015)

Publicada em: Saúde e medicina
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Telemedicine and electronic inventory: experience of the regions

  1. 1. Telemedicine and electronic inventory: experience of the regions Oksana Maniukh Head of the Regional Methodological and Organisational Center for telemedical consultations of the Ivano- Frankivsk regional children’s hospital. Kyiv, 23rd of April, 2015
  2. 2. ICT tools implemented by the Swiss-Ukrainian Project • Telemedical platform iPath Start - 2003 • OpenMEDIS software for medical equipment inventory Start - 2010
  3. 3. Terminology definitions TELEMEDICINE is a set of organisational, financial and technical measures ensuring operation of a consultative and diagnostic health care system which allow a patient or a doctor seeing a patient to receive a remote consultation from another specialist using high-tech medical equipment and modern ICT technologies. Telemedical station:  Computer  Internet  Possibility to use digital diagnostic images (photocamera, scanner, diagnostic equipment)  Specialist responsible for organisation of the telemedical services in the clinic
  4. 4. The goal of the telemedicine is to ensure access to the most actual information and possibilities for experience and expertise exchange using modern ICT technologies to improve professional knowledge and clinical practice Effective implementation of the telemedicine in Ukrainian health care system Development and testing of a model of telemedical technologies’ effective application in the daily operation of Ukrainian health care institutions. Support and further development of the telemedical component of the Project. Development and implementation of the i-Рath protocol in the Project‘s pilot facilities . The goal of the TELEMEDICINE project
  5. 5. Telemedical platform iPath http://ipath.ukma.kiev.ua • iPath was an open professional telemedical platform “ for medical information maintainance and transfer” supported by a group of experts from the Basel Universtty, Switzerland Since 2006 its’ server was located in Donetsk. • iPath provided opportunities for exchange of textual, visual, audio and other information, as well presenting and editing of clinical cases for simultaneous consultations. • Telemedical platform iPath was one of the first programes to teach Ukrainian specialists the principles of working in the telemedical environment, was useful for specialists’ skill upgrading in various fields, allowed the doctors and patients to feel the advantages of telemedical consultations .
  6. 6. Main achievements in the area of telemedicine • Regulation: telemedicine protocols were developed • The MoH Order as of 26.03.2010 № 261 “On telemedicine introduction in health care facilities” and local governments’ orders on telemedicine development were issued • Telemedicine rooms were created in all regional health care institutions. • Over 1000 users and 10 specialised groups in Ukraine were registered in the iPath platform and used it for consultations. • In 2007-2014 consultations were provided in 1200 cases of mothers and newborns’ deseases • Since 2014 telemedical consultations are provided via the website of the MoH State Clinical Scientific and Practical Center www.esemi.org.ua
  7. 7. Telemedicine allows to transfer photos, case records, X-ray photographies, US examination fragments, magnetic resonance images
  8. 8. One of the cases presented at the telemedicine portal www.esemi.org.ua A child was consulted via the telemedicine platform by professor V.P. Prytula and a surgeon of the reconstructive and plastic microsurgery unit of Ochmatdit national specialised childrens’ hospital and received surgery as scheduled. The state after the surgery Аденома язика
  9. 9. Telemedicine in Crimea Conditions for conducting telemedical consultations were created in all Crimean districts. All important events in the Perinatal Center (conferences, discussions of difficult cases) are broadcasted online to all districts. Round-the-clock online consultations for local specialists.
  10. 10. Telemedicine in Volyn region • A telemedical network including16 district facilities and 2 regional clinics is created in Volyn region. • Health care facilities are equipped with computers and have internet access. • Health care workers improved their computer skills. • Health care personnel is trained in using the telemedical platform. • A regional consultative working group is created. • Outcome: Doctors have opportunities to exchange experience and consultations with their colleagues at different levels which allows to improve health care quality
  11. 11. Telemedicine in Ivano-Frankivsk region Over 200 doctors are registered at iPath In 2011-2014 124 real-time telemedical consultations were conducted involving 56 clinical specialists. 40 videoconferences involving 214 doctors were conducted. On 24.09.13 an official opening of the telemedicine unit for real- time video-consultations for children with cardio-vascular anomalies was held. A meeting with the regional facilities’ chief doctors on expanding possibilities of telemedicine consultations was held.
  12. 12. Near and far perspectives Video: searching in the telemedical portal www.esemi.org.ua and registration information and some presented cases in the Help section One telemedical platform – many opportunities: consultations, diagnostics, learning, case monitoring, video-conferences etc. Create efficient consultant teams, involve more doctors in telemedical consulting and not to leave a single case without an answer, so much awaited by both a doctor and a patient.
  13. 13. Why it makes sense to introduce telemedicine throughout Ukraine? Advantages 5 in 1 Elimination of geographical borders in health care Reduce total expenses Reduce time of service provision Increasing access to tertiary medical assistance Simple and convenient
  14. 14. openMEDIS special software for electronic medical equipment inventory • A simple, flexible and standardized tool for collecting, processing and analyzing information on health care technical infrastructure. • Can be used for medical equipment data generation and management decisions either in a single institution or in a health care system as a whole.
