Ministry of Health Sultanate of Oman

1
Ministry of HealthSultanate of Oman

• Directorate General of Information Technology
• P.O.Box 393 PC 113, Muscat
• Tel [phone]
• Fax [phone]
• Email DG-IT_at_MOH.GOV.OM
• artauqi_at_omantel.net.om
• Abdul Rahman A.S. Al Tauqi, Director General

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Information TechnologyMinistry of Health

• Background
• Objectives
• Philosophy of e-Medical records
• Overview of the System
• Advantage of the system
• Future

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Information TechnologyMinistry of Health

• The Objectives ?
• To Improve the Healthcare Delivery
  System
• To Contain the Healthcare Cost
• Only and Only IT can help achieving that.

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BACKGROUNDImportant Events

• In 1987, a National Referral Hospital, The Royal
  Hospital is open, with computerization.
• In 1990, creation of specialized and dedicated
  Unit for IT

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BACKGROUNDImportant Events

• In 1992 a Committee comprising clinicians, health
  administrators, IT personnel and other medical
  staff was created with a mission to define a
  computerization strategy of health institutions.
• The recommendation was to develop in-house, a
  hospital information system based on users
  requirements and Ministry priorities.

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BACKGROUND

• In November 1997, HE the Minister of Health
  visited a pilot project in a small health center
  and give a go-ahead to implement the system in
  all health centers and start building a
  comprehensive system for hospitals.
• The strategy adopted was, each newly build health
  institution should be open with computerization
  and every year some old institutions will be
  selected for computerization.

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BACKGROUND

• There are 210 health institutions, 70 of are
  already computerized, the remaining will be
  computerized by 2005-2006.

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Philosophy of building the e-Medical Records

• Analyzing and Re-engineering of processes
• Redefining the role of each medical category
  staff in the new system
• Build a system for clinicians surrounded by all
  the services
• Reduce/Eliminate the papers in the system

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Problems with Manual Medical Record

• The problem of manual Medical Records is quite
  complex. A distinguished American physician has
  commented The (paper) medical record is an
  abomination it is a disgrace to the profession
  that created it. More often than the chart is
  thick, tattered, disorganized and illegible
  progress notes, consultants note, radiology
  reports and nurses notes are all co-mingle in
  accession sequence. The charts confuse rather
  than enlighten they provide a forbidding
  challenge to anyone who tries to understand what
  is happening to the patient. Bleich, H., MD,
  Computing Vol 10 no 2, p70, 1993

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Overview of the System

• Fully integrated graphical user interface
  application system for a modern hospital
• Powerful tool that runs through a single menu
  that represents the fundamental components of the
  electronic medical record
• Utilizes the latest information technology to
  simplify the day to day task
• Provides a comprehensive patients clinical
  information into a single screen.
• Provides on-line data inquiry reports based on
  the user-defined search criteria for retrieving
  and displaying only the desired information.
• Access to the different functions and processes
  is controlled through the user identification
  and/or password
• Provides full data security tied up to username
  and password that can limit the users access to
  specific functions process.

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Advantage of the System

• Appointment
• Ø      SMS Alters to Patients Confirming their
  Appointments
• Ø      Clear Picture of the number of patients.
• Asset
• Ø      Institutions worth at your finger tips
• Ø      On Line ready Information of the Current
  Assets.
• Diagnostic Procedures
•  
• Ø      PACS
• Ø      No Duplication
• Ø      Online Reporting

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Advantage of the System

• Doctors
• Ø      Easy Template to minimize the typing.
• Ø      Specialty Clinic wise template
• Ø      Easy Access to all services.
• Ø      Evidence Based Medication (EBM) for Quick
  Reference.
• Ø      Medical Reports
• Medical Records
• Ø      No loss of Medical records
• Ø      All Statistical Reports are generated by
  the System
• No loss of Lab result (Saving amount of 40
  duplication of lab test)
• No loss of Medical Records file

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Advantage of the System

• Nursing
• Ø      Accurate Ward Census.
• Ø      Paper work reduces 75.
• Ø      Bed Management Improved.
• Ø      Cross-unit telephone communication has
  decreased to 35.
• Ø      More Patient Care then Paper works.
• Ø      Medical indents are online.
• Ø      Medication to Patients are very effective,
  on unit dose system.
• Ø      Online Duty Rota.
• Pharmacy
• Ø      MIS Reports save more than 80 of the
  pharmacist time.
• Ø      Pharmacist can control the drug abuse.
• Ø      Reduce the consumption 25.

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Main Screen
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Main Clinical Screen
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To Add a Visit
17
To Create an Episode
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Vital Fixed Information
19
Examination Screen
20
General Exam Screen
21
Respiratory Exam Screen
22
Abdomen Exam Screen
23
CVS Exam Screen
24
CNS Exam Screen
25
GYN Exam Screen
26
Lab Ordering Screen
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Lab Ordering Screen - cont.
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X-Ray Ordering Screen
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X-Ray Ordering Screen - cont.
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X-Ray Ordering Screen - cont.
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X-Ray Ordering Screen - cont.
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X-Ray Ordering Screen - cont.
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X-Ray Ordering Screen - cont.
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Medication Ordering Screen
35
Medication Ordering - cont.
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Medication Ordering - cont.
37
Treatment Room Ordering
38
Appointments Screen
39
Multi- Query Screen
40
Reports Screen
41
Password Maintenance Screen
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FUTURE

• Incorporate PACS in the System (Nov. 2004)
• Multi-purpose Referral Engine (Dec. 2004)
• Re-building the System in new technology
  (2005-2006)
• National e-Health Strategy National e-Medical
  Records Repository (2005-2006)

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Ministry of HealthSultanate of Oman

• Directorate General of Information Technology
• P.O.Box 393 PC 113, Muscat
• Tel [phone]
• Fax [phone]
• Email DG-IT_at_MOH.GOV.OM
• artauqi_at_omantel.net.om
• Abdul Rahman A.S. Al Tauqi, Director General