Transcript Lecture14-IS466x

IS 466
ADVANCED TOPICS IN
INFORMATION SYSTEMS
LECTURER : NOUF ALMUJALLY
28 – 11 – 2011
College Of Computer Science and Information, Information Systems Department
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Hospital Information System
Objectives
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HIS definition
Benefit of HIS
HIS for Different Departments
Selecting a Hospital Information System
Hospital Information System (HIS)
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Support of Clinical and Medical Patient Care
Activities in the Hospital
Administration of the Hospital’s Daily Business
transactions (financial, personnel, payroll, bed census
etc.)
Evaluation of Hospital Performance and Cost , and
projection of the long-term forecast
HIS Definition
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A hospital information system ( HIS ) is essentially a
computer system that can manage all the information to
allow health care providers to do their jobs effectively
HIS supports all hospital functions and activities such as
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patient records
Scheduling
Administration
charge-back and billing
HIS Definition
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“a set of interrelated components working
together to gather, retrieve, process, store
and disseminate information to support the
activities of health system planning, control,
coordination and decision-making, both in
management
and
service
delivery”
Con.
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There are various titles and acronyms which all
declare similar approaches to managing the
information flow and storage in hospital routine
services, as
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Hospital Information System (HIS), or
Healthcare Information System, or
Patient Data Management System (PDMS)
Architecture
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HIS supported in client-server architectures for
networking and processing.
Modern hospital information systems typically use
fast computers connected to one another through an
optimized network.
These computers are programmed to collect,
process, and retrieve patient care and
administrative information ensuring better ROI and
delivery of service.
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Replace the paper-based transmission of medical
documents with standardized electronic
communication.
A centralized information system can be customized
according to the specific requirements of a
hospital.
HIS Stakeholders
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HIS must consider all groups of persons
• physicians
• nurses
• administrative staff
• technical staff
• health information managers
• patients
• visitors
• suppliers
Hospital Information System
Registration
Consulting
Ward
Nursing
Stores & Purchase
Diet & Kitchen
Pharmacy
And more...
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Blood Bank
Laboratory
Radiology
Benefits of HIS
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Investment in HIS may result in many benefits:
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helping decision makers to detect and control emerging and
endemic health problems, monitor progress towards health
goals, and promote equity;
empowering individuals and communities with timely and
understandable health-related information, and drive
improvements in quality of services;
improving governance, mobilising new resources, and ensuring
accountability in the way they are used.
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An effective HIS also delivers benefits such as:
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enhances information integrity
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reduces transcription errors
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reduces duplication of information entries
HIS output
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Information about patients:
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Knowledge about diseases
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correct, relevant and up to date, accessible by the right persons at
the right site in a usable format
about the effects of drug interaction, to support diagnosis and
therapy
information about the quality of patient care, hospital
performance and costs
In other words
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HIS should provide:
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the right information and
the right knowledge
at the right time
in the right place
to the right people
in the right form
so that these people can make
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the right decisions
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HIS for Different Departments
HIS for Different Departments
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Modern HIS includes many applications addressing
the needs of various departments in a hospital.
They manage the data related to the clinic, finance
department, laboratory, nursing, pharmacy and
also the radiology and pathology departments.
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1- Nursing Information Systems ( NIS )
Nursing Information Systems ( NIS )
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These computer based information systems are
designed to help nurses provide better patient care.
A good NIS can perform a number of functions and
deliver benefits such as:
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improving staff schedules
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accurate patient charting: is a system that keeps all vital patient
information in the same place every time.
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improve clinical data integration.
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The nursing department can have a better managed work
force through schedule applications enabling managers to
handle absences and overtime.
Nurses also use it for admission information, care plan and all
relevant nursing notes.
All important data is securely stored and can be retrieved
when required.
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Clinical data integration is also very useful, allowing nurses to
collect, retrieve and analyze the clinical information and then
integrate it to design a patients' care plan.
All these features in NIS ultimately lead to a reduction in
planning time and better assessments and evaluations. The
chance of prescribing the wrong medication also decreases
since there is always a reference for electronically prescribed
drugs.
