Regional informatizatian projects
  • 2019 № 1 Benchmarking for assessing the quality of digitization of radiology departments: methodology development

    Basing on the “Digital Imaging Adoption Model (DIAM)”, systematized international and own practical experience, there
    was developed a tool for benchmarking the level of digitization of radiology departments. The tool includes: 1) a reference “Medviz” maturity model of medical imaging digitization; 2) a basic methodological document (unified five-level digitalization strategy); 3) a digitization degree assessment tool; 4) a structured set of applications. In process of benchmarking, radiology departments are classified in accordance with the author’s Medviz model. Following the established level, a special set of recommendations is formed as basis for further managerial decisions. The methodology was successfully tested by us in five medical centers of the Department of Healthcare of Moscow. The development is applicable for complex studies of IT support of medical centers.

    Authors: Morozov S. P. [6] Vladzymyrskyy A. V. [6] Safronov D. S. [1]

    Tags: benchmarking1 digitization1 healthcare organization3 information technologies5 quality assessment1 radiodiagnostics1

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  • Telemedicine
  • 2020 № 2 Telemedicine and COVID-19: quality of patient-initiated teleconsultations in case of acute respiratory disease

    There is a global increase in demand for direct-to-patient telemedicine consultations due to COVID-19 pandemic. We made a quality assessment of the patient-initiated consultations in case of acute respiratory viral infection symptoms (COVID-19). There are 20 teleconsultations of 2 simulated patients in 10 the most popular telehealth services. An incomplete history of the disease was recorded in 50.0% of cases, incomplete allergy anamnesis – in 60.0%, and epidemiology anamnesis – in 35.0%. Information on chronic illnesses (critical for COVID-19 suspected situations) is fully collected only in 50.0% of cases. Due to defects in the history taking the target diagnostic concept was achieved in 30.0% of teleconsultations, target actions were recommended in only 35.0%. Telemedicine services did not provide continuity of medical care. In 60.0% of cases, medications were prescribed, including injectable antibacterial agents, which completely contradicts not only the legislation, but also the accepted international methods and practices of distance counseling. The quality of the direct-to-patient telemedicine services remains unsatisfactory. There is no effective quality control and quality assurance systems.

    Authors: Morozov S. P. [6] Vladzymyrskyy A. V. [6] Simenyura S. S. [2]

    Tags: acute  respiratory  disease1 antibiotics1 covid-191 telemedicine17 telemedicine technologies3

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  • 2020 № 1 The quality of primary direct-to-consumer telemedicine consultations (by results of testing telemedicine services)

    The adoption of a number of special regulatory documents has significantly expanded the possibilities of using
    telemedicine technologies in the Russian Federation. A significant number of services have appeared on the market, offering
    direct-to-consumer and patient initiated telemedicine consultations. The explosive growth in the number of such services requires
    a careful study of the telemedicine interaction quality. The research objective is to assess the quality of remote interaction of
    participants in primary telemedicine consultations with simulated patients. For testing, we used descriptions of simulated patients
    basing on real records of patients from the therapeutic department of the municipal clinical hospital. For objectification and
    analysis of the telemedicine interaction process (collection of complaints, questioning, recommendations, etc.) a checklist has been compiled. Initially, the study included such services as “Yandex. Health”, “MMT (OnlineDoctor)”, “TelemedHelp”, “Doctor at work”,
    “DoctorSmart”, “DocDoc”; then, for technical reasons, 2 services were excluded from the study. Two simulated patients were sent
    to 4 services; as results, 8 primary teleconsultations were made. In all cases, incorrect, incomplete collection of anamnesis data
    was recorded. Target diagnosis (in the form of diagnostic concept) was achieved in 25% of cases, and target prescriptions were
    made in 50% of cases. A personal consultation and additional examinations were recommended in 75% of teleconsultations.
    There was no continuity, drugs were somehow prescribed in 62.5% of cases. As results, an urgent development of methods of
    internal and departmental quality control of medical care provided with the use of telemedicine technologies is required.

    Authors: Morozov S. P. [6] Vladzymyrskyy A. V. [6] Simenyura S. S. [2]

    Tags: patient3 quality control1 safety2 telemedicine17 telemedicine technologies3

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  • 2019 № 2 Teleradiology in Russian Federation: state-of-art


    Authors: Morozov S. P. [6] Vladzymyrskyy A. V. [6] Ledikhova N. V. [3]

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  • 2018 № 4 Expert Telemedicine Consultations in Radiology Service of Moscow

    In 2017 Moscow Research and Practical Center of Medical Radiology conducted 2678 expert telemedicine consultations (i.e., TMC) following the requests from the radiology departments in Moscow municipal hospitals. A system-integrated base for distance consultations is called Unified Radiological Information Service (i.e., URIS). Expert TMCs were performed based on their modality, i.e. 52% (1386 cases) for MR imaging, 47% (1257 cases) for CT, 1% (35 cases) for X-ray imaging. The vast majority (i.e., 96.7% cases) of all applications were received from municipal outpatient clinics, providing healthcare assistance to the adult population. 3.2% of cases of expert TMC were conducted on an urgent basis. For the first time we defined the average demand for expert TMC results of radiology studies to be equal to 4,8 teleconsultations for 1,000 CTs, 17,42 – for 1 CT scanner, 8,9 – for 1,000 MRI, 26,98 – for 1 MRI scanner

    Authors: Morozov S. P. [6] Vladzymyrskyy A. V. [6] Ledikhova N. V. [3] Kuzmina E. S. [2]

    Tags: outpatient hospital1 primary care2 radiology4 telemedicine17 teleradiology4 uris1

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  • 2018 № 2 «Cross-reporting» as a way for sub-speciality teleradiology

    There is an original telemedicine­based approach for a sub­speciality reporting of a radiology examinations at primary level facilities. This approach allows to increase quality of «neuroradiology» reporting at children. The level of discrepancies decreased from 42,0% to 20,0%.

    Authors: Morozov S. P. [6] Vladzymyrskyy A. V. [6] Ledikhova N. V. [3] Kuzmina E. S. [2]

    Tags: distant peer-review1 out-patient hospital1 primary care2 radiology4 telemedicine17 teleradiology4

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