Management information system in health care

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Management information system in health care

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

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