MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 11

MANAGEMENT MANAGEMENT INFORMATION SYSTEMINFORMATION SYSTEM

(MIS)(MIS)

Valentīna ZiedoneValentīna ZiedoneHealth Compulsory Insurance Health Compulsory Insurance

State AgencyState Agency(HCISA)(HCISA)

LatviaLatvia

MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 22

The main goal of the Agency isThe main goal of the Agency is

...... to implement state policy for availability to implement state policy for availability of health care services and of health care services and administrate administrate the state compulsory health insurance the state compulsory health insurance resourcesresources. .

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From the Regulations of the AgencyFrom the Regulations of the Agency

The task of the Agency is:The task of the Agency is:– .... .... – to create, to maintain, to increase Data to create, to maintain, to increase Data

Information Systems insuring accounting of Information Systems insuring accounting of health care serviceshealth care services

MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 44

Management Information System Management Information System (MIS) (MIS)

Implementation of MIS:Implementation of MIS:

– 09.2003 – In-patient services09.2003 – In-patient services– 2004 – Dental Care; Emergency Health Care; 2004 – Dental Care; Emergency Health Care;

Reimbursed Medicine; Reimbursed Medicine; – 2005 – Out-patient services; Medical Statistics; 2005 – Out-patient services; Medical Statistics;

EHIC; EHIC;

Budget of MIS 2.4 milj. LVL (Hardware, Budget of MIS 2.4 milj. LVL (Hardware, Software, 280 workstations,... )Software, 280 workstations,... )

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Goals and Requirements of MISGoals and Requirements of MIS GoalsGoals– Common registers and Common registers and classifiers;classifiers;– Realization of settlements :Realization of settlements :

health care services (medical institutions -in-patient , out-health care services (medical institutions -in-patient , out-patient, general practioners, ...);patient, general practioners, ...); reimbursed medicines reimbursed medicines

– Common structure of Data Base and platform of Common structure of Data Base and platform of Software; Software;

– Fast preparing of Reports ;Fast preparing of Reports ;– Registration of data changeRegistration of data change

MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 66

RequirementsRequirements– Internet Internet – Common Data Base Common Data Base – Safety of the patient information, entitlement to Safety of the patient information, entitlement to

accessaccess

MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 77

Modules of MISModules of MIS

1.1. System KernelSystem Kernel2.2. Classifiers maintenance systemClassifiers maintenance system 3.3. Register of participants of Health Compulsory InsuranceRegister of participants of Health Compulsory Insurance 4.4. Register of Medical institutions and medical proffessionals Register of Medical institutions and medical proffessionals 5.5. Waiting lists managemantWaiting lists managemant (for some health care servises)(for some health care servises) 6.6. Kernel of Accounting System Kernel of Accounting System 7.7. In-patients services, contracts, finances In-patients services, contracts, finances 8.8. Reimbursed medicines for out-patients treatment, contracts, Reimbursed medicines for out-patients treatment, contracts,

finances finances 9.9. Out-patients services, contracts, finances Out-patients services, contracts, finances 10.10. Dentistry Services, contracts, finances Dentistry Services, contracts, finances 11.11. Emergency Medical Care , contracts, finances Emergency Medical Care , contracts, finances 12.12. DatDataa anal analyses andyses and StatisticsStatistics13.13. Centralized procurement of medical remedies, tenders, contractsCentralized procurement of medical remedies, tenders, contracts14.14. European Health Insurance Card (EHIC)European Health Insurance Card (EHIC)

MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 88

General sheme of modulesGeneral sheme of modules

Systems of payments

Medical institutions

Data exchange

Financial module

Medical Institutions and Persons

Bookkeeping System

Register of participants of Health Compulsory Insurance

Register of participants of Healtf of Compulsory

Insurance

Population

Reg.

