A presentation in March 2012 presented at the Ramathibodi Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University in Bangkok, Thailand. Presentation partly in English and partly in Thai.
This document discusses health information technology (IT) in hospital settings. It describes the roles of hospitals, different types and levels of hospitals, and why the context of each hospital is important for IT decision making. The document also outlines some key considerations for successful IT implementation in hospitals, such as system quality, information quality, use, user satisfaction, and individual and organizational impacts. Examples of important hospital IT include infrastructure systems, clinical systems like electronic health records and computerized physician order entry, and decision support systems. Challenges of implementation are also discussed.
This document discusses digital health transformation and the role of health information technology. It begins by exploring concepts like artificial intelligence, blockchain, cloud computing and big data. It then examines the potential for "smart" machines in healthcare while acknowledging the complexities of digitizing such a system. The document emphasizes that clinical judgment is still necessary given variations in patients. It outlines components of healthcare systems and forms of health IT both within and beyond hospitals. Finally, it discusses using health IT to support clinical decision making and reduce errors.
Renaissance Health Enterprise Solution (RHES) is a comprehensive hospital information management system with over 45 integrated modules covering front office, back office, and additional functions. It provides end-to-end automation of hospital operations from patient registration to billing. RHES seamlessly integrates with other Renaissance healthcare products to create a paperless environment. Key modules include electronic medical records, laboratory information management, pharmacy management, radiology, and finance. RHES aims to improve patient care, enhance staff effectiveness, and support data-driven decision making for hospitals.
The document provides an overview of Hyundai Information Technology's Hospital Information System (Hi-Medi). Key points:
1. Hi-Medi is an integrated hospital management software solution that includes electronic medical records, order communication systems, picture archiving systems, and other modules.
2. It has been implemented in many major hospitals throughout Korea, with installation sizes ranging from 700 to 2,200 beds.
3. Hyundai Information Technology has over 20 years of experience in medical IT and takes a fully digitalized, platform-independent approach to hospital system integration.
Hospital Management System Documentation Java Azeemaj101
The document describes a hospital management system project that was developed to automate manual paper-based systems. The system allows for registration of patients, storing patient information, and management of various hospital departments and functions. It includes features such as doctor scheduling, patient billing, salary calculation, utility billing, and more. Various classes were created to model entities like patients, doctors, nurses, departments, and more, along with their attributes and methods. The project aims to make hospital management more efficient and reduce errors.
This document discusses the implementation of a Hospital Management Information System (HMIS) at Civil Hospital Karachi to improve patient services and care. The system will include modules for patient registration, inpatient and outpatient departments, operating rooms, radiology, billing, human resources, and more. It will be hosted on servers and use a fiber network connecting over 300 nodes. The goals are to increase efficiency, reduce file search times, and provide quick access to patient history data. Over 10,000 patients have been processed through the system since 2011.
This document discusses health information technology (IT) in hospital settings. It describes the roles of hospitals, different types and levels of hospitals, and why the context of each hospital is important for IT decision making. The document also outlines some key considerations for successful IT implementation in hospitals, such as system quality, information quality, use, user satisfaction, and individual and organizational impacts. Examples of important hospital IT include infrastructure systems, clinical systems like electronic health records and computerized physician order entry, and decision support systems. Challenges of implementation are also discussed.
This document discusses digital health transformation and the role of health information technology. It begins by exploring concepts like artificial intelligence, blockchain, cloud computing and big data. It then examines the potential for "smart" machines in healthcare while acknowledging the complexities of digitizing such a system. The document emphasizes that clinical judgment is still necessary given variations in patients. It outlines components of healthcare systems and forms of health IT both within and beyond hospitals. Finally, it discusses using health IT to support clinical decision making and reduce errors.
Renaissance Health Enterprise Solution (RHES) is a comprehensive hospital information management system with over 45 integrated modules covering front office, back office, and additional functions. It provides end-to-end automation of hospital operations from patient registration to billing. RHES seamlessly integrates with other Renaissance healthcare products to create a paperless environment. Key modules include electronic medical records, laboratory information management, pharmacy management, radiology, and finance. RHES aims to improve patient care, enhance staff effectiveness, and support data-driven decision making for hospitals.
The document provides an overview of Hyundai Information Technology's Hospital Information System (Hi-Medi). Key points:
1. Hi-Medi is an integrated hospital management software solution that includes electronic medical records, order communication systems, picture archiving systems, and other modules.
2. It has been implemented in many major hospitals throughout Korea, with installation sizes ranging from 700 to 2,200 beds.
3. Hyundai Information Technology has over 20 years of experience in medical IT and takes a fully digitalized, platform-independent approach to hospital system integration.
Hospital Management System Documentation Java Azeemaj101
The document describes a hospital management system project that was developed to automate manual paper-based systems. The system allows for registration of patients, storing patient information, and management of various hospital departments and functions. It includes features such as doctor scheduling, patient billing, salary calculation, utility billing, and more. Various classes were created to model entities like patients, doctors, nurses, departments, and more, along with their attributes and methods. The project aims to make hospital management more efficient and reduce errors.
This document discusses the implementation of a Hospital Management Information System (HMIS) at Civil Hospital Karachi to improve patient services and care. The system will include modules for patient registration, inpatient and outpatient departments, operating rooms, radiology, billing, human resources, and more. It will be hosted on servers and use a fiber network connecting over 300 nodes. The goals are to increase efficiency, reduce file search times, and provide quick access to patient history data. Over 10,000 patients have been processed through the system since 2011.
