1. What is CHITS?2. How does it work in health centers?3. How do they implement CHITS?4. What is telenursing? what are its advantage and disadvantage?5. Enumerate measures to protect computer data and systems.6. Compare and contrast the development of hospital information systems in some Philippines Hospital<br />
Community Health Information Tracking System(CHITS)<br />
Community Health Information Tracking System (CHITS)<br />Is a free open source software electronic health record system for local government health centers in the Philippines.<br />CHITS was created by Dr. Herman Tolentino in 2004 through a grant from the International Development Research Center of Canada.<br />Managed by UP Manila National Telehealth Center (UPM NThC which was established in 2006 currently headed by Dr. Alvin Marcelo.)<br />It is an extensible, modular, open source information system for rural health units.<br />
Being developed from a free and open source software or FOSS (LINUX is a popular example), CHITS enabled that developers and user to open up several opportunities for health systems development in the country.<br /><ul><li>FOSS also proves integral in data consolidation among clinics and hospitals. Allison Perez cities the advantages of a unified, paper-less medical data.</li></ul>The CHITS program is composed of the following modules namely: patient, registration, maternal care, child care, TB program, family planning and general services.<br />
How does CHITS work in a health center?<br />As the patient comes in, his/ her record is retrieved in seconds. If the patient is new he/she would be registerd that would take few minutes.<br />CHITS is accessible in all departments within the health center so once the patient information is processed in the admission area, the doctor and other health provider are promptly informed of the patient’s chief complaint, vital signs and history without having to wait on the patient.<br />
Appointment and follow-up scheduling is set. By looking ahead at appointment calendar, the health provider will have a projection of patient loads and thus can plan manpower allocation ahead of time.<br />All health workers in a health center can access CHITS at various levels. They are required to have atleast background in the basic word processing, internet browsing and basic computer operations like keyboarding, using the mouse, booting up, turning off the computer, saving and printing<br />
Toimplement CHITS, the following steps are recommended:<br />Creation of the CHITS Team (physician, health center staff composed of nurses, aides, midwives, barangay health worker, mayor, and LGU IT officer)<br />Seek Assistance from DOH-CHD (Center for Health Development) for training; Provincial Health Office for logistics such as internet connectivity; Local chambers for commerce for donation of computers local internet cafes or PhilCeCNet Community e-centers (CECs)<br />Engage the inter-local health zone, CHO (City Health Office), PHO (Provincial Health Office) and CHD for lower spending on mass training.<br />
4. Get in touch with UP Manila Telehealth Center for consultation, training and certifications.<br />5. Schedule for training. Training requires a local area network preferably with 20 computers like a computer laboratory or internet shop. <br />
<ul><li>Telenursing, is a considered a form of telehealth where nursing practice Is delivered</li></ul> via telecommunication.<br /><ul><li> Telenursing allows health care nurses to use remotely connected medical devices </li></ul>in the evaluation, diagnosis and treatment of patients in locations outside the hospital.<br /><ul><li>Telehealth applications range from simple telephone communications to sophisticated wireless systems hooked to monitoring and diagnostic equipments.
A personal computer with the data storage and wired or wireless connectivity, database management software, and compatible medical devices capable of collection and transmission.</li></li></ul><li>Advantages and Disadvantages of Telenursing<br />
Some of the advantages of utilising telenursing are:<br /><ul><li>nurses can help more patients in less time due to the fact that there is no travel involved for the nurse
call centres can answer questions that are within their scope, reassuring patients and saving them a visit to the ER, or identify patients that need to be seen sooner than the patient may have thought, thus saving lives
providers can collaborate more easily via the use of technology, saving both money and time
telenursing can improve patient compliance to prescribed care </li></ul>patients who are discharged early from the hospital can be monitored at home for complications <br />
Disadvantages of Telenursing:<br /><ul><li>Decrease face-to-face interactions
Concerns with maintaining confidentiality</li></li></ul><li>Measures to protect computer data and systems<br />
Protection of Computer Data and Systems<br />Education of user is most important to ensure that they understand their roles.<br />Restriction of access providing users with username and password that is changed every three months.<br />Encoding procedures for sensitive data<br />Transactions records to document access of system<br />Biometrics use such as electronic signature, fingerprints, iris scans for stricter identification of users<br />Protect network systems from physical damage.<br />Maintain integrity of data by:<br /> a. Use of backup<br />b. Use of uninterruptible power source (UPS)<br />8. Enforce policies for breaches of security<br />9. Store only needed data. Dispose of unneeded data by shredding.<br />
Development of hospital information systems in some Philippines Hospital<br />
Philippine General Hospital<br />Future Directions<br /> <br />With the rapid evolution of laboratory medicine and emergence of newer and superior technology, the department realizes the need to constantly upgrade its service capability. The Section of Hematology plans to acquire a Flow Cytometry machine as well as to expand its coagulation studies to include D-dimer, fibrin degradation products (FDP), and fibrinogen assays. The Section of Immunopathology will soon offer immunoflourescence examinations. The Section of Clinical Chemistry will initiate therapeutic drug monitoring while the Section of Surgical Pathology will perform immunohistochemical staining procedures. The Section of Microbiology plans to conduct testing on multiple drug-resistant organisms.<br />
Philippine Heart Center<br />Inaugurated on February 14, 1975, the Philippine Heart Center was dedicated to the Filipino people as an institution committed to caring for patients with heart and related ailments. Since then, the Heart Center has stood as a testimony to that commitment to save lives and alleviate thousands who suffer from cardiovascular diseases, a leading cause of death in the Philippines. The Center has brought new hope especially to those who otherwise could not afford specialized medical care.As symbolized by its four-heart logo, the Heart Center offers a comprehensive program of patient care, education and training, research, and public information. The Center extends the best and most efficient medical services to its patients by maintaining a pool of well-trained and highly-experienced physicians and other medical personnel who utilize some of the latest technology and procedures in cardiovascular science.<br />
"Whatever you do, do your work heartily as for the Lord rather than for men,knowing that from the Lord you will receive the reward of the inheritance. It is the Lord Christ whom you serve. "-Colossians 3:23-24<br />
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