  15. 15. openMEDIS Features: • The classification is based on the international standard nomenclature of medical equipment UMDNS; • The program provides easy access to entered data and possibility to generate required reports. • The program supports different languages: Ukrainian, English, French, Romanian etc. with the possibility of adding translation into other languages. • During the previous stage of the Project the program was implemented in 22 district and regional partner health care facilities , over 8000 equipment units were entered in the data base. • Currently the program is being implemented in over 50 institutions in 4 partner regions.
  16. 16. openMEDIS special software for medical equipment inventory • The program provides key information on equipment stock in the form of tables, graphs and diagrams, very convenient for managers because allows to analyze quickly all available data in order to take a weighted managerial decision. • The demo version is available here http://openmedis.scih.ch. Login and password – demo.
  17. 17. Estimation by health care managers’ • The openMEDIS software was highly evaluated by health care managers for quick access to required information and the possibility not only to collect information about equipment but also to process and analyse it, an important feature for managers.
  18. 18. Main objectives of the openMEDIS implementation • Ensure constant access to actual data about the medical equipment and allow data processing and analysing for taking relevant managerial decisions; • Control and streamline expenses on acquisition and maintenance of the medical equipment; • Provide opportunities for creating a network on the basis of a health care institution, a region or at the national level allowing timely access to information about equipment in any clinic or in the region as a whole and promoting transparency of the managerial decisions.
  19. 19. It is beneficial! Structure –openMedis modes of operation 1. Operation in an on-line mode (in Internet): – An administrator installs openMEDIS on an internet server. 2. LAN operation : – openMEDIS is installed on a LAN server (intranet) and all facility’s users work with this database. 3. Operation on a local computer : – If computers are not connected to the Internet, the openMEDIS software and the web-service can be installed on a local computer.
  20. 20. Do you know… • The total amount of medical equipment in your facility? • Amount of maintenance costs? • Equipment age? • Part of equipment that … – is not used? – requires repairing? • Number of models and types of equipment used in your facility?
  21. 21. The program generates an answer in a couple of minutes
  22. 22. The program reminds about the guarantee period and complaints about equipment
  23. 23. The program allows to select required information via filters
  24. 24. Staff training and monitoring visits to health care institutions in Ivano-Frankivsk region • The trainers were trained within the framework of Swiss-Ukrainian Programme, so that they provided training to health care workers in the region afterwards. • Trainings were provided for 38 specialists in the region, followed by monitoring visits to 9 facilities for providing practical help on the site several months afterwards. • Equipment was procured for 9 facilities (computers, printers, scanners, etc.) for 103 980,8 UAH • An Order of the Main Health Care Department of the Regional State Administration No 391 as of 18.10.2012 “On inventory-taking of medical equipment of the regional health care institutions on the basis of the Openmedis software”
  25. 25. Volyn Tlumach Kosiv Galych
  26. 26. openMEDIS in the regions • The software is implemented in all facilities of the regions. • Precision engineers, accountants and programming engineers have been trained on how to use the program. • The medical equipment inventory was conducted according to the international nomenclature UMDNS* • Diversified medical equipment data bases have been created in the regions (3800 units – in Vinnytsia region, 4500 units – in Volyn region, over 7180 units – in Ivano-Frankivsk region) • Equipment completeness is analysed as per equipment requirements. • Outcome: The tool helps to take correct managerial decisions on the medical equipment’s rational distribution and use.
  27. 27. ICT tools implemented by the Programme • Developed with support of the international experts from the Swiss TPH and adapted to Ukrainian conditions by Ukrainian experts, • Created as open code software, flexible and open to any modifications, • Free of charge, • Based on web-technologies allowing to work independently from the user’s operational system, • Minimum infrastructure requirements (computer, internet access), • Simple in use.
  28. 28. Requirements for implementing a teleplatform or openMEDIS software in a clinic: Сreate working stations for working with the tool (equipped with computer with Internet access); Train the personnel in using computers and the proposed tools It makes sense to keep in mind that: • For working with the teleplatform: there should be at least one working place in each unit, where doctors can work with telemedicine and have free access to it round the clock; • It is important to keep doctors’ motivation in working with the teleplatform (the clinic head and unit heads should look for ways to encourage the personnel to do so)
  29. 29. In order to introduce the openMEDIS software in a facility it is also necessary: • To assign a specialist (1 or 2 persons) responsible for entering information about the facility’s equipment; • To provide a working station; • To timely enter and update data on medical equipment (quarterly).
  30. 30. We would like to thank all Swiss and Ukrainian experts who developed and implemented the Openmedis software, all who introduced and supported the TELEMEDICINE in Ukraine, all who worked in the Swiss-Ukrainian Project for 17 years!!!
  31. 31. Today is just another day of the many days ahead of us. But maybe all coming days in Ukrainian medicine depend on what we will do with you today!