1. The object description

The name of the healthcare institution: State Healthcare Institution "Regional Children's Clinical Hospital № 1", Yekaterinburg

Details: 620149, Sverdlovskaya oblast, Yekaterinburg city, Seraphimy Deryabinoy str.,32, tel. (343) 240-57-80, 240-58-01
Head: Boyarskiy S.N.

Site: www.odkb.ru

Description: State Healthcare Institution “Regional Children’s Clinical Hospital № 1”, Yekaterinburg is a large children’s multi-field hospital complex, provided with modern diagnostics and treatment equipment, in which the staff renders focused medical service to the children of Sverdlovskaya region, Urals federal district and other constituents of the Russian Federation. 309 high-qualified doctors work in the hospital, 50 of them having science degrees (doctors of philosophy, doctors of science). 70% of doctors have the highest qualification category. Yearly 12000 children are treated in the hospital, 3000 operations are performed, and more than 80000 children are given consultations in the out-patient department. Many hospital departments are unique.

2. HIS structure:

Subsystems:

1) “In-patient department”:
W/S “Emergency Department Nurse”;
W/S “Emergency Department Doctor”;
W/S “Emergency Department Head”;
W/S “Paramedical Personnel”;
W/S “Treatment Section Doctor”;
W/S “Department Head”;
W/S “Treatment Nurse”;
W/S “Work Incapacity Certificate”;
W/S “Surgery Suit”;
W/S “VIP-Patients”.

2) “Out-patient Department”:
W/S “Receptionist”;
W/S “Registration Terminal”;
W/S “Out-patient Department Doctor”;
W/S “Treatment Nurse”;
W/S “Vaccinal Prevention”;
W/S “Out-patient Department Head”;
W/S “Work Incapacity Certificate”;
W/S “Regular Medical Check-up”.

3) “Pharmacy”:
W/S “Head Nurse”;
W/S “Pharmacist”;
W/S “Paramedical Personnel”.

4) “Laboratory”:
W/S “Receptionist”;
W/S “Laboratory Assistant”;
W/S “Laboratory Doctor”;
W/S “Subunit Head”.

5) “Diagnostics”:
W/S “Receptionist”;
W/S “Laboratory assistant”;
W/S “Diagnostician”;
W/S “Autopsist”;
W/S “Subunit Head”.

6) “Statistics”:
W/S “Report Builder”;
W/S “Manager”;
W/S “Medical Statistics”.

3. Implementation Process:

Medotrade’s staff implemented Patient HIS in  the hospital in the end of May, 2009. The beginning of the implementation consisted of preliminary setting up of users rights and main system directories. The hospital staff was provided with a computer class for training where lectures and practical trainings took place. In June, 2009 operational testing started and some recording forms were improved according to the hospital staff notes and suggetions. 
Since the last quarter of 2009 the Hospital staff has been operating Patient HIS in full force.

4. Implementation results:

Due to implementation the children's out-patient department, oncology and hematology center, laboratory, paraclinical unit and pharmacy were autometed. Medotrade's staff integrated Patient HIS with a DICOM-server thus allowing the staff to see radiological images from their workstations. As the hospital complex is unique, the "Pharmacy" subsystem was improved, and according to the staff's requests new documents and reporting forms were developed.
Patient HIS use allowed the hospital staff to reduce significantly the time for medical documentation filling in, to have reliable and complete medical, statistical and administrative information.