Euromedica 2011 A.L. Razlivinskikh the use of modern information technology for enhancement of efficiency ofpublic health organization"

A.L. Razlivinskikh	THE USE OF MODERN INFORMATION TECHNOLOGY FOR ENHANCEMENT OF EFFICIENCY OF PUBLIC HEALTH ORGANIZATION
	MHCI “City clinical hospital Nr. 1”, Togliatti, Russiа

There is no secret for anyone that Russian public health infrastructure is in crisis dating back tens of years. According to the opinions on most researchers, there are two main causes of this crisis: lack of health care ﬁnancing and stagnation of its management system. In chronic shortage of ﬁnancing, material and other resources that are necessary for effective functioning of system the public health management gets the special role in this context. Its main objective is to provide accessible and qualitative medical care while minimizing the ﬁnancial cost.

One the elements of achieving this objective is an integrated management system of medical organization that has been created, implemented in “City Clinical Hospital Nr.1, the city of Togliatti, Samara region. Availability of information system in the hospital has allowed us to receive the electronic patient’s medical record and to have a real picture of a material costs condition of material costs on providing hospital care (actual expenses on treatment). Within the frame of a common information space FOR THE FIRST TIME there was realized the binding of ﬁnancial elements of revenue and expenditure parts of service to the patient. In real-time mode of real time the management personnel of medical institutions (Deputy Chief Doctors) have possibility of carrying out of monitoring, both medical process and ﬁnancial component (costs of drug therapy, clinical researches etc.) that allows to manage establishment expenses. The account of quantity and amount of Drugs and Medical Products enables prescribing physician prescribe medicines based on a list of drugs available in stock without leaving their desks by using of electronic medical record information. The criteria developed by our specialists became one of the elements of information system allowing to estimate labour intensity and work effort of medical personnel of a hospital and to pursue a policy of effective material stimulation of staff. In the “City clinical hospital Nr. 1” there has been developed and used methods of funds distribution for incentive payments to medical staff based on assessment model of hospital care quality. The technology of automated medical care examination put into practice became an element of work quality evaluation of the personnel in the hospital.

Above-listed action items have reduced the number of unreasonable expenses for researches; the quantity of incorrect prescribing (or non- prescribing) cases and errors at ﬁlling of documents as well.

Despite all organizational-economic actions in our medical organization, directed on decrease in expenses, chronic deﬁciency of means on the Program of State Guarantees of Rendering of Free Medical Aid that has led to growth in the volume of paid medical services and patients’ expenses on drugs. Unfortunately, the current public health situation in the region contributes to the formation of ideas about system of the state guarantees as a formal declaration that discredits the state and its institutes of social protection.