Lifeline is a comprehensive hospital management information system designed by Manorama Infosystem to manage all aspects of hospital administration, finances, and operations. It integrates different departments and workflows through a centralized database for real-time access to patient information. Key features include modules for reception, OPD, IPD, billing, laboratory, radiology, pharmacy, and other departments. Lifeline aims to streamline processes, improve efficiency, enhance patient care, and provide data and reports to help manage resources and growth.
SoftClinic Integrated Hospital Management System for Cardiology is worlds first comprehensive hospital information system designed for cardiology clinics. It covers all the requirements like HIS, EMR and PACS for the hospital
Hospital - Hospital Management System (HMS)Tanzil Ahmad
The document describes a Hospital Management System (HMS) software that helps hospitals manage their activities and patient records easily. The HMS software integrates several key modules like IPD management, HR management, billing, and a lab and pharmacy system. It provides benefits like automation, security, error prevention, and ensuring best patient care. The full HMS source code is available for $25 for a regular license.
CARESOFT an Information technology company offering Computer software, IT services and IT consulting to our clients worldwide.
Health Industry being our prime domain CARESOFT provides Intelligent Healthcare Solutions to healthcare Verticals such as Hospitals, Specialty Clinics, Nursing Homes , Diagnostic Centers and Research Care Institutes among others.
We have 8 + years of domain expertise in healthcare processes & software systems and a huge satisfied client base of 300 + Healthcare organizations who have benefited from our solutions.
This document discusses the computerization of hospital management information systems through information technology developments. It covers major areas of IT development like hardware, software, and information systems design. The focus is on using current technologies to improve the effectiveness and efficiency of managing healthcare institutions. Specific areas that can be computerized are discussed, like patient services and management systems. Critical components of developing an integrated patient-based health information system and the organization's management information system are outlined, including conceptual frameworks, recommended approaches, and considerations around database design.
This document describes a health and hospital management system that provides electronic medical records, hospital information systems, and health information systems. It allows doctors to store patients' clinical histories, prescriptions, lab results, and more. Hospitals can use it to manage resources, employees, billing, and inventory. It also provides functionalities for laboratory tests, patient registration and appointments, genetics, gynecology, billing, and tracking patients' lifestyles and socioeconomic data. The system offers flexibility, integration, security, and scalability at no licensing cost to users.
Clinical Information Systems, Hospital Information Systems & Electronic Healt...Nawanan Theera-Ampornpunt
This document discusses clinical information systems (CIS), hospital information systems (HIS), and electronic health records (EHRs). It defines these terms and explains how they are used in hospitals to support various clinical and administrative functions. Key points include: CIS/HIS are used to manage patient data across departments; they integrate applications like electronic health records, laboratory information systems, pharmacy systems and more. EHRs allow longitudinal documentation of a patient's medical history and care. The use of these systems provides benefits like ubiquitous access to records, clinical decision support, and improved quality of care through functions like computerized physician order entry.
The document reviews Cerner's clinical information system used at University of Illinois in Chicago. It outlines Cerner's numerous subsystems and integrated systems that can be customized for individual health systems. It then discusses specific subsystems used at University of Illinois Medical Center like PowerChart, PowerOrders, and PharmNet. It also covers benefits of Cerner's system like reduced requests and increased revenue.
This document provides an overview of health information technology (IT) and electronic health (eHealth). It discusses how information is prevalent in healthcare and highlights several landmark reports from the Institute of Medicine calling for healthcare reform and emphasizing the role of health IT in improving patient safety. The document describes various forms of health IT including electronic health records, computerized provider order entry, clinical decision support systems, and health information exchange. It explains how health IT can help guide clinicians' decisions and reduce errors, while also noting potential risks such as alert fatigue and workarounds.
Understanding basics of software development and healthcareBharadwaj PV
The document discusses key principles for designing software for healthcare applications. It covers understanding the different layers of software, following a software development life cycle, using object-oriented design principles and use case modeling to define system requirements and functionality. Centralizing electronic health records across different systems and locations is proposed to improve patient care, data availability and information sharing between stakeholders.
This document discusses the Hospital Information System (HIS) at Hospital Selayang in Malaysia. It provides details about:
1) The HIS was the first paperless and filmless system in Malaysia, beginning operation in 1999. It integrated clinical, administrative, and financial systems.
2) The HIS included various applications like patient management, scheduling, order management, and clinical documentation. Radiology images were also digitized and viewable online.
3) The hospital had over 20 clinical disciplines and numerous support services integrated into the HIS to provide comprehensive care.
This document provides an overview of Birlamedisoft's Quanta hospital information management system (HIMS). It includes menus and descriptions for modules related to patient registration, billing, laboratory, radiology, pharmacy, inventory, housekeeping, and more. Graphics display sample interfaces for registration cards, dashboards, imaging controls, and connectivity to various medical devices. The system aims to manage all clinical, administrative and financial aspects of healthcare facilities.
Insta Health solutions is a leader in providing hospital and clinics management solutions for the emerging markets of India, Middle East, Africa and Middle East. With over 200 hospitals and clinics using the system in both cloud and local server installations, it has built good reputation as a very easy to use and implement system.
Hospital Information system guide. Working Specification of all modules and necessary architecture of the HIS software. It will help you to customize the system as per your requirement of hospital
This document discusses hospital management information systems (HMIS). It begins by defining key terms like information technology, information systems, and management information systems. It then discusses the need for HMIS to help manage hospitals more effectively through planning, directing, organizing, and controlling activities. The document outlines several levels and configurations of HMIS, from operational systems to strategic decision support systems. It also addresses important considerations for implementing new HMIS like obtaining management support, training users, testing the system, managing the changeover process, and documenting procedures.
