"Digitalization of Healthcare 2025"
On April 2 To Moscow Zdrav.Expert , he held a conference on digitalization. health care The speakers talked about document management, integration IT projects, use artificial intelligence in medical research, import substitution and much more. The conference was attended by representatives of such organizations as the FGKU Forensic Center of the Investigative Committee of the Russian Federation, Lancet MMNCC named after S.P. Botkin",,,,, FBUN Central Research Institute of Epidemiology of Rospotrebnadzor INVITRO Public Council, Ministry of Transport Russia AlfaStrakhovanie OMS,,,,,," "Ear, FSBI N.N. Blokhin National Medical Research Center of Oncology of the Ministry of Health of RussiaHappy LookDoctor at work Throat and Nose Clinic,." FSBI National Medical Research Center of Surgery named after Vishnevsky Ministry of Health of Russia The event was hosted by Alexey Voronin.
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We make a diagnosis on the Internet and avatar
Yuri Andreychuk, General Director and Founder, Helix Laboratory Service, spoke about the services provided as part of centralized diagnostics to independent clients, that is, those who contact the laboratory with their own analyzes.
The speaker noted the difficulty of clients understanding the traditional catalogs of tests, their purpose and subsequent interpretation of the analyzes obtained. Yuri Andreychuk spoke about the tools developed in the company and helping patients overcome these difficulties. He named two: helzy.ru and Helix Express.
The core of the helzy.ru service is probabilistic logic based on large language models. After describing the problem and symptoms, the service forms diagnostic hypotheses, explaining where the hypothesis came from, what tests can be passed, to which doctor it is worth making an appointment, what questions to ask him and what will happen if not treated. User confidence here is at 86%, 800 thousand passes of the test.
 | The client does not need catalogs of tests, services, analyzes, he needs correct, personalized diagnostics with an indication of which doctor to see, - Yuri Andreychuk is sure. |  |
Zalim Kudaev, founder of the federal network of dental clinics "Teeth in One Day," expressed confidence that information technology should not only increase the comfort of doctors, but also extend the life of patients.
The speaker stated that innovations in medicine are difficult to implement, but the introduction of such treatment methods can be accelerated. For example, by creating a digital avatar of the method, through training and scaling, through the reporting of information on social networks and the use of digital marketing. Finally, you can control quality using AI.
The speaker spoke in more detail about how the All-in-4 method in the Russian adaptation - "Teeth in One Day," invented in 1998 by Italian Paulo Malo, is being promoted in Russia. An important component of the success of the promotion is artificial intelligence, on the use of which the speaker stopped in more detail in order to control quality. He explained that AI analyzes not only the work of doctors, but also their planning of their work, doing so on the basis of expert data. This uses a 100-point valuation system. The result: the high quality of treatment is guaranteed, it becomes possible to scale all over the country and even the whole world.
First we will spend, then we will save
Daria Stepchenkova, director of digital transformation, Invitro, considered the advantages of the product approach in comparison with the project one, but first presented the general prerequisites for its appearance. IT is evolving and becoming more complex. Digital products are increasingly penetrating our life. And buyers are not increasing purchasing power at all, but power.
In addition to general ones, there are also prerequisites at the organization level. It is worth paying attention to the product approach if the organization does not have a division or specialist who acts as a constructive lawyer for users with sufficient authority and responsibility. This approach will be useful even if it is not possible to ensure the quality of the result, because product managers are decentralized by department, and the tools of their work change quickly, the specifics of the management object are growing.
The speaker emphasized the difference between the product and the project. A product is something tangible, beneficial, it is not limited in time, its development continues indefinitely (when it stops, the product begins to die). A project is an activity that has a clear time frame. In general, a product consists of many projects, and its existence is impossible without interrupting the needs of users.
