Background and Challenges
Assuta Medical Centers provides medical services all over Israel through private hospitals and institutions specializing in diverse areas such as imaging, cardiology, dialysis, women’s health, and more. Assuta performs more than 10% of routine surgery in Israel, and has also extensive activity in diagnosis and imaging, using the most advanced technologies. Assuta’s services are extended to members of all the health funds and to holders of various supplementary insurance policies. Assuta employs senior surgeons and leading specialists in their fields in Israel.
Assuta medical center Challenges were comprehensive management ability – financial, logistic and administrative management of the medical centers, full integration to the operative and clinical systems and advanced technological environment, in order to provide the management real time information, better control and response to changing data operational flexibility, human recourses and time saving and better services to the employees and customers.
Assuta Medical Centers is in the process of installing the innovative 'Tafnit' ERP system from Matrix in all its hospitals to provide a comprehensive solution for financial, logistic, and administrative management.
The ERP system is being deployed in all six Assuta hospitals (in Tel-Aviv, Petah Tikva, Rishon Le-Zion, Haifa, Ashkelon, and Beer-Sheva) to serve hundreds of users.
'Tafnit' is fully integrated with several clinical and operational systems functioning at Assuta. These include the 'MetaVision' clinical system from 'iMDsoft' (obtaining the procedures performed to patients for billing within 'Tafnit', transferring information to summarize the surgery/treatment); the 'ACCEL' image management system from 'CliniWorks' (transferring administrative data); the 'Autolab' laboratory system from 'SoftTov' (issuing referrals and obtaining test data for billing purposes); the 'RR' system for clinic management (obtaining treatment data for billing purposes and obtaining patient information); the demography system of 'Maccabi Health Services' (obtaining demographic data); and the central call center system based on Microsoft’s Dynamics CRM platform, implemented by Effect, a Matrix subsidiary. Deployment of the ERP system at Assuta is expected to be completed in the last quarter of 2008.
The new system provides up-to-date current status information in real-time about the activity at all medical centers to all levels of medical management. Tafnit's major advantages manifest themselves in medical centers, where the medical quality, efficiency and time saving are significant factors.
'Tafnit' contains four main modules
- Logistic module. Meets all the operational and logistic needs of the hospital, including procurement, inventory and store room management, consignment, inventory forecasting, and support for such dedicated processes as operating room and cath lab management (including the collection of costing data in real-time during surgery), sterilization process management, pharmacy management, and more. The logistic module is centrally managed and installed at all the sites.
- Financial module. Enables management of all the financial aspects of the hospital, including budget, pricing, vendors, cashier, customers, banks, financial reports, etc. The financial management of Assuta is performed by two companies (one responsible for managing the hospital in Rishon Le-Zion, and the other for the remaining hospitals), and the system is fully adapted to this situation.
- Appointments module. Schedules appointments for surgery and allocates all the necessary resources in the operating room, with full optimization of human resources and equipment. Among the resources managed by the system are operating rooms, surgeon blocks (allocating and managing surgeon time in the operating room), assignment of patients to surgeon blocks, allocation of anesthesiologists and operating room staff, allocation of equipment necessary for the surgery, and more. The system also manages waiting lists for physicians and patients. The appointments module is installed at every site and can be operated from a central call center for the entire country, according to Assuta specifications.
- ATD module. Enables efficient patient management, including admission, hospitalization, surgery, angiography and other procedures. It records and summarizes all the costs incurred during hospitalization, as well as additional and supplementary treatments. Manages agreements with the third-party payers and with service providers (physicians and others). Issues invoices for hospitalization and settles accounts with third-party payers: health funds, insurance companies, etc., and with service providers.
The ATD system is the last one to be installed. It currently operates successfully in two hospitals, and in the coming months it is scheduled to be deployed at the other hospitals as well.
'Tafnit' is being deployed at Assuta in four stages, as follows:
- Appointment system (duration of deployment is approximately one month)
- Financial system (duration of deployment is approximately four months)
- Logistic system (duration of deployment is approximately three months)
- ATD (currently being deployed)
According to Bruno Lavie, CIO at Assuta, “this is a comprehensive system that centralizes all the information about the hospital’s resources and its financial and operational processes. The 'Tafnit' system installed at Assuta implements the complete ERP approach in the hospitals, as it is customary today in Europe and the US.”
Prof. Yair Shapira, Assuta CEO, notes that “the computerization project opens a new technology era at Assuta, which enters the 21st century as a leader of technological progress and service orientation in medical institutions in Israel.”
'Tafnit' is the most comprehensive ERP system in Israel for the management of medical centers. Among the sites where the system operates successfully are the Sheba Medical Center, Laniado Hospital, Assaf Harofe Hospital, Ichilov Hospital, Bikur Holim Hospital, Maayaney Hayeshua Hospital, Herzlia Medical Center. 'Tafnit' also operates abroad at the new hospital in Equatorial Guinea, the Jacoby and Belleview hospitals in New York, and elsewhere. The system uses the Oracle database.