There Are Hospitals in the City That Do Not Have the 147 Telephone Line
<p style="line-height: 20.8px;"><span style="line-height: 20.8px;">This is the free assistance number to request appointments. The lack of implementation in Hospital Management Systems does not allow the hospitals to have that benefit. Several centers reported that the SIGEHOS at times is slow and cuts off, so they no longer have access to hospital data. The Buenos Aires Audit indicated that the lack of personnel is a problem in the Directorate of Information Systems.</span></p>
In the Zubizarreta hospital, in the Quinquela Martin and the Burn Hospital Illia "they do not have the free service telephone line 147" which allows the request of appointments according to the proximity of date, close to the health center, with specialty and type of care.
In Zubizarreta and the Illia it is because "they do not have the Hospital Management System (SIGEHOS)", the other, although it has the system, "it has no medical agendas". This happens even though, by resolution in 2010, the SIGEHOS should be "the only computer system for health service centers."
Data obtained from the latest report of the Auditor General of the City of Buenos Aires (AGCBA, for its acronym in Spanish), which analyzed the management of the Directorate General Information Systems (DGSISIN) that "develops information tools for the Ministry of Health, providing assistance, advice and computer maintenance." The analysis was done on the management of 2012 and was approved in 2015.
In this regard, the audit team selected a sample of eight hospitals to assess the functioning of Hospital Management System, among which are, for example, Alvarez, Ramos Mejia, Velez Sarsfield and Moyano.
Many of these centers expressed "problems with the system" ranging from the slow process until temporary disconnection and cuts in service. In fact, seven of the eight effectors that were part of the sample reported such problems; five said they "suffer cuts in SIGEHOS."
It pointed out that "a high percentage of these problems are by inconsistencies in the internal network of hospitals." Meanwhile, "health centers said they were not fully trained to use SIGEHOS tools."
In relation, auditors detect "the lack of a mechanism recording incidents that occur in the system, since virtually no complaints documented request technical support."
In turn, "there is no inventory of equipment and software jobs and lack a contingency plan and recovery."
SIGEHOS on the operation of the Buenos Aires Audit found that "Velez Sarsfield hospital does not use modules Intake and Expenditure and the Recovery of Expenses on a technicality when an outpatient basis."
In addition, the module does not use Pharmacy, a situation that is repeated in the Udaondo. Moyano and Rocca do not use the Statistics module and the first also makes use of Admission and Expenses.
They violate the Buenos Aires resolution establishing that the SIGEHOS is "the only management information system the health effectors have to use."
As for the direction, the AGCBA says that "it has no record of the implementation of each module in the system" it only knows when it began to be used, but "that date does not always coincide with the time of installation."
Moreover, the outpatient clinics of Pediatrics, Oncology and Psychopathology in Ramos Mejia and Dentistry and Food in Rivadavia "are not included in the module ID and Shift System Hospitals so they are not run through it."
However, at the conclusion of the report, the Audit of Buenos Aires highlights "advanced implementation of SIGEHOS in all hospitals, exceeding 80% of the installed modules."
On the other hand, the report marks the insufficient number of staff working in the hospital system, "55% of the work modules do not have enough jobs."
In regard to the physical space designated the Directorate of Information Systems, the auditors concluded that there is "not enough" and although it is well organized, cases like that of an agent who does not work every day for lack of space or to be found another using an office in Velez Sarsfield hospital.
Finally, the Directorate General Information Systems "is inaccessible to people with disabilities" because the top floor is by stairs only.