Caresoft Hospital Information System is a customizable, integrated hospital management software that offers standard, premium, and basic modules. It provides features like patient registration, billing, reporting, doctor management, lab, pharmacy, and other modules. The system aims to improve hospital management with a performance-based, intelligent approach through automation, integration, and analytics.
Odoo OpenERP 7 Medical Healthcare and Hospital Management Systempragmatic123
This document describes the features and capabilities of the OpenERP Medical Healthcare Hospital Management Module. It provides an overview of the module and highlights that it offers a centralized hospital information system for doctors and institutions. It then lists and describes the key features including appointments, electronic medical records, patient administration, laboratory details, billing, and reporting. The remainder of the document provides screenshots and descriptions of the various functions and forms within the module for managing things like patient registration, prescriptions, hospitalization, medical procedures, and analytics reporting.
Hospital Info systems (HIS) product portfolio ciCamelus Infotech
Do you wish to harness the power of IT in your healthcare setup and improve patient flow, safety and work flow processes?
Camelus Infotech helps you deliver the highest quality patient care while you control labor costs, minimize compliance risks, and improve workforce productivity. The demand for quality healthcare is growing and costs are rising.
Our solutions include: CareXpress, CarePremium & CareEnterprise for Healthcare. For more details email: info@camelusinfotech.com
Evaluation of a clinical information system (cis)nikita024
This power point presentation provides an overview of a clinical information system (CIS). It discusses what a CIS is, how CIS have evolved, and the key players involved in designing CIS. It also examines the electronic health record component of a CIS and discusses the eight basic components that make up an EHR. Additional topics covered include clinical decision making systems, safety, costs, and education regarding CIS. The presentation was created by four students with each student covering specific slides and aspects of the topic.
This document provides an introduction to health information technology (IT) applications in hospitals from Dr. Nawanan Theera-Ampornpunt. It discusses her background and credentials in health informatics. The presentation covers why healthcare differs from other industries in needing IT, examples of common health IT tools, and the value of health IT in improving quality, safety and efficiency. It summarizes landmark reports calling for healthcare reform and modernization through increased IT adoption. The concept of "meaningful use" of electronic health records is introduced as a strategy to promote effective health IT implementation in the US.
This document provides an overview of health information technology (HIT) and its role in healthcare. It discusses how healthcare is complex and information-rich, and how HIT can help address issues like errors, coordination of care, and improving quality. The document outlines key goals of HIT like improving individual and population health as well as organizational efficiency. It also summarizes landmark IOM reports calling for healthcare reform and the role of technology. Examples of HIT tools are provided and how they can help achieve the six dimensions of quality care according to the IOM. The document concludes by noting both benefits and risks of HIT implementation.
Lifeline is a comprehensive hospital management information system designed by Manorama Infosystem to manage all aspects of hospital administration, finances, and operations. It integrates different departments and workflows through a centralized database for real-time access to patient information. Key features include modules for reception, OPD, IPD, billing, laboratory, radiology, pharmacy, and other departments. Lifeline aims to streamline processes, improve efficiency, enhance patient care, and provide data and reports to help manage resources and growth.
SoftClinic Integrated Hospital Management System for Cardiology is worlds first comprehensive hospital information system designed for cardiology clinics. It covers all the requirements like HIS, EMR and PACS for the hospital
Hospital - Hospital Management System (HMS)Tanzil Ahmad
The document describes a Hospital Management System (HMS) software that helps hospitals manage their activities and patient records easily. The HMS software integrates several key modules like IPD management, HR management, billing, and a lab and pharmacy system. It provides benefits like automation, security, error prevention, and ensuring best patient care. The full HMS source code is available for $25 for a regular license.
CARESOFT an Information technology company offering Computer software, IT services and IT consulting to our clients worldwide.
Health Industry being our prime domain CARESOFT provides Intelligent Healthcare Solutions to healthcare Verticals such as Hospitals, Specialty Clinics, Nursing Homes , Diagnostic Centers and Research Care Institutes among others.
We have 8 + years of domain expertise in healthcare processes & software systems and a huge satisfied client base of 300 + Healthcare organizations who have benefited from our solutions.
This document discusses the computerization of hospital management information systems through information technology developments. It covers major areas of IT development like hardware, software, and information systems design. The focus is on using current technologies to improve the effectiveness and efficiency of managing healthcare institutions. Specific areas that can be computerized are discussed, like patient services and management systems. Critical components of developing an integrated patient-based health information system and the organization's management information system are outlined, including conceptual frameworks, recommended approaches, and considerations around database design.
This document describes a health and hospital management system that provides electronic medical records, hospital information systems, and health information systems. It allows doctors to store patients' clinical histories, prescriptions, lab results, and more. Hospitals can use it to manage resources, employees, billing, and inventory. It also provides functionalities for laboratory tests, patient registration and appointments, genetics, gynecology, billing, and tracking patients' lifestyles and socioeconomic data. The system offers flexibility, integration, security, and scalability at no licensing cost to users.
Clinical Information Systems, Hospital Information Systems & Electronic Healt...Nawanan Theera-Ampornpunt
This document discusses clinical information systems (CIS), hospital information systems (HIS), and electronic health records (EHRs). It defines these terms and explains how they are used in hospitals to support various clinical and administrative functions. Key points include: CIS/HIS are used to manage patient data across departments; they integrate applications like electronic health records, laboratory information systems, pharmacy systems and more. EHRs allow longitudinal documentation of a patient's medical history and care. The use of these systems provides benefits like ubiquitous access to records, clinical decision support, and improved quality of care through functions like computerized physician order entry.