The specialists of the Department of Digital Products should predict the value of team efforts in money, assign priorities and manage the queue of tasks for development, start and implement useful product changes, be an impartial arbiter of business and development opinions.
| | To become faster and more flexible, you first need to spend money, - warned Daria Stepchenkova. - And it is also necessary to understand: the main thing for which the organization pays, introducing a product approach - flexibility. | |
She estimated the cost of flexibility in the product approach as follows (based on the assumption that the cost of the IT organization as a whole=1). The cost of the product function from the development function at the initial stage of formation is 15-20%. The cost of building and maintaining an analytical infrastructure is from 1/10 of the cost of the entire infrastructure. The cost of centralizing solutions in a product is 30% of current IT performance.
The joint report was presented to the conference participants, the head of Alexander Balakirev the IT service of the National Medical Research, and Center for Neurosurgery named after Academician N.N. Burdenko, Alexey Nechiporuk the industry director, health care"."MTS Link
Alexey Nechiporuk presented the evolution of the MTS Link ecosystem: from a platform for webinars in 2008 to a set of services for communications - both cloud and on the customer's site. These services are suitable for solving any health care problems: for organizing meetings, conferences, conducting working communications, in telemedicine, as well as for training and advanced training of medical personnel.
The speaker spoke in more detail about services, in particular, about an individual premium quality VKS solution for Vinteo doctor-doctor scenarios, which allows for video conferencing sessions for thousands of participants with distributed and geographically remote objects using unstable communication channels.
| | The MTS Link platform is a leader in integrating artificial intelligence with the communications platform, says Alexey Nechiporuk. - It implements transcription of the speech of the participants, search by keywords, automatic fixation of the agreement. AI forms a summary of the meeting, sends the results to the mail. The system allows you to view short clips with key meeting theses instead of studying the entire video recording. | |
Alexander Balakirev, in turn, shared the experience of digital transformation of the FSAU "National Medical Research Center of Neurosurgery named after Ak. Burdenko" of the Ministry of Health of Russia, but at first recalled three main areas of the center's activity: medical, scientific and educational.
The digital transformation here began with the introduction of EMIAS, and at the same time the American laboratory information system was replaced, the manufacturer of which left the market, and the IT infrastructure was updated. Then they switched to replacing the outdated PBX, the equipment of which occupied a large hall, with the MTS Link platform. Today the system is deployed, working.
| | After the introduction of MTS Link, we received modern IP telephony located inside a protected circuit, our own call center, a full range of telephone communication services: mobile, long-distance, international, - shared Alexander Balakirev. - This made it possible to save about 7-8 million rubles annually. | |
Whoever does not use artificial intelligence will lose
Egor Safrygin, Director of Digital Transformation, European Medical Center, reminded the participants of the event that the center is a leading provider of premium medical services, but also treats patients within the framework of compulsory health insurance (compulsory medical insurance). Digital services are tried here first on patients who came under compulsory medical insurance, and only then a decision is made to implement in the premium segment.
The speaker spoke about the digital sandbox, where hypotheses are tested and MVP is created, about a single digital circuit in which the Institute of Oncology, Therapy, Reproduction, Cardiology, Radiation Diagnostics, Digital Dentistry work. Egor Safrygin spoke about the introduction of a system for controlling the risks of falling patients. When the patient tries to get up, the nurses are notified and have time to approach him. The result is the absence of falls, great savings (millions of rubles).
The center has introduced the so-called "digital datahab" EMC Connect, which accumulates information about the state of health with devices worn by patients, signing documents through " service in the EMC mobile application and much more.
| | More than a hundred solutions for artificial intelligence and machine learning have passed through the Digital Innovation Laboratory, and two to three months usually pass from the product idea to MVP, explains Yegor Safrygin. - The target indicator of the doctor is that his patient, after undergoing treatment, does not contact him for the underlying disease within a year. Thus, we are moving from a proactive treatment approach to a preventive one. | |
Timofey Russkikh, IT Director, Mositalmed, told the history of the company's development from the Beauty Institute (1930) to a network of multidisciplinary clinics (since 2017), and also recalled the stages of digital evolution in the general case: automation, digitalization, digital transformation, intellectualization, digital twin.
