Plane Thermoelastic Waves in Infinite Half-Space Caused
FACTA UNIVERSITATIS
Series: Economics and Organization Vol. 14, N
o
3, 2017, pp. 265 - 279
https://doi.org/10.22190/FUEO1703265R
Review Paper
HELIANT HEALTH INFORMATION SYSTEM AS A SUPPORT
TO ELECTRONIC BUSINESS OF HEALTHCARE
ORGANIZATIONS IN SERBIA
1
UDC 004:614.2(497.11)
Žarko Rađenović
*
, Slavoljub Milovanović, Goran Milovanović
University of Niš, Faculty of Economics, Niš, Serbia
Abstract. Electronic business of healthcare organizations is a specific technological
innovation when it comes to providing adequate healthcare services. The process of
providing healthcare services in this case is supported by electronic health record,
which is an integral part of health information systems. Monitoring of the healthcare
services providing process using tools of electronic health (e-health) in this paper, will
be based on the software for graphical modelling, which will target key activities,
participants and variables of the process, and make its mapping. This is because the
analysis of electronic business processes of healthcare organizations reveals activities
that can be cost-optimized for more efficient delivery of health services and faster
response on the patient's condition. In this work, process analysis was conducted on
the case of health information system Heliant Health, which is used in most public
medical institutions of the Republic of Serbia.
Key words: electronic business, electronic health, electronic health record, process
analysis, healthcare organizations
JEL Classification: C63, I10, M15, P36
INTRODUCTION
Research motivation for writing this paper is the problem of implementation, use and
development of integrated health information systems in the Republic of Serbia. A special
attention in this paper relates to Heliant Health, a health information system that is used in
local healthcare centers, hospitals and most clinics on the territory of the Republic of
Received March 8, 2017 / Revised May 02, 2017/ Revised June 23, 2017 / Accepted July 05, 2017
Corresponding author: Žarko Rađenović,
*
PhD student at Faculty of Economics Niš
University of Niš, Faculty of Economics, Trg kralja Aleksandra 11, Serbia
E-mail: zarkoradjenovic2@gmail.com
266 Ž. RAĐENOVIĆ, S. MILOVANOVIĆ, G. MILOVANOVIĆ
Serbia. Its functioning will be analyzed in the light of compatibility with the International
standard for health information systems Health Level Seven- HL7, which provides basic
guidelines for networking, communication and monitoring of the patient health condition,
by all participants in the process of providing healthcare services, at the primary,
secondary and tertiary level.
One of the major research problems in this paper is analyzing the efficiency and
interoperability of business processes, providing healthcare services. Using one of the
most popular norms of graphic process modelling Business Process Modelling Notation
2.0 (BPMN 2.0), with the addition of a Gantt chart of all electronic activities providing
healthcare services, we will analyze the functioning of the health information system
(HIS) Heliant Health, used in the Republic of Serbia and its comparison with the HL7
concept. Also, this paper deals with the analysis of the medical treatments at all levels of
healthcare protection which is supported by electronic health record information as an
important tool in the patient’s treatment. All of this aims to detect any distortion in the
execution of the healthcare organizations business processes, and make recommendations
for improvement and increasing efficiency in patient treatment, a better integration of
health stuff and save time and resources providing healthcare services.
One of the key problems related to Heliant Health, in the context of the standard HL7,
is primarily the absence of network and disconnection of some of the participants in the
process of providing healthcare services using electronic health records, which leads to
delays in treatment and effective monitoring of the patient and timely response in case of
urgent situations. The connection between participants in the process of providing
healthcare at the primary, secondary and tertiary levels can be achieved by adjusting the
Heliant Health process to HL7 standards. Also, it is possible to implement changes to
improve the process of providing healthcare services through the Health Heliant, in order
to achieve compatibility with the HL7 standards.
