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Health Informatics review

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Health Informatics

Health Informatics

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    Health Informatics review Health Informatics review Presentation Transcript

    • HIMP 375Health Informatics
      Review
      Learning Outcome 5
    • Patient Care Applications
      Clinical information systems support 3 things. What are they??
      Diagnosis
      Treatment planning
      Evaluation of medical outcomes
      3/1/2010
      Free Template from www.brainybetty.com
      2
    • Patient Care Applications
      Why has the number of installations of clinical systems increased in healthcare facilities?
      Governing boards & healthcare managers recognize importance for
      Continuous quality improvement of patient care
      Cost control
      Reduction of medical errors
      3/1/2010
      Free Template from www.brainybetty.com
      3
    • Patient Care Applications
      What are felt to be the key attributes of the CPR as defined by the IOM (Institute of Medicine) Comm.
      CPR includes a problem list that clearly delineates the Pt’s clinical problems & current status of each
      Encourages & supports systematic measurement & recording of Pt’s health status & functional levels
      Documents the clinical rationale for all diagnoses or conclusions
      Links to clinical records from various settings & time periods to provide “longitudinal record of events”
      3/1/2010
      Free Template from www.brainybetty.com
      4
    • Patient Care Applications
      Examples of Patient Care Applications
      Order Entry & Results Reporting
      Entry of orders for diagnostic tests, Pt treatments & subsequent reporting of test results back to caregivers
      Dr’s orders are entered at nursing station & are transmitted to appropriate area (ie. Lab, pharmacy)
      Test results & treatment summaries are transmitted back for entry into the Pt’s chart
      Record of charges for tests & treatments transmitted to Business Office
      3/1/2010
      Free Template from www.brainybetty.com
      5
    • Patient Care Applications
      Examples of Clinical (Patient Care) Applications
      Laboratory
      2 phases
      Automation of test processes and
      Automation of processing lab data
      Done by electronically linking lab instruments to computer
      Benefits
      Immediate reporting
      Reduced duplication, therefore reduced costs
      Better scheduling
      3/1/2010
      Free Template from www.brainybetty.com
      6
    • Patient Care Applications
      Examples of Clinical (Patient Care) Applications
      Pharmacy Information System
      Controls ordering, stocking & distribution of drugs to avoid medication errors
      Orders are entered at Nursing Station, communicated directly to Pharmacy
      Worksheets generated
      Patient labels generated
      Patient profile updated
      3/1/2010
      Free Template from www.brainybetty.com
      7
    • Patient Care Applications
      Examples of Clinical (Patient Care) Applications
      Pharmacy . . .
      Major screenings include
      Drug-drug interactions
      Drug-food interactions
      Dose range checking
      Benefits of Pharmacy Information System
      Can eliminate the time gap between point of care and point of service
      Can reduce medication errors
      Can improve quality of care
      Can increase patient satisfaction
      3/1/2010
      Free Template from www.brainybetty.com
      8
    • Patient Care Applications
      Examples of Clinical (Patient Care) Applications
      Radiology Information Systems
      Include
      Recording test requisitions
      Scheduling procedures
      Recording & reporting test results
      Reporting charges to Business Office
      Preparing management reports
      3/1/2010
      Free Template from www.brainybetty.com
      9
    • Patient Care Applications
      Why is the involvement of physicians so important to successful implementation of clinical information systems?
      If Dr’s don’t understand how to use system or don’t know what the information system can do for them, they will resist it’s use
      Success directly dependent on the commitment of senior management. Physicians must be involved as trainers, problem-solvers as well as users of the system
      3/1/2010
      Free Template from www.brainybetty.com
      10
    • Patient Care Applications
      What are “clinical decision-support systems” (CDSS)???
      CDSS’s are computer-based information systems designed to assist physicians in diagnosis and treatment planning.
      3/1/2010
      Free Template from www.brainybetty.com
      11
    • Patient Care Applications
      Two categories of CDSS –
      Passive system collects, organizes & communicates Pt data to physician
      Data on Pt’s history
      Physical exam
      Diagnostic tests
      Active system utilizes medical data stored in computer to suggest diagnoses & treatment protocols
      3/1/2010
      Free Template from www.brainybetty.com
      12
    • Patient Care Applications
      Define “evidence-based medicine”
      Clinical practice guidelines developed by experts
      Software created which ‘suggests’ clinical pathway for caregivers to follow when treating patient
      Designed to assist healthcare organizations in providing quality care at the most reasonable cost possible
      Quality of information a concern…addressed by Accreditation standards
      3/1/2010
      Free Template from www.brainybetty.com
      13
    • Patient Care Applications
      Examples of information systems being used in ambulatory care, longterm care and home health care. . .
      Ambulatory Care
      Pt scheduling
      Electronic medical records
      Billing
      Electronic communication with other providers
      3/1/2010
      Free Template from www.brainybetty.com
      14
    • Patient Care Applications
      Long-term care applications
      Used to monitor health status indicators such as infections and skin problems
      Home Health
      On-site documentation of Pt’s health
      Reduces amount of administrative work needed
      Caregivers can view Pt’s record at their home via laptop
      Pt can communicate & view results, appointments, etc. from home
      3/1/2010
      Free Template from www.brainybetty.com
      15