| 4. In which ways is the initiative creative and innovative?
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Implementation strategy focuses on the following points :
- Preparing an integrated plan for the automation system that will be created, and make sure operated on phases in order to avoid its being rejected by users. New properities will be added gradually to that system as a part of administrating changes.
- The system will be implemented by the Egyptian government in collaboration with the private sector through using information and communication technology as well as certified programs as the Egyptian government always encourages the private sector.
- Providing the owning entities, namely, the Central Administration of Intensive Care that follows the Ministry of Health with the required skills and efficiencies and making sure that the administration has already adopted the project and is capable to operate it.
- Carrying out some initial trials in order to create confidence in the system and to assess its ability to meet the required needs before its application in all hospitals.
- Providing the staff of intensive care units in the different governmental hospitals that participate in the project with the required training and support on the system.
- Forming a central team in the Central Administration of Intensive Care for providing the needed support on telephone in order to solve the implementation problems that may face the users of the system in the governmental hospitals.
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| 5. Who implemented the initiative and what is the size of the population affected by this initiative?
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- Automation of intensive care units in hospitals and Call Centers is a project implemented by the Ministry of State for Administrative Development in collaboration with the Central Administration for Intensive Care that follow the Ministry of Health as the Administration is responsible for supervising and organizing the intensive care units of the different governmental hospitals, monitoring their operation and directing the critical cases to the nearest hospitals that have available beds.
- The Ministry of State for Administrative Development has created an electronic system for the automation of all intensive care units in the different hospitals and for the development of the Call Center in a manner enabling hospitals to receive patients easily through the Call Center. The private sector will provide the required communication services through using 3G technique as well as GPS and GIS techniques in reviewing reports and directing the ambulances to speed up providing patients with the required services.
- The Information Center of the Ministry of Health supports the Central Administration of Intensive Care through hosting the web application technically and administrating the database in collaboration with the Ministry of State for Administrative Development. The Information Center also helps the Central Administration of Intensive Care in training hospital staff.
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| 6. How was the strategy implemented and what resources were mobilized?
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Financial Resources :
- The Egyptian government finances the project with the value about of 1,000,000 Egyptian pounds (155,000 US $) including the price of hosting hardware, computers, communications devices and training devices as well as the costs of the operating team of the project.
Technical Resources
- The system is implemented on the devices of the Ministry of State for Administrative Development (1 main server).
- Server is hosted and operation is supervised by a specialized data center supervised by the Information Center of the Ministry of Health in order to ensure providing the service for 24 hours/7 days.
- Each hospital is provided with a number of two PCs and two USB Modems.
- The system is secured by securing devices and networks that are supervised by the Information System of the Ministry of Health.
Human Resources :
- The team of the Ministry of State for Administrative Development: The program director / The project manager/ Team leader / Technical members.
- The team of the Central Administration of Intensive Care: Emergencies' administration manager / Call Center's manager / Call center's members.
- The team of the Information Center of the Ministry of Health: Information center manager / Technical support manager/ Technical members.
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| 7. Who were the stakeholders involved in the design of the initiative and in its implementation?
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- Immediately direct the patient by the Call Center to the nearest hospital.
- The database containing of patients' national ID leading to the speed and accuracy of access to their data.
- Diagnoses codes using ICD 10 leads to the unification of all diagnoses in hospitals.
- 55 hospitals in Cairo, Giza and Kaliobia are participating in the system.
- Increased awareness of service providers in hospitals to the citizens' right to receive excellent service.
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| 8. What were the most successful outputs and why was the initiative effective?
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- Through the employees of the Call Center, the Central Administration of Intensive Care can follow up work in hospitals, can make sure of delivering the equipment and USB Modems to the hospital employees and can include hospitals on phases in the system in accordance with the prepared plan.
- The Central Administration of Intensive Care will make sure that the hospitals are included in the system. It will also inspect the number of hospitals and make sure that all the units and beds in the intensive care units are included in the system in accordance with plan prepared by the Ministry of State for Administrative Development and the Central Administration of Intensive Care.
- The Ministry of State for Administrative Development will inspect the operation of the Central Administration of Intensive Care in order to make sure that work is being carried out in accordance with the prepared plan and to interfere and provide support whenever necessary.
- The Central Administration of Intensive Care will inspect operation through the reports that are related to following up the numbers of patients on beds and comparing them to the numbers of the patients who are still in the hospital.
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| 9. What were the main obstacles encountered and how were they overcome?
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The initiative has face some difficulties in several aspects :
The Technological Aspect :
• Electronic and technological preparations are not available in several hospitals. As a temporary solution to this problem, USB Modems operating by 3G technique are delivered to hospitals in order to be used till completing the information network in all the governmental hospitals.
Personnel Development Aspect
• Data entry personnel in hospitals are not aware of the basics of using the computer. To overcome this problem, computers are delivered to hospitals and short training courses for a day or two are held in hospitals in order to provide the needed help.
• Some hospitals do not enter the patients' data due to problems in connecting to the server or similar problems. To overcome this problem, a specific property is created for the Call Center employees in order to enable them from entering the patients' data on behalf of the hospital till restoring the operation of the system in the hospital.
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