1. METHODOLOGY AND LITERATURE REVIEW
Research methodology in order to obtain the appropriate results and answers of setting
hypothesis of the paper will be based on BPMN modelling. Specifically, using BPMN in this
paper will be created the process of providing healthcare services at the primary, secondary
and tertiary levels with the support of the electronic card based on the current situation in the
Republic of Serbia, using Heliant Health health information System. Also, through the
process modelling will be given a proposal for improving the provision of healthcare
services. On the other hand, using a Gantt chart created on the basis of BPMN process, you
should become familiar with the activities duration of providing healthcare services process
and their percentage contribution to carry out the process of providing healthcare services
supported by Heliant Health. On the basis of their (in)compatibility we will give proposals
for improving the integration of the participants, in order to achieve the standard HL7 and
provided even international cooperation in delivery of healthcare services, of course with the
support of information from electronic medical record. In addition, the methodology used in
this work will be explained in detail using BPMN tools.
Heliant Health Information System as a Support to Electronic Business of Healthcare Organizations in Serbia 267
Electronic health as a growing research field in both the public and private health
sector, as well as in e-business and IT, shows the importance of developing a service-
oriented architecture of information systems associated with web. This resulted in the
number of papers that aim to analyze e-business models of healthcare organization and
bridge the gap between theory and practice. In order to understanding business objectives
of healthcare organizations in their work Alahmadi, Soh and Ullah, analyzed the entire
flow of the providing healthcare services process and its main features (Alahmadi et al.,
2014). On the other hand, the laying of foundations, both in literature and in practice with
regard to the development of e-health in recent years placed Emanuele and Koetter
discovering opportunities and challenges for further evolution of e-Health (Emanuele
Koetter, 2007).
Business process modelling and its management, in order to decrease operational and
other costs and also human errors, make a significant progress in case of analizing
electronic health data and improving healthcare services (Becker, J. Janiesch, C.,
2007). Also, using workflow methodology with software tools, Electronic Health Record
systems and its features could be better monitored and controlled and contributes to more
efficient e-business of healthcare organizations (Alhaqbani, B. Fidge, C., 2007).
2. DEFINING THE MODEL OF PROCESS
Successful organization management, and especially increasing its efficiency in order
to achieve the goals set, is possible only under the assumption of excellent knowledge of
its internal composition and mode of operation. Organizational operations are achieved
through a series of related and goal oriented business processes. The complete definition
of the business process in principle is never final, but it can be assumed that the business
process is a set of related work steps for which it is possible to determine the duration and
necessary resources.
The organization efficiency can be increased by improving and restructuring its
business processes. However, it is essential that all participants fully understand the
business processes, which will be possible if the processes are described in a unique and
accessible way. Business processes and their connections may be described using various
techniques. Description by spoken language is certainly one way, but it can be imprecise,
and communication capabilities could expose participants to different interpretations of
spoken words. So, today's business processes are accurately described by a set of
graphical symbols with precisely defined semantics and firm rules of their connection.
Modeling business processes is achieved by effectively controlling the quality of
business processes performances in line with the business strategy. If an organization sets
a high-quality monitoring system of business process, modeling will provide long-term
profit. Because of their dynamic presentation, simulation methods are now more
attractive, so the software solutions, that are based on the graphic modelling, are
increasingly integrated with the rolled programming language into executable language
that can be displayed as a simulation. One of the most common graphic norms for
modelling processes is BPMN 2.0 with the addition of the programming language
execution (Rojo et al., 2010).
268 Ž. RAĐENOVIĆ, S. MILOVANOVIĆ, G. MILOVANOVIĆ
Regardless of the modelling selection methods, it is necessary to know something
about software solutions, which facilitate the business modelling, and not cause additional
complications. It requires IT personnel to perform modelling in accordance with the needs
of companies, which includes additional investments that the company was not always
willing to implement, because the results appear only after a certain time. These are
investments with indirect economic impacts, where exploitation occurs after a certain
period of using the investment. This study and research paper deals with the analysis of
the medical treatments at all levels of healthcare protection which is supported by
electronic medical records, in order to answer the question of business processes
efficiency of healthcare organizations, as a specific business entities.
According to the generic definition of the business process, it is a set of related
activities and decisions, which is performed on external incentive to achieve a measurable
objective of organization, takes time and consumes few resources as input, transforming
them into specific products or services of interest to the customer or user. Analyzing the
definitions in some detail by showing the following parts (Emanuele Koetter, 2007):
A set of related activities and decisions. It means that this is a deliberate set of actions
and decisions (and not a conglomerate) that lead to achieving the objectives and
satisfying the needs of some customers or users.