| | Whoever does not use artificial intelligence will lose, - Timofey Russkikh is sure. | |
Based on AI, the company has implemented a conveyor. It all starts with clustering clients. Groups of patients with similar medical and other parameters are identified. Then there is the prediction: the formation of a list of patients with a given percentage of the probability of returning to the required time period. Based on the forecast, personal proposals are made for each patient cluster. The digital assistant doctor should focus the attention of his "boss" on significant aspects of the medical history, offer control questions and additional research. There is also a check of the reception results for compliance with the requirements - errors are highlighted.
Alla Sapozhnikova, Head of the Department of Information Technologies and Telemedicine, Federal State Budgetary Institution "Scientific Center of Neurology," spoke about the work on creating a single internal digital space, which is built around a domestic platform for enterprise data management, but mainly devoted her report to the needs of medicine in artificial intelligence, which she divided into three types: routine, professional and progressive.
Alla Sapozhnikova attributed the call center and registry to her routine needs. They are engaged in answering various questions, so it is necessary to reduce the burden on operators, translate texts for them, create instructions, as well as diagrams, materials for stands, promo pages. You can improve the customer experience with chatbots and virtual assistants.
If we take scientific activity, then we need to create generalizing introductory texts, formulate theses, improve the quality of texts, highlight important ones in them. Professional needs to medicine in include voice input systems. It is necessary not just to recognize the voice in the text, but to form a medical document in. MIES
Natural language processing systems are required here to check disease histories for completeness and correctness of data, and computer vision for analyzing medical images, automatic measurements, segmentation. The system of supporting medical decision-making will not be superfluous.
Looking to the future and assessing progressive needs, brain-computer interfaces and systems capable of directly interacting with the brain to transmit and interpret neural signals look interesting. Typing or decrypting using mental commands is also attractive. In addition, an improvement in neuroprosthetics, an improvement in interfaces for virtual and augmented reality are required.
In conclusion, the speaker noted that AI is the next inevitable stage of development. At the same time, AI technologies are just another tool for automating routine and saving time, since they allow you to quickly solve tasks of the same type. Personalized proposals and recommendations for AI-based patients make it possible to exclude the influence of psychological, physical or social factors on the data analysis process and decision-making.
| | A modern medical institution is not only receptions by doctors of patients, it is the IT infrastructure, IT specialists and the general digital space, - said Alla Sapozhnikova. - And we realized that without a single digital space we are doing work, the results of which are not able to predict. The number of information systems is growing, people are evolving, moving from paperwork to digital. You need to manage this digital space. | |
Evgeny Kogan, chairman of the FHIR working group, "HL7 Russia," immersed the audience in the global context, outlining the two main global trends in the digitalization of healthcare. This is, of course, artificial intelligence and interoperability of medical data.
The speaker spoke about HIMISS, the largest international exhibition dedicated to IT in medicine, which is held in the United States, as well as about some AI products already widely used abroad in practice. So, there is such an AI product - "Avicenna AI" - for voice filling of a medical record. It uses a combination of AI models and algorithms, runs on a computer, tablet and smartphone, supports templates for various medical specialties, maintains data in a structured form and can transmit the resulting protocol to the medical information system. This halves the time for preparing documentation, and in the American market of such products there are already at least sixty. The speaker stressed that Avicenna AI has already been tested on the Russian market - several pilots are being conducted in different medical organizations.
