Integral Health Information System, Good Practice case of Montenegro

author: Denis Reković, Health Insurance Fund of Montenegro
published: Feb. 19, 2010,   recorded: January 2010,   views: 3643


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The Integral Health Information System in Montenegro is consisted from the information systems of the Health Insurance Fund, the public pharmaceutical sector, all providers of health services at primary level and it is completely open for connection with higher levels of healthcare and other participants of the system.

In this system the ensuree/patient is placed at the centre of the system and the money follows him considering all the treatments, services and drugs that he get in the system.

This implies standardisation and support of the processes "end‐to‐end" ‐ from the registration in Health Insurance Fund through the choice of a phisician and getting all needed services and medicines from health care providers and pharmacies. Coding methodology implemented in the system are ATC/DDD for drugs, ICPC2 for services, ICD10 for diagnosis, etc.

The essence of „integrity“ of the system lies in fact that it is deployed in whole country and in the fact that once data is entered into the system, it becomes available in a proper way to all segments of the system with respect to the rules of access and authority. For example, general registration data of the any insured person generated in the Health Insurance Fund database, becomes available to all other subjects in the system without need for rewriting it. This approach reduce possibility for mistakes and make easy collection of informations from the system. For each ensuree/patient in the system is formed Health Electronic Record and Financial electronic card (costs‐contributions).

Our experience has shown that Information Systems can bring many advantages, but only if they are closely related with the organisational characteristics of the system. One particular example is development of IS in the pharmaceutical sector in Montenegro. After its start in the 1st of January 2004 the quality of supply in the pharmacies is increased and the cost of investment in IS are turned back in just three months.

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