The document reviews Cerner's clinical information system used at University of Illinois in Chicago. It outlines Cerner's numerous subsystems and integrated systems that can be customized for individual health systems. It then discusses specific subsystems used at University of Illinois Medical Center like PowerChart, PowerOrders, and PharmNet. It also covers benefits of Cerner's system like reduced requests and increased revenue.
This document provides an overview of health information technology (IT) and electronic health (eHealth). It discusses how information is prevalent in healthcare and highlights several landmark reports from the Institute of Medicine calling for healthcare reform and emphasizing the role of health IT in improving patient safety. The document describes various forms of health IT including electronic health records, computerized provider order entry, clinical decision support systems, and health information exchange. It explains how health IT can help guide clinicians' decisions and reduce errors, while also noting potential risks such as alert fatigue and workarounds.
Understanding basics of software development and healthcareBharadwaj PV
The document discusses key principles for designing software for healthcare applications. It covers understanding the different layers of software, following a software development life cycle, using object-oriented design principles and use case modeling to define system requirements and functionality. Centralizing electronic health records across different systems and locations is proposed to improve patient care, data availability and information sharing between stakeholders.
This document discusses the Hospital Information System (HIS) at Hospital Selayang in Malaysia. It provides details about:
1) The HIS was the first paperless and filmless system in Malaysia, beginning operation in 1999. It integrated clinical, administrative, and financial systems.
2) The HIS included various applications like patient management, scheduling, order management, and clinical documentation. Radiology images were also digitized and viewable online.
3) The hospital had over 20 clinical disciplines and numerous support services integrated into the HIS to provide comprehensive care.
This document provides an overview of Birlamedisoft's Quanta hospital information management system (HIMS). It includes menus and descriptions for modules related to patient registration, billing, laboratory, radiology, pharmacy, inventory, housekeeping, and more. Graphics display sample interfaces for registration cards, dashboards, imaging controls, and connectivity to various medical devices. The system aims to manage all clinical, administrative and financial aspects of healthcare facilities.
Insta Health solutions is a leader in providing hospital and clinics management solutions for the emerging markets of India, Middle East, Africa and Middle East. With over 200 hospitals and clinics using the system in both cloud and local server installations, it has built good reputation as a very easy to use and implement system.
Hospital Information system guide. Working Specification of all modules and necessary architecture of the HIS software. It will help you to customize the system as per your requirement of hospital
This document discusses hospital management information systems (HMIS). It begins by defining key terms like information technology, information systems, and management information systems. It then discusses the need for HMIS to help manage hospitals more effectively through planning, directing, organizing, and controlling activities. The document outlines several levels and configurations of HMIS, from operational systems to strategic decision support systems. It also addresses important considerations for implementing new HMIS like obtaining management support, training users, testing the system, managing the changeover process, and documenting procedures.
Caresoft Hospital Information System is a customizable, integrated hospital management software that offers standard, premium, and basic modules. It provides features like patient registration, billing, reporting, doctor management, lab, pharmacy, and other modules. The system aims to improve hospital management with a performance-based, intelligent approach through automation, integration, and analytics.
Odoo OpenERP 7 Medical Healthcare and Hospital Management Systempragmatic123
This document describes the features and capabilities of the OpenERP Medical Healthcare Hospital Management Module. It provides an overview of the module and highlights that it offers a centralized hospital information system for doctors and institutions. It then lists and describes the key features including appointments, electronic medical records, patient administration, laboratory details, billing, and reporting. The remainder of the document provides screenshots and descriptions of the various functions and forms within the module for managing things like patient registration, prescriptions, hospitalization, medical procedures, and analytics reporting.
Hospital Info systems (HIS) product portfolio ciCamelus Infotech
Do you wish to harness the power of IT in your healthcare setup and improve patient flow, safety and work flow processes?
Camelus Infotech helps you deliver the highest quality patient care while you control labor costs, minimize compliance risks, and improve workforce productivity. The demand for quality healthcare is growing and costs are rising.
Our solutions include: CareXpress, CarePremium & CareEnterprise for Healthcare. For more details email: info@camelusinfotech.com
Evaluation of a clinical information system (cis)nikita024
This power point presentation provides an overview of a clinical information system (CIS). It discusses what a CIS is, how CIS have evolved, and the key players involved in designing CIS. It also examines the electronic health record component of a CIS and discusses the eight basic components that make up an EHR. Additional topics covered include clinical decision making systems, safety, costs, and education regarding CIS. The presentation was created by four students with each student covering specific slides and aspects of the topic.
This document provides an introduction to health information technology (IT) applications in hospitals from Dr. Nawanan Theera-Ampornpunt. It discusses her background and credentials in health informatics. The presentation covers why healthcare differs from other industries in needing IT, examples of common health IT tools, and the value of health IT in improving quality, safety and efficiency. It summarizes landmark reports calling for healthcare reform and modernization through increased IT adoption. The concept of "meaningful use" of electronic health records is introduced as a strategy to promote effective health IT implementation in the US.
This document provides an overview of health information technology (HIT) and its role in healthcare. It discusses how healthcare is complex and information-rich, and how HIT can help address issues like errors, coordination of care, and improving quality. The document outlines key goals of HIT like improving individual and population health as well as organizational efficiency. It also summarizes landmark IOM reports calling for healthcare reform and the role of technology. Examples of HIT tools are provided and how they can help achieve the six dimensions of quality care according to the IOM. The document concludes by noting both benefits and risks of HIT implementation.
