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Regulation
In August, 2011 the mayor Moscow Sergey Sobyanin approved the plan of informatization of city clinics and hospitals for the next 2 years. Completely the document can be seen here. Officially government decree 313-PP about such works is called 'About the approval of the consolidating plan of actions for 2011-2012 for implementation of modern ICs in health care the city of Moscow'.
Coordinators
The department of information technologies (DIT) and department of health care are selected from the resolution of Moscow for a role of 'the main manager of budgetary funds and the state customer'.
Financing
Works from two sources are financed: Moscow budget and Fund of Compulsory Health Insurance (FCHI). The total costs exceed 5.7 billion rubles from which about 3.2 billion rubles fall to the share of Moscow. Completely the list of actions, the amount of financing of each of them and the department which is responsible for works it is possible to see in the table below.
Three points of the plan from 12 got to an area of responsibility of department of health care. First, it is responsible for design, development and pilot operation in a pilot zone of the Medical Information System (MIS). In fact it is about the specialized industry ERP supporting work of clinics and hospitals. In it the personified account of patients (to whom what help was rendered) is kept, the electronic medical record is kept.
Financing of informatization of the Moscow health care
| Name of an action | Amount (thousand rubles) | Financing source | Responsible |
| Implementation of a medical information system of the two-level architecture providing complex automation of medical and diagnostic process and administratively economic functions in State Healthcare Institutions of the city of Moscow | 2 870 645,8 | Federal Compulsory Health Insurance Fund and budget of Moscow | Depzdrav |
| the Equipment of actions for implementation of modern information systems in health care of the city of Moscow | 1 033 774,3 | Federal Compulsory Health Insurance Fund and budget of Moscow | DIT |
| Implementation of components of the 1st queue of City information services of health care EMIAS of the city of Moscow in
State Healthcare Institutions of the city of Moscow | 633 000 | Federal Compulsory Health Insurance Fund and budget of Moscow | DIT |
| Engineering design, development and approbation on a pilot zone of the 1st queue of City information services of health care EMIAS of the city of Moscow | 352 150 | Budget of Moscow | DIT |
| Upgrade and creation of the structured cable networks in State Healthcare Institutions of the city of Moscow | 300 000 | Federal Compulsory Health Insurance Fund and budget of Moscow | Depzdrav |
| Engineering design, development and approbation on a pilot zone of the Medical information system of the two-level architecture for ensuring medical and diagnostic process in State Healthcare Institutions of the city of Moscow including providing information exchange with City information services of health care of EMIAS, conducting the personified accounting of the provided medical care and the electronic medical record | 291 000 | FEDERAL COMPULSORY HEALTH INSURANCE FUND | Depzdrav |
| Implementation of components of an end-to-end system of security in State Healthcare Institutions of the city of Moscow | 68 750 | Budget of Moscow | DIT |
| Project management, the organization and coordination of works on implementation of components of the 1st queue of City information services of health care EMIAS of the city of Moscow in State Healthcare Institutions of the city of Moscow | 60 000 | Federal Compulsory Health Insurance Fund and budget of Moscow | DIT |
| Creation of the core interdepartmental infrastructure providing functioning of City information services in health care of EMIAS of the city of Moscow of the 1st queue | 50 000 | Budget of Moscow | DIT |
| Development of the concept and design of an end-to-end system of safety of interdepartmental interaction with City information services of health care of EMIAS, including by means of secure channels of communication | 30 810 | Budget of Moscow | DIT |
| Upgrade of the center of appeals of service "03" of the Integrated automated control system of activity of the Station of ambulance and emergency medical service of A.S. Puchkov (KASU SS and NMP) | 18 000 | Budget of Moscow | DIT |
| Integration of the 1st queue of City information services of health care EMIAS of the city of Moscow with the city center of processing of telephone addresses | 5 000 | Budget of Moscow | DIT |
| Total | 5 713 130,1 |
Source: Government of Moscow
Work plan
Infrastructure
'In 2011 we will bring external communication channels to all city treatment and prevention facilities (TPF) and we will unroll local SCS, - the head of DIT Artem Yermolaev says CNews. - Besides, we will deliver personal computers and the periphery to them, infomats'.
On September 5, 2011 JSC Comcor (a trademark of AKADO Telecom) and the Moscow Department of Information Technology announced the beginning of project implementation on deployment of broadband wireless access in the Internet in medical institutions of the city within the program of upgrade of capital health care. The pilot zone of free WiFi for visitors, personnel and patients is created in city clinical hospital No. 15 of O.M. Filatov.
The WiFi-network is put into operation on September 1, 2011. In this WiFi-zone 36 spot jotas (basic access points) which provided a covering of all building are set. Wireless access points to AKADO Telecom Internet network are organized on six floors of the main building of hospital and more than 700 people are capable to provide simultaneous wireless connection to the Internet.
Connection speed on WiFi-network can reach 54 Mbps depending on the user of the protocol of WiFi technology supported by the device.
SOFTWARE
As for a program part, according to the head of DIT, in hospitals and clinics software for flow control of patients will appear. 'Also in 2011 on the centralized solution record to doctors, on analyses will appear, - Yermolaev promises. - In it there will be information on the list of doctors and their load, 'bottlenecks' in clinics will become visible'. The main works on uniform MIS (EMIAS) are abroad 2011, but in 2011 in one of districts (it is not selected yet) there has to be its pilot zone which will cover 31 health facilities.
Suppliers of IT
As of the end of July, 2011 participants of IT market already began preparation for yet not announced competitions, offering at own expense the leading Moscow hospitals pilot implementations of the developments counting upon the recommendations of chief physicians in the future. According to CNews, the crusade of integrators in the Moscow health care did not do without intrigue. As CNews knew, in a number of hospitals without indication of the name the system positioned as "already selected above" was presented. It is interesting that it is depersonalized not only development, but also her supplier - presenters refused to answer questions of doctors of it.
However, neither in hospitals, nor in the Government of Moscow this information of CNews was not confirmed officially. 'I do not know of it, - Artem Yermolaev says. - Possibly, it is attempt to deceive customers, unfortunately, business ethics at us sometimes not at height'.
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