1. 17 - 20th October, Montenegro
Ministry of Health
Montenegro
ERASMUS+ KA2 PROJECT:
Enhancement of study programs in Public Health Law, Health
Management, Health Economics and Health Informatics in Montenegro
th October, Montenegro
Project web site:

2. DEVELOPMENT OF AN INTEGRAL HEALTH INFORMATION SYSTEM IN MONTENEGRO
Ministry of Health
Montenegro
DEVELOPMENT OF AN INTEGRAL HEALTH INFORMATION SYSTEM IN MONTENEGRO
Ministry of Health
20th October, Montenegro
Marijan Marijanović
Project web site:

3. Project web site: www.ph-elim.net
Ministry of Health
Montenegro
Ministry of Health is part of state administration body and carries out main administrative affairs related to
health care;
health insurance and provision of health care from public revenues;
establishment and organization of institutions in health care and establishing conditions in terms of space, personnel and equipment of health institutions;
professional development and specialization of health workers and healthcare associates;
...
Ministry of Health have 10 organisation units.
For IT in Health - Directorate for health economics and projects in health (monitoring and control of functioning of Integral healthcare system information system, EHR, technological and security assignments
of IT infrastructure)
Project web site:

4. Public Health in Montenegro
Public Health Institutions in Montenegro:
18 health centers
7 general hospitals
3 special hospitals
Clinical Center of Montenegro
Institute for Public Health
2 institutes (ZHMP and ZTK)
Montenegrin Pharmacy Institute - Montefarm

5. Beginnings of IT in Health
The development of integral health information system started in by developing the Information System of the Health Insurance Fund.
Follows IS of:
Montefarm (Pharmacies of Montenegro) in 2004.,
Private dental clinics who have a contract with the Fund in 2008.,
Primary health care in 2009.,
Secondary health care (general hospitals) in 2010 and 2011,.
Emergency Medical Care (Podgorica) in 2011.,
Instute for public health, CALIMS (agency for drugs) in 2012.,
Transfusion in 2014., screening programs in 2015,
Private health clinics and pharmacies who have a contract with the Fund are integrated into system by web servise and they are sending invoices

6. Segments of IHIS
IHIS is developing as integral system. It provide support for business and medical processes in following public health institutions:
Health Insurance Fund
Pharmacies of Montenegro "Montefarm"
Health centers
General hospitals
Institute for Emergency Medical Aid
Blood Transfusion Institute of Montenegro
Private dental clinics that have signed a contract with the Fund
Private health care institutions that have signed a contract with the Fund (pharmacies and suppliers of medical-technical devices)
Institute of Public Health
Agency for Drugs and Medical Devices

7. Size of the IHIS
In IHIS are connected over 2600 computers, 4930 aplicative users and required number of base, application, and reporting servers in total.
In Health Insurance Fund of Montenegro is established and developed the Center of Integral Health Information System.
Organizational unit of the Fund called the Sector for Development and Information Technology, together with its partners, work on maintaining, developing and improving IHIS (software and all the hardware, information and communication infrastructure, education of users).
Role of Ministry of health is to, in accordance with its competencies, monitor the fulfillment of the basic principles of integration, monitoring and control of functioning of Integral healthcare information system system, EHR, technological and security assignments of IT infrastructure...

8. Division of business processes in IHIS
In IHIS, division of process is carried on the business part that relies on finances (invoicing Fund) and the medical part that relies on the business part of which is calculated services and resources.
On the basis of rendered services and spent resources, payment of services by providers of health services is made by fund, while the medical data generated on the basis on which the payment is made becomes the basis for obtaining medical data that are interest of Public health institutes for keeping records and statistic.

9. Business vs medical part of IHIS
Business information system supports basic non-medical business processes in healthcare institutions. All of its services are interconnected and integrated with medical information system services.
This system contains standard business services that are identical for all health institutions such as: personnel management, financial operations, payroll calculation, material resources management, fixed asset management, inventory and pharmacy...
The medical information system contains services to support the work processes of health workers (doctors and nurses / technicians) by the level of health care and for colecting medical data for Institute of public health.

10. IHIS development basis
Development principles of IHIS:
Integrality:
once the data entered in one part of system, they becomes available in any segment of the system, depending on the policy of approach
Common resources:
centralizing of human, hardver-comunication and software resources.

11. Integrality
All patient informations are united in one place. They are collected from birth, regardless of which of those systems the insured - the patient appeared.
Data are entered into the system only once, and then they are available throughout the system where and when they are needed.
This approach allows obtaining a complete medical electronic card from all part of the system that is integrated.

12. Integrality
Clients of all of these aplications (IS) access on-line on server infrastructure that is located in the central building of the Health insurance fund in Podgorica.
All of these systems use common resources, software with shared databases (insured persons, doctors, services, diagnosis, ...) and hardware, server room is located in one place
All of these information systems and Integral Health Information System as a whole, are based on three-layer WEB architecture.
Center of data exchange in IHIS is located in Health insurance Fund

13. Not yet integrated
In addition to the mentioned systems that are built with respect for the principle of integrity, there is part of the health care system is not yet included in IHIS but it will be with the plan that principle of integrity will be applied
In Ministry of health is established system for collecting data about predefined resources from the system in form of Portal.
Special hospitals still do not have IS, it is under construction and it will start with production by the end of the year
Big part of the health care system is Clinical center of Montenegro. There are softwares that are designed to satisfy the business processes and needs of the Clinical center until this system is going to be computerized in a way that the principles of integrity are met.

14. Clinical center of Montenegro
The first steps towards the integration of the clinical center system in IHIS were made this year by introducing a central scheduling examinations system
Scheduling examinations at the Clinical Center are performed by selected doctors from health centers and with full IT support and two-way data exchange between IHIS and IS Clinical Center.
In addition, the software of the clinical center exchanges part of the data from the IHIS, the base of the insured, and it is also possible to download electronic invoices and the accompanying data set according to the DRG model

15. New services
IHIS allows informatisation of business processes, enable monitoring consumption of the system, finance, procedures - business part, allows medical professionals to view the patient's medical records, to manage statistics from medical data - medical part – all benefit system for system users
From this year, entry into the system is enabled from the other way, by the end users of the system, the fund insurer.
The first such service introduced by the fund this year is the system of online scheduling via the web, IOS and Android application for viewing the selected doctor's code.
This system offers many options for upgrading, insight into prescribed prescriptions, electronic health records, etc.

16. Basics for future development
Conduct continuous analysis of the system and work on enhancing integrity throughout the whole system
Inclusion of remaining institutions in the IHIS with respect to the principle of integrity
Introduction of new advanced services, telemedicine, electronic support for others opinion, additional services for fund insurers

17. Future is in eHealth
eHealth aims to enable healthcare institutions, doctors and patients to benefit from ICTs, facilitate access to the latest medical information and data, contribute to the development of a timely, affordable and efficient healthcare service for all.
Use of telemedicine is recognized by the Master Plan for the Development of Healthcare of Montenegro for all services provided, where using modern ICT can benefit the benefits of telemedicine (unnecessary mobility of patients needed to obtain another opinion, opinion of doctors specialists, radiology, cardiology.

18. THANK YOU