Departmental                                                                       Information                            ...
Outline Departmental Information Systems  Hospital departments  Nature of enterprise information systems  Departmental ...
Class Exercise 1   Name some departments or    organizational units of a hospital that you    can think of.              ...
Examples of Hospital Departments   Clinical departments              Obstetrics/Gynecology -     Pediatrics (children) ...
Examples of Hospital Departments   Administrative departments       General administration office       Hospital direct...
Health Care InformationSystem (HCIS)   Information system used within a health care    organization       Facilitates co...
Hospital Information System Information system used within a hospital Sometimes divided into       Front Office (Clinic...
Enterprise-wide Information SystemsShortliffe, EH, Blois, MS., The Computer Meets Medicine and Biology: Emergency of a Dis...
Class Exercise 2   Choose 3-5 hospital departments and    discuss their specific information needs    and circumstances  ...
Hospital Information System (HIS) Information system used within a hospital Sometimes divided into       Front Office (...
Some characteristics    Front Office           Back Office Focuses on patient    Performs  care                   admini...
HIS Components Patient management and billing Care delivery and clinical documentation Clinical decision support Depar...
Patient Management and Billing   Systems that support patient    management functions       Example           Patient i...
Care Delivery and Clinical        Documentation   Systems that support the delivery of the care and    documentation of t...
Clinical Decision Support   Systems that support the clinical staff with    data interpretation and decision-making     ...
Financial and ResourceManagement Systemsthat support business functions    Example        Accounts Payable System    S...
4 Ways IT Can Help Health Care                                            Strategic                             • Business...
Department Management   Systems that support a department’s information    needs       Example           Health Informa...
Departmental information system Supports specific needs of each  department Often designed to fit best with each  depart...
Class Exercise 3   What are some issues you can think of    when developing an information system    for a specific depar...
Issues of Departmental IS Data integration (data sharing) Silos of information Process (workflow) integration In other...
Integration   Arrangement of an organization’s    information systems       Efficient and effective communication      ...
Application Integration   Patient management and billing       Patient tracking   Department management       Electron...
Application Integration   Clinical decision support       Computer-based physician order-entry   Financial and resource...
Systems Integration Strategies Data preservation Separate information management plan  components for       Data manage...
Key Components of EnterpriseIntegration Master person index Single sign-on Context management Common code sets Data w...
Critical Integration Elements   Information is available when and where it is    needed   Users must have an integrated ...
Data and Process Integration   Data integration       Interface engine   Process integration       Operational workflo...
Interface Engine   Translates and formats data for exchange   Controls data flows between applications   Central connec...
HL7 Messaging StandardHealth   Level Seven (HL7) Message  standard Supports clinical practice Move data in standard  f...
From Islands of Information toMeaningful Use                  Health IT Workforce Curriculum Version                      ...
System Acquisition Decisions    for Departmental Information    Systems   Build (in-house development)   Buy (outsourcin...
Build or BuyBuild/Homegrown              Buy/Outsource Full control of software &  Less control of software  data       ...
Build or Buy   No universal right or wrong answer   Depends on local contexts       Strategic positioning       Intern...
Outsourcing Decision Tree                                                                            Keep Internal        ...
Outsourcing Dilemmas                                                    Doig et al, “Has Outsourcing gone too far,”       ...
IT Outsourcing: Ramathibodi’s Case                                                         External delivery unreliable   ...
If Decision = BuildChallenges   Recruitment & retention   Keeping up with new technologies & requirements       The “le...
If Decision = BuildSuggestions Recruitment & retention Knowledge management: Tacit -> Explicit Have long-term vision/st...
If Decision = BuyChallenges   Vendor selection   Justifying long-term costs   Managing risks   The “vendor lock-in” pr...
If Decision = BuySuggestions   Take time & effort in knowing your potential vendors   Be flexible in requirements, proje...
Management InformationSystems (MIS)   Provides information needed to manage an    organization (e.g. a hospital) effectiv...
Business IntelligenceApplications   Allows for       Data analysis       Correlation       Trending       Reporting o...
Business IntelligenceApplications   Examples       Clinical and Financial Analytics and Decision        Support       Q...
Summary   Various departments and their information    needs in hospitals/healthcare organizations   Applications that n...
References   Vogel, LH, Perreault, LE., Management of    Information in Healthcare Organizations.    In: Shortliffe, E, C...
Upcoming SlideShare
Loading in …5
×

Departmental Information Systems and Management Information Systems in Healthcare Organizations

3,282 views

Published on

Theera-Ampornpunt N. Departmental information systems and management information systems in healthcare organizations. Presented at: Faculty of ICT, Mahidol University; 2012 Feb 8; Bangkok, Thailand.

