CONFLICT OF INTEREST: NONE DECLARED SUMMARY Agency for Quality and Accreditation of Federation of Bosnia and Herzegovina (AKAZ) has developed computer based chronic disease register based on the accreditation standards in order to facilitate maintenance of chronic disease registers in the absence of electronic health records, and to speed up and simplify calculation for over 70 clinical indicators from accreditation standards for family medicine teams. This article presents development of the software and its practical use.

CONFLICT OF INTEREST: NONE DECLARED The paper presents an analysis of how EFMI disseminates new knowledge and of the active medical informatics journals in EFMI member countries, which was carried out as an outcome of the EFMI Council meetings in London in 2008, Sarajevo in 2009 and Antalya in 2009 . The analysis identifies eight active major informatics journals and several other publications. Most are subscription-based and published at least quarterly. There is a possibility for the editors to meet regularly and form a community of practice with the aim of further improving their effectiveness in disseminating new knowledge and best practice in medical informatics. It is feasible to share expertise and it may be possible to harmonise several aspects of preparation and submission of manuscripts so that some of the identified barriers in publishing are reduced.

CONFLICT OF INTEREST: NONE DECLARED

CONFLICT OF INTEREST: NONE DECLARED PAPERAIM SUMMARY. The development of the digital Information Communication Technology (ICT) has definitely changed healthcare system in all its areas. The development of standardized electronic medical record (EMR) make possible other forms of E-Health like transmural care, telemedicine etc. In this paper was described Health Information System (HIS) of Tuzla Canton and Brčko DC (whose citizens gravitate toward Tuzla Clinical Center). Tuzla Clinical Center is the only Clinic for tertiary healthcare in this region. To estimate level and types of the HIS, telecommunications and information management we have designed questionnaire. Based on this research we have presented current state of E-Health in Canton and the most important problems in this area. Also, based on this research and our experiences, we have identified the main directions of the HIS development, its standardization and integration as the base for E-Heath in Bosnia.

CONFLICT OF INTEREST: NONE DECLARED SUMMARY The register of oncological diseases in Canton Sarajevo is important as it can be used to track and improve healthcare, especially in older age groups. The oncological registers are a way of recording data, suitable as a source of indicators. In the analyzed register, 1124 new cases of malignancy were recorded. There are slightly more malignant diseases in male (53%). The incidence of cancer varies depending of the age of patients. This analysis gives us important estimation in the relation of cancer morbidity, cancer types, age distribution, demographic factors, cancer stages and important cancer risks. The register and the analysis give us a chance for correlating and comparing the state of oncological diseases with other countries.

CONFLICT OF INTEREST: NONE DECLARED SUMMARY Introduction Agency for healthcare quality and accreditation in Federation of Bosnia and Herzegovina (AKAZ) is authorized body in the field of healthcare quality and safety improvement and accreditation of healthcare institutions. Beside accreditation standards for hospitals and primary health care centers, AKAZ has also developed accreditation standards for family medicine teams. Methods Software development was primarily based on Accreditation Standards for Family Medicine Teams. Seven chapters / topics: (1. Physical factors; 2. Equipment; 3. Organization and Management; 4. Health promotion and illness prevention; 5. Clinical services; 6. Patient survey; and 7. Patient’s rights and obligations) contain 35 standards describing expected level of family medicine team’s quality. Based on accreditation standards structure and needs of different potential users, it was concluded that software backbone should be a database containing all accreditation standards, self assessment and external assessment details. In this article we will present the development of standardized software for self and external evaluation of quality of service in family medicine, as well as plans for the future development of this software package. Conclusion Electronic data gathering and storing enhances the management, access and overall use of information. During this project we came to conclusion that software for self assessment and external assessment is ideal for accreditation standards distribution, their overview by the family medicine team members, their self assessment and external assessment.

CONFLICT OF INTEREST: NONE DECLARED In order to speed up and simplify the self assessment and external assessment process, provide better overview and access to Accreditation Standards for Family Medicine Teams and better assessment documents archiving, Agency for Healthcare Quality and Accreditation in Federation of Bosnia and Herzegovina (AKAZ) has developed self assessment and externals assessment software for family medicine teams. This article presents the development of standardized software for self and external evaluation of quality of service in family medicine, as well as plans for the future development of this software package.

CONFLICT OF INTEREST: NONE DECLARED New discoveries in technology indeed enabled significant improvement of health care in the last three decades. Only during the last few years a significant breakthrough is achieved in the field of antiviral drugs, biotechnology, digital diagnostic technology, molecular diagnosis, tissues and organs transplantation as well as surgical and information technologies, which all contributed to the improvement of health care. Rapid growth of medical technology has led to the increase in costs of health care, increased access to these technologies and improvement of health care that is permanently encouraging the further development of technology. Technology encompasses the skills, knowledge and ability to understand, use and create useful things. It is the practical application of knowledge. Evaluation of health technology is the systematic evaluation of characteristics, results or impact of health technologies. The primary purpose of evaluation is to provide information to responsible parties for the technology in the health care system, which will be used in decision-making and introduction of these technologies. Information technology in medicine and health care represents all medical and health technology in the process of work, monitoring and evaluation done using computer technology. Progress of medical science in recent years especially needs to thank to the development of information technologies. The health care system of Bosnia and Herzegovina is currently operating in the two sub-systems of primary health care. One is inherited from the past system, in which the primary health care is provided by general practitioners, specialists in general practice, as well as gynecologists, pediatricians and pulmologists, and the second subsystem occurs when in PHC is introduced the system of family medicine doctors and family medicine specialists. Family medicine, based on the concept of orientation towards the methods which are more effective, rational and cost-effective health care, use of defined procedures and evidence-based medicine, and more adequate education can empower and stimulate general practice doctors, especially family medicine specialists, who have passed various forms of training and courses in this area, to more rational and efficient use of diagnostic technology in their daily practice, without unnecessary duplication of tests. With this they make savings to the healthcare system, improve the financial position of overall health system, especially in the PHC segment, increase satisfaction of doctors providing that health care, but also the users of health services.