INTERIN

Program Systems Institute Russian Academy of Sciences: 

Program Systems Institute Russian Academy of Sciences INTERIN TECHNOLOGY: A COMPLEX INFORMATION MANAGEMENT SOLUTION FOR A HEALTH CARE DELIVERY INSTITUTION Medical Informatics Research Centre

INTERIN Technology About the project: 

INTERIN Technology About the project INTERIN TECHNOLOGY, a complex of software tools and techniques for building health care information systems, was developed in the Program Systems Institute, Russian Academy of Sciences. Objective: improve the efficiency of care providers and enhance the overall quality of clinical care, increase the productivity of diagnostic laboratories and clinical units by putting into practice the potential of new health care information technologies.

INTERIN Technology Strategy: 

INTERIN Technology Strategy Care monitoring Medical document flow Service management Decision support Reference information Common information space Patient care TRANSPARENCY Ancillary services Medical supplies MANAGEABILITY OPTIMIZED resource usage ANALYZABILITY

INTERIN Technology Applied tasks: 

INTERIN Technology Applied tasks general and administrative tasks diagnosis and treatment process laboratory and diagnostic studies information support for specialist physicians supervision of care by more experienced physicians, heads of divisions and other officials information support for the efficiency evaluation of care information servicing of the personnel

INTERIN Technology Functionality classes: 

INTERIN Technology Functionality classes Office tasks – enterprise information support and document management. Resource planning and enterprise management – physician scheduling, room and equipment scheduling, appointment and treatment scheduling, etc. Care monitoring – patient record keeping; record review, processing, and analysis. Laboratory and diagnostics – entry, storage, processing and analysis of diagnostic results. Decision support – expert assessment and quality control of the care process.

INTERIN Technology Patient’s total medical record: 

INTERIN Technology Patient’s total medical record Medical record (MR) Outpatient record Information security system 1st user Remote access N-th user Case history Case history Case history

INTERIN Technology Patient-centred approach: 

Patient’s total medical record INTERIN Technology Patient-centred approach Diaries Physical examinations Examination results Passport data Health inspections Medication orders Diagnostic orders Epicrises Operation and transfusion protocols Preventive medical checkups Prescriptions

INTERIN Technology Key principles and features: 

INTERIN Technology Key principles and features Integration of information flows Prevention Diagnostics Treatment Supplies Commercial activity Research Clinical nutrition Supervision Staff management Planning Embracing all dimensions of health care enterprise activity Administration Nutrition unit Personnel department Commercial department Supplies department Library Clinic Paraclinic Office Pharmacy Medico-social expert commissions Financing Chief specialists

INTERIN Technology Standards maintained: 

INTERIN Technology Standards maintained Maintenance and development of standards Data communication standards: XML (W3C recommendations); CENTC1251 recommendations. Health care delivery standards: MES (Medical-Economic Standards); Moscow health care standards. Project Management Standards: State Standard (34.201, 34.601); CSDS (Common Software Documentation Standard).

INTERIN Technology Key principles and features: 

INTERIN Technology Key principles and features System being developed relies on a number of user-edited reference guides and directories: IDC-10 health care services and procedures offered by the institution clinical guidelines surgery guides and directories State registry of medicines institution’s functional structure service location companies and their essential data referral sources list of staff members specialists’ examinations physician order templates, etc.

INTERIN Technology Key principles and features: 

INTERIN Technology Key principles and features Patient accounting and billing Health service directory Contracts Payments Affiliation: assignment, insurance policy, etc. Services Price lists Health care programmes Medical and economic standards Health care institution Institutions Patients

INTERIN Technology Key principles and features: 

INTERIN Technology Key principles and features Document management Replication-free multiple access to patient data Passport data Case history title page Operation protocol Various auto-fill options Use of document templates Automatic generation of documents to be printed …. Epicrisis Physical Complaints, history... Preset values Document Updating Template

INTERIN Technology Key principles and features: 

INTERIN Technology Key principles and features The integrated information system handles data of various nature – texts, images, etc. Integration of heterogeneous data

INTERIN Technology Key principles and features: 

INTERIN Technology Key principles and features Autogeneration of aggregate reports Inpatient medical record Chronic Hemodialysis Dept. Patient transfer summary for a specified period Summary of medication orders for a specified period

INTERIN Technology Key principles and features: 

INTERIN Technology Key principles and features Visualizing the dynamics of medical data Case History 32. Intensive Observation Data Chart PulseBlood pressure Breath rate Sex M Age 70Weight 95 kgHeight 185 cm Orders

INTERIN Technology Key principles and features: 

On the one hand, every workstation can be accessed from any hospital computer via the local network. INTERIN Technology Key principles and features Patient information access regulation On the other hand, the user access level is determined by his/her job responsibilities.

INTERIN Technology Key principles and features: 

INTERIN Technology Key principles and features The integrated information system architecture enables patient information to be accessed both from specialized hospital workstations and via the Internet, as determined by the user rights and established regulations. Telemedicine In that way, specialist physicians can have access to all of the information they need from their patient’s medical record.