A presentation in February 2011 presented at the Ramathibodi Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University in Bangkok, Thailand. Presentation partly in English and partly in Thai.
Health informatics is the application of information science to address problems in healthcare. It involves using technology and data to improve individual health as well as healthcare systems. The adoption of health IT aims to enhance quality, safety, efficiency and reduce costs. Key health IT tools discussed include electronic health records, clinical decision support systems, computerized physician order entry, and health information exchange. The document outlines the benefits and challenges of implementing health IT to transform healthcare delivery.
This document provides an overview of a presentation on health IT for Vichaiyut Hospital's 17th Conference in 2018. It was presented by Nawanan Theera-Ampornpunt, an assistant dean for informatics and lecturer at Mahidol University. The presentation discusses how healthcare differs from manufacturing and banking in its complexity, and argues that healthcare can still benefit from technology by focusing on information and process improvement rather than just implementing technology. It also summarizes landmark reports calling for healthcare reform and the role health IT can play in improving quality and patient safety.
This document provides an overview of hospital IT management from Nawanan Theera-Ampornpunt. It begins with an introduction of the author's background and credentials. The presentation outline is then shown, covering why health IT is needed in hospitals, what forms it takes, and how it should be managed. Key points include the importance of information in healthcare, the risks of medical errors, the value of clinical decision support, and the need to balance technology, people and processes. The presentation emphasizes linking IT to quality improvement rather than seeing it as an end in itself, and ensuring IT aligns with and enhances the overall organizational context.
This document discusses a presentation about ICT applications for healthcare given by Dr. Nawanan Theera-Ampornpunt. It provides background on her education and experience in health informatics. The presentation covers why healthcare needs ICT due to issues like errors, fragmentation, and large amounts of information. It defines key terms like health IT, eHealth, and examples of ICT applications like EHRs, telemedicine, and clinical decision support systems. It discusses the need for standards, interoperability, and a vision for connected healthcare information exchange.
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 12, 2020
Presented at the Data Science for Healthcare Graduate Programs, Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 7, 2019
Introduction to Health Informatics and Health IT (Part 2) (February 10, 2021)Nawanan Theera-Ampornpunt
This document provides an overview of principles of health IT application in healthcare. It discusses how healthcare is different from other industries due to its life-or-death nature, many stakeholders, and fragmented systems. It then explains how health IT can help address issues like errors, lack of information access, and inefficient processes through functions like computerized provider order entry, electronic health records, and health information exchange. The document also reviews landmark reports on medical errors and the need for healthcare reform using health IT.
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 4, 2021
This document discusses digital health care and IT Thailand 4.0. It begins with an introduction of the speaker, Dr. Nawanan Theera-Ampornpunt, who has a PhD in health informatics. The document then explores various aspects of digital health, including wearable devices, digitizing hospitals, smart manufacturing, banking and healthcare. It discusses the differences and challenges of making healthcare smart compared to other industries. The document emphasizes using health IT to improve quality including reducing errors, and focuses on information and process improvement rather than just technology. It outlines various areas of health informatics and examples of health IT used in clinical, public health and consumer settings.
Introduction to Health Informatics and Health IT in Clinical Settings (Part 2...Nawanan Theera-Ampornpunt
1. Health IT has documented benefits including improved guideline adherence, better documentation, safer medication management through drug interaction/allergy checks, and cost savings.
2. However, implementing health IT does not automatically solve all problems and may introduce risks such as alert fatigue.
3. Health IT should focus on ultimately improving patient and population health, safety, timeliness, effectiveness, efficiency, equity and patient-centeredness of care. The next focus will be on how health IT can help in clinical settings.
1) Stakeholders in healthcare include providers, patients, payers, and policymakers who each have different priorities and incentives related to health IT adoption.
2) The US government has taken several steps over the past few decades to promote health IT adoption through reports, legislation, and funding, including the HITECH Act within the 2009 stimulus package.
3) Consumer health informatics focuses on empowering individuals through technologies that provide health information, education, and tools to better manage their own health. Personal health records are one example aimed at engaging consumers.
This document provides information about Nawanan Theera-Ampornpunt and her background and qualifications. It outlines her educational history, including obtaining an MD from Ramathibodi Hospital in 2003, an MS in Health Informatics from the University of Minnesota in 2009, and a PhD in Health Informatics from the University of Minnesota in 2011. Currently, she is a faculty member at Ramathibodi Hospital. The document then provides an outline on health IT in hospitals.
Presented at the Intermediate Certificate Courses - Good Governance for Medical Executives, King Prajadhipok's Institute and the Medical Council of Thailand, Bangkok, Thailand on March 13, 2021
Presented at the BDMS Golden Jubilee Scientific Conference 2022 "BDMS Beyond 50 years: Looking towards the centennial," Bangkok Dusit Medical Services Public Company Limited (BDMS), Bangkok, Thailand on October 19, 2022
Telemedicine provides healthcare at a distance using telecommunications technology. It has grown from focusing on increasing access to now emphasizing convenience and cost reduction. Store-and-forward and home-based telemedicine have evidence for treating chronic diseases, while office/hospital telemedicine is effective for verbal interactions in specialties like neurology and psychiatry. Current trends include expanding telemedicine to more chronic conditions and migrating services from clinical settings to homes and mobile devices. However, reimbursement remains limited and fragmented while quality of remote care compared to in-person visits requires more evidence. Proper guidelines, standards, training and balancing innovation with risk-based regulation can maximize telemedicine's benefits while minimizing harms.
