Integrated health system (SIB)

Objectives of the integrated health system (SIB)

The SIB system was designed, and implemented to record, maintain and update Iranian electronic health record information. Preliminary studies in Danesh Parsian Company started in 2013. The initial version of the system was presented to the Deputy Minister of Health, Treatment, and Medical Education in 2015. Then, the system was reviewed for two months at Tehran University of Medical Sciences and under the supervision of the Vice Chancellor for Health of this university and was used as a pilot by users.

After resolving some executive cases and fulfilling the proposals of Tehran University of Medical Sciences, the operation of launching the SIB system in medical universities began in January 2015; And by the end of 2015 and within two months from the start of the project, the system was launched in the vast majority of universities in the country. Operational and executive training of system users, including all high-level service providers of the University Health Department, especially health workers, health care workers, and various experts active in-service centers such as doctors and dentists, and other specialized staff of the centers was conducted for 14 months.

To date, more than 652,000 people-hours of face-to-face training have been conducted nationwide. A large number of user IDs and passwords were assigned and delivered for secure access to system users. At present, most of the covered centers have access to the SIB system with the possibility of accessing the Internet.

 

SIB statistics

Services are provided to customers since January 2015 has been done continuously and without a second shutdown in the SIB system. SIB system service until December 2017 creates a network between, 44 universities, 17 colleges, 1510 comprehensive urban health service centers, 2838 comprehensive rural service centers, 1220 comprehensive urban-rural service centers, 5765 health centers, 17707 health centers, 2048 urban family physician bases, it covers 189 health education centers, 166 behavioral disease counseling and care centers, and 29 cross-border health care centers.

 

The total number of service providers and users of the SIB system in December 2017 was more than 129,000. This number consists of: General Practitioner (3.220), Rural Family Physician (7.814), Health Worker (31.816), Midwife (6.460), Nutritionist (1.897), Oral Health (303), Media Leader (448), Admission (3.061) Unit (8,874), Specialist Physician (203), Urban Family Physician (1,966), General Dentist (4,608), Health Caregiver (15,195), Health Care Midwife (10,358), Mental Health Expert (2,829), Health Network Development Expert (882), the head/expert in charge of network expansion (322), the head of disaster risk reduction program (365) and others (28.736). Each of these roles provide various services to the public.

 

 

Target community users of the SIB system

The statistics of the target community users of the SIB system in the country are estimated as follows:

• Specialist and subspecialist physician (36,000 people);

• General Practitioner (78,000);

• General and specialist dentist (21,000 people);

• Pharmacist (10,250 people);

• Midwife (35,000 people);

• Experts (nutrition, mental health, etc.) (15,000 people);

• Health care provider (30,000 people);

• Health Workers (35,000 people);

• Admission and administrative staff (153,000 people);

• Total (413,250 people).

 

Since the launch and implementation of the SIB system, its brilliant results have caused those in charge of the country's affairs to have a unique look at this system, and all the efforts of the experts in Danesh Parsian Company were to improve the matters related to the SIB system to be the most flawed, complete, and comprehensive health system in the country.

 

Services and capabilities of an integrated health system

The general operations of the SIB system are:

• Registration and census of clients;

• Performing screenings for age groups and related follow-ups (non-physician with complete coverage of the instructions of the Ministry of Health, Treatment and Medical Education);

• Record events (birth, death, marriage, divorce, pregnancy, childbirth, diseases, allergies, medications);

• Death registration system based on ICD-10;

• ICD-10 based differential diagnosis system;

• Registration of physician visits (CC, DDx, PE, ROS) and level one treatment interventions;

• Refer to levels two and three and record relevant interventions at higher levels and provide feedback;

• Urban and rural family physician program;

• National immunization and vaccination system;

• Production of electronic prescription and its exchange at the level of pharmacies, laboratories, and internal radiology and the possibility of access at the level of units outside medical centers;

• Dentistry (determining treatment needs and treatment interventions);

• Production of electronic file summaries;

• Production of vital indexes;

• Healthy fertility program and proper spacing of childbearing;

• Nutrition care and monitoring system and related interventions;

• Mental health care and monitoring system and related interventions according to the World Health Organization (WHO) ASIST program;

• Genetic Disease Screening and Monitoring Program;

• Admission system, queuing, fund, and financial operations;

• Management of service delivery units (equipment, facilities, location, areas covered);

• Manage users and roles;

• Management of services provided by users;

• Environmental health and occupational health system (individual and family);

• School health records;

• Infectious diseases and syndromic system;

• World Health Organization (WHO) IraPEN Country Program;

• Service price calculation system based on the relative value of services and health care (RVU);

• Disaster risk monitoring and management system

 

Achievements of the SIB system

The main results of the establishment of the SIB system are:

Creating an Iranian electronic health record;

Establish social justice and equitable public access to quality and managed health services throughout the country;

Intelligent provision of health services to individuals based on individual characteristics (age, gender, disease, pregnancy, etc.) based on the national health programs announced by the Ministry of Health, Treatment and Medical Education with the possibility of permanent monitoring of at-risk groups (infants and children, pregnant women, the elderly, etc.);

Information management in the field of health and health of the country;

Assist in the implementation of national projects in the field of health and treatment, including family physician program and referral system and other projects through communication and exchange of information with other systems based in the field of the Ministry of Health, Treatment and Medical Education;

Integration of health information resources for access to health system users (doctors and specialists, health care providers and experts, health workers, etc.) including the country's official pharmacopeia, information coding in the Ministry of Health such as the relative value system of services and health care (RVU), Diseases and medical diagnoses and causes of death (ICD-10), etc.;

Hardware management (location, equipment, and facilities) and software (how to provide services) service delivery units in the form of health networks under the University of Medical Sciences and Health Services;

Establishing the possibility of providing systematic services to population colonies such as schools, sanatoriums, care centers for the disabled and the elderly, barracks, penitentiaries, etc., by the units working under the country's health networks.

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