INTERIN Technology Key principles and features: 

INTERIN Technology Key principles and features Diagnosis and treatment support Objective evidence (total medical record) Diagnosis, treatment HIS Planning of diagnostic studies and treatment Supervision of diagnosis and treatment Access to patient information Clinical guidelines Order justification

INTERIN Technology A HCI common information space: 

INTERIN Technology A HCI common information space HCI located at a single site (hospital, outpatient clinic, etc.) Geographically distributed HCIs (hospital – oupatient clinic) HCI – a network of health units HCIs – mobile agents Combined option

INTERIN Technology Paper-based documents, summaries, reports: 

INTERIN Technology Paper-based documents, summaries, reports Bed use summary for a specified date Hospital monthly activity summary Inpatient medical record

INTERIN Technology Information analysis: 

INTERIN Technology Information analysis Examining an ECG wave. Data can be displayed on different charts and graphs.

INTERIN Technology Interface solution: 

INTERIN Technology Interface solution The conceptual interface solution relies on: the conception of a Desktop the idea of a so-called «Botkin’s chart»

INTERIN Technology Desktop: 

The user’s Desktop is a unified interface that handles data via Information objects. The Desktop is configured for a particular user. INTERIN Technology Desktop Desktop objects

INTERIN Technology  «Botkin’s chart»: 

INTERIN Technology «Botkin’s chart» Visualization of information from the patient’s total medical record, according to clinical practice standard requirements and the user access rights. Medical information «Botkin’s chart» Admission diagnosis Mitral valve prolapse. Congenital heart disease Temperature Medication orders Test orders Blood sugar Leucocytes (WBC), 10^9/liter Print vital signs chart Print entire record

INTERIN Technology Economic benefits: 

INTERIN Technology Economic benefits Permanent storage of EMR No data duplication Resource planning Efficient resource utilization Telemedicine Cost reduction Clinical nutrition management Minimizing food product loss Bed management, hospitalization plan Full use of inpatient facilities, even provision of health care services Efficiency control of unit operation Ensuring flexible and maximum efficient operation System openness Minimizing expenses for the repeat development of subsystems

INTERIN Technology Economic benefits: 

INTERIN Technology Economic benefits

INTERIN Technology Key principles and features : 

Complex health centres Various outpatient facilities Aid posts Diagnostic centres INTERIN Technology Key principles and features Supporting various types of health care institutions Inpatient clinics Specialty outpatient clinics Sanatoriums Health care information system

INTERIN Technology Applications: scales of implementation : 

INTERIN Technology Applications: scales of implementation Number of users: 10 to 1000 Number of computers in the network: 5 to 600 Number of servers: 1 to 15

INTERIN Technology Implemented systems: 

INTERIN Technology Implemented systems Interin Technology has been the basis for several implementations of health care information systems: Automated patient care management system of the Мedical Centre of the Central Bank of Russia. Developed jointly with the Medical Centre’s clinicians and other staff. “COTEM-2001” – Information management system of the Clinical Hospital No. 83, “MedBioExtrem” Federal Department, Ministry of Health of the Russian Federation. Developed in cooperation with the hospital staff. Information management system of the State Hospital No. 1 – National Health Care Centre, Ministry of Health of the Republic Sakha (Yakutia). Implemented with the participation of the Health Care Centre specialists.

INTERIN Technology Integration with laboratory systems and equipment: 

INTERIN Technology Integration with laboratory systems and equipment Integrated information system of a health care institution Third-party vendor products Interaction with laboratory equipment Integration

Integration with LIS Ordering diagnostic studies: 

Integration with LIS Ordering diagnostic studies Для анимации 1 Для анимации 2

Integration with LIS Integration with LIS ILIMS, ILEX Medical: 

Integration with LIS Integration with LIS ILIMS, ILEX Medical Для анимации 1 Для анимации 2

INTERIN Technology Academic accomplishments: 

INTERIN Technology Academic accomplishments 3 PhD theses Over 50 publications 8 PhD students majoring in medical informatics (currently) 2 monographs are being prepared, and 1 PhD thesis is in the works

INTERIN Technology Interin PROMIS: 

INTERIN Technology Interin PROMIS Interin PROMIS, a model information system based on INTERIN technology, is an integrated informational and functional environment incorporating elements of different classes of information systems. Interin PROMIS provides information support to the entire range of services involved in patient care: from document management and accounting to patient record keeping, integration with clinical equipment, and decision support.

Interin PROMIS Computerized divisions: 

Interin PROMIS Computerized divisions

Slide36: 

For further detail, please contact: Medical Informatics Research Centre Program Systems Institute Russian Academy of Sciences 152020 Pereslavl-Zalessky Russia Phone/Fax: +7 (48535) 98911 E-mail: info@interin.ru Web-site: http://www.interin.ru Thank you for your attention!