It runs on external incentive.
The organization does nothing nor consumes any resources if there is no requirement
or incentive from a customer or user. In manufacturing organizations that incentive is
customer orders, even though it may not always be immediate, but it can be planned
(depending on the system of production management).
Specific products or services. Each output execution process must be individually
identifiable (meaning that it cannot give any other process), and measurable. For
example, Process Design and Development (this can be a group of processes, but also
the name of the organizational unit that performs them) is not a process, instead of that
the process will be designed transformer.
Value for customer. Organization which exists in itself would have no sense, it only
exists because of the customers or users of its products or services. However, in
complex organizations whose activities are organized on the principle of the value
chain (the Value Chain) customer or the user may not always be the external, but it
may be some internal organizational units.
It should be noted that this definition of the business process should not be taken
formally. Practice shows that a large effort around modelling is useless if at the beginning
the processes that correspond to this definition are not recognized.
3. THE ROLE OF ELECTRONIC HEALTH RECORD IN THE BUSINESS
OF HEALTHCARE ORGANIZATIONS
The electronic health record (EHR) of an individual user/patient is a set of
longitudinal data (continuously throughout life) essential for health, collected and pulled
from electronic medical histories, and electronic patient records from different healthcare
institutions, which could be shared between relevant health institutions and/or healthcare
professionals for the purpose of health promotion, disease prevention, diagnosis, treatment
Heliant Health Information System as a Support to Electronic Business of Healthcare Organizations in Serbia 269
and rehabilitation of these patients. The main objective of the EHR establishment is to
provide quality healthcare and increase overall efficiency, quality and safety of the system
in order to provide benefits primarily for patients and healthcare workers accessing high-
quality data and provide information for the development strategy, better management and
health policy. The purpose of the EHR is the integration of information systems of various
medical institutions through the collection of personal data about health status of patients,
and their electronic downloading from the place where services are provided. This enables
better communication of health workers and awareness about relevant health information for
a specific person, and therefore increases the possibility of successful treatment.
Implementation of information and communication technologies in healthcare
systems is followed by the emergence of new terms and concepts and their use in different
contexts, both in Serbia and in all the countries in the world and in all languages. Some of
the most commonly used terms in Serbia are "electronic health record", "electronic
medical history", "electronic health records", "electronic health record" and other terms
that, at first sight, are the same. The second term represents a group of so-called "unified
electronic health records" (Eng. "Electronic health record"), which includes all the
information about patients that were recorded continuously throughout their lives. It also
includes information about medical services that have occurred in various health
institutions according to the current patient state.
The terms "electronic patient record" and "electronic medical histories of patients'
indicate electronic records in healthcare organizations, analogous to writing (paper)
documents, "cards" in primary healthcare and "medical histories" in hospitals. For this
type of electronic records it is true that its emergence resulted from the introduction of
ICT in individual institutions, and they are primarily used by the healthcare workers who
have direct contact with patients in the healthcare service. They primarily serve for
medical procedures or processes of health promotion, disease prevention, diagnosis,
treatment and rehabilitation with individual customers/patients (possibly with a small
group of users/patients).
Taking all of the above mentioned into account, in the context of healthcare system in
Serbia, we can briefly say that "electronic patient record" (in the primary healthcare), or
"electronic medical histories of patients" (in the secondary and tertiary healthcare)
corresponds to the English term "electronic medical record - EMR" and contains information
related to the work in individual practices of healthcare workers, or in a health institution or
private practice (in accordance with the Law on healthcare in the Republic of Serbia).
Compared to the medical records in written (paper) form, the electronic card and electronic
medical history of the patient have the following advantages (Kirchner et al., 2013):
Easy identification and monitoring of patients in time for preventative checks,
inspections or screening,
Easy monitoring of certain essential characteristics and findings in patient state, such
as blood pressure, sugar levels in blood, immunization (vaccination), etc.,
Easy monitoring and evaluation of their own practice, as well as conducive, data and
evidence-based, planning and implementation of quality improvement and safety
practices of health workers and institutions.
