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Spanish Military Healthcare Information System BALMIS Programme
Prague, April 2009
INSPECCIÓN GENERAL CIS INSPECCIÓN GENERAL DE SANIDAD
Susana Rodríguez RománHead of Archives.
Healthcare Military General System Ministry of Defense SPAIN
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Francisco Javier de Balmis y Berenguer
(Alicante, December 2, 1753 - id., 1819)
Physician of Spanish Medical Corps, Honorary Surgeon of King Charles IV.
His name was linked to the expedition that was done to the Spanish colonies in America and Philippines islands (Balmisexpedition is today known) to spread the smallpox vaccine, an important milestone in the History of Medicine.
1. Introduction1.1. Why Balmis
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1. Introduction1.2. Structure & Composition
ElectronicHealth Record
in-hospitalclinics &
economicsassistance in military units
in-operationassistance
specialtydepartment
telemedicinedecisionsupport
PACSmedicalimaging
preventivemedicine
humanresources
mgmt
i/o economics
budget
BALMIS COREPERIFERAL SYSTEMS
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• Electronic Health Record • Medico-legal units
• Management and financial Mgmt.• Preventive Medicine
• Telemedicine • Medical Units in operations
• Decision making support system
• Radiology image manager (PACS) • Cost analysis
Main action lines
1. Introduction1.2. Structure & Composition
Operable and able to external linked systemsMinistry of Healthcareother HC System of Spanish regionsin special NATO MedCIS and MEDICS
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Now running:
Hospital Central de La Defensa. Madrid.
Next week implementation:
Hospital General de la Defensa. Zaragoza
Budget: 15,137,449 €
Services:
Licenses.
Software installation and creation of work environments
Implementation plan.
Support and maintenance.
1. Introduction1.2. Structure & Composition
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An integrated Information Healthcare System for all Armed forces and Ministry of Defense.
To achieve a system allowing a centralized Electronic Healthcare Record.
To have a compatible and an interoperable system with Spanish General and regional health Systems.
To be a point of excellence in Operational Medical Services in the international arena.
To reach a continual quality improvement in patient and casualties assistance in house and in operation.
2. Aims/Endpoints
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Asistencia en Campaña
Hospitales
Episodio
Episodio
Episodio
Episode
In Operationassistance
Hospital
Episode
Mil BaseMed. Ut.
Episode
Episode
Episode
EpisodeEpisode
EpisodeEpisode
Episode
Lifetime Electronic Health Record
Health process 1Health process 2
MedicalRecord
MedicalRecord
MedicalRecord
3. Key conceptsLifetime Electronic Health Record
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Secure and safe patient identification Allow patient tracking in administrative level.Occupation level: Admission and emergency.Patient situational control and awareness. Hospital Entry & Exit control.Queue control and management: medical, surgical and lab & functional tests. Linking with budget process.
4. BALMISHIS: patient management
ElectronicHealth Record
in-hospitalclinics &
economicsassistancein military
units
in-operationassistance
specialtydepartment
telemedicinedecisionsupport
PACSmedicalimaging
preventivemedicine
humanresources
mgmt
i/o economics
budget
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Hospitalization.
Admission and discharges.
Bed management.
Waiting list.
Archiving and codifying.
Agendas management.
Activity programming:
Daily hospital and surgical agenda
4. BALMISHIS: patient management
ElectronicHealth Record
in-hospitalclinics &
economicsassistancein military
units
in-operationassistance
specialtydepartment
telemedicinedecisionsupport
PACSmedicalimaging
preventivemedicine
humanresources
mgmt
i/o economics
budget
10
Adapt standard workflows to normalization
Guarantee turnover of HITECH equipment of hospitals: digital imaging support.
Support to use image capture and storage
Complement with voice recognition systems, 3D image reconstruction, prosteses mocking up.Radiopharmacy.
Sharing images and results.
5. BALMISDepartment subsystems: DIAGNOSTIC IMAGING
ElectronicHealth Record
in-hospitalclinics &
economicsassistancein military
units
in-operationassistance
specialtydepartment
telemedicinedecisionsupport
PACSmedicalimaging
preventivemedicine
humanresources
mgmt
i/o economics
budget
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Medical work station as basic work tool for medical personnel.
Give support to definition of medical guide protocols in clinical processes.
Making easy the patient surveillance:
At medical level.At care level.
5. BALMISMedical workstation
ElectronicHealth Record
in-hospitalclinics &
economicsassistancein military
units
in-operationassistance
specialtydepartment
telemedicinedecisionsupport
PACSmedicalimaging
preventivemedicine
humanresources
mgmt
i/o economics
budget
12
Remote medical diagnostic support
Digital storage in a only one support for all inputs in a teleconsultation:
Video Conference,RX images.Photograph images.
5. BALMISTelemedicine
ElectronicHealth Record
in-hospitalclinics &
economicsassistancein military
units
in-operationassistance
specialtydepartment
telemedicinedecisionsupport
PACSmedicalimaging
preventivemedicine
humanresources
mgmt
i/o economics
budget
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Allow indoor and outdoor information to manage hospital.
Edit flexible and powerful reports.
Identification of information sources
5. BALMIS & managementDecision support making
ElectronicHealth Record
in-hospitalclinics &
economicsassistancein military
units
in-operationassistance
specialtydepartment
telemedicinedecisionsupport
PACSmedicalimaging
preventivemedicine
humanresources
mgmt
i/o economics
budget
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Newdemands
changesituation of a
record
Getting a record ready after a demand
Lend a record
Lend a record with a laser pistol
A recordis found
Changing recavailable tounavailable
A recordis lost
Eliminatea record
Eliminatedemanded
record
Create a record
Check situation
of records
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thanx 4 your attention
Heads of [email protected]
thanx 4 your attention
Heads of [email protected]
INSPECCIÓN GENERAL CIS INSPECCIÓN GENERAL DE SANIDAD