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2- Radiology Information System (RIS)
Radiology Information System (RIS)
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radiology
information
system
computerized database used by
(RIS)
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radiology
departments to store, manipulate and distribute
patient radiological data and imagery.
Con.
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An RIS has several basic functions:
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Patient management
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An RIS can track a patient’s entire workflow within the radiology
department
images and reports can be added to and retrieved from electronic
medical records (EMRs) and viewed by authorized radiology staff.
Scheduling
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Appointments can be made for both in- and out-patients with
specific radiology staff.
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Patient tracking
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A patient’s entire radiology history can be tracked from admission
to discharge. The history can be coordinated with past, present
and future appointments.
Results reporting
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An RIS can generate statistical reports for a single patient, group
of patients or particular procedure
Billing
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An RIS facilitates detailed financial record-keeping, electronic
payments and automated claims submission.
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3- Pharmacy Information Systems (PIS)
Pharmacy Information Systems (PIS)
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Pharmacy information systems (PIS) are complex computer
systems that have been designed to meet the needs of a
pharmacy department.
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Through the use of such systems, pharmacists can supervise
and have inputs on how medication is used in a hospital.
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Designed to address the demands of a pharmacy
department
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An PIS has several basic functions:
Clinical Screening
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The Pharmacy Information System can assist in patient care by
the monitoring of drug interactions, drug allergies and other
possible medication-related complications.
When a prescription order is entered, the system can check to
see if there are any interactions between two or more drugs
taken by the patient simultaneously or with any typical food,
any known allergies to the drug, and if the appropriate dosage
has been given based on the patient’s age, weight and other
physiologic factors.
Alerts and flags come up when the system picks up any of
these.
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Prescription Management
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The Pharmacy Information System can also be use to mange
prescription for inpatients and/or outpatients.
When prescription orders are received, the orders are matched
to available pharmaceutical products and then dispensed
accordingly depending on whether the patient is an inpatient or
outpatient.
It is possible to track all prescriptions passed through the system
from who prescribed the drug, when it was prescribed to when
it was dispensed.
It is also possible to print out prescription labels and instructions
on how medication should be taken based on the prescription.
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Patient Drug Profiles
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These are patient profiles managed by the Pharmacy Information
System and contain details of their current and past medications,
and known allergies.
These profiles are used for clinical screening anytime a prescription
is ordered for the patient.
Report Generation
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Most Pharmacy Information Systems can generate reports which
range from determining medication usage patterns in the hospital
to the cost of drugs purchased and /or dispensed.
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Inventory Management
• Pharmacies require a continuous inventory culture in order to
ensure that drugs do not go out of stock.
• When done manually it is very difficult to maintain an
accurate inventory.
• Pharmacy Information Systems aid inventory management
by:
maintaining an internal inventory of all pharmaceutical products
 providing alerts when the quantity of an item is below a set
quantity
 providing an electronic ordering system that recommends the
ordering of the affected item and with the appropriate quantity
from approved suppliers.
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Interactivity with other systems
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It is important that Pharmacy Information Systems should be able to
interact with other available systems such as the clinical information
systems to receive prescription orders and financial information
system for billing and charging.
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Selecting a Hospital Information System
Selecting a Hospital Information System criteria
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Total cost of package
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HIS providers are happy to visit and discuss the
requirements of your hospital with you.
Solutions are available for hospitals of all sizes and
budgets.
It is important to have a hospital information system
that has a low cost of ownership.
Some vendors reduce costs by having a design that
requires less hardware and fewer servers.
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Web based system
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A good HIS system must be available on the web.
Availability on the web means authorized personnel
can access the information whenever they want from
anywhere.
A web based system becomes even more important if
it is used to share information between two or more
hospitals.
Healthcare facilities in different geographic locations
can share relevant data quickly if they use an internet
based HIS.
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Implementation and support
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Change is always resisted by humans and deploying or
upgrading a hospital information system may also
invite employee criticism.
It is always better to ask the vendor for support in an
implementation and request for staff training.
Choose a vendor that offers 24x7 support via the
telephone or web, so your hospital staff can
immediately access support.
What should you do this week ?
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Review the lectures
Submit the assignment on Saturday 3-12 ,during the
lecture time
Tutorial for GIS
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Questions ??
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