270 Ž. RAĐENOVIĆ, S. MILOVANOVIĆ, G. MILOVANOVIĆ
What is crucial for electronic medical histories (electronic cards) of patients is a very
limited flow of health information and data, and the data of patients (sometimes crucial
for health) remain within the limits of a health institution. What typically happens when it
is necessary to transmit information to other healthcare professionals is that the necessary
information is usually printed and also in writing, transfers to other health institutions. In
terms of exchange and flow of information between different medical institutions,
electronic medical history (cardboard) of patients does not differ much from medical
records in paper form.
3.1. Process analysis of Heliant Health activities using BPMN
The process analysis of Heliant Health activities was done in order to clearly target all
the activities carried out during the e-health in one organization which is normally used by
the mentioned health information system. Namely, it is evident that there is a medical
procedure that must be respected and therefore e-commerce of healthcare organizations
which provide healthcare services for patients (Kelley Hurst, 2006). Mapping the
process of providing healthcare services electronically, in the case of cardio-vascular
disease patients, clearly defines those activities that are essential for the smooth patient
care and the sharing of information about their condition. Of course, sharing information
is followed by electronic medical records data in Heliant Health, as has been said, is the
basis for determining the therapy and diagnosis of the patient.
In order to clearly realize the possible "bottlenecks" in e-business of healthcare
organizations and improve the efficiency and cost optimization, authors made a list of
activities, their duration and the percentage contribution to the process execution for a
hypothetical case of cardiovascular disease patients (Table 1). It is necessary to
emphasize that activity duration was determined using examples of good practice, in case
of Serbian healthcare services on primary, secondary and tertiary level of health
protection, after some researches which are conducted by authors in Serbian healthcare
organizations. The compressed types of activities within the business process model
(there are thirty-one) of treating a patient with the electronic health records support are:
Calling Call Centre in order to make appointments,
Scheduling an appointment with their chosen doctor,
Assessing the state of urgency by the chosen doctor,
Examination by the chosen doctor,
Referral to additional diagnostic methods,
Receiving the patient due to the urgency state out of the ordinary procedure,
Patient’s hospitalization and their retention in the stationary treatment with possible
further clinical intervention and consultative review. After that, it is possible to send
the patient to a rehabilitation center or discharge after receiving treatment and return
to the selected physician with the arrival of home healthcare and assistance,
Setting up final diagnosis by the chosen doctor after interpretation of laboratory
results and radiology results with the correction of existing therapies and determining
the final therapies.
Heliant Health Information System as a Support to Electronic Business of Healthcare Organizations in Serbia 271
Table 1 Activities and their duration in Heliant Health
Activity name Sequence
of
activities
Activity
beginning
Activity duration
(in days)
Cumulative
activity
The percentage
share of activity in
the overall activities
Calling the call center - 01/10/17 1.00 1.00 0%
Appointments with the chosen
doctor
- 01/10/17 1.00 2.00 1%
Assessment of the patient urgency
state
x1,x2 01/11/017 1.00 3.00 1%
Examination by the chosen doctor x1,x2 01/11/17 1.00 4.00 1%
Referral to other diagnostic
methods
x4 01/13/17 2.00 6.00 2%
Laboratory x5 01/15/17 2.00 8.00 3%
Radiology x5 01/17/17 2.00 10.00 3%
Emergency state and
hospitalization outside the
protocol
x3 01/18/17 1.00 11.00 4%
Hospitalization x8 01/19/17 1.00 12.00 4%
Staying in hospital x9 01/21/17 3.00 15.00 5%
Carrying out appropriate therapy x4,x10 01/23/17 2.00 17.00 6%
Return to the chosen doctor x11 01/24/17 1.00 18.00 6%
Finally diagnosis by the chosen
doctor
x11,x12 01/19/17 1.00 19.00 7%
Other analyses in Institute of
Public Health
x5 01/17/17 2.00 21.00 7%
Results interpretation x14 01/18/17 1.00 22.00 8%
Ending of examination and giving
final therapy
x15 01/20/17 2.00 24.00 8%
Determining last and final therapy x16,x4 01/21/17 1.00 25.00 9%
