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Black Sea Tele Diab Black Sea Tele Diab

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BSTD AIMSBSTD AIMS

Promote medical informatics in Eastern Promote medical informatics in Eastern Europe and New Indepenedent StatesEurope and New Indepenedent States

Software package to store information Software package to store information relating to patients with diabetesrelating to patients with diabetes

Provide framework for monitoring the Provide framework for monitoring the outcome of diabetes careoutcome of diabetes care

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Electronic Health Care Electronic Health Care RecordsRecords

Single subject of careSingle subject of care Owned by particular organisationOwned by particular organisation Medico-legal recordMedico-legal record Appropriate access rightsAppropriate access rights Provision for exchange of information Provision for exchange of information Global distributed recordGlobal distributed record Mirror paper recordsMirror paper records

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Good European Health Good European Health Record - GEHRRecord - GEHR

First complete data structure for EHCRs First complete data structure for EHCRs Ability to incorporate a wide range of data typesAbility to incorporate a wide range of data types Facility to transmit medical records safely across Facility to transmit medical records safely across

telecommunications networkstelecommunications networks Incorporation of mechanisms for translation of Incorporation of mechanisms for translation of

the information into different languages the information into different languages Support for the process of clinical care and Support for the process of clinical care and

medical educationmedical education

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BSTDBSTDGOMGOM model model - -

transaction transaction

‘’‘’information recorded about a patient by a single author in one institution at one point in time’

Interaction with HCR by a HCP at one point in time

Authorising HCP commits the transaction

Permanent record that cannot be erased

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Functional AspectsFunctional Aspects

The main menu.

• Only authorised persons may have access to the system.

• These administrative functions are not normally visible.

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Authorisation system Authorisation system accessaccess

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Types of usersTypes of users

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Type of mesurementsType of mesurements

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Comparative meaningful Comparative meaningful benchmarking auditbenchmarking audit

Nephropathy

Not Known No Nephropathy Nephropathy

Count

1000

800

600

400

200

0

COUNTRY 1 2 3 4

BLINDNESS

Not Known Not Blind Blind

Count

1000

800

600

400

200

0

COUNTRY

1 2 3 4

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User FeedbackUser Feedback Evaluated in two phasesEvaluated in two phases

• pre- and post- installation, Bucharestpre- and post- installation, Bucharest 2670 Diabcare BIS completed2670 Diabcare BIS completed High degree of satisfaction among usersHigh degree of satisfaction among users Key observations included:Key observations included:

• no negative impact on clinical care providedno negative impact on clinical care provided• units of measurement varied between centresunits of measurement varied between centres• some further interface improvements identifiedsome further interface improvements identified• some additional fields felt desirablesome additional fields felt desirable

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WHO FeedbackWHO Feedback

The software project has succeeded in The software project has succeeded in delivering a competent piece of diabetes delivering a competent piece of diabetes clinic software, in step with emerging clinic software, in step with emerging standards. standards.

The software is at a standard comparable The software is at a standard comparable with clinic IT systems marketed in Western with clinic IT systems marketed in Western EuropeEurope

There is a need to act reasonably quickly to There is a need to act reasonably quickly to move to wider implementation, and move move to wider implementation, and move beyond the scope of the research program. beyond the scope of the research program.

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BSTD - SummaryBSTD - Summary

Good distribution (RO, UKR)Good distribution (RO, UKR)

High satisfaction rateHigh satisfaction rate

Interest from additional countriesInterest from additional countries

Data fed back to WHOData fed back to WHO