Medical Information Systems (MIS) Market of Russia
In Russia, information and communication technologies (ICT) are an important component of the development of the medical sector and are a priority area for investment. The Russian government has adopted a program for the development of the healthcare industry until 2020. This initiative is designed to provide a number of benefits for patients and medical staff.
- Catalog of solutions and projects of the Medical Information System class
- mHealth Applications (Global Market)
What is an ERP system for medicine?
According to the classification adopted in the West, the ERP system for medicine consists of 3 types of components:
- A medical information system that performs the functions of administering patient flows, billing, EMR
- Auxiliary information systems, as hospital pharmacy, dietary nutrition, clinical laboratory, systems for image archiving and transmission (PACS), systems for accumulating data from bedside equipment
- Financial and economic system (accounting, salary and personnel)
All 3 components of the ERP system are data sources for calculating the cost of medical care.
ERP systems use a process approach to automating medical organizations.
The main advantages of the ERP system:
- a process approach to automating medical organizations;
- linking finances, resources (material, labor) and quality of medical care for their coordinated management
- monitoring the cost of medical care and costing
Catalog of MIS systems
Main article: Medical information system
2023: The Ministry of Health of the Russian Federation instructed the regions to decide on a single operator of medical IT systems
Ministry of Health Russia instructed the regions to develop a plan for the transition to a unified medical information system (MIS) used in all medical organizations state and municipal systems. health care This is stated in the minutes of the meeting on the implementation of the measures of the federal project "Creation of a single digital circuit in healthcare on the basis of a single state information system in the field of healthcare (Uniform State Health Information System)" dated May 25, 2023.
In total, the document lists 31 regions: these are, in particular, Altai Territory, Astrakhan Region, Vladimir Region, Voronezh Region, St. Petersburg, Krasnodar Territory, Leningrad Region, Moscow Region, Nizhny Novgorod Region, Novgorod Region, Primorsky Territory, etc. The transition to a single MIS should be carried out by December 1, 2024.
It is assumed that the initiative will help solve the problem of "data wells," when several MISs of different IT companies work at the subject level. The Ministry of Health believes that the lack of a unified information system makes it difficult to exchange data between participants in the healthcare industry and slows down the process of digitalization of medical institutions.
The requirements for a single MIS and the procedure for determining the supplier company are not indicated in the document. It is noted that as of 2022, one of the most common MIS in the Russian Federation was the ECP.MIS platform, developed by specialists of RT MIS LLC, a subsidiary of PJSC Rostelecom. This system forms an electronic medical document flow. The logical basis is the patient's electronic medical record, to which the results of the studies are attached. This approach eliminates the loss of data on paper. In this case, you can view appointments, records and other medical information.[1]
2022:94% of Russian clinics use medical information systems in their work
According to a survey of participants in the National Association of Medical Organizations (NAMO), by the beginning of 2022, 94% of Russian clinics use medical information systems (MIS) in their work. This became known on March 16, 2022.
The study was carried out by NAMO and ElnetMed, the developer of the N3.Health integration platform. Its goal is to assess the level of digitalization of private clinics and their integration with the Unified State Register of Health of the Russian Federation. The survey participants were the current members of the association, which is the largest organization uniting players in the medical services market in Russia - as of March 2022, there are 217 clinics of various profiles from 59 regions.
Only 6% of respondents do not yet have MIS, but the plans are to introduce them in the near future.
Among the most common MIS among the respondent clinics are: 1C, Arhimed +, Renovatio, Infoclinics (in descending order of popularity).
94% of respondents know about the need to transfer data the Ministry of Health of the Russian Federation to the Uniform State Health Information System. However, only 31% of clinics are already doing this, and 38% are going to begin the process of integration with the Unified State Information System in the field health care in the near future. And about a third of representatives of the private medicine market have not yet decided on the choice of how to fulfill the requirements. Ministry of Health RUSSIAN FEDERATION
The lack of information on the transition to the updated rules of work is confirmed by the fact that most of the respondents (88%) admitted that they need expert assistance in integrating with the Uniform State Health Information System Ministry of Health of the Russian Federation. As a preferred form of interaction, they chose consultations, seminars with the participation of qualified specialists, and also emphasized the need to prepare and distribute reference materials.
 | A significant part of the association's clinics is potentially ready for integration with the Uniform State Health Information System of the Ministry of Health of the Russian Federation, - commented on the results of the survey by the general director of ElNetMed, an expert at Netrika Medicine Vladimir Solovyov. - MISs are installed in institutions, managers know about the need to transfer data to the federal level, many comply with the requirements or are going to do so in the foreseeable future. The joint work of experts from the N3.Health and the National Association of Medical Organizations in terms of "educational" activities on the digitalization of clinics, interaction with the state information system gives its results. |  |
| | The problem of transferring information to the Uniform State Health Information System is associated with the need to introduce information technologies into the daily activities of private clinics. Large clinics, as a rule, have already introduced such technologies, the same applies to compulsory medical insurance participants. This process will be most difficult for SMEs due to the limited resources: financial, intellectual, personnel, - said Sergey Misyulin, head of the NAMO, also noted. | |
From September 1, 2021, private clinics are required to transfer information on medical activities to the EGISZ Ministry of Uniform State Health Information System of the Russian Federation. The requirements were adopted as part of the creation of a single digital circuit in healthcare and are enshrined in resolutions of the Government of the Russian Federation No. 852 and No. 140 (instead of 555, which will expire on March 1). You can perform them both with the help of authorized organizations and yourself. The most effective in terms of optimizing the time, labor and financial costs of clinics is to solve this problem through interaction with operators of other information systems, which include the N3.Health platform. The Operator fully assumes all the costs of providing a safe communication channel and data transfer to the Uniform State Health Information System, tracking changes in the legislation on this topic, as well as all technical aspects regarding the implementation of interaction with the Uniform State Health Information System.