Referral of the patient to a
specialist
x14 01/19/17 2.00 27.00 9%
Examination by the specialist x18 01/20/17 1.00 28.00 10%
Final diagnosis by the specialist x19 01/21/17 1.00 29.00 10%
Inpatient treatment x19 01/23/17 2.00 31.00 11%
Implementation of the inpatient
treatment
x21 01/29/17 7.00 38.00 13%
Leaving the hospitalization
process
x22 02/07/17 10.00 48.00 17%
Approval of the medical
commission for treatment at
tertiary level
x22 02/11/17 15.00 63.00 22%
Performing conciliar examination
at the clinic
x24 02/20/17 10.00 73.00 25%
The implementation of treatment
at the clinic
x25 04/19/17 60.00 133.00 46%
Carrying out additional
examination and appropriate
therapy
x26 04/25/17 7.00 140.00 48%
Referral to the rehabilitation center x27 07/24/17 90.00 230.00 79%
Activation of the department of
home care after the completion of
the intervention
x27 06/24/17 60.00 290.00 97%
Return to the selected physician
for further follow-up
x27 05/02/17 8.00 298.00 100%
Source: Authors
272 Ž. RAĐENOVIĆ, S. MILOVANOVIĆ, G. MILOVANOVIĆ
To make the process of e-business health organizations supported by Heliant Health
successful, it is necessary to map the current processes and activities and establish a clear
categorization of participants in the process and its variables. The participants in the
process of electronic healthcare services, supported by Heliant Health are: patient, nurse,
attending physician (chosen doctor), specialist, laboratory, radiology, Department of
Public Health, medical board (Commission), clinic, hospital, rehabilitation center, home
healthcare (nursing at home). In this case the process variables of electronic healthcare
services are informational units, which define and determine the direction of unwinding
activity based on their type. The variables of Heliant Health in treating a patient from
primary to tertiary healthcare, supported by electronic medical records, in case of a
cardio-vascular disease include:
Code of electronic health record- type String.
Patient name- type String.
Laboratory results- type Integer: this results are usually in number format such as level
of cholesterol, number of blood cells, level of diabetes etc.
Radiology results- type String.
Assessment of medical commission- type String.
Results after the intervention- type String.
The urgency states- type Boolean: authors choose Boolean type for this variable
because the state may be or maybe not be urgent, depending on the patient health
condition at a specific moment.
Working diagnosis- type String.
Work therapy- type String.
The final diagnosis- type String.
The final therapy- type String.
Discharge list- type String.
The following section (Figure 1) gives a graphical representation of the existing
business processes of the patient treatment with the electronic health record support.
Before the presentation obtained by the process (before and after improvements), it is
necessary to emphasize that this study respected all the principles in describing and
graphical representation of the process through a BPMN (Rojo et al., 2010):
The principle of abstraction - a better understanding of the problem, it must be presented
in a simplified form. The problem should be separated from the real environment and the
background details which diminish its complexity should be ignored.
The principle of formality - provides a methodical approach to the problem according
to appropriate procedures. It introduces algorithms, rules and laws.
The principle of modularity - the problem is divided into less complex parts, modules
in order to understand them better.
The principle of hierarchy - the problem is also divided into modules, which are
classified according to their complexity, from the simplest to the most complex.
Heliant Health Information System as a Support to Electronic Business of Healthcare Organizations in Serbia 273
274 Ž. RAĐENOVIĆ, S. MILOVANOVIĆ, G. MILOVANOVIĆ
Fig. 1 Current process of providing healthcare services supported by Heliant Health
Source: Authors
After mapping the process of providing healthcare services supported by electronic
health record of Heliant Health Information System, using BPMN, we composed Gantt
chart based on Table 1 showing:
Name (type) of activity which is provided by healthcare services through health
information system.
The order in which activities take place and their relationship.
Duration of activities and their potential overlapping.
Cumulative realization showing the sum of the duration of these activities and the
activities which follow.