Evgeny Kogan also considered the second trend - the interoperability of medical data, which assumes that the data are freely accessed and correctly understood by different medical systems. To solve this problem, state and interstate initiatives in the field of standardization of medical data are important. One of the international standards is HL7 FHIR, promoted by the HL7 FHIR Russia working group. The main idea: to create a national unified model of medical data, to issue GOST (based on HL7 FHIR).
| | Soon it will be difficult for a person to come up with a problem, the solution of which he knows, but artificial intelligence - no, - said the speaker. - How to bring the power of artificial intelligence to the real difficulties facing health care is a challenge now being addressed. In the future, a human doctor will remain the main thing - to take responsibility for the decision made. | |
We change from someone else's bike to our own
Oleg Penzin, Head of the Laboratory of Digital Development, FGBU NMHC named after N.I. Pirogov Ministry of Health of Russia ("Pirogovsky Center"), stressed the importance of clinical trials of drugs, new methods of treatment conducted by medical organizations. Studies increase patient satisfaction with treatment, reduce mortality. The speaker also recalled two types of such studies: sponsored by pharmacological companies and initiative, carried out at the initiative of the medical organizations themselves.
Then Oleg Penzin moved on to consider specialized software for clinical research (CTMS, Clinical Trial Management), designed to improve the quality of medical data obtained during research. Previously, the Pirogovsky Center used the American RedCap system deployed in the inner circuit. It is free, but proprietary, developments by Vanderbilt University.
However, on April 2, 2022, the Center received a notice of cancellation of all licenses and a requirement to remove all distributions. Here they switched to using the free OpenClinica Common Edition solution. We successfully worked on open source software for 2.5 years, but there were questions that required permission: it is difficult and expensive to develop your team, it is unreliable to look for specialists on the side.
| | The main functionality, the entire critical path of clinical research is implemented in the domestic MVP product we created, - Oleg Penzin emphasized | |
Alexander Kamenkov, Deputy Chief Physician for Information Security, Clinical Hospital No. 85 (FMBA of Russia), presented a report on the use of software and hardware for medical examinations.
The speaker noted the growing interest in the automation of medical examinations by state and private medical institutions, an increase in the number of domestic and foreign manufacturers offering PAC for medical examinations, and the active introduction of digital technologies within the framework of national projects in the field. health care
Alexander Kamenkov also identified problems, including the high cost of complexes, implementation and maintenance of PAC, insufficient compatibility between various systems and devices. There are not enough qualified specialists, there is also psychological resistance from medical workers. There are no standardized protocols for secure wireless communication between devices included in the PAC.
The speaker spoke about the specific model of PAC - the platform for remote monitoring of physiological parameters of the patient - HealthKeeper, which allows combining employees, employers and serving medical organizations in one information space. Depending on the configuration, the set of parameters for monitoring includes a wide range of indicators: blood pressure, pulse, hemoglobin, cholesterol and many others. The platform has a friendly interface and API for integration with various MIS.
| | In search of automation tools, we were prompted by large volumes of manual work, errors in conducting medical examinations, the need to optimize the time of medical examinations, delays in processing the data received, the need to reduce the burden on medical workers, - lists Alexander Kamenkov. - At the moment we have three vendors supplying us with software and hardware. | |
Doctors cannot be fatigued
Evgeny Zubov, chief freelance specialist in information systems in health care, Ministry of Health, Perm Territory, spoke about the history of the creation of a regional medical information system, and then moved on to the issue of introducing an electronic medical record (EMR).
He noted that there are the following main functional blocks in physician work with EMR:
- establishment of information about the patient, history, results of examination;
- making appointments (various surveys, referrals for consultations, etc.);
- prescriptions;
- issuance of electronic disability sheets.
The main time gain for the doctor appears when using batch appointments. And the more appointments in one reception, the greater the advantage, the speaker emphasized. At the same time, on preventive patients, with simple appeals (routine vaccination), the doctor needs less time to communicate. When dealing with simple acute cases, the doctor does not need much time either. The doctor should spend more time on dispensary chronic patients, and, accordingly, there is already a more significant gain in time that he can devote directly to communicating with the patient. And the greatest advantage is observed in the case of an appeal of a diagnostic patient. Here, the doctor frees up the maximum amount of time for a detailed examination of a complex and unknown patient.
