From January 1, 2019, hospitals and clinics to be translated into a paperless format – Olzhas Abishev
January 10 the Head of State in his Address to the People instructed to increase the availability and effectiveness of medical assistance through the integration of information systems, the use of mobile digital applications, the introduction of electronic health passports and the transition to paperless hospitals.
Reporting on the progress of digitalization of the healthcare system, the vice minister noted that the patient’s health ecosystem is built around patient-orientation and is segmented into four areas:
Health improvement and prevention;
Early detection of diseases;
Provision of medical assistance;
Disease management and rehabilitation.
The timing of the digitalization of the health ecosystem:
2018: Providing computers and the internet access. Full integration of all systems. Freedom from paper use. Launch of the electronic health passport; Pilot introduction of artificial intelligence (oncology profile). Pilot on the collection of data from wearable devices.
2019: Online monitoring of the patient’s health � an analysis based on artificial intelligence. Remote diagnosis of patients. Labeling and traceability of medicines (Blockchain).
2020: Implementing remote status monitoring. Personalized medicine (genomics). Integration of the artificial intelligence system with automatic system of analysis and identification of regularities with possible diseases.
2021: Machine learning and artificial intelligence in the processes of medical care (analysis of the consumption of drugs, planning and optimization of the Guaranteed Medical Care and CSHI). Prediction of morbidity. Use of blockchain technology to store clinical data.
“For the promotion of digitalization, certain services are being introduced. For example, now such services as remote medical appointment booking through online portals, calling a doctor home, etc. are available. All these services are on the e-Government portal or in medical information systems,” Abishev said.
So, since January 1 of the current year four regions have entered into a pilot project on transferring hospitals to a paperless format of work. As of April 1, four more regions joined them, and from July 1, the remaining regions and Astana, Almaty, Shymkent will transfer to this format.
“Since January 1, 2019, all medical institutions, polyclinics and hospitals providing free medical care will book for reception and examination of patients only in information systems, excluding paper duplication,” Abishev informed.
Now, according to the vice minister, patients do not need to carry out ambulatory cards, fluorographic records, etc. It will be enough to present an identity card and all information will be displayed on the computer screen of the physician.
Also today, a service such as a hospital admission portal is already available. It is designed for those who are sent from the outpatient level to the level of hospitalization. Now, going to the portal and entering the IIN, each patient will know the date of his hospitalization.
The vice minister also spoke about electronic notification services on the e-government portal. If you are registered on the portal, you are on a dispensary account, the system will automatically send you a notification of a scheduled check. Information can also be sent to a cell phone. The same notification will come to the phone or e-mail address of pregnant women about scheduled examinations.
In addition, today every citizen through mobile applications can evaluate the activities of medical organizations that serve him.
“Since last year, in order to optimize these services further, we have launched a single e-mail for doctors. Now it has 86,000 registered users. In the Unified Ecosystem of Doctors, 600 interest groups have already been created, in which doctors can exchange information online through existing services,” Abishev emphasized.
Expected effect of digitalization of the healthcare system:
Increases the patient’s activity in managing his own health.
Saves about 3200 tons of paper per year on medical paper documentation.
Optimizes the effectiveness of medical organizations for 150 billion tenge for 2018-2020.
Optimizes spending on drugs for around 28 billion tenge for 2018-2020.
For the patient:
Level of population’s satisfaction with the quality of medical care: 2018 � 44%, 2019 � 49%, 2020 � 55%.
Reduction in the time of the doctor’s consultation by 50-60%.
Reduction of the time of obtaining the results of the examination by half.
Consultations, tests and medications without leaving home.
Reduction of visits to the doctor from 9 to 1-2 visits.
Self-management of health.
Availability and efficiency of medical services.
Online availability of all health information.
Source: The Prime Minister of Kazakhstan