The percentage share of each activity in the provision of healthcare services through
the Heliant Health.
Gantt chart is the graphical display (Figure 2), based on Table 1 which documented
current activities and their possible overlap in terms of the interdependence of these
activities, as it has been seen which activities are "bottlenecks" of the process of providing
healthcare services. Specifically, the duration of each activity is perceived in this way and
the way it "slows down" and "accelerates" the process of providing healthcare services using
electronic medical records. This could reveal key activities, which could be merged into a
larger activity, or completely eliminated from the process of providing healthcare services by
Heliant Health Information System as a Support to Electronic Business of Healthcare Organizations in Serbia 275
Heliant Health, in order to avoid decreased efficiency and interoperability of organization e-
health.
Fig. 2 Gantt chart of activities in Heliant Health
Source: Authors
3.2. Suggestions for electronic business processes improvement
supported by Heliant Health
The enhanced version of the treatment process at all levels of healthcare (Figure 3),
supported by electronic health record, which indicates the potential drawbacks of the existing
business processes, provides a graphical representation of the parts of improved processes or
activities. The improvement of the performances of those activities, which lead to delays in the
provision of healthcare services, comes to higher efficiency and interoperability of healthcare
organizations. This version shows an improved process in which part of the patient treatment
at all levels should remove the shortcomings. Namely, according to the research, it proposed
improvement treatment process in the following areas:
Setting the final diagnosis.
Determination of the results obtained after the treatment.
Interpretation of laboratory results and other.
276 Ž. RAĐENOVIĆ, S. MILOVANOVIĆ, G. MILOVANOVIĆ
The treatment process at all levels of healthcare (primary, secondary and tertiary) supported
by the electronic health record increases the efficiency of healthcare organizations by:
Reducing administrative costs, operating costs and the costs of treatment.
Reducing the number of required operations in the case of intervention due to the
deteriorating health condition of the patient and allowing the provision of adequate
and timely therapy.
Allowing a better insight into the history of the disease and better interaction between
the chosen doctor and the patient.
Fig. 3 Suggestions for improving the current process of healthcare services in Heliant Health
Source: Authors
The processes of development and implementation of electronic health records have a
long-term strategic significance. Once it reaches the full functionality, most health
organizations and health workers and most of the population of healthcare will be
included in the system of electronic health records. It provides primarily the availability
of relevant and up-to-date health information to all stakeholders (Emanuele Koetter,
2007). The benefits of the proposed improvement of health information system Heliant
Health, supported by electronic medical records, may be the following:
Health information system based on electronic medical records such as Heliant Health
brings benefits in time savings. Namely, healthcare stakeholders could schedule their
Heliant Health Information System as a Support to Electronic Business of Healthcare Organizations in Serbia 277
own appointments with healthcare staff in some healthcare organization. Also, patients
could arrange an on-line consultation using a video link.
Patients could make a personal healthcare environment which gives them the
possibility to share their own medical data with the healthcare provider. It gives them
more control over their health condition, but also makes medical staff more efficient in
case of faster determining the right treatment in real-time without mistakes.
Medical staff could share information more securely with colleagues and less paperwork
allows them to spend more time and pay more attention to patients’ condition and needs.
Using reliable, high-quality, protected, comprehensive and easily accessible healthcare
data brings better quality and safety of healthcare services (healthcare intelligence),
management (management intelligence), reporting and evaluation in the health system
(public health intelligence), business (business intelligence).
CONCLUSION
The development of information systems and the growing trends in the industry of
information technology have enabled their use in health organizations in order to increase
the provision of healthcare services. During the development and implementation of
information systems to support electronic healthcare is extremely important in order to
choose the best alternative among the many that exist in the market. The correct choice of
a health information system with respect to standards such as the HL 7 will provide not
only the cost and operational efficiency, but also better communication among healthcare
organizational units and a higher degree of interoperability, collaboration and coordination.
In this way, information systems (with the multi-stakeholder approach) in healthcare
organizations provide a higher level of services quality resulting from adequately collected
and analyzed information of the patients’ health status.
