EGISZ has turned into a puzzle for private clinics

EGISZ has turned into a puzzle for private clinics

The study authors reported that to date, 94% of clinics have already installed medical information systems, and only 6% of respondents do not yet have an MIS, but plan to introduce it in the near future. In addition, 94% of respondents understand the need to transfer data to the Unified State Health Information System of the Ministry of Health of the Russian Federation. But only 31% of clinics are already doing so, and 38% will begin the process of integrating with the state’s unified health information system in the near future. And about a third of representatives of the private pharmaceutical market have not yet decided on the choice of a method to meet the requirements of the Ministry of Health of the Russian Federation.

The study also showed that most respondents (88%) admitted that they need expert help in integrating with the Unified State Health Information System of the Ministry of Health of the Russian Federation. The press service of NAMO noted that “as a preferred form of interaction, they chose consultations and seminars with the participation of qualified specialists, and also emphasized the need to prepare and disseminate reference materials.”

The study was conducted by NAMO and ElNetMed among the active members of the association – 217 clinics of various profiles from 59 regions of Russia.

Vladimir Solovyov, General Director of “ElNetMed”, an expert of “Netrika Medicine”, indicated that a significant part of the association’s clinics will likely be ready for integration with the unified health information system of the Ministry of Health of the Russian Federation. According to him, MIS has been installed in organizations, managers are aware of the need to transfer data to the federal level, and many of them comply with the requirements or will do so in the foreseeable future.

Sergei Misulin, President of NAMO, noted that the problem of transferring information to the unified 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, and the same applies to participants in CHI. This process will be more difficult for small and medium-sized businesses due to limited resources – financial, intellectual and human resources,” he said.

Ksenia Shekhovtsova, Deputy Medical Director of the Medsi Group of Companies, said that the Medsi group of companies has introduced a single MIS for all clinics, and the task of introducing a single information system is at a high degree of implementation. “The main focus is currently on the development of medical information systems to meet the needs of staff and patients,” explains Ksenia Shekhovtsova. According to her, the level of integration with the unified state health information system is at the lowest level. The main reason for this situation is the lack of technical and organizational unified state health information system for the implementation of such integration.

Regarding the main problems of implementing an information system, the expert of the Medsi Group says that when implementing an MIS, it was necessary to allocate an important resource for staff training and user support, and also notes the limitations of MIS for customization to the needs of specific users.

Vladimir Solovyov noted that the most common problems with the implementation of information systems in private clinics, first of all, is the rejection of new technologies by clinic staff. According to him, doctors in their profession are excessively conservative and practical, so it is not easy to offer them an IT tool for work that was not taught in a medical university. The second problem is the lack of qualified solution providers. Vladimir Solovyov believes: “Specialists often lack experience, implementation is delayed, switching to a multi-repetition approach, which, of course, does not please customers.” Also, according to him, the start-up cost of an IT project often increases several times in its path. This leads to a halt in the process, rethinking, selection of another contractor, and so on. “Medicine is the most complex discipline in IT automation,” said Vladimir Solovyov. “Here you will find production processes, chemistry, physics, higher mathematics, very complex accounting principles and decision-making algorithms.”

According to him, a variety of developers have created a large number of models to pay for an exploited solution. “In the market you can find, for example, principles such as payment for printed documents, payment according to the number of doctors working, sometimes the payment depends on the number of specialties, on the turnover of the clinic, there are other options. Therefore, the average bill varies From 10 thousand to 10 thousand rubles.rubles up to 50 thousand rubles per month for one workplace, says the expert.

Sergey Ivanov, Director of Product Strategy for T1 Group, notes that the positive dynamics observed in the Russian Federation over the past few years in the field of medical technologies will continue, despite any external factors. He believes that the basis of these expectations is the turnout for these decisions, which directly affect the quality of work with citizens in the daily activities of medical organizations. “Medical and technical services remain the fastest growing segment of the IT field. Including due to the effect of the ‘low base’ – when the acute demand for technological solutions allows almost all companies in this market to find their niche. The only obstacle in the current situation is no There is still a lack of uniform standards in terms of industry data formats, which leads to difficulties in integrating systems with each other and establishing data exchange.”

Remember that from September 1, 2021, private clinics are obliged to transfer information about medical activities to the Unified State Health Information System of the Ministry of Health of the Russian Federation. The requirements were adopted as part of the creation of a unified digital circuit in the field of health care and are stipulated in Decrees of the Government of the Russian Federation No. 852 and No. 140 (instead of 555, which will expire on March 1 ). You can achieve it with the help of accredited organizations and on your own.

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