Implementation of the ATLAS MED information system at County Clinical Emergency Hospital of Cluj-Napoca

About SCJUCJ

County Clinical Emergency Hospital of Cluj-Napoca is one of the greatest bedded health units from Romania, with attributes of a “Level I Emergency Regional Hospital”. The hospital provides emergency related services for the whole north-western region, comprising UPU and SMURD units. It has 1,542 beds across all medical and surgical wards and over 3000 employees. It operates in multiple pavilions in more than 33 distinct buildings, some having more than 100 years, at a distance between 30 m to 5 km from the main central building. Activity is organized into three segments: emergency medical assistance, acute/chronical diagnosis and health programs, medical university and post university centre and medical scientific research.

The hospital has 41 wards and clinical (and non-clinical) departments in all medical and surgical specialties (Anesthesia and Intensive Care, Cardiology, Interventional Cardiology, General Surgery, Oral and Maxilofacial Surgery, Stomatology, Plastic Surgery and Reconstructive Microsurgery, Vascular Surgery, Dermatovenerology, Diabetes Mellitus, Nutrition and Metabolic Disorders, Endocrinology, Gastroenterology, Internal Medicine, Occupational Medicine, Phrenology, Neonatology, Neurosurgery, Neurology, Obstetrics-Gynaecology, Ophthalmology, Oncology, Otorhinolaryngology (ORL), Orthopaedics and Traumatology, Psychiatry, Rheumatology.)

In the hospital, there are also medical analysis laboratories, radiology imaging laboratories (with services of conventional radiology, echography, computed tomography and magnetic resonance), pathological anatomy, nuclear medicine, angiography and cardiac catheterization, non-invasive functional imaging, medical genetics, immunology and allergology, recovery, physical therapy and balneology. In the hospital, there is also the only emergency room for adults in the city, providing emergency medical assistance for critical patients from the whole north-western region (polytrauma, burns, major medical and surgical emergencies).

There is an integrated specialty ambulatory, and medical specialty offices for all the corresponding specialties of the clinical wards, providing medical assistance to outpatients, and also a mental health centre offering psychiatric specialty assistance on an outpatient basis and day care basis for patients with mental disorders.

The dentistry assistance provides modern prophylactic and curative services through the offices of Dental Ambulatory and Dental Radiology Laboratory.

Several healthcare professionals with high professional skills (doctors who are also professors of the University of Medicine and Pharmacy Cluj-Napoca, with an integrated clinical activity, and doctors from the Health Ministry network) work in the hospital, being nationally and internationally appreciated for their clinical, teaching and scientific medical research activity, and concerned with its continuous development.

Initial Situation

Serving emergencies for the whole north-western region, the County Clinical Emergency Hospital of Cluj-Napoca cares for more than 150,000 patients every year.

The hospital comprises 41 wards and departments, UPU – SMURD units, 10 laboratories and 3 pharmacies. Some of the departments were already equipped with information systems, but they were not integrated into a centralized system, so the circulation of information was rather difficult within the hospital. For example, in order to get the medical investigation results, the patient had to take the laboratory test report to the respective ward.

Access to patient’s medical records for clinical studies involved the searching for patient charts in the archive and printing them on paper format.

The reporting and statistics retrieval was found rather difficult as many of the necessary information were available only on paper.

Alternative

The implementation of ATLAS MED integrated information system within the County Clinical Emergency Hospital of Cluj-Napoca started in 2011 and, following the analytical stages concerning the requirements, adjustment, setup and configuration of the information system and user training in 2012, the ATLAS MED information system started to be used by all the hospital departments.

ATLAS MED information system was implemented and used in all the hospital wards: in the Specialty Ambulatory, in the Emergency Room, in the admission offices, in the clinical sections, in laboratories and pharmacies, and in the medical statistics department as well allowing a real time data exchange.

Benefits

The implementation of ATLAS MED brought the following benefits to the hospital:


  • The patients’ personal data are registered once at their first admission in the Ambulatory Unit, Emergency Room or for inpatient care, and then reused in any other module or in subsequent admissions of patient.

  • An electronic medical record has been created for each patient, incorporating all the medical information, so that the doctors can shortly access their medical records, being thus able to take the best medical decisions.

  • Information is changed in real time between various modules used by the hospital departments. So, when the medical test results of a patient are entered and validated in the laboratory, they become immediately available for the on-call doctor who requested the investigations. The pharmacy medicine stock is also available in real time for the clinical wards, so that doctors can add electronic drug registers including accurate exact data on their availability in the pharmacy.

  • The Statistics Department can easily retrieve reports and statistics regarding the activity of the whole hospital, providing also real time information to the hospital management.

  • Information needed for the clinical studies and medical research can be easily retrieved.

How does the system look today?

2,700

USERS

470,000

PACIENTS

5,7 MIL

MEDICAL DOCUMENTS

“The implementation of a medical information system at the institutional level is vital, especially when the institution has a pavilion structure, distributed into 33 locations at a distance ranging between 100 m and 2 km.
ATLAS MED implementation started as a pilot project in several wards, then we extended it throughout the entire hospital. We have been working continuously with our projecting and implementation team. And thus, we have created a functional system. ATLAS MED system is perfectible and dynamic, but we can overcome any issues through the close collaboration between the users and the support team.”
Mst. Monica Costin, Director ingrijiriSCJUCJ