Opportunities for electronic health system subscribers

On current stage of implementation following features are available to ArMed users:

Medical institutions:

• Visit registration. Mandatory for BBP and social insurance packages and optional for out of pocket and voluntary insurance payed visits.

• Business registries for sub-departments, human and material resources as well as standardized dictionary of medical specializations and schedule tables for employees.

• Financial reporting for inputted visits according to provided services. Storage and management of pricelist for payed services.

• Storage and management of data regarding diagnoses, medical actions and procedures, diagnostic tests, prescription and dispense of medication.

• Effective communication mechanism with State Health Agency or Insurance company that includes sending of preauthorization request and getting real time approval.

Insurance companies

• Denial and approval options for preliminary requests and insurance claims.

  Possibility to review and analyze of medical services provided for cases claimed by customers, after analysis employee insurance company can approve or deny preliminary request or insurance claim. In case of denial relevant explanation should be provided.

• Flexible sorting and report exporting options for approved, automatically approved and denied claims.

Options that would be available for subscribers of electronic healthcare system in nearest future.

For medical Institutions

• Management system for human and material resources

  Resource management trough the system would allow better distribution of patient flows for available rooms, equipment and medical workers thus minimize waiting time, avoid queues and use existing resources effectively.

• Electronic system for visit booking for patients

  Patients would be able to pre-book visits to admission department, pre-booked visits can be approved or moved to different time slot.

• Implementation of unique electronic health record

  Implementation of unique electronic health record and input of clinical data would allow doctor to review, search and analyze patients’ health history (including diagnoses and medical procedures) avoiding time and data loss for retrieving and researching previous records. Better access to information supports better diagnostic and treatment decisions.
  Another advantage is built in diagnostic decision support system based on predictive models. It is intended to use data from electronic health record to evaluate potential risks and prevent possible complications.

• E-prescription module

  Replacement of paper bases prescription system by paper less electronic one. This would allow better control on prescribed medications and therefor minimization of risks. Possibility of loosing prescription would be eliminated as well.

• Storing of any medical document in electronic format.

  All medical document including laboratory and diagnostic test reports would be stored in the system in electronic format and available for reference any time they are needed.

• Complete clinical statistics

  Complete implementation of electronic healthcare system allows authorized users to have real time, up to date statistical data. Thus, realistic picture of the country level health system with morbidity statistics, resources data and possible problems is available anytime. This would increase effectiveness of public health system in terms of prevention and resource distribution.

• Telehealth service

  Telehealth module allows patients to access medical consultancy regardless location. Doctor can communicate with patient via instant messages or conference call.

• For insurance companies

  Transfer of voluntary health insurance business processes to electronic healthcare system.