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Management information system in health care

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  • 1. MANAGEMENT INFORMATION SYSTEM IN HEALTH CARE Maria Ruuto
  • 2. Definitions
    • System- A collection of components that work together to achieve a common objective.
    • Information System- A system that provides information support to the decision-making process at each level of an organization.
    • Health Information System- A system that integrates data collection, processing, reporting, and use of the information necessary for improving health service effectiveness and efficiency through better management at all levels of health services.
    • Health Management Information System- An information system specially designed to assist in the management and planning of health programmes, as opposed to delivery of care. (WHO 2004: 3)
  • 3. HEALTHCARE INFORMATION SYSTEM (HIM)
    • Healthcare is a business and, like every business, it needs good management to keep the business running smoothly.
    • Healthcare information systems means meticulously maintaining a patient's healthcare records and ensuring that confidential information is securely kept.
    • Those in healthcare information systems must have tremendous attention to detail.
    • They are responsible for maintaining, updating, and securing all of a patient's healthcare information.
  • 4. Healthcare service providers who use HIM
    • Hospitals
    • Nursing and residential care facilities
    • Physicians and surgeons
    • Other ambulatory health care service
    • Medical and diagnostic laboratories
    • Dentists and dental clinics
    • Home health care services
    • Other health practitioners
    • Outpatient care centers
  • 5. HEALTH INFORMATION PROFFESIONALS
    • Health information management professionals plan information systems, develop health policy, and identify current and future information needs.
    • They apply the science of informatics to the collection, storage, use, and transmission of information to meet the legal, professional, ethical and administrative records-keeping requirements of health care delivery.
    • Health information managers
    • Medical records and health information technicians
    • Health Information Administrator
    • Implementation managers
    • Trainers
  • 6. ELECTRONIC MEDICAL RECORD SYSTEM
    • Clinicians rely on complete and accurate data in order to make decisions about patient care.
    • Without a solid system for health information exchange in place between facilities, it is impossible to ensure that a clinician has the entire clinical picture.
    • Without complete historical information on a patient, treatment plans are often askew, which can mean suboptimal, sometimes even lethal, outcomes.
  • 7.  
  • 8. DISADVANTAGES OF ELECTRONIC MEDICAL RECORD SYSTEM
    • Enormous start up costs
    • Nurses and doctors are unfamiliarity with technology
    • Hackers may ultimately be able to penetrate system despite security precautions
    • System is attacked by computer viruses
    • Power failure
  • 9. HOSPITAL MANAGEMENT INFORMATION SYSTEM
    • It is essentially a computer system that can manage all the information to allow health care providers to do their jobs effectively.
    • These systems have been around since they were first introduced in the 1960s
    • They manage the data related to the clinic, finance department, laboratory, nursing, pharmacy and also the radiology and pathology departments.
    • The system must be user friendly
    • and should include training by
    • the vendors.
  • 10. HIGHLIGHTS OF HOSPITAL MANAGEMENT INFORMATION SYSTEM
    • Patient-centered approach
    • User-friendly, easy-to-use & web-enabled applications
    • Multi-level distributed hospital information system
    • Security & privacy (authentication, authorization, privacy
    • policy)
    • Integration
    • Patient identification
    • Single log-in
    • Use of controlled vocabularies for coding
    • Data consistency
    • Transparency
  • 11. RECORDS IN HEALTH INFORMATION MANAGEMENT
    • Healthcare quality and safety require that the right information be available at the right time to support patient care and health system management decisions.
    • Health records are archival records or diaries of diagnostic discoveries
    • Clinical data include facts about:
    • 1. patient or client’s overall health status and ability to perform normal bodily functions
    • 2. person’s overall physical, physiological, psychological, sociological and intellectual characteristics
    • 3. performance of interest to patients and health professionals.
    • Health records contain time and source-oriented collections of text-based (alphanumeric) information, physiological tracings (from analogue signals), and images and sounds (multimedia).
  • 12. CLINICAL INFORMATION SYSTEM (CIS)
    • CIS is an information system designed to be used specifically in the critical care environment.
    • It integrates the many computer systems found in a modern hospital, such as pathology and radiology, with an electronic patient record.
    • CIS provides easy bedside access for clinicians.
    • Once the patient is discharged from the Intensive Care unit the information is printed and placed into the patient’s medical record.
  • 13. NURSING INFORMATION SYSTEM (NIS)
    • Nurses are the largest single group of health professionals who directly influence the quality of most health services provided and their outcomes
    • The area of concern of nursing ranges from:
    • clinical care of individual patients to the administration of health services
    • the management of health problems at all levels of complexity
    • including public health and community care,
    • occupational and home care,
    • school health .
    • NIS has been defined as a part of a health care information system that deals with nursing aspects, particularly the maintenance of the nursing record.
  • 14. NURSING INFORMATION SYSTEM (NIS) II
    • NIS emphasizes patient safety via the installation of systems that focuses on reducing errors in healthcare
    • In Greek Hospitals there have been made many
    • trials and efforts in order to develop electronic
    • nursing documentation with little results.
    • There are many difficulties and some of them are
    • different levels of nursing education, low nurse
    • to patient ratios, not involvement of nurses in the
    • phases of their implementation, resistance in
    • change.
  • 15. NURSING INFORMATION SYSTEM (NIS) III
    • The main tasks in the nursing care process include:
    • processes of patient care
    • ward management
    • communication
    • cooperation with other health professionals
    • education and research processes.
  • 16. NURSING INFORMATION SYSTEM (NIS) IV
    • The activities nurses perform when caring for patients have been identified and nursing roles have been categorized into three global categories:
    • managerial roles or coordinating activities that involve the gathering and transmission of patient information
    • physician-delegated tasks
    • autonomous nursing function, characteristic of professional nursing practice.
  • 17. CONCLUSION
    • Nurses are responsible for a substantial part of the patient record and hence are particularly affected by the computerisation
    • The appliance of Information Systems into nursing provides important advantages in the administration of the nursing personnel’s data
    • The use of nursing information systems (NIS) has increased completeness of some nursing documentation elements.
  • 18. Used literature
    • World Health Organization. (2004). Developing health management information systems: a practical guide for developing countries.
    • Malliarou,M., Zyga, S. (2009). Advantages of Information Systems in Health Services . Sport Management International Journal . VOL. 5, Number 2
    • Marin, H.F., Rodrigues, R.J., Delaney, C., Nielsen, G.H., Yan, J. (2000). Building Standard-Based Nursing Information Systems. Pan American Health Organization. World Health Organization. Division of Health Systems and Services Development.
  • 19. Used literature II
    • http://www.personalitydesk.com/career-profile/health-services-manager#axzz1jR6lUqR1
    • http://www.guidetoonlineschools.com/degrees/healthcare/healthcare-information-systems
    • http://www.information-management-architect.com/healthcare-information-system.html
    • http://en.wikipedia.org/wiki/Health_information_management
    • http://www.ama-assn.org/ama1/pub/upload/mm/40/healthinfoman0809.pdf
    • http://www.wisegeek.com/what-are-the-disadvantages-of-electronic-medical-records.htm
    • http://intensivecare.hsnet.nsw.gov.au/clinical-information-systems
  • 20. Thank You for listening. Any questions? :)