Good Practices and Innovations in Public Governance 2003-2011

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Good Practices and InnovATIONS in Public Governance Contact Information Mr. Hiroichi Kawashima Chief Information Officer Saga Prefectural Government 1-1-59 Jounai Saga 840-8570 Japan Tel: +81-952-25-7035 Fax: +81-952-25-7299 E-mail: kawashima-hiroichi@pref.saga.lg.jp 164
2010 Category 4: Oman Western Asia Oman 2010 category 4 – 1st Place Winner Al Shifa: An e-Health System Ministry of Health Description A comprehensive health-care information-management system designed to maintain an audit trail of patients’ medical histories. Summary Oman’s e-health application, called Al Shifa, is an in-house system designed and owned by the Ministry of Health. It is the result of consultation and collaboration between in-house developers and end-users (medical staff) who adapted the practices of other renowned medical facilities in the world to suit Oman’s operational environment. Al Shifa is implemented in over 170 of the country’s health-care institutions, including all secondary- and tertiary-care institutions and all important primary-care facilities. The system maintains an audit trail that includes a patient’s initial records and all subsequent information, including documentation of the date and time that changes are made to the file and who made them. Because patient data is complete and presented in a clear, standard format, the system allows medical professionals to quickly understand a patient’s health situation and provide appropriate treatment. This has resulted in savings of 60 percent of the time previously spent tracking down the personnel who last treated the patient to obtain clarification and follow-up. The Problem The problem of keeping medical records manually is quite complex. A distinguished American physician has commented, “The [paper] medical record is an abomination … It is a disgrace to the profession that created it. More often than not, the chart is thick, tattered, disorganized and illegible; progress notes, consultant’s note, radiology reports and nurses notes are all co-mingled in accession sequence. The charts confuse rather than enlighten; they provide a forbidding challenge to anyone who tries to understand what is happening to the patient” (H. Bleich, “"Lawrence L. Weed and the Problem-Oriented Medical Record”, Computing vol. 10, no. 2, p. 70, 1993). These words sum up the condition of patient records in Oman before the Al Shifa initiative. Each patient had multiple files, and it was very difficult to get a complete picture of a patient’s medical history. Treatment costs were very high as a result of 165
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