Clinical information system-final copy
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  • Full Name Full Name Comment goes here.
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  • This presentation was very helpful in expandng my knowledge about 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.

Clinical information system-final copy Clinical information system-final copy Presentation Transcript

  • Clinical Information System
    Jamie Renfro
    Becky Sigrest
    Danielle Russell
  • 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).
  • 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.
  • 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)
  • EHR Components
    The common denominator of the eight basic components of a successful electronic health record must be :
    Patient Safety
    (McGonigle, & Mastrian, 2009)
  • EHR Components
    Should include:
    Health Information and Data
    Results Management
    Order Entry Management
    Decision Support
    Electronic Communication and Connectivity
    Patient Support
    Administration
    Reporting and Population Health Management
    (McGonigle, & Mastrian, 2009)
  • 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)
  • EHR Components
    Lab systems to integrate orders, results from laboratory , schedules, billing, and other administrative information .
  • EHR Components
    Radiology
    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)
  • Clinical Decision Making
    Should Include Accessibility and Use for:
    Nurses
    Administrative Staff
    Lab Personnel
    Pharmacy
    Physicians
    All disciplines need to be able to use and update information.(Farukhi)
  • 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)
  • 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)
  • ("Mitre center for," 2006)
  • Decision Making Software
    www.infermed.com
    www.isabelhealthcare.com
    www.epic.com
  • 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.
  • Elements of Security
    • Virtual Security
    • Spyware
    • Antivirus software
    • Firewalls
    • Intrusion detection systems
    • Data Security
    • Passwords
    • Biometrics
    • Radio Frequency Identity Chip (RFID)
    • Physical Security
    • Shoulder surfing
    • Screen protector
  • 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
  • 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.
  • 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.
  • Education
    Training should include anyone who has any contact with EMR….which is everyone!
  • Nursing Informatics
    Methods of training
    Online
    Hands on
    Blended
    Modalities of training
    Video
    Webcasts
    Tutorials
    Simulations
  • References:
    University of Medicine and Dentistry of New Jersey. (2009). Clinical Information Systems. Retrieved April 7, 2010, from http://informatics.umdnj.edu/clinical/information_systems.htm
    Healthland. (2010). Support. Retrieved April 7, 2010, from http://www.healthland.com/services/
    Ciotti, V. (2009, February 16). EPIC costs. Retrieved April 7, 2010, from http://www.healthcare-informatics.com/ME2/dirmod.asp?sid=&nm=&type=Blog&mod=View+Topic&mid=67D6564029914AD3B204AD35D8F5F780&tier=7&id=AE67FD3F7317442B96C91EF2D7921181
    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 http://mua.academia.edu/SanjoySanyal http://www.linkedin.com/in/sanyalsanjoy8
  • References
    Mitre center for enterprise modernization. (2006). [Web]. Retrieved from http://www.ncrr.nih.gov/publications/informatics/EHR.pdf
    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 http://www.cwru.edu/med/epidbio/mphp439/Clinical_Decision.htm
    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 http://www.ijmijournal.com/article/S1386-5056(07)00162-1 doi: 10.1016/j.ijmedinf.2007.08.006