3. About Bahrain
Bahrain has long been a trading centre linking east and west ‐ benefitting from its position at the centre of the Gulf’s trade routes
and rich pearl diving industry
First Gulf state to discover oil (1932) ‐ the past 40 years has led the regional transition to a modern economy
Moved away from dependence on oil, we have become the region’s most diversified economy.
The region’s leading financial centre since the 1980s with over 400 financial institutions
In 2002, Bahrain became a constitutional monarchy, and a democratically elected parliament of 40 MPs was established. This
marked the beginning of a period of on‐going reform. The country also has an established legal framework and respected regulatory
system.
.
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4. Health Care Statistics
MoH Expenditure (million B.D) – 274.4 ; MoH Expenditure as a % of GDP – 2.2
Doctor per 10,000 population – 25.3;
Dentist per 10,000 population ‐ 4.2;
Nurses & Midwives per 10,000 population – 50.1;
Pharmacists & Technicians per 10,000 population ‐ 5.8;
Beds per 10,000 population – 19.5;
Primary Health Care Units & Centers per 10,000 population ‐ 0.2;
Nurse per doctor – 2.0
Source: Ministry of Health , Kingdom of Bahrain
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5. Bahrain’s Health Agenda – Informed Healthcare
“Organization and management
of health services so that people
get the care they need, when they
need it, in ways that are user‐
friendly, achieve the desired
results and provide value for
money.
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6. Health Care Innovation
How patient is seen How patient is heard How patient’s needs are met
Treatment Diagnosis Prevention Education Research
Quality Cost Safety Efficiency Outcomes
Healthcare innovation in Bahrain focuses on three areas namely:
Government of Bahrain relies on Information & Communication Technology in catering to
the needs of patients, healthcare providers and healthcare organizations in all stages viz.,
Resulting in supporting healthcare organizations effectively managing
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8. About i‐Seha
Seha = Health
I‐Seha= Informed Health System
Leadership of the Ministry of
Health
I‐SEHA provides MoH with an
intelligent and integrated clinical
and administrative system. It
assists in the daily operations and
clinical practices and provide real
time online analytical decision
support tools and eServices to
citizens.
Government initiative to enhance the efficiency, planning and monitoring in the health
sector. Comprehensive program toward the deployment of a National Health
Information System.
Objective of i‐Seha is to enhance the quality of patient care and safety as a result of a
better flow of information among professionals
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9. About i‐Seha (Contd..)
Unique health information system for
primary care and specialized care.
Includes several applications/modules
interrelated in a workflow: electronic
health record, scheduling and
appointment, pharma prescription and
dispensation, invoice & billing, etc.
Includes an strategic collaboration with British Medical Journal (BMJ).
Includes electronic prescription which is an innovative and paperless drug
prescription and dispensing model
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10. About i‐Seha (Contd..)
Sustainable Initiative
There are three factors that can warrantee the sustainability of I‐Seha
– The commitment of the MoH and main stakeholders. As described before this initiative is part of I‐
SEHA which is one of the major projects carried out recently to modernize Bahrain’s health system.
– The benefits for professionals and end users. This project facilitates the work of healthcare givers
and therefore, they are the most interested in sustain this system.
– The return on investment by enhancing productivity, saving money and improving people’s health.
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12. Outsource Models Evaluated :
FM – Facility Management:
For hardware only, the vendor owns, installs and maintains the
equipment
For hardware only, the vendor owns, installs and maintains the
equipment
ECS – External Call Center Services:
Outsourced Helpdesk for office automation & applicationsOutsourced Helpdesk for office automation & applications
BOT – Build, Own & Transfer:
The client will operate a system owned by the vendor and transfer at
the end of contract.
The client will operate a system owned by the vendor and transfer at
the end of contract.
BOOT – Builds, Own, Operate & Transfer:
The complete operation is outsourced, only the management is kept
within the client. Transfer may occur at end of contract
The complete operation is outsourced, only the management is kept
within the client. Transfer may occur at end of contract
About i‐Seha – Execution Model
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13. About i‐Seha – Scope
APPLICATION SCOPE
TECHNICAL SCOPE
OPERATION & SERVICE SCOPE
HELP DESK, MAINTENANCE AND UPGRADE FOR 10 YEARS
USERS WORKPLACE – SERVERS – NETWORK
PATIENT MEDICAL DATA AND RESOURCES UTILIZATION
PROGRAM IMPLEMENTATION SCOPE
CUSTOMIZATION AND IMPLEMENTATION
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14. About i‐Seha – Scope (Contd..)
Secured comprehensive central repository
for Electronic Health Record from birth to
death
Care Continuity ‐ Integrated
Healthcare provider system
Informed Decision Makers through the availability of real time online analytical decision support tools that will assist in planning the
necessary improvements for the quality of services provided, the effectiveness of the delivery of services, and the efficient utilization
of resources
Empower Health professionals with
information and knowledge
Cost‐effective, efficient Services
delivery through better control
measures and resources planning
Flexibility to choose among public and
private providers
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16. About i‐Seha ‐ Applications (Contd..)
Phase 1
• Link CIO & Master Patient Index
• Corporate Map & Users/ Professional Management
• Scheduling & Appointment
• Requests, referrals & tests
• Pharmacy & E‐Drug Prescription
• Lab Information System & BB
• ICU
• Outpatients Clinics (EHR)
• Invoice & Billing
• PACS in SMC Radiology
• Radiology Full Solution
Phase 2
• Patient Management (Inpatient & Emergency)
• Electronic Health Record (Inpatient & Emergency)
• Pharmacy drug prescription(inpatient and A&E)
• Pre‐Operative medicine (OTs and Anesthesia)
• ICD10/DRG/ABC
• Dietetics/Catering
• Archive Management (Physical File Tracking)
Secondary Health Care – SMC & Peripheral Hospitals
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17. About i‐Seha – Benefits
• Facilitate citizen access to health services
• Enhance the quality of care
• Reduction of costs
• Facilitate clinical safety supporting of
professional access to information
• Optimize and standardize clinical processes.
I‐SEHA INFORMED HEALTHCARE
Ensure Informed Decision
Making throughout the
Ministry of Health
1. Program Benefits
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18. About i‐Seha – Benefits (Contd..)
2. Electronic Health Record Benefits
1. One unique electronic file, available everywhere needed.
2. Quick access to patient ‘s record. There is no need to wait for the physical file
3. Same system for primary and secondary care in all public healthcare system, which allows coordination between areas and
professionals.
4. Structured patient’s record. As all patient’s information is available, the need to fill out the same forms at each consultation is
reduced.
5. Avoid repetition of unnecessary tests. All info is registered.
6. Legible, complete documentation that facilitates an accurate coding.
7. No more handwriting mistakes. Since all information is input electronically, errors associated with illegible handwriting are
eliminated.
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20. About i‐Seha – Impact & Way Forward
The combination between business intelligence and the accounting system would have a huge impact in
the strategic decision‐making process.
• I‐SEHA will allow to integrate –both data and billing – public and
private health sector.
• I‐SEHA is the tool to set up a reimbursement system for
insurance companies.
• I‐SEHA will bring information on the opportunity‐ cost
calculation: the statistical data analysis will support strategic
decision‐making process in the financial area.
Set up the ground for a future Health insurance system
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