Electronic Health Record: 3.1 Application of Health Informatics in Clinical Practice
Electronic Health Record: 3.1 Application of Health Informatics in Clinical Practice
Electronic Health Record: 3.1 Application of Health Informatics in Clinical Practice
1 Application of Health Informatics in Clinical Practice capabilities which includes client management,
financial, payroll, human resources and quality
Electronic Health Record assurance system.
➔ Contains a systematic documentation of a client's ➔ Contains primarily administrative and financial data
health status and health care in a secured digital ➔ Used to support the management functions and
format. general operations of the health care organization
➔ A collection of rich data stored a database that that
possess capacity for customization that can be A. Patient Administration Systems
adapted to the needs of the patient, health care ● Admission, Discharge, and Transfer Registration -
provider and health care organization which can system is used to collect and store client identification
shared with multiple providers across health care and demographic data that are verified and updated
setting. at the time of each visit
● Scheduling -allows a health care organization to
Features of A Hospital based Electronic Health Record schedule clients and resources efficiently.
1. Charting ● Patient billing or accounts receivable
2. Medication Management ● Utilization management
3. Scheduling
4. Labs B. Financial Management Systems
5. Referrals ● Financial systems manage the expenses and revenue
6. Bill Coding for providing healthcare.
7. Reporting/Surveillance ● Financial systems often interface to share information
8. Health Maintenance with materials management, staffing, and billing
systems to balance the financial impact of these
Benefits of EHR Use resources within an organization.
1. Point of care entry allow the nurse to capture the - Accounts payable/Ledger
activities of care as they occur. - Materials Management
2. Documentation of care is legible which lessen the - Payroll and Human Resource Systems track
time wasted on trying to learn what has been written employee time and attendance, credentials,
by the HCP. performance evaluations, and payroll compensation
3. Rapid access to patient-related data information.
4. Data is available using remote workstations - Staff Scheduling systems coordinate staff, services,
5. Interoperability and data portability equipment, and allocation of patient beds.
6. Evidences such as clinical practice guidelines in are
embedded in the EHR II. Clinical Information Systems
➔ Large computerized database management systems
Challenges of EHR Use that support several types of activities that may
1. Change in workflow patterns include physician order entry, result retrieval,
2. System and system-related expense documentation, and decision support
3. Performance and Security Concerns ➔ Clinicians use these systems to access data that are
used to plan, implement, evaluate case.
eHealth
➔ An emerging field of medical informatics which refers (Application of Health Informatics in Administration)
to the organization and delivery of health services and A. Nursing Information System
information using the Web and related technology. ● are computer systems that manage clinical data from
➔ Health care initiatives and practice supported a variety of healthcare environments and made
electronic or digital media used usually for patients available in a timely and orderly fashion to aid nurses
and family education where information is in improving patient care.
communicated electronically.
B. Computerized Provider Entry Order Entry Systems
Applications of eHealth ● Refers to the process of providers entering and
1. Communicating with a patient through a sending treatment instructions – including medication,
teleconference, email, SMS laboratory, and radiology orders – via a computer
2. Recording, retrieving, and mining data in an electronic application rather than paper, fax, or telephone.
medical record (EMR/EHR) ● Order entry systems provide major safeguards by
3. Providing patient teachings with the aid of electronic ensuring that physician orders are legible and
tools complete.