Published in: Health & Medicine, Business
0 Comments
3 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
3,282
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
120
Comments
0
Likes
3
Embeds 0
No embeds

No notes for slide

Departmental Information Systems and Management Information Systems in Healthcare Organizations

  1. 1. Departmental Information Systems & Management Nawanan Information Theera-Ampornpunt Systems in http://www.slideshare.net/nawanan Healthcare Organizations Parts of this material were based on materials developed by Duke University, funded by the Office of theNational Coordinator for Health Information Technology, U.S. Department of Health and Human Services under Award Number IU24OC000024 (Health IT Workforce Curriculum v.2.0, Component 6/Unit 9-1).
  2. 2. Outline Departmental Information Systems  Hospital departments  Nature of enterprise information systems  Departmental IS categories  Integration & interfaces  System acquisition decisions Management Information Systems (MIS)  Concepts of MIS  Common MIS in healthcare organizations 2
  3. 3. Class Exercise 1 Name some departments or organizational units of a hospital that you can think of. 3
  4. 4. Examples of Hospital Departments Clinical departments  Obstetrics/Gynecology -  Pediatrics (children) OB/GYN (childbirth &  Ophthalmology (eye) woman’s health)  Otolaryngology (Ear, nose,  Psychiatry (mental health) throat - ENT)  Nursing  Orthopedics (bone  Pathology (lab) diseases)  Radiology (x-rays)  Internal medicine  Anesthesiology  Emergency medicine  Family medicine  Community medicine  Physical medicine &  Pharmacy rehabilitation  Operating rooms  Surgery  Outpatient departments  Inpatient wards 4
  5. 5. Examples of Hospital Departments Administrative departments  General administration office  Hospital director’s office  Human resources  Finance  Procurement & material management department  Public relations  Policy & planning  Medical education  Graphics design & media  Academic affairs  Student affairs  Library  Quality improvement department  IT/Informatics  etc. 5
  6. 6. Health Care InformationSystem (HCIS) Information system used within a health care organization  Facilitates communication  Integrates information  Documents health care interventions  Performs record keeping  Otherwise supports the functions of the organizationShortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. Health IT Workforce Curriculum Version 2.0/Spring 2011 6
  7. 7. Hospital Information System Information system used within a hospital Sometimes divided into  Front Office (Clinical information systems)  Back Office (Management information systems) 7
  8. 8. Enterprise-wide Information SystemsShortliffe, EH, Blois, MS., The Computer Meets Medicine and Biology: Emergency of a Discipline. In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. 8
  9. 9. Class Exercise 2 Choose 3-5 hospital departments and discuss their specific information needs and circumstances 9
  10. 10. Hospital Information System (HIS) Information system used within a hospital Sometimes divided into  Front Office (Clinical information systems)  Back Office (Management information systems) 10
  11. 11. Some characteristics Front Office Back Office Focuses on patient  Performs care administrative Patient records functions should be  Some information is accessible hospital-wide to specific to the clinical individual departments department Time may be  Often is not very critical time-dependent 11
  12. 12. HIS Components Patient management and billing Care delivery and clinical documentation Clinical decision support Department management Financial and resource managementVogel, LH, Perreault, LE., Management of Information in Healthcare Organizations. In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. Health IT Workforce Curriculum Version 2.0/Spring 2011 12
  13. 13. Patient Management and Billing Systems that support patient management functions  Example  Patient identification  Supporting technology  Master patient index Houses centralized database  Patient financial, demographic, registration and location dataVogel, LH, Perreault, LE., Management of Information in Healthcare Organizations. In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. Health IT Workforce Curriculum Version 2.0/Spring 2011 13
  14. 14. Care Delivery and Clinical Documentation Systems that support the delivery of the care and documentation of that care  Example  Clinical information systems, EHRs  Supporting technology  Electronic clinical order entry and results reporting Houses centralized database  Patient clinical dataVogel, LH, Perreault, LE., Management of Information in Healthcare Organizations. In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. Health IT Workforce Curriculum Version 2.0/Spring 2011 14
