Health Information SystemsPresented By:Nikhil AgarwalSachin Pal
Overview of Bumrungrad’s CasePreviously Bumrungrad’s IT operations were handled by 4UNIX based systems having several applications.Hospital 2000 is an Information System (IS) that providedright information to the right caregiver at right time.They switched to new IS on December 17, 1999. While doingso they faced implementation difficulties.In 2002 , a Picture Archive Communication System (PACS)was included.Provided several benefits.
Topics for discussionElectronic Medical records and their challengesIntroduction to EHR , difference between EMR and EHR.Radiology Information System.
Electronic Medical Records (EMR)An application environment composed of the clinical datarepository, clinical decision support, orderentry, computerized provider order entry, pharmacy, andclinical documentation applications. This environment isused by healthcare practitioners to document, monitor, andmanage health care delivery within a care deliveryorganization or hospital. The data in the EMR is the legalrecord of what happened to the patient during theirencounter at the organization and is owned by it.
ChallengesExcessive startup cost.There is a substantial amount of learning that can beobtained from these records. Thus the system must be userfriendly so that clinicians can easily retrieve and understandrelevant data.Confidentiality.System designs must consider how individually identifiablemedical information will be protected and also meetregulatory requirements.
Electronic Health Records (EHR)It is a record in digital format that is capable of being shared acrossdifferent health care settings, by being embedded in network-connectedenterprise-wide information systems. It include medical history, laboratorytest results, radiology images, personal stats like age and weight, andbilling information. Electronic Medical Records Electronic Health Records• The legal record of the hospitals. • Subset (i.e. CCR or CCD) of•Owned by the hospitals. information from various hospitals• These systems are being sold by where patient has had encounters. enterprise vendors and installed by • Owned by patient or stakeholder. hospitals, health systems, clinics, • Community, state, or regional etc. emergence today (RHIOs) – or• May have patient access to some nationwide in the future. results info through a portal but is • Provides interactive patient access not interactive. as well as the ability for the patient• Does not contain other hospitals to append information. encounter information. • Connected by NHIN.
Radiology Information SystemIt is a computerized database used by radiology departmentsto store, manipulate and distribute patient radiological dataand imagery.RIS is a tool to manage patient workflow and patient records.It is necessary for an integrated solution.PACS and RIS are almost always coupled.
Features NecessaryUser access and patient consent.Electronic and paper based.Radiology Department workflow management.Examination Details.Reporting and report coding.Film and image tracking.