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.

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Distribution of health facilities

Central Population Register (CPR) Addressing system Immigration Housing Traffic National Health Information (NHIS) National Information System 1,000,000

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Previous system New with Health IT Outsourced External acquisition Management Internal processing of all ICT tasks with intermediate management Specific MoH internal tasks Outsourced Health IT program Management Complexity & workload increases Change based on Vision 2030

Project Plan Project Phases Project Management Change Management of HealthIT Program scope Quality Assurance Checkpoints Phase 1 Vendor Prequalification Phase 0 Project Initiation Phase 2 ICT Strategy & Business case Phase 3 Tendering & Selection Phase 4 Negotiation & Contracting Phase 5 Project Closure

M ETHODOLOGY P 1 Initiation & Vendor Prequalificatio n Kick-off Presentation Project Charter Project Plan Vendor Prequalification Comments P 2 ICT Strategy & Business cases HealthIT Business Analysis Model (BAM) HealthIT Strategy HealthIT Executive Analysis P 3 Tendering & Selection Request For Proposal Selection Criteria Business Scenario & Demo Scripts Vendor Selection Report Selected Solution Description P 4 Negotiation & 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

 Electronic Health Record From 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 Management The 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

Health I T Scope Operation & Service Scope  Helpdesk & Support  Maintenance  Software  Hardware  Upgrade  Back office operations  Server maintenance  Database management  Data 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 Mobilization & Preparations Contracting Sep Operation Phase 2 Implementation Phase 2 Oct Nov + Dec

E-GOVERNMENT SERVICES

57 OLD PUBLIC HEALTH DIRECTORATE DIRECTORATE OF HEALTHCENTERS PUBLIC HEALTH DIRECTORATE OF FINANCE DIRECTORATE OF TRAINING RUFAIDA BUILDING HUMAN RESOURCE DIRECTORATE SMC AREA BUILDINGS CIO HEALTH CENTERS MATERNITY HOSPITALS PERIPHERAL HOSPITALS

58 KHUH I-SEHA OVERVIEW AND APPROACH Peripheral Hospitals Salmaniya Medical Complex 24 Health Centres Q Q Q PROGRAM IMPLEMENTATION SCOPE

59 Thank You

60 QUESTIONS