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Proyecto TurrianoImplantación de eSIAP en SESCAM

Jueves, 25 de mayo 2006Mª Carmen Ezquerra Bernad

Directora Operaciones Externas

• Orígenes• Evolución de Turriano• Nivel de Implantación• Turriano (eSIAP) “Solución integral de Atención Primaria”

• Arquitectura• Integraciones• Módulos administrativos / administración• Historia clínica• Explotación de datos

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Orígenes

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Evolución de Turriano - Gestión del Cambio

Formación en Aula

Formación “in-situ”

Formación “on-line”

Manuales y Guías rápidas

Formación de formadores

¿Por qué esta magnífica tecnología científica, que ahorra trabajo y nos hace la vida mas fácil, nos aporta tan poca felicidad?

La repuesta es esta, simplemente: porque aún no hemos aprendido a usarla con tino. (Albert Einstein)

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Evolución de Turriano – Gestión de Requerimientos

Clasificación

Análisis Implantación

Desarrollo

Pruebas

Documentación

Registro Sug.

ORIGEN DE SUGERENCIAS

• Liberados

• Buzón turriano.sugerencias

•Grupos TrabajoGrupos de trabajo con:

• Usuarios

• At. Primaria SSCC

• Informática SSCC

• iSOFT

• Caja blanca• Caja negra• Funcionales• Carga

• Informe de versión

• Manuales de usuarios

• Configuración de aplicación

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Nivel de implantación – Indicadores de alcance

1.436.033Total87.238 Pacientes desplazados e historia en Turriano

1.348.795 Pacientes con TSI e historia en Turriano

77Usuarios Gerentes

2.036.862Total

54Usuarios Oficinas Provinciales IT250Usuarios Especializada

602Total 6.920Usuarios Clínicos1.632Usuarios Administrativos

1.913.447 Pacientes con TSI123.415 Pacientes desplazados

427Consultorios locales175Centros de Salud NºIndicador

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Nivel de implantación – Indicadores de actividad

1.166Partes de I.T.*

70.746Visitados*103.874Recetas*

3.205Interconsultas*

80.697Citas*3.751Agendas programadasNºIndicador

* Actividad relativa al día 17/05/2006

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ArquitecturaPlataforma Tecnológica:

La principal ventaja del sistema es la portabilidad de la aplicación, ha sido desarrollada con el objetivo de que no tenga restricciones hardware/software de ningún tipo. Está diseñado en base a la arquitectura estándar con mayor implantación en el mercado.

Plataforma abierta J2EE (Java 2 Enterprise Edition).

Arquitectura Multicapa.

Independencia del Sistema Gestor de BD.

Análisis, Diseño e Implementación totalmente orientado a objetos. Soporte inicialde consultores SUN.

Multiprotocolo. RMI y SOAP.

Servidores Web

ServidoresAplicaciones.

Base de Datos

Firewalls

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Solución Integral de Atención Primaria - Integraciones

TARJETA SANITARIA

TRANSPORTE PROGRAMADO

YKONOS

LABORATORIO

MARTINDALE MAMBRINO

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Integración con YkonosIntegración con XML

Consulta de todos los informes e imágenes

Ahorro de costes de revelado.

Mayor accesibilidad

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Solución Integral de Atención Primaria - Administrativo

CITA PREVIAGestión de cita por ZBS

Gestión de listados

Gestión de desplazados

Solicitud de ambulancias (SITRAP)

Gestión de tareas administrativas

CONTACT – CENTER

CITA - WEB

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Solución Integral de Atención Primaria -Administración

GESTION DE USUARIOS

GESTIÓN DE AGENDASProgramación / reprogramación agendas

Reparto de citas

Gestión de festivos

Gestión de profesionales

• Cupos

• Sustituciones

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Solución Integral de Atención Primaria-Historia Clínica

Organización por episodios y contactosGestión de cartera de serviciosCodificación de diagnósticos CIE9-MCAlertas ante Factores de Riesgo y Alergias

Monitorización de indicadoresGestión de antecedentes y hábitosInformes: interconsultas, laboratorio, a medida

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Solución Integral de Atención Primaria - Médico

Programas de salud: despistaje, cardiovascular

Solicitud de pruebas: laboratorio, interconsultas, exploraciones.

Gestión de I.T.

Prescripción

Control de prestaciones

Guía de medicamentos y P.Activos recomendados

Control de duración máxima de tratamiento

Control de Alergias a Medicamentos e Interacciones.

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Solución Integral de Atención Primaria - Pediatría

PEDIATRIA

Percentiles Orbegozo

Protocolo Salud Infantil

Calendarios Vacunales

Hoja de Pediatría

Test de Denver

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Solución Integral de Atención Primaria - T.Social

PEDIATRIA

Historia Social

Gestión de interconsultas

Genograma

TRABAJADOR SOCIAL

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Solución Integral de Atención Primaria-Odontología

PEDIATRIA

TRABAJADOR SOCIAL

Odontograma

Programa Odontología

Gestión de interconsultas

Prescripción

ODONTÓLOGOS

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Solución Integral de Atención Primaria-Enfermería

ENFERMERÍA

ODONTÓLOGOS

PEDIATRIA

TRABAJADOR SOCIAL

PAE

Gestión de procedimientos

Gestión de intervenciones

Diagnósticos NANDA

Parámetros clínicos

Perfil de glucemia

Vacunaciones

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Solución Integral de Atención Primaria - Matrona

ENFERMERÍA

ODONTÓLOGOS

PEDIATRIA

TRABAJADOR SOCIAL

Hoja Antecedentes

Ginecológicos

Protocolo Seguimiento

Embarazo

MATRONA

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Solución Integral de Atención Primaria - Fisio

FISIOTERAPIA / REHABILITACIÓN

ENFERMERÍA

ODONTÓLOGOS

PEDIATRIA

TRABAJADOR SOCIAL MATRONA

Exploración Física

Acceso a radiologías e informes (Ykonos)

Informes a medida

Gestión de tareas

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Solución Integral de Atención Primaria – Insp. IT

FISIOTERAPIA / REHABILITACIÓN

ENFERMERÍA

ODONTÓLOGOS

PEDIATRIA

TRABAJADOR SOCIAL MATRONA

INSPECCIÓN IT

MEDICO

Consulta de procesos on-line

Comunicación directa con médicos

Acceso a la HC para gestión de incapacidades

Comunicación con el Ministerio

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Solución integral de Primaria - Explotación de datosEntorno especial basado en

vistas materializadas

Información agrupada porSESCAM GerenciaZona básica de saludCentroProfesional

Indicadores deVacunaciónITPrescripciónSISPRIMAGenerales

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Proyecto TurrianoImplantación de eSIAP en SESCAM

Jueves, 25 de mayo 2006Mª Carmen Ezquerra Bernad

Directora Operaciones Externas

MUCHAS GRACIAS