1. The achievements in creation of hospital`s information system Hospital for traumatology and orthopaedics Riga Latvia 2001. - 2007.

2. Hospital backgraound  Specialized orthopaedic hospital  ISO 9001 certified hospital since 2001.  500 beds  550 employees  2000000 – 3000000 EUR yearly budged  6500 surgical procedures per year  8000 patients per year

3. Intranet structure  9 buildings – pavilion type structure  Optical connection cables  3 servers + 200 PC + 46 printers  Internet connection  Connection to Health Insurance IT system  2 system administrators

4. The history of IT implementation  2001. Computerised accounting and business management Office Line  2001. Hospitals intranet with e-mail  2002. Computerised staff management Personal Navigator  2005. Computerised document management DocLogix  2005. Hospital`s web page  2006. Computerised patient information in ambulatory care

5. Acceleration of IT processes 2005.-2006.  Increased number or PC in local intranet  Increased staff computer skills  ISO9001 quality management in computerised DocLogix  DocLogix becomes an enviroment for all manegement processes  Ārsta birojs is sucessfully introduced in seperate units.  The executive board is ready to push the process

6. The medical notes in ambulatory care unit

7. The planning of the patient flow

8. The necessety for IT at the hospital  Hospital`s management  Quality management  Accounting  Document management  Staff management  Management of the medical care

9. The necessety for IT at the hospital  Themain task of the hospital is to treat the patient  The quality of the treatment could be only mesuared by medical notes  The doctors mind must be with the patient not with the paperwork

10. What is quality in medical care ?  Quality for the provider - The hospital  Quality for the client – The patient

11. The organisational stucture of the hospital

12. Reģistratūra Uzņemšana Finansu vadības sistēmas Operāciju rindas Stacionārā vēsture Pacientu aprūpe Kase Operatīvās operāciju rindas Ambulatorā vēsture Peri- operatīvais atbalsts Radioloģijas IS Laboratorija Asins kabinets Diktofons Dispanse- rizācija Konsīlijs Operācijas resursu pārvaldība Statistika (ambulatorie taloni, stacionāru kartes, pārskati) Reanimācija un anestezio- loģija Portāls, e-pasts Analīze (datu noliktava) PACS Todays situation Lēmumu atbalsts Ārsta birojs Perio

13. Quality for the hospital  The golden standart result of the treatment  The real life result of the treatment

14. Quality for the patient  The degree of satisfaction about the final result of treatment accordings to patient`s expectations before the treatment

15. Demand for new tipe of medical notes  The notes should be mesuarable, comperable and they must be analised on regular basis  The doctor need quick access to easy understandable patient`s data  The patient desires better understanding of his desease and often wants to keep his date by himself for second opinion

16. The first lessons of Ārstu birojs  The staff is happy  The introduction process runs faster than expected  Everybody has new ideas  Surlprisingly less paper cosumption  The patient receives readable paper notes and CD with e-rays immediately after visiting the emergency department  Computer teaching is mandatory

17. The advantages of the new version of Ārstu birojs  All the notes are created in real time  There is a common enviroment of patient data for all the hospital staff  The doctor or nurse has selfservice for information  No delays in medical notes  No missing bills  Easy exchange of date with other institutions

18. Slimnīcas informācijas sistēmas pārskats (ideālais)

19. PCPC The pathogenesis of computermania Circulus vitiosus

20. IS e-health worth to implement?

21. Thank You ! Valdis Zatlers Orthopaedic surgeon