23-04-20 VIS BILD 1

VIS - Health Care Information System COUNTY COUNCIL OF NORRBOTTEN

vis.nll.se

A decision support- system wich make it possible tolift quality and patient safety improvement to a higher

level

23-04-20 VIS BILD 2

Why? Why?

Difficult to find documents– shortcomings in structure and regulatory framework - how

documents are categorized, stored and tracked.– dont know if there is a developed routine document

Many of the same but different

Need to quality assure documents– current?

Changed health care structure

Develop health care in line with patient process

23-04-20 VIS BILD 3

VIS- Care

A decision support-system which:

Supports health care main processes

– Independent of medical / organizational structure– Enables a process-oriented approach

Provides access to evidence / best practice standards– National guidelines– Procedure document– Standardized care plans– Patient information– Photos / videos

Easily accessible and user-friendly in the clinical work Provides access to the right information whenever needed

23-04-20 VIS BILD 4

VIS- Care is built on a SharePoint plattform by County council of Norrbotten

in cooperation withSOGETI Luleå and Microsoft Sweden

According:– National Board of Health regulations on management

systems for systematic quality assurance. SOSFS 2011:9 – Guidelines for quality management in health care EN ISO 9001:2000 – ” The National Information Structure”– Goals in ”National knowledge-management”

The information (procedure documents) is structured and stored via meta data from national code registers, ICD-10, KVÅ, ATC, etc.

The information is searchable / traceable via free text and / or– Code register– Main process– Form of care– Keyword– Profession

23-04-20 VIS BILD 5

Health condition

Utredning(Identifiera)/Åtgärd/Utvärdera

ICD10.. TLV.. DSMIV.. KVÅ.. ATC.. AnalysNPU. KRÅ

Approved documents

Patient´s health care processPatient Patient

23-04-20 VIS BILD 6

The development journey and current stateThe development journey and current state

Development– 2007 project assignment– 2009 New pilot study and prototype– Alignment with the national IT infrastructure– Coordinated to National Knowledge Management– January 2010 decision on the continued development and– October 2011 handover for introduction

ImpIementation of VIS – Care– Function manager– VIS-advisors (county wide)– Implementetion leaders (division)– User support

Local process structure for national guidelines– Steering committee– 10 professional groups

23-04-20 VIS BILD 7

VIS - care and futureVIS - care and future

VIS – strategic /management VIS – support processes

The vision are VISAS = integrating VIS with our medical record system (VAS )– Move a standardized care plan – to a active individual care

plan into EPR– Ongoing follow up – feedback– Research

23-04-20 VIS BILD 8

Need for further national Need for further national coordinationcoordination

Common national identification of health care's main processes

Organize and store decision support with common meta-data according to national code register     (ICD-10, KVÅ, ATC, etc.)

Develop and improve communication with the      national quality registers

23-04-20 VIS BILD 9

VIS - Health Care Information System COUNTY COUNCIL OF NORRBOTTEN

vis.nll.se A decision support- system wich make it possible tolift quality and patient safety improvement to a higher

level

Thank you!

Anna-Greta.Brodin@nll.se