  15. 15. Clinical Decision Support Systems that support the clinical staff with data interpretation and decision-making  Example  Medication Administration System  Supporting technology  Bar-code medication administration (BCMA) Accesses patient and other databasesVogel, LH, Perreault, LE., Management of Information in Healthcare Organizations. In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006 Health IT Workforce Curriculum Version 2.0/Spring 2011 15
  16. 16. Financial and ResourceManagement Systemsthat support business functions  Example  Accounts Payable System  Supporting technology  Claims administration Houses centralized database  Financial and employee data Health IT Workforce Curriculum Version 2.0/Spring 2011 16
  17. 17. 4 Ways IT Can Help Health Care Strategic • Business Intelligence • CDSS • Data Mining/ • HIE Utilization • CPOE • MIS • PACS • Research Informatics • EHRs • E-learning Administrative Clinical Enterprise Resource • ADT Planning • HIS (ERP) • LIS • Finance • RIS • Materials • HR OperationalPosition may vary based on local context 17
  18. 18. Department Management Systems that support a department’s information needs  Example  Health Information Management Department systems  Supporting technology  Electronic Document Management Systems Supplies data to patient databasesVogel, LH, Perreault, LE., Management of Information in Healthcare Organizations. In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. Health IT Workforce Curriculum Version 2.0/Spring 2011 18
  19. 19. Departmental information system Supports specific needs of each department Often designed to fit best with each department’s unique workflows & circumstances Usually a small system used by a few users of one or two small departments 19
  20. 20. Class Exercise 3 What are some issues you can think of when developing an information system for a specific department 20
  21. 21. Issues of Departmental IS Data integration (data sharing) Silos of information Process (workflow) integration In other words, standardization vs. customization Implementation strategies (build or buy) Sustainability & system maintenance 21
  22. 22. Integration Arrangement of an organization’s information systems  Efficient and effective communication  Bring together related parts into a single system Health IT Workforce Curriculum Version 2.0/Spring 2011 22
  23. 23. Application Integration Patient management and billing  Patient tracking Department management  Electronic document management Care delivery and clinical documentation  Order entry and results reportingVogel, LH, Perreault, LE., Management of Information in Healthcare Organizations. In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. Health IT Workforce Curriculum Version 2.0/Spring 2011 23
  24. 24. Application Integration Clinical decision support  Computer-based physician order-entry Financial and resource management  Provider profiling Vogel, LH, Perreault, LE., Management of Information in Healthcare Organizations. In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. Health IT Workforce Curriculum Version 2.0/Spring 2011 24
  25. 25. Systems Integration Strategies Data preservation Separate information management plan components for  Data management  Applications and business logic  User interface Vogel, LH, Perreault, LE., Management of Information in Healthcare Organizations. In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. Health IT Workforce Curriculum Version 2.0/Spring 2011 25
  26. 26. Key Components of EnterpriseIntegration Master person index Single sign-on Context management Common code sets Data warehouse Health IT Workforce Curriculum Version 2.0/Spring 2011 26
  27. 27. Critical Integration Elements Information is available when and where it is needed Users must have an integrated view Data must have a consistent interpretation Adequate security must be in placeVogel, LH, Perreault, LE., Management of Information in Healthcare Organizations.In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications inHealth Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. Health IT Workforce Curriculum Version 2.0/Spring 2011 27
  28. 28. Data and Process Integration Data integration  Interface engine Process integration  Operational workflow  Human organizational systems Vogel, LH, Perreault, LE., Management of Information in Healthcare Organizations. In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. Health IT Workforce Curriculum Version 2.0/Spring 2011 28
  29. 29. Interface Engine Translates and formats data for exchange Controls data flows between applications Central connecting point for all interfacesVogel, LH, Perreault, LE., Management of Information in Healthcare Organizations. In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. Health IT Workforce Curriculum Version 2.0/Spring 2011 29
  30. 30. HL7 Messaging StandardHealth Level Seven (HL7) Message standard Supports clinical practice Move data in standard formats Health IT Workforce Curriculum Version 2.0/Spring 2011 30
  31. 31. From Islands of Information toMeaningful Use Health IT Workforce Curriculum Version 2.0/Spring 2011 31