{{quote 'For the medical system to work well, it must be correctly implemented, and it is important for the doctor to understand how to use the system in work, - said Evgeny Zubov. - And it is also important to remember that no matter how good the system is, without the personal and warm participation of the doctor, there is no good treatment. }}
Natalya Bayandina, doctor, Federal State Budgetary Institution "United Hospital with Polyclinic of the Office of the President of the Russian Federation," devoted her speech to the effective diagnosis of such a common female disease as cervical cancer.
She cited the reasons for the ineffective screening of the disease. The poor-quality material entering the study, the lack of both the necessary experience from the diagnostic doctor, errors, and poor contact between doctors interfere. Increased loads and fatigue of doctors leading to missed pathology do not contribute to the matter either.
Digital technologies, artificial intelligence and telemedicine are tools for solving these problems, Natalya Bayandina is sure. The use of digital cytology and AI algorithms allows you to increase the adequacy of the material, archive a large amount of digital drugs for a long time. They are also able to increase diagnostic sensitivity (up to 98.5% -99.25%) and reduce study time.
In addition, this makes it possible to study in real time, which will allow, within the framework of the current admission of a gynecologist, to exclude poor-quality material coming for analysis, to prescribe additional studies and treatment, to consult in difficult cases. This will increase the detection of pathology, ensure timely examination and treatment, increase the attractiveness of gynecological admission, as well as fill the shortage of personnel and equipment, which will lead to a decrease in the level of morbidity and mortality from this disease.
| | The combination of digital cytology and AI is the most objective, the most true method, "said Natalia Bayandina. - Artificial intelligence does not allow you to miss the pathology, but the doctor himself does not succumb to the influence of artificial intelligence. | |
Asad Yusufov, chairman of the Association for the Protection of Health Rights, presented the main directions of the digital transformation of medicine. In his opinion, it is worth paying attention not only to artificial intelligence and telemedicine, but also to the introduction of electronic medical records in order to improve data storage and access to them. Another area is mobile apps and wearable wireless devices for health monitoring.
Further, the speaker dwelt on the legal aspects of protecting medical data, on the need to develop and approve clear legal norms for the use of artificial intelligence, on ensuring the protection of patient data.
| | The key and most painful topic is ensuring the confidentiality of personal information about the health of patients, the need to limit the rights to transfer information to third parties, "said Asad Yusufov. | |
Oksana Sannikova, rheumatologist, therapist, researcher, regional clinical hospital No. 1 (Yekaterinburg), Institute of Immunology and Physiology of the Ural Branch of the Russian Academy of Sciences, shared her impressions of the digitalization of the practitioner.
Digitalization penetrates all spheres of our life, and medicine is no exception, especially since the digital transformation of healthcare is one of the priority tasks of the state. Modern technologies are changing the world of healthcare, opening up new opportunities to improve the diagnosis, treatment of patients, and every medical practitioner is a direct participant in these processes.
| | Digital transformation in medicine is the integration of digital technologies into the processes of providing medical care, - said Oksana Sannikova. - It includes the use of electronic medical records (EMR), telemedicine, mobile applications, among many other digital tools. | |
During the speech, the speaker analyzed a wide range of issues of digitalization of healthcare, made a SWOT analysis of telemedicine, outlined the prospects for personalized medicine, described some AI platforms presented on the market: SberMedAI, Celsus, "Third Opinion," BotkinAi, Care Mentor AI and several others.
In conclusion, Oksana Sannikova gave recommendations on the introduction of digital technologies. It is necessary to plan them carefully, taking into account the needs of doctors and patients. It is important to ensure access to quality training and support for medical personnel. It is necessary to create a platform for the joint work of the medical community, IT specialists and patients.
An ordinary doctor is afraid of a computer
Mikhail Ushakov, General Director, TONK Group of Companies, recalled gloomy statistics on cyber attacks on Russian business and the state: the number of attacks using viruses using vulnerabilities in software (exploits) increased by 24%. An increase of 13% shows theft of funds. The number of critical cyber incidents in 2024 increased by 39% (compared to 2023).
