Moscow scientific research institute of psychiatry Roszdrava (1C: Medicine. Clinic)

The institute is responsible for development of the key directions of mental health services in the country and also provides medical care on the following profiles: adult and children's psychiatry, epilepsy and narcology. Eight polyclinic departments on 140 — 170 visits a day and the clinic on 300 beds including five adults and one children's department, department of not medicinal methods of treatment with the block of intensive therapy and laboratory and diagnostic divisions are a part of institute (department of neuronondestructive testing, laboratory of functional diagnostics, kliniko-biochemical laboratory, etc.).

Such complex structure of medical institution complicated information search about the specific patient (for example, about quantity and dates of the previous visits, the list of the rendered medical services, results of laboratory researches and so forth) and, as a result, required considerable costs of time for design of paper out-patient and stationary cards. Besides, because of a large number of patients there were queues in registry and cash desk for payment of services.

For overcoming these problems in August, 2010 the administration of MNIIP made the decision on implementation of MIS which would allow to automate the main activities of institute in a complex. "Systematization of information flows in organization was our main task. Without modern medical information system I cannot imagine a solution of this task in any medical organization" — the associate director of MNIIP, MD Victor Vyalko explained.

It was supposed that project implementation will begin with implementation of IT in work of polyclinic departments. Having attentively studied the market of the relevant decisions, specialists of institute stopped the choice on the software product "1C: Medicine. Clinic" which serves for accounting of patients and management of their flows, conducting settlement with partners, the personified accounting of the provided medical care.

This specialized solution considers all features of business processes of clinic and provides automation of activity of the following divisions and responsible persons: registry, cash desk for settlings with individuals, the manager of registry, service of maintaining agreements, medical and average medical personnel, information and analytical and statistical services.

Among other factors which influenced the choice of a system "1C: Medicine. Clinic", Victor Vyalko called the affordable price (in comparison with other similar solutions), a big partner network of vendor that serves as a guarantee of due quality taking into account the existing competition level among 1C partner companies and also existence of the certified 1C: Enterprise 8.2z platform providing fulfillment of requirements on security according to provisions of law 152-FZ "About personal data". Specialists of MNIIP considered one more advantage of this platform that she allows to organize effective work and reliable information storage for hundreds of users.

Project implementation began in September, 2010 forces of the combined team where the representatives of Formula-Business company franchisee and methodologists of Medical Solutions company giving consulting support and also the IT specialist of institute entered.

First of all it was required to create a single system of registration of patients in organization and to implement the plastic ID cards allowing to consider the movement of patients (including what doctors they visited what appointments were made by it). The institute also wanted that using these cards in any workplace (in registry, cash desk, offices of doctors, procedural and diagnostic offices, a hospital) it was possible to open the electronic clinical record of the patient.

Besides, a new system had to give an opportunity of the detailed accounting of the ordered and executed services in different analytical cuts — the patient, the financing source providing service performance, an office where the service, and the device using which it was executed was rendered.

And at last, implementation "1C: Medicine. Clinic" had to provide the analytical reporting in different cuts (on doctors, devices, the residence of patients, etc.) and also automatic payroll of divisions proceeding from the rendered paid services.

As a result such increase in necessary functionality moved up project implementation schedules from three months before half a year. Change of terms was also influenced by the difficulties which arose directly during deployment of MIS.

First, the new solution demanded technical retrofitting of the computer park of polyclinic departments. A part of computers in expected workplaces was absent, and others — were outdated, in addition to it it was required to organize the corresponding network infrastructure.

Secondly, it became clear that most of employees of institute had fear in front of the computer. "Rather low level of computer literacy of doctors complicated their communication with the technical specialists performing implementation. First it seemed that we speak different languages, but gradually we learned to understand each other" — Victor Vyalko emphasized.

And thirdly, for proper functioning "1C: Medicine. Clinic" it was necessary to change and correct the existing business processes. It was required to overcome the certain inconsistency of activity of divisions observed prior to implementation of MIS and caused by their specifics, and it appeared not so simply as, according to Mr. Vyalko, it is the heaviest to change a usual operating procedure.

Now, when the project is already complete, data purification according to the reports implemented already in a new system "1C: Medicine is performed. Clinic". "In general, despite a small deviation from the diagram and a number of the difficulties which faced at implementation, I can tell with confidence that we achieved the planned objectives" — Victor Vyalko noted.

Registration procedure of patients was optimized and centralized, and as a result of implementation of plastic ID cards data processing rate of the patient increased more than twice. Besides, thanks to the same cards it was succeeded to reduce significantly queues of patients in cash desk by payment of services as now acceptance of payment became simpler to one transaction — reading of a barcode from this card.

A system also provides formation of route sheets which are issued to each patient. This document supports all information, necessary for it — time of providing medical service, an office and preparatory measures. Scanning of the route sheet allows to see results of the conducted examinations of patients at any stage of consultations.

Victor Vyalko selected several factors which should be considered always when implementing similar projects. First of all, according to him, it is necessary to create surely the working group from the automated medical institution which will be able to participate in system deployment. Besides, it is necessary to start beforehand training of employees in work with the program and the computer in general if the medical personnel initially have no skills sufficient for this purpose. And at last, the project success in many respects depends on presence of the competent contractor who will be able qualitatively to implement a system.

Implementation "1C: Medicine. Clinic" plans of institute for automation of the activity do not come to an end. Automation of a hospital is planned for the III—IV quarters of the current year. It is supposed that one of the specialized software products entering a line "1C: Medicine" will be used for this purpose.