Enterprise Health IT System PDF

Enterprise Health Information Systems (EHISs) Dr. Anas Al-Domi  Healthcare Information Systems paper-based system Strengths of paper records – Portable – Easy to use – Offers relatively good security against unauthorized access – Allow some flexibility in re...

Enterprise Health Information Systems (EHISs) Dr. Anas Al-Domi  Healthcare Information Systems paper-based system Strengths of paper records – Portable – Easy to use – Offers relatively good security against unauthorized access – Allow some flexibility in recording data.  Healthcare Information Systems Weakness of paper records: – Incomplete and inaccurate data, information, and Knowledge – Difficulty in accessing, reading, or retrieving information Availability of paper records (Only one copy) Reading and finding information can be frustrating (writing notes on whatever paper is available) Unusual abbreviation Lack of standardization of terms in the documentation process. – Backup copy must be made by hand or by automatic copier. – Lack of storage space – Consume nurses' time – Prone to damage Susceptible to destruction, whether by flooding, fire, etc. – Research purpose: very labor intensive Enterprise Health Information Systems Health services delivery systems are under enormous pressure from all sides  Enterprise Health Information Systems Health services delivery systems are under enormous pressure to change (reengineering and restructuring) Enterprise Health Information Systems Health Informatics (EHR) – New models for healthcare delivery in hospital, primary care, ambulatory care, the community, public health, and a multidisciplinary team of caregivers (e.g., physicians, nurses, physiotherapists, nutritionists, dentists, social workers, educators)  Components of HIS 1. Admission/Discharge/Transfer Modules Core of any hospital information system. Involves All admission, discharge, and transfer processes – patient ID number – Patient demographics – Referral data and reason for admission – Preadmission orders and pre-surgery preparation procedures – Scheduling appointment – Bed availability – Call lists – Insurance information Admission/Discharge/Transfer Modules  Components of HIS 2. Order Entry Module Allows electronic ordering of medication, testes, diagnostic procedures, diet, etc. Orders are transmitted through the computer system to the recipient for immediate implementation Errors are minimized – Order verification – Drug-Drug interaction checker – Drug-Dose interaction checker – Drug-Allergy interaction checker – Drug-Pregnancy interaction checker – order sets Can save money  Order Entry Module Cost saving module Young healthcare providers often lack professional self-confidence Tend to order more clinical tests than are required by more experienced physicians Financial problem The warning alert on the order entry system gives them a chance to reconsider the need for the clinical tests Cost saving Order Entry Module Order alert.  Components of HIS 3. Result Reporting Module – Entering a result – Immediate result reporting – Notification that a procedure is complete – Entering the normal/abnormal range (numeric, coded, or text) – Provides lab results history in an easy-to- read format with graphs – Provides patient access to lab results Result Reporting Module  Components of HIS 4. Scheduling – Effective management of patients and length of time for encounters is facilitated by a good scheduling system. – Scheduling admissions, surgery, outpatient encounters, and diagnostics – Reminders of appointments – Save time and money  Components of HIS 5. Documentation Systems: – Available in various formats Narrative Select an option by clicking on either the button/box – Remove the need to find the chart and allow all health care provider to access the chart at any time. – Improves clinical workflow and provides communication of real- time information.  Components of HIS 6. Communication Systems: – E.g., E-mail, paging, and internet connections – Facilitate exchange of information needed by the various health care disciplines – Enhance information flow in an organization  Components of HIS 7. Clinical Decision Support System (CDSS) Facilitates finding, selecting, and applying valid, appropriate clinical information when making decisions about the care of individual patients – Alert system – Reminder system – Reference system Reduces medical errors, costs, and care disparity, and improves quality of care Clinical Decision Support System (CDSS) Alerting system Clinical Decision Support System (CDSS) Alerting system Clinical Decision Support System (CDSS) Alerting system Clinical Discussion Support System (CDSS) Reminder system Clinical Discussion Support System (CDSS) Reference system  Components of HIS 8. Specialized Support for Clinical Functions Software application programs required to provide specialized support for departmental services. Some examples are as follows: Pharmacy tasks – Verification of drug order pharmacists or nurses – Unit dose tracking – Medication Protocols. E.g., chemotherapy protocols. Nursing tasks – Nursing assessment, diagnoses, and interventions – Medication administration records – Nursing workload – Nursing note of client outcomes Specialized Support for Clinical Functions Dietary tasks – Meal planning – Menu selection – Food distribution – Nutrition management – Drug–food interactions. Critical care areas – have special needs for electronic data capture to facilitate patient monitoring and charting. Patient support – Security, privacy, and confidentiality of patient data – Information sheets for patient education and awareness – Patient access medical records  Components of HIS 9. Administrative and Financial Modules – Accounts receivable – Accounts payable – Payroll – Human resources applications Benefits of Electronic Health Record – Real-time information – Facilitate the communication or exchange of information between departments, healthcare providers, and with other health care settings – Provide a complete, accurate, timely data delivered at the point of care – Improve quality of care – Provide clinical decision support – Reduce medical errors – Improve efficiency (coordinate all essential patient care activities) – Reduce costs  Issues Related to HISs Data entry too difficult and Inability to type quickly enough Feeling that using the computer in front of the patient is rude Security and privacy issues (very) Costly to purchase, deploy, and maintain Problematic implementation could result in severe adverse consequences Mistrust of vendors Don’t see value in implementing EHR Thank You