Lesson 9 - Administrative and Clinical Health Information Systems

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Administrative

and Clinical
Health
Information
Systems
Introduction
• Healthcare organizations integrate a
variety of clinical and administrative
types of information systems.

• These systems collect, process and


distribute patient-centered data to aid in
managing and providing care.

• An understanding of how each of these


types of systems works within healthcare
organizations is fundamental in the study
of informatics.
Case Management Information
Systems (CMIS)
• Case management information systems
(CMIS) identify resources, patterns and
variances in care to prevent costly
complications related to chronic
conditions and enhance the overall
outcomes for patients.

• Once a trend is identified case


management systems provide decision
support promoting preventative care.
Case Management Information
Systems (CMIS)
• A care plan is a set of care guidelines
that outline the course of treatment and
the recommended interventions that
should be implemented to achieve
optimal results.

• CMIS are especially beneficial for patient


populations with a high cost of care and
complex health needs such as the
elderly or patients with chronic disease
conditions.
Case Management Information
Systems (CMIS)
• Case management systems assimilate
massive amounts of information obtained
over a patient’s lifetime by reaching far
beyond the walls of the hospital and track
care from one medical visit to the next
(Simpson & Falk, 1996).

• Information collected by case


management systems is processed in a
way that helps to reduce risks, ensures
quality, and decrease costs.
Communication Systems
• Communication systems promote the
interaction between healthcare
providers and patients.

• Communication systems have


historically been separate from other
types of health information systems and
from one another.
Communication Systems
• Examples :
 call light systems
 wireless phones
 pagers
 email, and instant messaging,

• Integrating communication systems with


clinical applications provides a real-time
approach that will facilitate care among
the entire healthcare team, patients and
their families.
Communication Systems

Bedside Entertainment
Communication System
Core Business Systems
• Core Business Systems enhance
administrative tasks within healthcare
organizations.
• Core business systems provide the
framework for reimbursement, support of
best practices, quality control, and resource
allocation.
Four common core business systems:
1) admission, discharge and transfer (ADT)
2) financial
3) acuity
4) scheduling systems
Core Business Systems
• ADT systems provide the backbone
structure for the other types of clinical and
business systems (Hassett & Thede,
2003).

• Financial systems manage the expenses


and revenue for providing healthcare.

• Acuity systems monitor the range of


patient types within a healthcare
organization using specific indicators.
Core Business Systems
• Scheduling systems coordinate staff,
services, equipment, and allocation of
patient beds.

• Scheduling systems help to track


resources within a facility while
managing the frequency and distribution
of those resources.
Order Entry Systems
• are one of the most important systems
in use today.

• These systems automate the way that


orders have traditionally been initiated
for patients.

• provide major safeguards by ensuring


that physician orders are legible and
complete thereby providing a level of
patient safety that was historically
missing with paper-based orders.
Order Entry Systems
Patient Care Support
Systems
• Most specialty disciplines within
healthcare have an associated patient
care information system.

• These patient-centered systems focus


on collecting data and disseminating
information related to direct care.
Patient Care Support Systems
Patient Care Support Systems
• Clinical Documentation Systems also
known as Clinical Information Systems
(CIS) are the most commonly used type
of patient care support system within
healthcare organizations.

• Clinical information systems are


designed to collect patient data in real
time.
Patient Care Support Systems
• Pharmacy information systems have also
become a mainstream patient care
support system.

• These systems typically allow


pharmacists to order, manage and
dispense medications for a facility.
Pharmacy information systems
Patient Care Support Systems
• Laboratory Information Systems were
perhaps some of the first systems ever
used in healthcare.

• Laboratory information systems report


on blood, body fluid and tissue samples
along with biological specimens that are
collected at the bedside and received in
a central laboratory.
Laboratory Information
Systems
Patient Care Support Systems
• Radiology Information System (RIS) are
systems schedule, result, and store
information as it relates to diagnostic
radiology procedures.

• The benefit of RIS and PACS systems is


their ability to assist in diagnosing and
storing vital patient care support data.
Radiology Information System
Departmental Collaboration and
Knowledge/Information Exchange

• The implementation of systems within


healthcare is the responsibility of many
people and departments.

• Knowledge exchange is the product of


collaboration when sharing an
understanding of information promotes
learning from past experiences to make
better decisions in the future.
Departmental Collaboration and
Knowledge/Information Exchange
• At an administrative level, collaboration
among key stakeholders is critical to the
success of any project.
• Collaboration also occurs among the
various departments impacted by the
system.
• From collaboration comes the exchange
of information and ideas through
knowledge sharing.
Departmental Collaboration and
Knowledge/Information Exchange
• A multidisciplinary approach assures
that systems will work in the complex
environment of healthcare organizations
with diverse and complex patient
populations.
Thought Provoking Questions
1. What type of technology exists today
that could be converted into new types
of information systems to be used in
healthcare?
2. How could collaboration and
knowledge sharing at a single
organization be used to help
individuals preparing for information
technology at a different facility?
3. Discuss the administrative information
systems and their applications.

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