  32. 32. System Acquisition Decisions for Departmental Information Systems Build (in-house development) Buy (outsourcing) Combination (e.g. buy then maintain/customize in house) 32
  33. 33. Build or BuyBuild/Homegrown Buy/Outsource Full control of software &  Less control of software data & data Requires local expertise  Requires vendor Expertise competence retention/knowledge  Vendor relationship management is vital management is vital Maybe cost-effective if  Maybe cost-effective high degree of local if economies of scale customizations or long- term projection 33
  34. 34. Build or Buy No universal right or wrong answer Depends on local contexts  Strategic positioning  Internal IT capability  Existing environments  Level of complexity/customization needed  Market factors: market maturity, vendor choices, competence, willingness to customize/learn  Pricing arrangements  Purchasing power  Sustainability 34
  35. 35. Outsourcing Decision Tree Keep Internal No Is external delivery No reliable and lower cost? Does service offer Yes OUTSOURCE! competitive advantage? Yes Keep InternalFrom a teaching slide by Nelson F. Granados, 2006 35
  36. 36. Outsourcing Dilemmas Doig et al, “Has Outsourcing gone too far,” McKinsey Quarterly, 2001 • “One of the challenges Ford has is that it has outsourced so much of its process, it no longer has the expertise to understand how it all comes together” Marco Iansiti, CIO, 2003From a teaching slide by Nelson F. Granados, 2006 36
  37. 37. IT Outsourcing: Ramathibodi’s Case External delivery unreliable • Non-Core HIS External delivery higher cost • ERP, IT Support? Keep Internal No Is external delivery No reliable and lower cost? Does service offer Yes OUTSOURCE! competitive advantage? PACS, RIS, Departmental Yes Keep Internal systems Core HIS, CPOE Strategic advantages • Agility due to local workflow accommodations • Secondary data utilization (research, QI) • Roadmap to national leader in informaticsFrom a teaching slide by Nelson F. Granados, 2006 37
  38. 38. If Decision = BuildChallenges Recruitment & retention Keeping up with new technologies & requirements  The “legacy systems” trap Justifying “slow” implementation 38
  39. 39. If Decision = BuildSuggestions Recruitment & retention Knowledge management: Tacit -> Explicit Have long-term vision/strategies Aim for system evolution  New requirements  New technologies/best practices  Refactoring Prioritize Reevaluate build/buy decision every 5 years 39
  40. 40. If Decision = BuyChallenges Vendor selection Justifying long-term costs Managing risks The “vendor lock-in” problem Sharing data with other systems 40
  41. 41. If Decision = BuySuggestions Take time & effort in knowing your potential vendors Be flexible in requirements, project delivery Look at vendor as partner, not contractor  Avoid “us-versus-them” mentality Understand “learning curves” Be less bureaucratic, more collaborative Be specific in SLAs, MAs, IP, data ownership Choose technologies wisely, with rooms for later migration if possible Knowledge transfer Always have a Plan B (Alternative vendors, internal workforce) 41
  42. 42. Management InformationSystems (MIS) Provides information needed to manage an organization (e.g. a hospital) effectively and efficiently A broad category of information systems  Administrative reports  Enterprise resource planning (ERP)  Supply Chain Management (SCM)  Customer Relationship Management (CRM)  Project management tools  Knowledge management tools  Business intelligence (BI) 42
  43. 43. Business IntelligenceApplications Allows for  Data analysis  Correlation  Trending  Reporting of data across multiple sources Health IT Workforce Curriculum Version 2.0/Spring 2011 43
  44. 44. Business IntelligenceApplications Examples  Clinical and Financial Analytics and Decision Support  Query and Reporting Tools  Data Mining  Online Scoreboards and Dashboards Business Intelligence & Data Warehousing for Healthcare. Clinical Informatics Wiki. 2008. Available from: http://www.informatics- review.com/wiki/index.php/Business_Intelligence_&_Data_Warehousing_f or_Healthcare Health IT Workforce Curriculum Version 2.0/Spring 2011 44
  45. 45. Summary Various departments and their information needs in hospitals/healthcare organizations Applications that need to be integrated in health care information systems Strategies to ensure integration of front-end clinical data collection and back-end billing functions Critical integration elements Information systems for organizational management (MIS) Data analysis and trending (BI) Health IT Workforce Curriculum Version 2.0/Spring 2011 45
  46. 46. References Vogel, LH, Perreault, LE., Management of Information in Healthcare Organizations. In: Shortliffe, E, Cimino J, eds: Biomedical informatics: Computer Applications in Health Care and Biomedicine. Third Edition. New York, NY: Springer; 2006. Health IT Workforce Curriculum Version 2.0/Spring 2011 46

×