6th Internet World Congress for Biomedical Sciences February 14-25, 2000
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Satellite Symposium Presentation 

HEALTH CARE SYSTEM INFORMATION SYSTEMS

Hospital Information System

	The hospital information system NovaHIS constitutes a global solution. It is a result of Novasoftīs effort to offer you the latest technology in clinical administration and management, in an open environment that permits itīs intergration with other information systems. The difference between NovaHIS and other hospital information systems (HIS), is that it has eliminated the navigation through menus and that it focuses on management of the patient. NovaHIS has been developed recognising the work methods of the health professionals and imitating the usual forms and documents used, so that it is easy to learn to operate and its daily use is comfortable, easy, agile and quick. With NovaHIS one first identifies the patient and then later one can look through all his/her clinical information via a system of files without having to go in and out of different applications. Each application is joined together with tabs, that offer the user the following advantages: a general view of all the basic functions; versatility of access to different options; and reduction in training time. It has been structured in a such a way, that the user has at his/her disposal, all the information necessary on the screen by just pressing the relevant tab. NovaHIS allows you to eliminate the use of paper from your centre, substituting it for electronic archives that collect all the patientīs clinical information automatically, from their source: (health centre surgeries, specialist surgeries, operating theatres, nursing staff, radiology departments, laboratories, etc.)

NovaHIS integrates the hospitalīs information with management areas, other reference hospitals, specialist centres and other organisations and corporations that you wish to include. This is done in such as way that it gives you a unique and complete medical history during the patientīs life. It also fulfills the agreement with the health sector, to produce applications developed using the following standards:

• INFORMATION: CMBD (minimum collection of basic data), Codification ICD-9CM, SNOMED, etc.

• TECHNOLOGY: multiplatform (UNIX, Windows NT, etc.) independent of Data Base (standard SQL) and client - server architecture.

• COMMUNICATIONS: local area nets, electronic mail, exchange of medical data.

• ARCHIVE: Insert-Modification of medical histories, localization through multiple fields of clinical histories; management of the movement of patient-related documentation (loans), fusion of medical histories.

• ADMISSION: Register of patientīs identification file; admission of the patient to accident and emergency and pre-admission to the hospital; Admission of patient from accident and emergency; Outpatients clinics; other hospital institutions and the patientīs address; Admission of patients to assigned beds; production of identity cards and different reports.

• OUTPATIENTS CLINICS: The programming of diaries, management of patient appointments, applications for medical history files to the archive, statistics.

• WAITING LISTS: The management of lists of patients who are waiting for treatment or medical investigations.

• ACCIDENT AND EMERGENCY: The elaboration of medical notes, requests for studies, nursing sheets and applications for further investigations. Printing of medical notes, nursing, sheets and application forms. Admission of patients to wards from A&E.

• NURSING TEAMS: Elaboration of nursing sheets and applications. Printing of medical notes, nursing sheets and applications, verification of patientīs arrival to the assigned bed from accident and emergency.

• PERSONNEL*: Control of hospital and clinical personnel.

• PAYROOL*: Creation, maintenance and printing of payroll.

• BILLING AND THE MANAGMENT OF COLLECTION OF PAYMENTS: Charging when leaving hospital, charging for consultations (General and specialized) charging for treatment sessions, charging for laboratory studies, X-Rays, pathological and other special studies (TC, NMR and others); access to the catalogue for the charging of patients whose costs are only partly covered by insurance and the up-to-date costs of materials for prothesis, medication and other material liable for charge, that is not included in the catalogue; charging on the basis of social/economic classification.

• ACCOUNTACY*: The management of accountancy for clinical interventions.

• SUPPLIES*: Control of stores: requests, stocks, etc.

• OPERATING THEATRES: The programming of surgical operations, production of medical notes and their use for studies; printing of medical notes, nursing, and application forms; consultation of cases.

• PATHOLOGICAL ANATOMY: Management of autopsies, biopsies, smear tests, etc. Principally this allows us to register the samples which arrive at the department, specify the different techniques, macroscopic and microscopic descriptions, observations made, and thus assign a diagnosis. This offers outputs like, the printing of forms, statistics and control of costs and billing.

• BLOOD BANK: The collection and storing of different donations made in the hospital, control of stocks, relations with other institutions (providing blood products).

• SOCIAL WORK: Socio-economic studies of patients and their family environments.

• RADIOLOGY*: The management of the radiology department.

• MANAGEMENT OF CLINICAL REQUESTS: Laborotories, X-Rays, pathology departments, blood banks; printing of applications for studies and interpretation of studies; generating of reports; It includes a letter box for requests, where these are received and when dealt with, a form or the relevant correspondence is sent.

• EXECUTIVE MANAGEMENT: This permits us to obtain precise information in a comfortable way, for the management and running of medical centres, allowing us to decide upon the level of consultation from the single unit (a specific doctor) to the bigger part of the network (a service, a hospital or clinical area, for example).

• DIET AND CUISINE*: Control of diets. Management of menus to be made.

• PHARMACY*: Control of pharmacy stores.

• UNIDOSES*: Management of doses supplied to patients.

• CQI (Continuous Quality Improvement). This methodology applied to healthcare gives us a continous control system which is supplied with past results and identifies problem areas and the most appropriate solutions: annual review plan, register of designed checklists data from daily census; monthly reports and annual results and statistics.

• MAINTENANCE OF PROGRAMMES: Maintenance of the systemīs master tables, and its administration.