Presented at The Thai Medical Informatics Association Annual Conference and The National Conference on Medical Informatics (TMI-NCMedInfo) 2021, Bangkok, Thailand on November 26, 2021
The document discusses the field of health informatics and provides definitions and examples. It defines health informatics as the application of information science to healthcare and biomedical research. It describes the relationships between health informatics and other fields like computer science, engineering, and the medical sciences. The document also discusses different areas of health informatics like clinical informatics, public health informatics, and consumer health informatics. It provides examples of common health information technologies used in healthcare settings like electronic health records, computerized physician order entry, and picture archiving systems.
This document provides an introduction to research ethics and ethics for health informaticians. It begins with definitions of ethics, morals, and norms. It then discusses the role of law, professional codes of conduct, and ethics in establishing standards of acceptable behavior. Key topics in research ethics are introduced through discussions of historic cases like the Nazi human experiments, Beecher's research ethics violations, and the Tuskegee Syphilis Study. The document outlines the Belmont Report's three ethical principles of respect for persons, beneficence, and justice. Ethical issues in health informatics like alerts fatigue from clinical decision support systems and unintended consequences of health IT are also discussed.
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 10, 2021
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 10, 2021
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
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Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
2. A Few Words About Me...
2003 M.D. (1st-Class Honors) Ramathibodi
2009 M.S. (Health Informatics) University of Minnesota
2011 Ph.D. (Health Informatics) University of Minnesota
Currently
• Medical Systems Analyst, Health Informatics Division, Ramathibodi
Contacts
ranta@mahidol.ac.th
SlideShare.net/Nawanan
www.tc.umn.edu/~theer002
groups.google.com/group/ThaiHealthIT
2
3. Outline
Healthcare & Health IT
Health IT Applications in Hospitals
Health Informatics As A Field
IT Management
3
8. Why Health care Isn’t Like Any Others?
Life‐or‐Death
Many & varied stakeholders
Strong professional values
Evolving standards of care
Fragmented, poorly‐coordinated systems
Large, ever‐growing & changing body of
knowledge
High volume, low resources, little time
8
9. Why Health care Isn’t Like Any Others?
Large variations & contextual dependence
Input Process Output
Patient Decision‐ Biological
Presentation Making Responses
9
10. But...Are We That Different?
Banking
Input Process Output
Transfer
Location A Location B
Value‐Add
‐ Security
‐ Convenience
‐ Customer Service
10
11. But...Are We That Different?
Manufacturing
Input Process Output
Raw Assembling Finished
Materials Goods
Value‐Add
‐ Innovation
‐ Design
‐ QC
11
12. But...Are We That Different?
Health care
Input Process Output
Sick Patient Patient Care Well Patient
Value‐Add
‐ Technology & medications
‐ Clinical knowledge & skills
‐ Quality of care; process improvement
‐ Information
12
14. Various Forms of Health IT
Hospital Information System (HIS) Computerized Provider Order Entry (CPOE)
Electronic
Health
Records Picture Archiving and
(EHRs) Communication System
(PACS)
14
15. Still Many Other Forms of Health IT
Health Information
Exchange (HIE)
m‐Health
Biosurveillance
Personal Health Records
(PHRs)
Telemedicine &
Information Retrieval Telehealth
15 Images from Apple Inc., Geekzone.co.nz, Google, PubMed.gov, and American Telecare, Inc.
16. Why Adopting Health IT?
“To Go paperless” “To Computerize”
“To Get a HIS”
“Digital Hospital”
“To Have EMRs”
“To Modernize”
“To Share data”
16
17. Some Quotes
“Don’t implement technology just for
technology’s sake.”
“Don’t make use of excellent technology.
Make excellent use of technology.”
(Tangwongsan, Supachai. Personal communication, 2005.)
“Health care IT is not a panacea for all that ails
medicine.” (Hersh, 2004)
17
20. Value of Health IT
Guideline adherence
Better documentation
Practitioner decision making or
process of care
Medication safety
Patient surveillance &
monitoring
Patient education/reminder
20
24. Landmark IOM Reports: Summary
Humans are not perfect and are bound to make
errors
Highlight problems in the U.S. health care system
that systematically contributes to medical errors and
poor quality
Recommends reform that would change how health
care works and how technology innovations can
help improve quality/safety
24
25. Why We Need Health IT
Health care is very complex (and inefficient)
Health care is information‐rich
Quality of care depends on timely availability &
quality of information
Clinical knowledge body is too large
Short time during a visit
Practice guidelines are put “on‐the‐shelf”
“To err is human”
25
26. To Err Is Human
Perception errors
26 Image Source: interaction‐dynamics.com
27. To Err Is Human
Lack of Attention
Image Source: aafp.org
27
28. To Err Is Human
Cognitive Errors - Example: Decoy Pricing
# of
The Economist Purchase Options People
• Economist.com subscription $59 16
• Print subscription $125 0
• Print & web subscription $125 84
# of
The Economist Purchase Options People
• Economist.com subscription $59 68
32 Ariely (2008)
• Print & web subscription $125
28
31. U.S.’s Efforts on Health IT Adoption
?
“...We will make wider use of electronic records and
other health information technology, to help control
costs and reduce dangerous
medical errors.”
