That long awaited computerization of health care has finally begun. Over the past 2012 failed to make a qualitative leap in the development of the infrastructure of medical institutions begin to develop the necessary software and implement the first electronic service for the citizens — the ability to remotely schedule an appointment to see a doctor. Now the main thing — do not stop there. Ahead — the introduction of electronic medical records, laboratory automation and the creation of a single information system at the federal level.
However, according to Roman Ivakin, the task of creating the infrastructure as a whole is solved. "In the whole country had planned to purchase 311,067 units of computer equipment was purchased on 28.02.2013 286,157, and deliveries are ongoing, — he says. — As for the internet connection of a hospital, then, to our knowledge, this task is performed by 100% at the level of legal entities. Partially were not covered may be of local units, for example, FAP. "
Also, began the development of the software. There was a system of remote recording to the doctor. "As of February 28, 2013 through a single portal of public services using a single system to write the 4,148,412 people, which is 37% more than in January — he said. — It is important to realize that in fact these records much more because not all agencies currently have time to connect to a single system, but they have already implemented the ability to make an appointment through the local resources — sites of health care facilities, call-centers, regional sites of public services. " For a single system for mid-March 2013 to connect all the regions, except Ingushetia, but not all of them are located in health facilities — in the Urals Federal District, 82% in the North-West — 72.8%, in the Central — 41%, in the Volga — 59% in the South — about 32% in the North Caucasus — 69%, in the Siberian — 77%, in the Far East — 51%.
At the same time the Ministry was engaged in preparing for the introduction of electronic health records (EHR), and initiated discussions minimum set of fields contained therein. "After that, until the end of 2013, to all who are already using electronic medical records have to bring them to a common format" — says Roman Ivakin. It is planned that the reference base of electronic medical records will be kept at the federal level and the regions themselves will decide how to organize access to it — directly or through the cloud. The ministry promised to provide technical ability to conduct EHR before the end of 2013
In early March 2013 the members of the Advisory Council for the use of information and communication technology in health care has been demonstrated federal service "Drug interactions" — the first information system decision support for physicians, developed with the participation of the Russian Academy of Medical Sciences, experts in the field of pharmacology and Pharmacopeia.
The list has begun work and the creation of an electronic medical library on the SMU them. IM Sechenov. According to Roman Ivakin, now it contains a 2023 document, basically, dissertations and theses, and the number of visitors reached 2,000 people a day.
In addition, the ministry intends to further develop telemedicine. By the end of the first stage of informatization of related equipment in health facilities increased by a factor of 4 (c 887 in 2009 to over 4,000 in 2012 — the data of Ministry of Health), and the fore the problem of learning how to use it to its full potential.
Earlier, representatives of the Ministry of Health told about another towards the modernization of health care — equipping stations and ambulances data processing systems using GLONASS equipment. In 2012, the regions received for these purposes 1,063,000,000 rubles., And by January 2013 there was a similar apparatus to 19302 vehicles (95.4% of the plan), and in 2552 the dispatch (96% of the plan). In 2013, work will be completed.
Plans and Forecasts
In the nearest plans of the ministry — the development of the federal electronic medical library, the introduction of new services — Statement of electronic counter (2014), acquisition of electronic health information for drivers and electronic medical certificate, lease data center and secure communication channels to all 83 subjects.
Despite the fact that the topic of Public Health has become in recent years an extremely hot, the relation to the results achieved — ambiguous, and the position is responsible for the issue — almost a firing, the next head of the Ministry of Health IT is quite optimistic in their forecasts regarding compliance with prescribed deadlines in the concept. "On the technical side, I think it will be no problem, because we know what to do," — he said. But it also notes that there are a number of difficulties, such as unscrupulous suppliers and lack of coordination between actors in the field, as well as the regions do not have the experience of organizing such large-scale competitions in the field of health informatics.
According to Roman Ivakin, "the market of medical information systems (MIS) are not sufficiently mature: 95% of the players — it’s the small companies that are not able to implement a major project in the shortest possible time. Not ready for such large-scale changes and regions. In the process of modernization, they received an average of 286 million rubles., Of which about 40-50 million was not spent on development, and to support decision-making. Now, these funds must be sought each year, and for this we need to learn to use the full tariff MLA. "