2021: Irina Yarovaya asked to conduct an audit of the effectiveness of regional medical IT systems
On April 26, 2021, Deputy Speaker of the State Duma Irina Yarovaya, speaking at the Council of Legislators of Russia, proposed to conduct an audit of the effectiveness of IT systems in healthcare in order to "reach the logic of digitalization, useful to the patient, and the effective use of budget funds."
| | Today, there are information systems for managing patients, but not for their treatment: Uniform State Health Information System, GIS SZ [social protection] of a subject of the Russian Federation, MIS in medical organizations, IS pharmaceutical organizations, VIMIS is created for certain groups of diseases... The analysis I conducted, as well as the constant work with citizens on appeals and the organization of their receipt of medical care, indicate that none of the federal information systems in practice solves the issue of issuing a referral, remote issuance of certificates, keeping a medical history with comparison of analyzes, "Yarovaya emphasized. | |
According to her, it is necessary to implement the technology of a smart medical electronic record and organize the exchange of data between medical institutions without the participation of the patient and without creating additional systems.
Among other proposals by Yarovaya: at the request of patients, send research results by e-mail, federal centers to accept emails with directions and study results, and issue certificates for free.
| | We are not talking about creating systems in the system, we are talking about setting up interaction through existing electronic means, - said the vice speaker (quoted by RIA Novosti). | |
He added that the digital platforms that Moscow uses and are focused on patient convenience and patient care should be distributed in other constituent entities of the Russian Federation and a training seminar with the participation of Moscow should be held "so that the created intellectual product is used by other regions."[2]
2019: Medical Information Systems Requirements Approved
On June 17, 2019, the Ministry of Justice of Russia registered Order of the Ministry of Health of Russia No. 911n "On Approval of Requirements for State Information Systems in the Field of Health Care of the Constituent Entities of the Russian Federation, Medical Information Systems of Medical Organizations and Information Systems of Pharmaceutical Organizations."
The order defines the mandatory composition of functions that must be provided by information systems in medical organizations, as well as in state information systems of regional health care, including: maintaining an electronic medical record, centralized systems (subsystems) for storing and processing the results of diagnostic studies (medical images) and laboratory studies, dispatching of emergency medical services, telemedicine consultations, preferential drug provision, managing patient flows (electronic registration), as well as a number of functions that ensure the management of healthcare resources and decision-making. An important component of the order is the requirements for the protection of information contained in information systems, and for the software and hardware of these systems.
The order comes into force on January 1, 2020 and is mandatory for the implementation of the activities of the federal project "Creation of a single digital circuit on the basis of a single state information system in the field of health care" of the national project "Health," providing for the implementation of high-quality information support for the activities of doctors and medical workers in the provision of medical care, interaction in digital format of participants in the health care system in order to organize electronic services and services for citizens.[3]
2016: Detailed analysis of public procurement of MIS in Russia for three years
A detailed analysis of public procurement of software and IT services for healthcare is contained in the study of public procurement of software and services for informatization of healthcare in 2013-2016.
2010: Global Healthcare IT Market Size $310 Million
Frost & Sullivan estimates that industry IT spending health care totaled $310 million in 2010. By USA 2017, it is expected to reach $882 million. The United States at a combined CAGR of 16.1%.
The level of IT infrastructure development at Russian healthcare enterprises remains relatively low. According to the Ministry of Health of the Russian Federation, in 2009, only 20% of Russian medical institutions had at their disposal modern IT systems designed to improve operational efficiency. In 2009, there were an average of 37 computers per medical facility, that is, one device per five employees.
"However, over the past five years, ICT spending has grown quite rapidly, this trend is likely to continue in the future," said an analyst at the ICT department, Frost & Sullivan. "
The lack of a legislative framework governing the norms and standards of electronic health systems (e-Health) is one of the main obstacles to the further development of ICT in this area in Russia.
"This creates contradiction, on the one hand, the state has openly stated the need to implement ICT elements in health facilities; on the other hand, the current legislation does not allow the application of such solutions, "says Frost & Sullivan analyst."
Over 300 medical information systems (MIS) operate in Russia (2012 data). In the absence of information exchange standards, the implementation of MIS systems is carried out randomly; many applications used are incompatible with each other. Compatibility issues do not fully unlock the potential of existing solutions.
However, telemedicine is already developing in Russia at a fairly fast pace. Most medical facilities that offer a wide range of services are located in large cities, sometimes traveling from rural areas to the city can be very difficult. The rapid development of broadband Internet access and resource efficiency are the main driving factors in the development of telemedicine in Russia. This form of medical services is mainly used for video consultations and diagnostics.
"The main factors constraining the introduction of new ICT applications in the healthcare sector are the lack of purchasing power of most medical institutions, the lack of necessary skills of the medical staff to work with such systems, as well as a weak understanding of what benefits the implementation of such solutions can bring. Another problem in this regard is the variety of available systems in the absence of uniform standards, says Frost & Sullivan analyst. - At the same time, these problems are recognized and solved at the state level, so we expect the growth of the e-Health market in Russia. "
Notes
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