Feasibility and introduction of assessing the quality of care into information system of the Pirogov Moscow City Clinical Hospital No. 1

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Abstract
We analyzed the feasibility and introduction of assessing the quality of care into information system of the Pirogov Moscow City Clinical Hospital No. 1. The indicators for quality of care were approved by the Order of the Ministry of Health of Russia dated May 10, 2017 No. 203n «On approval of criteria for assessing the quality of medical care». Compliance with this order is mandatory for all hospitals in the Russian Federation. One of the possible options for introducing the indicators is implementation into medical information system with automatic assessment. In case of the Pirogov Moscow City Clinical Hospital No. 1, the optimal approach was semi-automatic checking with introduction of certain indicators into information system. Indeed, they contain «subjective» information not standardized for digitalization. It is difficult to evaluate these data automatically using electronic medical records. Considering the peculiarities of IT environment in this hospital, the following option was preferred. Decision-making support is carried out in unified medical information analitical system (rus. EMIAS) through self-monitoring checklists. This functionality is called the «Handbook of Standards» and allows you to display a checklist of necessary prescriptions in interface after establishing a diagnosis. Application of quality criteria after a completed treatment case is automatically controlled in the other information system “Interin”, because EMIAS does not allow to assess the self-monitoring check-lists in medical organizations. There is selective manual checking of medical documentation regarding quality assessment criteria that are not implemented for objective reasons.