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Proyecto Turriano
Implantación de eSIAP en SESCAM
Jueves, 25 de mayo 2006
Mª 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
ORIGEN DE SUGERENCIAS
• Liberados
• Buzón turriano.sugerencias
Registro Sug.
Clasificación
•Grupos Trabajo
Grupos de trabajo con:
• Usuarios
Análisis
Implantación
• At. Primaria SSCC
• Informática SSCC
• iSOFT
Desarrollo
Documentación
• Informe de versión
• Manuales de usuarios
• Configuración de aplicación
Pruebas
• Caja blanca
• Caja negra
• Funcionales
• Carga
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Nivel de implantación – Indicadores de alcance
Indicador
Nº
Centros de Salud
Consultorios locales
Total
Usuarios Clínicos
Usuarios Administrativos
Usuarios Oficinas Provinciales IT
Usuarios Especializada
Usuarios Gerentes
Pacientes con TSI
Pacientes desplazados
175
427
602
6.920
1.632
54
250
77
1.913.447
123.415
Total 2.036.862
Pacientes con TSI e historia en Turriano
1.348.795
Pacientes desplazados e historia en Turriano
87.238
Total 1.436.033
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Nivel de implantación – Indicadores de actividad
Indicador
Agendas programadas
Citas*
Visitados*
Recetas*
Partes de I.T.*
Interconsultas*
Nº
3.751
80.697
70.746
103.874
1.166
3.205
* Actividad relativa al día 17/05/2006
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Arquitectura
Plataforma 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).
Servidores
Web
Arquitectura Multicapa.
Independencia del
Sistema Gestor de BD.
Firewalls
Análisis, Diseño e
Implementación
totalmente orientado a
objetos. Soporte inicial
de consultores SUN.
Multiprotocolo. RMI y
SOAP.
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Servidores
Aplicaciones.
Base de
Datos
Solución Integral de Atención Primaria - Integraciones
YKONOS
TARJETA SANITARIA
LABORATORIO
TRANSPORTE PROGRAMADO
MARTINDALE
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MAMBRINO
Integración con Ykonos
¾ Integración con XML
¾ Consulta de todos los informes e imágenes
¾ Ahorro de costes de revelado.
¾ Mayor accesibilidad
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Solución Integral de Atención Primaria - Administrativo
CITA PREVIA
¾ Gestión de cita por ZBS
¾ Gestión de listados
¾ Gestión de desplazados
¾ Solicitud de ambulancias (SITRAP)
¾ Gestión de tareas administrativas
CONTACT – CENTER
CITA - WEB
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Solución Integral de Atención Primaria -Administración
GESTION DE USUARIOS
GESTIÓN DE AGENDAS
¾ Programación / reprogramación agendas
¾ Reparto de citas
¾ Gestión de festivos
¾Gestión de profesionales
• Cupos
• Sustituciones
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Solución Integral de Atención Primaria-Historia Clínica
¾ Organización por episodios y contactos
¾ Monitorización de indicadores
¾ Gestión de cartera de servicios
¾ Gestión de antecedentes y hábitos
¾ Codificación de diagnósticos CIE9-MC
¾ Informes: interconsultas, laboratorio, a medida
¾ Alertas ante Factores de Riesgo y Alergias
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Solución Integral de Atención Primaria - Médico
¾ Programas de salud: despistaje, cardiovascular
¾ Solicitud de pruebas: laboratorio, interconsultas,
exploraciones.
¾ Gestión de I.T.
¾ Prescripción
ƒ Control de prestaciones
ƒ Guía de medicamentos y P.Activos recomendados
ƒ Control de duración máxima de tratamiento
ƒ Control de Alergias a Medicamentos e Interacciones.
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Solución Integral de Atención Primaria - Pediatría
PEDIATRIA
¾Percentiles Orbegozo
¾Protocolo Salud Infantil
¾Calendarios Vacunales
¾Hoja de Pediatría
¾Test de Denver
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Solución Integral de Atención Primaria - T.Social
¾ Historia Social
¾ Gestión de interconsultas
¾ Genograma
PEDIATRIA
TRABAJADOR SOCIAL
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Solución Integral de Atención Primaria-Odontología
¾ Odontograma
¾ Programa Odontología
¾ Gestión de interconsultas
¾ Prescripción
PEDIATRIA
TRABAJADOR SOCIAL
ODONTÓLOGOS
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Solución Integral de Atención Primaria-Enfermería
ENFERMERÍA
PEDIATRIA
¾ PAE
¾ Gestión de procedimientos
¾ Gestión de intervenciones
¾ Diagnósticos NANDA
¾ Parámetros clínicos
TRABAJADOR SOCIAL
¾ Perfil de glucemia
¾ Vacunaciones
ODONTÓLOGOS
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Solución Integral de Atención Primaria - Matrona
¾ Hoja Antecedentes
Ginecológicos
¾ Protocolo Seguimiento
Embarazo
PEDIATRIA
ENFERMERÍA
TRABAJADOR SOCIAL
MATRONA
ODONTÓLOGOS
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Solución Integral de Atención Primaria - Fisio
¾ Exploración Física
¾ Acceso a radiologías e
informes (Ykonos)
PEDIATRIA
ENFERMERÍA
¾ Informes a medida
¾ Gestión de tareas
TRABAJADOR SOCIAL
MATRONA
FISIOTERAPIA / REHABILITACIÓN
ODONTÓLOGOS
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Solución Integral de Atención Primaria – Insp. IT
¾ Consulta de procesos on-
line
PEDIATRIA
MEDICO
ENFERMERÍA
¾ Comunicación
directa
con médicos
¾ Acceso a la HC para
gestión de incapacidades
¾ Comunicación
con el
MATRONA
TRABAJADOR SOCIAL
Ministerio
ODONTÓLOGOS
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INSPECCIÓN IT
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FISIOTERAPIA / REHABILITACIÓN
Solución integral de Primaria - Explotación de datos
¾ Entorno especial basado en
vistas materializadas
¾ Información agrupada por
ƒ SESCAM
ƒGerencia
ƒ Zona básica de salud
ƒ Centro
ƒ Profesional
¾ Indicadores de
ƒ Vacunación
ƒ IT
ƒ Prescripción
ƒ SISPRIMA
ƒ Generales
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Proyecto Turriano
Implantación de eSIAP en SESCAM
Jueves, 25 de mayo 2006
Mª Carmen Ezquerra Bernad
Directora Operaciones Externas
MUCHAS GRACIAS
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