Transcript Document
Lab 2: SOLUTIONS
Goals
“CENTRICITY” = Centralized records
Many kinds of records = integration
Faster access to records
Support diagnoses
Reduce errors, save lives
Control information explosion, save
$$$
Trends
Aging population and poor diet
Need for skilled nurses/doctors
Improved IT / Information explosion
Centralization
Security and privacy
Insurance/Legal/Gov’t regulations
Budgets becoming thin
I/P/O/F/S analysis: INPUTS
Prescriptions, allergies
x-ray and EKG results
Patient data:
family history, tests, visits, insurance,
billing
IV pump data, temperature
Heart rate, etc.
PROCESSING
System sign-in, analyze patient
history
Find test results (searching,
organizing)
Integrated system (workflow)
admit to treat to discharge.
Monitor patient
Check for prescription side effects
Insurance benefit and Cost analysis
OUTPUT
Patient info screens
Treatment DECISIONS
Screens for each function, reports
Bills
Print or display test results
Transmit data/tests to other
organizations?
FEEDBACK
Beat national standards:
time to perform angioplasty
Average length of stay
Number of errors
Performance
Less staff
Less legal and insurance costs
Since nurses closer to patient: less falls
Survey patients and system users
Error and exception reports generated by system
Monitor costs for ROI
STAKEHOLDERS
Government (Medicare, Medicaid)
Insurance co’s
Legal system
Staff, patients
GE and other software providers
HMOs
Attribute Analysis:Accurate
No errors, recorded correctly
Scanners track medications
Doctor enters prescription, sent to
pharmacy
Required for correct diagnoses
Should data check on input – ranges
Better than handwriting
No duplication of information
Complete
No omissions
Every item required for some
function/goal
Support diagnoses
Insurance and billing
Patient and family history
Medications and tests
Economical
Save Doctor/Nurse/Staff time – fast
search
Easy to enter or merge data into
system
Remove paper records, file clerks
Quicker diagnoses
Reduce errors – less legal liability
Flexible
Support many users/functions
Registration desk
Billing
Insurance
Easy to change/add new data types:
tests
Adapt easy to new regulations,
enhancements
Many kinds of devices: PDA s, terminals,
etc.
Reliable
System available 24X7
Can be depended on
No glitches
Correct data displayed every time
Updated by trusted users
Relevant
Just data to support task at hand
Billing, insurance, diagnosis
Display in correct format or detail
Don’t display other data
Clean out/archive old data
Simple
Easy to interpret by staff for given
task
Standard code system
Easy to use / find info
Timely
New data entered quickly into system
Tests, medications, procedures
New data available to use immediately
System runs quickly, even with many
users
Find patient info quickly
Recognize adverse reactions quicker
Verifiable
Can check with other sources
Login Audit trail (track who made
changes)
Maybe sign-off by two staff members
Connect to other databases (ins. Co.)
Compute other values (e.g., medication
doses)
Nurse checks vital signs
Accessible
Convenient for staff member needing
access
Terminal stations
Pocket PC/ PDA – wireless
Access to outside
organizations/specialists
No rummaging through paper files
Secure
Access to data only as needed by
function
Registration/doctors/nurses/accounting
Secure Logon/Passwords
Wireless : need encryption
Data physically protected (backed up)