Regional hospital of TukumsRegional hospital of Tukums

Dr. Viesturs VīndedzisDr. Viesturs VīndedzisDeputy DirectorDeputy Director

Region and HRegion and Hospital ospital backgroundbackground

RegionRegion

• Hospital was build on 1980 (new part of Hospital was build on 1980 (new part of hospitalhospital

• Tukums region population is 55 000Tukums region population is 55 000

• Tukums city population is 19 000 inhabitantsTukums city population is 19 000 inhabitants

HospitalHospital

• 150 beds (all departments)150 beds (all departments)

• 6648 patients6648 patients

• 46640 ambulatory patients46640 ambulatory patients

HospitalHospital departmentsdepartments

• SurgerySurgery• NeurologicNeurologic• OrthopedicOrthopedic• GinecologicGinecologic• PediatricPediatric• MaternityMaternity• ReanimationReanimation• TherapyTherapy• AmbulatoryAmbulatory• Receiving roomReceiving room

Hospital IT BackroundHospital IT Backround

• Patient management system Patient management system “Ārsta birojs”, “Ārsta birojs”, v.2, v.2,

• Finance management system for accounting Finance management system for accounting “Ozols” /connected to municipality server, “Ozols” /connected to municipality server, outdated, to be replaced/outdated, to be replaced/

• External Web mail systemExternal Web mail system

• Ambulatiry department Ambulatiry department (patients registration 2 (patients registration 2 computers at servercomputers at server

• Reception room Reception room 1 computer at server1 computer at server• IT infrastructure – IT infrastructure – 31 workstation network31 workstation network

Key challengesKey challenges• To decrease patient waiting and treatment time•by decreasing time for information collection and Analysis

• To increase patient turnover• by decreasing patient treatment time

• To improve time and quality of adminisdtrative processes, and document management•By process automation and optimization

• To increase hospital personell efectiveness and level of education and qualification•By additional training of computer skills and basic technologies understanding

• To allign with National e-Health initiative and actions •By fulfilling all the above mentionedBy fulfilling all the above mentioned

Long-term goal of the Tukums Long-term goal of the Tukums hospital hospital

is to ensure is to ensure electronic flow electronic flow of all of all information related to patient and treatment information related to patient and treatment process, and hospital administration, while process, and hospital administration, while paper documents are used only when paper documents are used only when requested by law, or in specific cases when requested by law, or in specific cases when necessary.necessary.

Necessary IT solutionsNecessary IT solutions• Patient management systemPatient management system

– To provide full and up-to-date patient information, history, to help to effectively plan and provide To provide full and up-to-date patient information, history, to help to effectively plan and provide treatmenttreatment

• Laboratory information systemLaboratory information system– To save, retain and provide precise patient analysis and test informationTo save, retain and provide precise patient analysis and test information

• Radiology information systemRadiology information system– To ensure visual diagnostics information and specialist comments database, and data To ensure visual diagnostics information and specialist comments database, and data

availability, remote accesibility, availability, remote accesibility,

• Hospital Resource planning systemHospital Resource planning system– To establish To establish efficient financial flow control, transparent management of procurement, stock efficient financial flow control, transparent management of procurement, stock

optimization, supply chain managementoptimization, supply chain management..

• Corporate collaboration environmentCorporate collaboration environment– To communicate and plan efficiently within organization and with patients through standard To communicate and plan efficiently within organization and with patients through standard

corporate e-mail and calendarcorporate e-mail and calendar

To Do’s 1To Do’s 1

• Hospital IT development strategyHospital IT development strategy– Prepared in 2006Prepared in 2006

• Funds requestFunds request– The strategy document will be used as basisThe strategy document will be used as basis

• Pilot project of Patient management systemPilot project of Patient management system– Buget requested, planned in 2007Buget requested, planned in 2007

• Basic infrastructure implementationBasic infrastructure implementation– State-of-the- art IT environment implementationState-of-the- art IT environment implementation– Computers, software licences, step-by step processComputers, software licences, step-by step process

• Information systems implementationInformation systems implementation– According to budgets and available resourcesAccording to budgets and available resources

To Do’s 2To Do’s 2

• RadiologyRadiology– In the begining of summer we will have digital x-ray for In the begining of summer we will have digital x-ray for

emegency and will connect in one sistem with CT. In this emegency and will connect in one sistem with CT. In this week we increase our internet bandwidth till 8mbps for week we increase our internet bandwidth till 8mbps for data sending to accident center and other hospitals.data sending to accident center and other hospitals.

• Clinical laboratory digitalisation Clinical laboratory digitalisation – conection with all hospital departments and ambulatory conection with all hospital departments and ambulatory

specialists.specialists.

• Workstation purchase Workstation purchase – in departments for doctors and nurses (conect with in departments for doctors and nurses (conect with

reception room, x-ray, laboratory and ambulatory reception room, x-ray, laboratory and ambulatory specialists )specialists )

Key obstaclesKey obstacles• Lack of fundsLack of funds

• 328 000 LVL total budget, 176 000 LVL still needed328 000 LVL total budget, 176 000 LVL still needed

• No information on special EU programsNo information on special EU programs

• Poor IT knowledge within personellPoor IT knowledge within personell

• Lack of resources, bith medical and ITLack of resources, bith medical and IT

Thank you !Thank you !