Since 2017, the provision of care at a number of hospitals in the Republic of Moldova has been transformed by the introduction of an automated information system enabling hospitals to manage in real time the information on the flow of funds, supply of medicines, sanitary materials and even data on the health condition of each patient.

The Automated Information System ‘Hospital Medical Assistance’ (AIS HMA) now operates successfully in 15 hospitals across the country, ensuring efficient communication between doctors, and efficient medical administration.

According to the director of the Institute of Emergency Medicine, Mihai Ciocanu, the electronic platform is an invaluable tool. The system monitors a patient’s hospitalisation from admission until discharge, with all the activities related to the patient’s stay in the medical institution.

The information system allows for the creation of an electronic file for each patient in the hospital, where all the information on the evolution of the person’s health is collected over time, facilitating the work of doctors.

At the same time, the institution has access to an image transmission system from the imaging laboratories, such as magnetic resonance imaging or computer tomography, ultrasound and radiology. All these images are sent directly to the doctor’s desk.

The electronic platform also ensures the complete tracing of medicines, consumables and para-pharmaceutical products – from the moment of entry into the hospital stockpiles to their consumption by the patient. In this way, medical institutions can be sure they have the necessary quantities of medicines in stock. Moreover, the information system allows for the automatic and real-time calculation of hospitalisation costs for each patient.

AIS HMA ensures a very high confidentiality of data, as they are kept on a government platform. Regarding the development of the system, the director says that it would be useful to create a connection between the automated systems in hospital and primary care, but also between hospitals.

Over the years, the electronic platform has undergone a continuous process of improvement in order Both the hospital administration and doctors benefit from the integrated data system.

The head of the Spinal Surgery Department, Victor Ungureanu, agrees. Doctors can access the electronic patient file with all the examinations and tests performed over time, and no longer have to run around the hospital for information, he says.

The head of the Spinal Surgery Department has had the opportunity to use several types of information systems, but AIS HMA stands out by its data access mechanism.

Starting with 2017, 15 hospitals in the country started operating on the basis of an Automated Information System, which allowed medical institutions to manage in real time information on the flow of funds, stockpiles of medicines, medical supplies and data on the health of each patient.

AIS HMA has been implemented in those medical institutions in which the Ministry of Health has the status of founder: the Mother and Child Institute, the Republican Clinical Hospital, the Institute of Emergency Medicine, the Oncology Institute, the Institute of Neurology and Neurosurgery, the Institute of Cardiology, the ‘Chiril Draganiuc’ Institute of Phthisiopulmonology, the ‘Toma Ciorbă ’ Clinical Hospital of Infectious Diseases, the Clinical Hospital of Traumatology and Orthopedics, the Clinical Hospital of Psychiatry, the Republican Dispensary of Narcology, the Dermatology and Communicable Diseases Hospital, the Clinical Hospital of the Ministry of Health, the Bălţi Psychiatric Hospital, and the Orhei Hospital for Psychiatry and Phthisiopulmonology.The value of the project was almost 10 million lei; the funds were allocated from the state budget.

The value of the project was almost MDL 10 million. The funds were allocated from the state budget.

EU support for a future of seamless integration

The European Union’s EU4Digital initiative is working with the Republic of Moldova, as well as other countries in the Eastern Partnership region, to ensure that health information exchange and management systems, like the Automated Information System implemented in Moldovan hospitals, are in harmony with EU best practices and with neighbouring countries. This would mean that data conforming to the same norms is interoperable among various organisations, stakeholders and even across borders, which is important in providing better care for patients, no matter where they are.

To support this effort, the EU4Digital eHealth team has conduced an analysis of the current state of play of eHealth in the Eastern Partner countries, and identified each country’s challenges and priorities. The set of guidelines will serve as a basis for establishing cross-border standards, considering legal, organisational, semantic and technical interoperability categories and
related aspects.

EU4Digital aims to extend the benefits of the European Union’s Digital Single Market to the Eastern Partner states, channelling EU support to develop the potential of the digital economy and society, in order to bring economic growth, generate more jobs, improve people’s lives and help businesses in Ukraine and the other Eastern Partner countries – Armenia, Azerbaijan, Belarus, Georgia and the Republic of Moldova.

Find out more about EU4Digital at https://eufordigital.eu/