LV inhabitants

Register of Contracts

Register of Contracts

Register of medical

institutions and drugstores

Register of Health professionals

LV Statistical institution

Administrative territories

Diagnosis ISD -10

Classifiers

System Kernel

Financial AccountingIntersystem interface

with bookkeeping system

Budgeting , planning

Data analysis and statistics

System process

Users, Departments, approach of entitlement

Waiting lists management

Waiting lists management

Classifiers

ConfigurationRegistration of

medical entries

Preparation of bills und

statements

Validation of medical entries

Calculation of medical entries

En

trie

s in

form

atio

n

MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 99

MIS functions and main usersMIS functions and main users

Client

Client

Client

Client

Client

HCISA central bureau

Productin servers

Data Base

Data Centre

Client

Health Statistics and Medical Technology

Agency

Health Ministry

HCISA Territorial Departments

Client Client

Outpatient, inpatient institutions; Drugstores; Emergency Health Care,

ClientClient

MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 1010

Users of MISUsers of MIS

4152 Users from :4152 Users from :– Ministry of HealthMinistry of Health– 2 Agencies (HCISA, HSMTA)2 Agencies (HCISA, HSMTA)– 5 HCISA territorial Departments 5 HCISA territorial Departments – 100 hospitals 100 hospitals – 42 Emergency medical care institutions42 Emergency medical care institutions– 1 232 GP1 232 GP– 500 specialists500 specialists– 712 Drugstores 712 Drugstores – 282 Dentistry 282 Dentistry

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User’s levelsUser’s levelsFirst levelFirst level– Ministry of Health Ministry of Health

Reports;Reports;– HCISAHCISA

Entitlement of usersEntitlement of usersClassifiersClassifiersPayment of hospital and emergency care servises,Payment of hospital and emergency care servises,Preparing bills with processes of MIS,Preparing bills with processes of MIS,Preparing statements, reports of data analysis and statisticsPreparing statements, reports of data analysis and statistics

– HSMTAHSMTAClasifiers of diagnosis ISD-10; Health professionals; Medical Clasifiers of diagnosis ISD-10; Health professionals; Medical institutions; institutions; Medical Statistical ReportsMedical Statistical Reports

Second levelSecond level– 5 HCISA territorial Departments 5 HCISA territorial Departments

Payment of out-patient services and reimbursed medicines,Payment of out-patient services and reimbursed medicines,Preparing bills and statementsPreparing bills and statements

Third levelThird level– Medical institutions Medical institutions

Registration of informationRegistration of informationPrinting billsPrinting bills