These principles are based on guidelines and concepts of the HL7 standard which also
reflect its character. Improving Heliant Health should be based on the recommendations
of this standard to maximize the integration and interoperability of healthcare organizations.
Consequently, it can be said that based on research, compatibility between Heliant Health
and the HL7 standard, using BPMN, and confirmation of the hypotheses and their validity,
is proved. In this way, recommendations for process improvement in modelling are given,
as well as guidelines for further integration of the participants through electronic health
records, especially in communication between institutions and health personnel of
primary and secondary healthcare.
Contribution to the improvement of existing provision of healthcare services supported
by electronic medical records, based on previously conducted research, is reflected in
reduction of administrative work and cost accounting. Also, workflow methodology gives
proposals for avoiding unsafe and unnecessary interventions and a faster reaction to some
urgency states, using adequate therapy, by targeting inefficient activities of healthcare
services. This new generation of information-intensive telemedicine services, with its
innovative high-tech tools, embodied in health information systems, causes the setting up of
health services to a higher evolutionary level, especially in terms of efficiency.
The cost and qualitative components of health services achieve an enviable level of
performance when it comes to electronic healthcare. On the other hand, the timely exchange
of information in the virtual mode allows adequate treatment of the patient's disease,
278 Ž. RAĐENOVIĆ, S. MILOVANOVIĆ, G. MILOVANOVIĆ
without a time delay. In this way, the costs of introducing digitization into a health
organization (based on example of good practice) can be reduced to only 3% of the total
cost. The adaptability of users of health information systems has been enhanced by
continuous education and the development of skills and competencies for using electronic
health software solutions. This way, e-health improves the safety of all participants in the
process of providing health services, but also increases the precision in the healthcare
decision-making process, using workflow methodology. Improving the interoperability of a
health organization and mobility of its members, using telemedicine services through an
electronic health card leads to the strengthening of the stakeholders’ functional networking
inside the health organization.
Consequently, through these workflow software tools, the focus is on long-term
economic, and above all the health benefits of using some of the software alternatives. It
mainly aims at high personalization, customization and patient-orientation of the electronic
health business solutions. On the other hand, the structure of a concrete health organization
defines the utilization of software solutions for the implementation of the e-Health concept.
Functional and evolutionary-minded hardware and software applicative infrastructure
contributes to the consistency of the e-health concept, which provides all users of the system
with a "user friendly" attitude towards software solution, which ultimately leads to the
provision of timely and quick medical services in real time. In this way, by selecting the
appropriate software solution, the health organization makes opportunity for better healthcare,
collects and analyzes large amounts of information and monitors patients’ medical histories.
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INFORMACIONI SISTEM HELIANT HEALTH KAO PODRŠKA
ELEKTRONSKOM POSLOVANJU ZDRAVSTVENIH
ORGANIZACIJA U SRBIJI
Elektronsko poslovanje zdravstvenih organizacija predstavlja svojevrsnu tehnološku inovaciju
kada je u pitanju adekvatno pružanje usluge zdravstvene zaštite. Proces pružanja usluga
zdravstvene zaštite u ovom slučaju podržan je elektronskim zdravstvenim kartonom, koji
predstavlja integralni deo zdravstvenih informacionih sistema. Praćenje toka procesa pružanja
zdravstvene usluge korišćenjem alata elektronskog zdravstva (e- health) u ovom radu, baziraće se
na primeni softvera za grafičko modeliranje koji će targetirati ključne aktivnosti, učesnike i
varijable datog procesa, i izvršiti njegovo mapiranje. Ovo zbog toga što se analizom procesa
elektronskog poslovanja zdravstvenih organizacija otkrivaju one aktivnosti koje se mogu troškovno
optimizovati u cilju efikasnijeg pružanja zdravstvene usluge i brže reakcije na stanje pacijenta. U
ovom radu procesna analiza sprovedena je na primeru zdravstvenog informacionog sistema-
Heliant Health, koji se primenjuje u većini zdravstvenih ustanova javnog sektora Republike Srbije.
Ključne reči: elektronsko poslovanje, elektronsko zdravstvo, elektronski zdravstveni karton,
procesna analiza, zdravstvene organizacije