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Clinical information system-final copy


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Eval of A CIS

Eval of A CIS

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  • According to the text, safety and security incorporates many different elements. Virtual security is a huge issue because so many people are finding new ways to steal peoples information. Hackers and viruses are the virtual threat that staff in IT work to prevent. As nurses our duty is to eliminate the physical threat and the protect patients privacy by keeping HIPPA in our minds. Shoulder surfing, according to pg 185 in our text, is the primary threat on the nursing level. I know that screen protectors are a physical barrier to decrease this threat. Unfortunately no matter the amount of security measures in place there are still people trying to find new ways to steal information.
  • Transcript

    • 1. Clinical Information System
      Jamie Renfro
      Becky Sigrest
      Danielle Russell
    • 2. Overview of a CIS
      Clinical Information Systems (CIS) consists of information technology that is used at the point of patient care. Included in the decision making is electronic medical records, clinical data repositories, clinical care guidelines, medication interactions and others per program(University of Medicine and Dentistry of New Jersey 2009).
    • 3. Overview of a CIS
      There are many components to the repository in a CIS. The patients’ medical history including prior hospitalizations, progress notes, surgical notes, nurses charting, vital signs and lab results. The patients current and past medications are also listed with patient allergies to assist in medication administration. This information is available to help decide the plan of care for patients. Clinical guidelines are also incorporated.
    • 4. Who picks the CIS?
      The entire healthcare team from people involved in direct patient care to the persons controlling the budget and current medical records.
      A CIS has to work for the facility it is placed in and has to be changed and improved as the healthcare facility changes.
      Hospital management should pick a program based on the financial aspect, how it will improve patient care, how well it will meld into already established systems and how secure it will be for patient privacy.
      Many companies provide tech support and follow-up education before during and after CIS implementation Healthland is one company that continuous to provide support to hospital staff during the entire implementation process and beyond(Healthland 2010)
    • 5. EHR Components
      The common denominator of the eight basic components of a successful electronic health record must be :
      Patient Safety
      (McGonigle, & Mastrian, 2009)
    • 6. EHR Components
      Should include:
      Health Information and Data
      Results Management
      Order Entry Management
      Decision Support
      Electronic Communication and Connectivity
      Patient Support
      Reporting and Population Health Management
      (McGonigle, & Mastrian, 2009)
    • 7. EHR Components
      Administrative Components:
      Patient Name, Demographics, Chief complaint, Patient disposition, etc.
      The registration portion of an EHR contains a unique patient identifier, usually consisting of a numeric or alphanumeric sequence ("Mitre center for," 2006)
    • 8. EHR Components
      Lab systems to integrate orders, results from laboratory , schedules, billing, and other administrative information .
    • 9. EHR Components
      The system should tie together radiology data (e.g., orders, interpretations, patient identification information) and images. They are usually used in conjunction with picture archiving communications systems. ("Mitre center for," 2006)
    • 10. Clinical Decision Making
      Should Include Accessibility and Use for:
      Administrative Staff
      Lab Personnel
      All disciplines need to be able to use and update information.(Farukhi)
    • 11. Clinical Decision Making
      Designed to assist health care professionals in the areas of :
      Information Management Access (e.g., reference ranges for lab values ).
      Electronic Resources (e.g., bibliographic databases and pharmacy knowledge bases).
      Tools for focusing attention to things that might be overlooked (e.g., abnormal labs).
      (Bakken, Currie, Lee, Roberts, & Cimino, 2008)
    • 12. Clinical Decision Making
      Tools for Patient Specific Consultation :
      Custom Tailored Assessments
      Advice Based on Set of Patient Specific Data
      Decision Analysis
      Diagnostic Decision Support
      Protocol Eligibility
      Treatment Recommendations
      All should be focused on Evidence Based Practice (Bakken, Currie, Lee, Roberts, & Cimino, 2008)
    • 13. ("Mitre center for," 2006)
    • 14. Decision Making Software
    • 15. Safety
      YouTube - electronic medical records security
      The above video highlights some of the concerns of safety with patient information that is contained in electronic format.
    • 16. Elements of Security
    • Cost Considerations
      Implementing a CIS is a very expensive task that grows with the size of the hospital
      The following are a few of the main Cost considerations for implementing a CIS: initial programming, initial incorporation into hospital, maintaining, revising, securing, storing, IT personnel needed, additional computers and equipment
    • 28. Cost Considerations
      V. Ciotti (2009) stated that EPIC a very popular CIS is overly expensive. He mentioned there are other providers that are more reasonable .
      Analyst S.Gunasekaran(2009) stated that Epic only brings in a fraction of the Billion dollar price tag hospitals advertise.
      The processes of picking a CIS is challenging and has many facets.
    • 29. Cost Considerations
      Sanyal (2009) Stated to choose a program within budget that can be upgraded and changed with the changing of the hospital.
      The cost for these changes and upgrades including storage and safety need to be considered.
    • 30. Education
      Training should include anyone who has any contact with EMR….which is everyone!
    • 31. Nursing Informatics
      Methods of training
      Hands on
      Modalities of training
    • 32. References:
      University of Medicine and Dentistry of New Jersey. (2009). Clinical Information Systems. Retrieved April 7, 2010, from
      Healthland. (2010). Support. Retrieved April 7, 2010, from
      Ciotti, V. (2009, February 16). EPIC costs. Retrieved April 7, 2010, from
      Gunasekaran, S. (2009, February 17). Top 10 Misconceptions about IT Project Pricetags. Retrieved April 7, 2010
      Sanjay, S. (2009). Picking a CIS. Retrieved April 6, 2010, from
    • 33. References
      Mitre center for enterprise modernization. (2006). [Web]. Retrieved from
      McGonigle, D., & Mastrian, K. (2009). Nursing informatics and the foundation of knowledge. Sudbury, MS: Jones and Barlett.
      Farukhi, F. (n.d.). Clinical dicision support systems. Retrieved from
      Bakken, S., Currie, L., Lee, N., Roberts, D., & Cimino, J. (2008). Integrating evidence into clinical information systems for nursing decision support. International Journal of Medical Informatics, 77(6), Retrieved from doi: 10.1016/j.ijmedinf.2007.08.006