Open Source Implementation of a Health Information System in Bac Giang Province

Transcription

1 Open Source Implementation of a Health Information System in Bac Giang Province Using FOSS to build an e-health solution COSGov Vietnam International Conference and Expo Hanoi, Sept. 28th- Sept. 30th 2005

2 Contents Overview of Project BPHIS Requirements Care2x Next Steps Questions and Comments

3 Project Overview Project VN/ASIA-IT&C/002(91755), Application of Information Technology in the Field of Health Management in Bac Giang Province is funded by the EU s Asia IT&C Programme. The project aims at supporting the Ministry of Health and Bac Giang Provincial Health Department to implement the Bac Giang Provincial Health Information System (BPHIS).

4 Project Overview The project is being implemented in 5 project sites, namely: Bac Giang Department of Health Bac Giang General Hospital Obstetrics and Gynaecology Hospital Yen Dung District Hospital Lang Giang District Hospital

5 Project Overview Name Number of beds Consultations (2004) * Bac Giang General Hospital ,630 Gynaecology Hospital ,050 Lang Giang District Hospital ,680 Yen Dung District Hospital ,940 Refers to the total number of patient episodes (not patient numbers), both inpatient and outpatient

6 Project Overview The project has been implemented since January 2005 and has 3 major objectives, namely: 1. Implement the application of ITC in health in Bac Giang Province 2. Build the capacity of Health Service staff in Bac Giang to run the database and computerised information system 3. Facilitate the early detection and the ongoing monitoring of potentially highly infectious diseases

7 Project Overview Project Activities Installation of hardware at 5 project sites Development and Implementation of the Bac Giang Province Health Information System (BPHIS) Training of health service staff

8 Project Overview Following consultations with the Ministry of Health, it was decided that the system to be implemented should utilize the open source approach.

9 BPHIS Requirements Open Source, based on a proven HIS Must integrate with the Ministry of Health's Health Management Information System Modular design Security and confidentiality Must be customised to meet the Vietnamese context

10 BPHIS Requirements BPHIS Architecture Provincial Patient Data Base Provincial Health Departmen t Health Management Information System of Ministry of Health General Hospital Local Data Base Local Data Base Lang Giang District Health Centre Gynecology and Obstetrics Hospital Local Data Base Local Data Base Yen Dung District Health Centre

11 BPHIS Requirements Systems Architecture Linux O/S on servers (Fedora) Windows O/S on workstations Open Source HIS (Care2x) MySQL database

12 Care2x The Project Care2x integrates data, functions and workflows in a healthcare environment. It is currently composed of four major components. Each of these components can also function individually. HIS - Hospital/Health Service Information System PM - Practice (GP) management CDS - Central Data Server HXP - Health Xchange Protocol

13 Care2x The Project Care2x offers many advantages Scalability and modularity Multi-platform support Functionality Security

14 Care2x The Project CARE2X can be used in: hospitals with a computer network clinics with a computer network private medical practices with a computer network a single computer the internet a wide area network of hospitals, clinics, private practices, laboratories, and individual physicians and health care workers

15 Care2x The Project Care2x runs on several different platforms: Windows 95, 98, ME, NT, 2000, XP Macintosh, OS X Linux SunOS operating system Unix, freebsd, netbsd, openbsd, BSD/OS, tru64 Unix Debian OS/2 WARP GNU OS

16 Care2x The Project CARE2X functionality: Patient registration Admissions Appointment Laboratories Pharmacy Radiology

17 Care2x The Project CARE2X functionality: Doctors Nursing Operating Room Medical Stores Billing Etc.

18 Care2x The Project CARE2X is secure: Password protection Access permissions Only the system administrator can access the databank. Passwords are stored in encrypted form in the databank. All access and access attempts are logged. HTTPS server encrypts the data being transported.

19 Care2x The Project Care2x HIS Care2x HIS is a smart software for hospitals and health care organizations. It is designed to integrate the different information systems existing in these organizations into one single efficient system. Its design can even handle non-medical services or functions like security, maintenance, etc.

20 Care2x The Project Care2x HIS Is a web based software and all its functions can be accessed with a common web browser. No need for a special user interface software. All program modules are processed on the server side. Module updates and extensions do not require changes on the browsers thus there are no network interruptions and downtimes. Its design supports multiple server configuration to distribute traffic and improve speed and efficiency.

21 Care2x- The Project Care2x HIS Care2x HIS is an open source development (OSD) project and distributed with a "GNU General Public License". Its source code is freely-distributed and available to the general public

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28 Architecture Care2x The Project

29 Care2x The Project Care2x-HIS 2nd Generation Deployment Release 2.1 MySQL & PostgreSQL support With auto-installer for both database support New features and enhancements ICD10 and OPS Experimental Central Data Server support with access via HXP server Smarty template system integrated CSS based GUI ImageJ image processing

30 Care2x The Project For more information about Care2x please visit:

31 Next Steps Translation to Vietnamese and customization of Care2x to the Vietnamese context Billing module will require most customization Additional modules required for management of community health activities

32 Next Steps Phased Implementation Approach Phase 1: Modules pertaining to patient registration, appointment scheduling, examinations Phase 2: Modules pertaining to Treatment, Pharmacy and Laboratory Phase 3: All other modules and establishment of database centre at Bac Giang Department of Health

33 Next Steps Creation of Virtual Private Network (VPN) Explore additional Care2x plug ins ipath: Collaborative Telemedicine Immunisation Scheduler Gestational Age Calculator Expand BPHIS to other locations in Bac Giang Replicate project in other sites in Vietnam

34 Questions and Comments

35 Thank you for your attention