1. Implementing and Upgrading
Clinical Information Systems

2. Overview of CIS
– What is a CIS?
• “CIS is an array or collection of applications and
functionality; amalgamation of systems, medical
equipment, and technologies working together that
are committed or dedicated to collecting, storing,
and manipulating healthcare data and information
and providing secure access to interdisciplinary
clinicians navigating the continuum of client care.
Designed to collect patient data in real time to
enhance care by providing data at the clinician’s
fingertips and enabling decision making where it
needs to occur-at the bedside”.

3. Overview of CIS
• Some areas addressed by CIS are:
• “Clinical decision support: This provides users with the
tools to acquire, manipulate, apply and display appropriate
information to aid in the making of correct, timely and evidence-
based clinical decisions.
• Electronic medical records (EMR): this contains
information about the patient, from their personal details, such as
their name, age, address and sex to details of every aspect of care
given by the hospital (from routine visits to major operations)
• Training and Research: Patient information can be made
available to physicians for the purpose of training and research.
Data mining of the information stored in databases could provide
insights into disease states and how best to manage them”

4. What are some benefits of a CIS?
• Ease of obtaining patient data at the point of
care
• Ability to search patient data easily
• There is no concern with legibility of charting
• Ability to analyze data easily
• Enhanced patient safety

5. Who are the key players to a CIS?
• Nurses
• Nurse managers
• Support staff
• Performance improvement analysts
• Physicians
• Administration
After all, all of these people will have to use the system!

6. Who should be involved in picking a CIS?
• Nurses HAVE to be involved in choosing a
good CIS
• “It behooves nurses to be engaged in the
acquisition, design, implementation, and
evaluation of CIS to assure the realization of
benefits for clinical care and outcomes”

7. Clinical Information Systems
assists clinicians with data necessary for
decision-making and problem solving. It
must serve the organization and the
patient in much the same way an efficient
health care delivery system involves all
appropriate departments in establishing
health care delivery processes

8. Major Clinical Information Systems
Requirements for Nursing
1. To administer a nursing department
2. To assist the management of nursing
practice
3. To assist nursing education
4. To support nursing research

9. Eight Phases of Clinical Information
Systems Implementation
1. PLANNING - begins once an organization has
determined that an existing need or problem
may be filled or solved by the development or
implementation of a Clinical Information System
or application.
2. SYSTEM ANALYSIS - also known as fact
finding phase, all data requirements related to
the problem defined in the project scope
agreement are collected and analyzed to gain a
sound understanding of the current system, how
it is used, and what is needed from the new
system.

10. Eight Phases (con't)
3. SYSTEM DESIGN/ SYSTEM
SELECTION - the design details of the
systems and the detailed plans for
implementing the system are developed
for both the functional and the technical
components of the system. Acceptance of
the system proposal by the steering
committee heralds the beginning of the
system design phase.
4. DEVELOPMENT

11. Eight Phases (con't)
5. TESTING - ensure that all data are processed
correctly and the desired outputs are generated.
Testing verifies that the computer programs are
written correctly and ensures that when
implemented in the production environment, the
system will function as planned.
6. TRAINING - it is essential to train the end
users how to use the system properly. A Clinical
Information Systems will function only as well as
its users understand its operation and the
operations streamline the work.

12. Eight Phases (con't)
7. IMPLEMENTATION - organizes all the steps into a
detailed plan describing the series of events required to
begin using the system or application in the production
or live environment and details the necessary computer
and software maintenance operations required to keep
the system running.
8. EVALUATION - describes and assesses, in detail, the
new system’s performance. Using the criteria
established in planning and system design phases, the
evaluation process summaries the entire system,
identifying both the strengths and weaknesses of the
implementation process. An evaluation study often leads
to system revisions and ultimately a better system.

13. Why a CIS?
“The use of health information
technology should lead to more
efficient, safer, and higher quality
care”
If utilized correctly, the CIS makes our
jobs easier!