Electronic medical records - is it necessary?

After reading this post, there was a desire to share experience in developing and implementing a program to automate the clinic. The program was developed on the basis of Clinic 7 of the city of Cherepovets and, accordingly, meets the wishes of doctors as much as possible. However, she also makes every different account of everything, right down to the last pill.

Immediately make a reservation that the product is not an independent program, but only a configuration on the 1C platform. But, nevertheless, it performs its functions.

What received from this clinic

Firstly, the speed of obtaining virtually any statistical information, up to who, when, who and why. As a result, even the most unexpected monitoring of various levels of subordination is not perplexing.
Secondly, the relevance of paper cards has disappeared, since all information is stored in the database and any card can be printed from the first visit to the last.

What did the doctors get from this

The almost complete absence of a pile of papers, no magazines and reports that need to be filled constantly. Everything is formed from the base.
Again, the speed of obtaining information. All departments of the clinic are connected to the program, including the laboratory, vaccination and procedure, and as soon as the patient passes the analysis, the result immediately appears in his electronic map.
But the most important thing is the input of information. All data entered into the patient’s appointment are formalized, and are selected from various lists. Data on the patient is entered once upon his first visit, and then only adjusted if necessary. Moreover, since the clinic mainly provides services under the compulsory medical insurance program, patient data is automatically entered from the database of insured persons by policy number. Accordingly, there are practically no typos or errors in data entry.
All paper documents, such as prescriptions, certificates, etc., are printed from the program and doctors do not need to enter this bunch of incomprehensible digits on the forms.
And if you recall the new form of the sick leave certificate ... I won’t say that our doctors didn’t even notice this, but the transition to new forms was not as painful for them as for other clinics.

What patients have received from this

Has patient service speed increased? Yes and no. Those who are in a hurry forever, of course, are served much faster, but there is time to talk with grandma too. And precisely by reducing the time to fill out different forms.
The number of pieces of paper was minimized. Ideally, if a patient is examined in our clinic, he goes to all specialists, to the laboratory and to all the examinations only with his MHI policy. All the information the doctor needs is in the database.
We went a little further along the path of patient convenience. An information kiosk is connected to the program, which allows you to not only get the results of your examinations, but also make an appointment with a doctor and call a doctor at home. However, our patients can even make a doctor’s call at home from the clinic’s website.
Separately, I need to say about making an appointment. Getting to the doctor at any clinic is always a problem. In our clinic there is practically no such problem. Any doctor can make an appointment with a specialist at any time. All entries fall into a common database. In the registry, more than 3 people are already considered a queue. I do not argue, there are situations when it is difficult to make an appointment with a doctor, for example, during the holidays. But in this case, the patient is simply queued up electronically and quietly waiting for a call at home. The program itself will give him a ticket. The maximum waiting period is no more than 2 weeks.

Conclusion

Everything looks just great. But there is one “BUT". All inspection organizations, starting with insurance companies and ending with the FSS, trust only a piece of paper. The result is that with one hand they are trying to implement e-government, and with the other they are killing everything in the bud.

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