The speaker spoke about the companies in partnership with which a thin client is being implemented: Kaspersky Lab, Getmobit, Elvis and a number of others. In partnership with Elvis, PAC Zastava-T was created - 24 thousand of these devices were introduced into all registry offices.
Mikhail Ushakov presented a number of other cases of introducing PAC from the TONK line:
- Introduction of AWS in the network of pharmacies. Field of application - cash terminals, information kiosks, digital signs. Results: reducing the cost of supporting the IT infrastructure, opening new pharmacies faster, and turnover increased.
- Network of clinics. AWS of doctors, specialists, information kiosks, digital signs were introduced. Results: a network of clinics of a federal scale was created, support costs IT infrastructures were reduced by 68 million rubles, a new MIS was introduced using hardware. two-factor authentications
| | An ordinary doctor is afraid of a computer, he needs one button, by pressing which he will immediately get into the working software he knows, "Mikhail Ushakov emphasized. - More than 100 thousand of our devices are already working in various medical institutions. | |
Denis Nikitin, Director of Business Development, and Pavel Gavrilov, Director of the Business Solutions Department, spoke together. Both speakers are representatives of Infologistics.
| | In medical centers, paper documents with patients are signed daily - contracts, additional agreements, and so on, which must be stored, provided upon request, - tells Pavel Gavrilov. - Our company has centers for processing paper documents, where we take documents, scan, form an electronic archive, ensure their reliable storage. | |
The speakers noted that the company's solutions work with all types of documents (paper, scans, electronic documents) at all stages of the life cycle with the possibility of signing different types of signatures (PEP, NEP, UKEP, graphic signature). The modern system should be able to work with different structures, data formats according to certain logic, depending on what business processes require. The integrated approach is based on a single DOCU Force document and data platform connecting the electronic archive and EDMS, the speakers emphasized. It accumulates all documents, including documents from external providers.
| | For a comprehensive solution, it is not enough only to organize an electronic archive, so our solution has means of adding business logic, flexible routes, built-in data verification algorithms, and document signing tools, "Denis Nikitin emphasized. "Together, this allows you to build various documentation processes in a single window, manage them, and ensure the seamless documentation process, the components of which are both physical infrastructure and software. | |
During the report, the speakers cited two cases: the digitization of medical documents, the formation of an electronic archive based on paper, as well as the receipt and processing of guarantee letters.
Kirill Mishin, technical director of the federal system integrator Amethyst, stressed that most medical institutions have already implemented and use medical information systems (MIS) as the core of the IT landscape, an electronic medical record is being maintained. And then he listed the current directions for the further spread of digital technologies in healthcare: anesthesiology and resuscitation, surgery, diagnostics, radiation diagnostics, telemedicine and a number of others.
He recognized the low level of adoption of digital solutions for surgery, diagnostics, anesthesiology and resuscitation. Only 11% of medical equipment is integrated with MIS. In addition, when implementing digital solutions, there are a large number of stakeholders who find it difficult to agree. Therefore, the speaker denoted the integrator function. It is necessary to form a general setting of project goals, pilot the target technology, and then analyze the pilot's results, record intermediate results, discuss them with medical and IT units.
It is necessary to think about the selection of technological platforms and components for the implementation of the project (with a focus on Russian developments), to approve the general and detailed principles of the technology being implemented within the medical organization, to form the most detailed requirements on the part of the medical institution. The project will need to be approved with stakeholders, including government regulators. And only after all of the above begins the implementation of the project itself.
| | Doctors need to listen, work with them, without this, do not build an ensemble of digital products around the medical information system, "Kirill Mishin emphasized. | |
During the break and at the end of the conference, the participants talked informally, and also had the opportunity to familiarize themselves with the solutions and services of IT suppliers at the stands deployed in the event hall.
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