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DaugavpilsSaules 22

192.168.10.0/24

JelgavaEdzus 10

192.168.12.0/24

SmiltenePils 6

192.168.8.0/24

KuldigaBaznicas 9

192.168.9.0/24

Rezekne18.novenmbra 41

192.168.11.0/24

VMBrivibas 72

Lachpleshatikls

VOAVAoffice

Management

FO1 Gb

FO 1 Gb

\

CNL2Mb

CNL2 Mb

atm-gw

vita-sw00

stradini-sw

fridrika-sw

lacplesha-sw

baznicas-sw

onko-sw

VOAVA ColocationVOAVA Datubaze

Baznicasbrick

IPSEC

10.130.0.194/29

SAF

34Mb10.130.0.137/30

Ether110.130.0.138/30

10.130.0.142/30

Ether510.130.0.141/30

Ether210.130.0.133/30Ether2

10.130.0.146/30

SAF

34Mb

SAF

34Mb

SAF

34Mb

SAF 8Mb

VSMTADuntes 22

10.130.0.66/29

10.130.0.33/26

vita-sw01

Ether210.130.0.145/30

Ether110.130.0.134/30

Ether410.130.0.129/30

Ether410.130.0.130/30

Ether610.130.0.141/30

stradini-vpn-gw

SAF 8Mb

IT AliseBrivibas 68

10.130.0.210/29

Lacplesha_24brick

IPSEC

SAF

8Mb

Ether0Vlan 3

192.168.0.254/24Ether2Vlan 1

10.130.0.74/29

10.130.0.1/26

lacplesa-sw

CNL2 Mb

CNL2 Mb

CNL2 Mb

10.130.0.218/29

10.130.0.217/2910.130.0.73/29

10.130.0.178/30

10.130.0.154/30

10.130.0.158/30 10.130.0.190/30

10.130.0.162/30

10.201.75.0/24

192.168.2.0/24

192.168.14.0/24

MicrolinkIzstradataji62.85.14.0/24

FO 1Gb

10.130.0.82/29

Microlink backbone 10.130.0.2/26

10.130.2.0/2710.130.2.32/27

SAF

8 MbSAF

8 Mb

VITAEthernet100 Mb

PMLP Serveri10.12.8.96

10.12.8.136

Vm_brivibas72brick

10.130.0.226/29

Ether510.130.0.225/29

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Out of scope of MISOut of scope of MIS

Administration Systems of Medical Administration Systems of Medical institutions and Drugstoresinstitutions and Drugstores

INTERNET providing for Medical INTERNET providing for Medical Institutions and DrugstoresInstitutions and Drugstores

MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 1414

Link with organizationsLink with organizations

Information input - INTERNETInformation input - INTERNET;;

Exchange of information (File) Exchange of information (File) (open structure of data)(open structure of data)

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Benefits Benefits

Using joint branches registers and classifiers Using joint branches registers and classifiers (diagnosis, medicine, manipulations, Health (diagnosis, medicine, manipulations, Health professionals e.t.c);professionals e.t.c);

Clasified conditions of payment in the contracts;Clasified conditions of payment in the contracts;

Safety and security of patients information;Safety and security of patients information;Perfect and feasible information for medical Perfect and feasible information for medical statistical reports and other Reports from one statistical reports and other Reports from one Joint Data BaseJoint Data Base

MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 1616

Benefits Benefits Organizations manage their resourses (Information and Organizations manage their resourses (Information and Finances) themselves;Finances) themselves;

Facilitation in the Organizations:Facilitation in the Organizations:– Operative financial information for the managers of organisationOperative financial information for the managers of organisation– Improvement of professional skills of Personnel Improvement of professional skills of Personnel – Development of ITDevelopment of IT

Operative receiving of bills directly from MISOperative receiving of bills directly from MIS

Availability of current information for different users – Availability of current information for different users – online serviceonline service

MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 1717

SummarySummary

One Centralized Information System - not many One Centralized Information System - not many separated Systems;separated Systems;

IS for all users (accountants, economists, IS for all users (accountants, economists, doctors-experts, statisticians,operators, doctors-experts, statisticians,operators, pharmacists etc.)pharmacists etc.)

IS was implemented and will continue to developIS was implemented and will continue to develop

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Further development of MISFurther development of MIS

Outsoursing servises of technical infrastructure Outsoursing servises of technical infrastructure (servers) - May , 2006(servers) - May , 2006

Issuing of electronic European Health Insurance Issuing of electronic European Health Insurance card (eEHIC) - 2008 card (eEHIC) - 2008

New module – Supervision of Infection diseases New module – Supervision of Infection diseases ( Public Health Agency) – 2006( Public Health Agency) – 2006

Electronic exchange of information of E forms Electronic exchange of information of E forms (E125, E127) – 2007(E125, E127) – 2007

Interface between MIS and IS of Latvian State Interface between MIS and IS of Latvian State Blood centre -2007 ; Social Insurance State Blood centre -2007 ; Social Insurance State Agency - 2007Agency - 2007

MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 1919

Thank You

MIS 06.04.2006-07.04.2006MIS 06.04.2006-07.04.2006 2020

Contact informationContact information

Valentīna Ziedone Valentīna Ziedone

Head of IT Department Head of IT Department

Valentina.ziedone@voava.gov.lvValentina.ziedone@voava.gov.lv

www.voava.gov.lvwww.voava.gov.lv