National Electronic Health Records (e-Health) Dr Fawzi A Amin MBBch, FPC, MPH, PhD. Consultant...

National Electronic Health Records

(e-Health)Dr Fawzi A Amin MBBch, FPC, MPH, PhD.

Consultant

Family Physician

Kingdom of BAHRAIN

The content

• History of Bahrain Numbers.• Bahrain Health System.• E-Government Services• Journey in KHU Hospital.

Faameen@batelco.com.bh 2

19411950

89970109650

Distribution of health facilities

faameen@batelco.com.bh 8

Central Population Register (CPR)

Addressing system

Immigration

Housing

Traffic

NationalHealth

Information(NHIS)

National Information System

1,000,000

Previous system New with Health IT Outsourced

External acquisition

Management

Internalprocessing

of all ICT tasks with

intermediate management

Specific MoH internal tasks

OutsourcedHealth IT program

ManagementComplexity &

workload increases

Change based on Vision 2030

faameen@batelco.com.bh

. Project Plan

Project Phases

Project Management

Change Management of HealthIT Program scope

Quality Assurance Checkpoints

Phase 1Vendor Prequalification

Phase 0Project Initiation

Phase 2ICT Strategy & Business case

Phase 3Tendering & Selection

Phase 4Negotiation & Contracting

Phase 5Project Closure

METHODOLOGY

P 1Initiation &

Vendor Prequalificatio

•Kick-off Presentation•Project Charter•Project Plan•Vendor Prequalification Comments

P 2ICT Strategy & Business

•HealthIT Business Analysis Model (BAM)•HealthIT Strategy•HealthIT Executive Analysis

P 3Tendering &

Selection

•Request For Proposal•Selection Criteria•Business Scenario & Demo Scripts•Vendor Selection Report•Selected Solution Description

P 4Negotiation & Contracting

•Memorandum Of Understanding (MOU)•Negotiation Strategy•Contract between MoH and selected company

Health I T Scope

APPLICATION SCOPE

TECHNICAL SCOPE

OPERATION & SERVICE SCOPE

HELP DESK, MAINTENANCE AND UPGRADE FOR 10 YEARS

USERS WORKPLACE – SERVERS – NETWORK

PATIENT MEDICAL DATA AND RESOURCES UTILIZATION

PROGRAM IMPLEMENTATION SCOPE

CUSTOMIZATION AND IMPLEMENTATION

faameen@batelco.com.bh

Electronic Health RecordFrom birth to death

From primary to secondary care

Including electronic data – lab, radiology, anesthesia –

Including medical reports – diagnostic

For preventive and curative purposes

For epidemiologic analysis

Workflow & Procedures ManagementThe glue that makes all the system working together

For e-Prescription and e-Result

For administrative purposes

For reporting and procedures

Core Applications

Health I T Scope

Patient Management – In/out patients, Admission, Transfer, Discharge

Electronic Prescription & Results – Lab, Radio, Pharmacy.

General Medical System - Update the e-HR

Appointment Planning and Scheduling

Radiology – PACS and DICOM support

Anesthesia, Intensive care, Surgery – Direct bio-medical devices input.

Accident, Emergency & Ambulances

Lab & Blood bank – analyzer input, bar-coding and e-results

Pharmacy Management – links with the inventory system, e-prescription

Medical Modules

For example:

Health I T Scope

Drug registration Birth & Death registration

National Modules

Invoice and billing related to patient Decision support and statistics

Support & Administration Modules

Financial & Inventory Applications (Ministry of Finance) Human Resource Applications (Civil Services Bureau) Patient Demographics (Central Informatics Organization)

Major Interfaces

Health I T Scope

Electronic communications – SMS, paging, voice messages Voice recognition – voice to text system Barcode – reader, label printer, application enabled System security and user permissions Online real-time links to CIO Transaction links – MoF, Human Resources Medical equipments links Electronic archived data incorporation

Technical Modules

Health I T Scope

Operation & Service Scope

Helpdesk & SupportMaintenance

SoftwareHardware

UpgradeBack office operations

Server maintenanceDatabase managementData backup

Why we want to change?Is it cost effective ?

BD 25 Million /10 years

BD 2.5 Million / year

BD 2.5 / file / year

1 Million Citizens

Paperless filesPaper files

• Access• Transfer• HR Demand• Space• Safety

Health IT Timeline

Evaluation & Selection

Implementation Phase 1

Operation Phase 1

2010 2011 2012 2013

Mobilization & Preparations

Contracting Sep

Operation Phase 2

Implementation Phase 2

Nov + Dec

E-GOVERNMENT SERVICES

OLD PUBLIC HEALTHDIRECTORATE

DIRECTORATE OFHEALTHCENTERS

PUBLIC HEALTHDIRECTORATE

DIRECTORATEOF FINANCE

DIRECTORATEOF TRAINING

RUFAIDABUILDING

HUMAN RESOURCEDIRECTORATE

SMC AREA BUILDINGS

HEALTH CENTERS

MATERNITY HOSPITALS

PERIPHERAL HOSPITALS

I-SEHA OVERVIEW AND APPROACH

Peripheral Hospitals

Salmaniya Medical Complex

24 Health Centres

2012-2013

Q2 2012

Q2 2013

Q4 2011

PROGRAM IMPLEMENTATION SCOPE

Thank You

QUESTIONS

National Electronic Health Records (e-Health) Dr Fawzi A Amin MBBch, FPC, MPH, PhD. Consultant...

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