President George W. Bush
Sixth State of the Union Address, January 31, 2006
31 Source: Wikisource.org Image Source: Wikipedia.org
32. Public Policy in Informatics: A US’s Case
1991: IOM’s CPR Report published
1996: HIPAA enacted
2000‐2001: IOM’s To Err Is Human &
Crossing the Quality Chasm published
2004: George W. Bush’s Executive Order
establishing ONCHIT (ONC)
2009‐2010: ARRA/HITECH Act &
“Meaningful use” regulations
32
33. U.S. Adoption of Health IT
Ambulatory (Hsiao et al, 2009) Hospitals (Jha et al, 2010)
Basic EHRs w/ notes 9.2%
Comprehensive EHRs 2.7%
CPOE for medications 34%
• U.S. lags behind other Western countries
(Schoen et al, 2006;Jha et al, 2008)
• Money and misalignment of benefits is the biggest
reason
33
34. We Need “Change”
“...we need to upgrade our medical
records by switching from a paper to
an electronic system of record
keeping...”
President Barack Obama
June 15, 2009
34
35. The Birth of “Meaningful Use”
“...Our recovery plan will invest in
electronic health records and new technology
that will reduce errors, bring down costs,
ensure privacy, and save lives.”
President Barack Obama
Address to Joint Session of Congress
February 24, 2009
35 Source: WhiteHouse.gov
36. American Recovery & Reinvestment Act
Contains HITECH Act
(Health Information Technology for Economic and
Clinical Health Act)
~ 20 billion dollars for Health IT investments
Incentives & penalties for providers
36
37. U.S. National Leadership
David Brailer, MD, PhD
National Coordinator for
Health Information Technology
(2004 - 2007)
Robert Kolodner, MD
National Coordinator for
Health Information Technology
(2006 - 2009)
David Blumenthal, MD, MPP
National Coordinator for
Health Information Technology
(2009 - 2011)
Farzad Mostashari, MD, ScM
National Coordinator for
Health Information Technology
(2011 - Present)
37
39. “Meaningful Use”
“Meaningful Use”
Pumpkin
of a Pumpkin
39 Image Source & Idea Courtesy of Pat Wise at HIMSS, Oct. 2009
40. “Meaningful Use” of Health IT
Better
Stage 1
Stage 3
Health
‐ Electronic capture of
health information
‐ Information sharing Stage 2
Use of
‐ Data reporting EHRs to
Use of EHRs improve
to improve outcomes
processes of
care
40
(Blumenthal, 2010)
43. Enterprise‐wide Hospital IT
Master Patient Index (MPI)
Admit‐Discharge‐Transfer (ADT)
Electronic Health Records (EHRs)
Computerized Physician Order Entry (CPOE)
Clinical Decision Support Systems (CDSSs)
Picture Archiving and Communication System (PACS)
Nursing applications
Enterprise Resource Planning (ERP)
43
44. Departmental IT
Pharmacy applications
Laboratory Information System (LIS)
Radiology Information System (RIS)
Specialized applications (ER, OR, LR,
Anesthesia, Critical Care, Dietary Services,
Blood Bank)
Incident management & reporting system
44
45. Hospital Information System
Clinical
Medical ADT Notes
Records
Workflow
Pharmacy IS
Operation Master
Patient LIS
Theatre
Index (MPI)
Order
CCIS
RIS
Scheduling
Portals Billing
PACS
45 Modified from Dr. Artit Ungkanont’s slide
46. HIT Systems (Inpatient)
Clinical Decision Support:
“Any system designed to
improve clinical decision making
related to diagnostic or
therapeutic processes of care.”
46 From Dr. Artit Ungkanont’s slide
47. EHRs & HIS
The Challenge ‐ Knowing What It Means
Electronic Health
Records (EHRs)
Hospital
Information System
Electronic Medical (HIS)
Records (EMRs)
Electronic Patient
Records (EPRs)
Clinical Information
System (CIS)
Personal Health
Computer‐Based Records (PHRs)
Patient Records
(CPRs)
47
48. EHR Systems
Just electronic documentation?
History Diag‐ Treat‐
...
& PE nosis ments
Or do they have other values?
48
49. Functions that Should Be Part of EHR Systems
Computerized Medication Order Entry
Computerized Laboratory Order Entry
Computerized Laboratory Results
Physician Notes
Patient Demographics
Problem Lists
Medication Lists
Discharge Summaries
Diagnostic Test Results
Radiologic Reports
49 (IOM, 2003; Blumenthal et al, 2006)
51. Computerized Physician Order Entry (CPOE)
Values
No handwriting!!!
Structured data entry: Completeness, clarity,
fewer mistakes (?)
No transcription errors!
Entry point for CDSSs
Streamlines workflow, increases efficiency
51
52. Clinical Decision Support Systems (CDSSs)
The real place where most of the
values of health IT can be achieved
Expert systems
Based on artificial intelligence,
machine learning, rules, or
statistics
Examples: differential diagnoses,
(Shortliffe, 1976) treatment options
52
53. Clinical Decision Support Systems (CDSSs)
Alerts & reminders
Based on specified logical conditions
Examples:
Drug‐allergy checks
Drug‐drug interaction checks
Drug‐disease checks
Drug‐lab checks
Drug‐formulary checks
Reminders for preventive services or certain actions
(e.g. smoking cessation)
Clinical practice guideline integration
53
54. Clinical Decision Support Systems (CDSSs)
Evidence‐based knowledge sources e.g. drug
database, literature
Simple UI designed to help clinical decision making
E.g., Abnormal Lab Highlights
54
55. A Basic Architecture of A CDSS
User User Interface
Inference Engine
Knowledge
Other Data Base Patient Data
• System states • Rules
• Epidemiological/ • Statistical data
surveillance data • Literature
• Etc. • Etc.
55
56. Clinical Decision Support Systems (CDSSs)
PATIENT
Perception
CLINICIAN
Attention
Long Term Memory External Memory
Working
Memory
Knowledge Data Knowledge Data
Inference
DECISION
56 From a teaching slide by Don Connelly, 2006
57. Clinical Decision Support Systems (CDSSs)
PATIENT
Perception
CLINICIAN
Abnormal lab
Attention highlights
Long Term Memory External Memory
Working
Memory
Knowledge Data Knowledge Data
Inference
DECISION
57
58. Clinical Decision Support Systems (CDSSs)
PATIENT
Perception
CLINICIAN
Abnormal lab
Attention highlights
Long Term Memory External Memory
Working
Memory
Knowledge Data Knowledge Data
Inference
DECISION
58
59. Clinical Decision Support Systems (CDSSs)
PATIENT
Perception
CLINICIAN
Drug‐Allergy
Attention Checks
Long Term Memory External Memory
Working
Memory
Knowledge Data Knowledge Data
Inference
DECISION
59
60. Clinical Decision Support Systems (CDSSs)
PATIENT
Perception Drug‐Drug
CLINICIAN Interaction
Attention Checks
Long Term Memory External Memory
Working
Memory
Knowledge Data Knowledge Data
Inference
DECISION
60
61. Clinical Decision Support Systems (CDSSs)
PATIENT
Perception Clinical Practice
CLINICIAN Guideline
Reminders
Attention
Long Term Memory External Memory
Working
Memory
Knowledge Data Knowledge Data
Inference
DECISION
61
62. Clinical Decision Support Systems (CDSSs)
PATIENT
Perception
CLINICIAN
Attention
Long Term Memory External Memory
Working
Memory
Knowledge Data Knowledge Data
Inference Diagnostic/Treatment
Expert Systems
DECISION
62
63. Clinical Decision Support Systems (CDSSs)
CDSS as a replacement or supplement of
clinicians?
The demise of the “Greek Oracle” model (Miller & Masarie, 1990)
The “Greek Oracle” Model
The “Fundamental Theorem”
63 (Friedman, 2009)
68. 4 Quadrants of Hospital IT
Strategic
Business
Intelligence HIE
PHRs
CDSS
Social
Media CPOE
Administrative Clinical
VMI EHRs
ERP PACS
LIS
ADT
Word
Processor MPI
Operational
68
70. Biomedical/Health Informatics
“[T]he field that is concerned with the optimal use
of information, often aided by the use of
technology, to improve individual health, health
care, public health, and biomedical research” (Hersh,
2009)
“[T]he application of the science of information as
data plus meaning to problems of biomedical
interest” (Bernstam et al, 2010)
70
71. DIKW Pyramid
Wisdom
Knowledge
Information
Data
71
74. M/B/H Informatics and Other Fields
Social Sciences
(Psychology, Statistics &
Sociology, Research
Linguistics, Methods
Cognitive & Law & Ethics) Medical
Decision Sciences &
Science Public Health
Engineering Management
Library
Computer & Biomedical/
Science,
Information Health
Information
Science Informatics
Retrieval, KM
And More!
74
78. Context
The current location
The tailwind The headwind
The past journey The
direction The destination
The speed
The sailor(s) & The sail
people on board The boat
The sea
78 The sailboat image source: Uwe Kils via http://en.wikipedia.org/wiki/Sailing
81. 4 Quadrants of Hospital IT
Strategic
Business
Intelligence HIE
PHRs
CDSS
Social
Media CPOE
Administrative Clinical
VMI EHRs
ERP PACS
LIS
ADT
Word
Processor MPI
Operational
81
82. IT As A Strategic Advantage
Sustainable
Yes
competitive
advantage
Yes Inimitable ?
Yes Rare ?
No
Preemptive
Yes Non-Substitutable? No advantage
Competitive
Valuable ? parity
No
Competitive
No necessity
Competitive
Resources/ Disadvantage
capabilities
82 From a teaching slide by Nelson F. Granados, 2006 at University of Minnesota Carlson School of Management
83. “The Sail”
Vision เป็นโรงพยาบาลชั้นนําของ Vision เป็นโรงพยาบาล High Tech
ภูมิภาคเอเชียทีมยาลัย 900 ศใน ง
รพ.มหาวิท่ ีความเป็นเลิ เตีย Highรพ.เอกชน นําของประเทศ
Touch ชั้น 200 เตียง
ด้านบริการ การศึกษา และวิจัย
Current IT Environment
Current IT Environment มี MPI, ADT, EHRs, CPOE แต่ยังมี
เป็น รพ.แรกๆ ที่มี HIS ซึ่งพัฒนาเอง และ CDSS จํากัด
ต่อยอดจาก MPI, ADT ไปสู่ CPOE (แต่ ยังไม่มี Customer Relationship Management
ยังขาด advanced CDSS) ระบบ HIS (CRM)
เข้ากับ workflow ของ รพ. เป็นอย่างดี ยังไม่มี Personal Health Records (PHRs)
ปัจจุบัน ระบบ HIS ยังใช้เทคโนโลยี
เดียวกับช่วงที่พฒนาใหม่ๆ (20 ปีก่อน)
ั
เป็นหลัก มีการนําเทคโนโลยีใหม่ๆ มาใช้
อย่างช้าๆ
83
84. IT As A Strategic Advantage
Sustainable
Yes
competitive
advantage
Yes Inimitable ?
Yes Rare ?
No
Preemptive
Yes Non-Substitutable? No advantage
Competitive
Valuable ? parity
No
Competitive
No necessity
Competitive
Resources/ Disadvantage
capabilities
84 From a teaching slide by Nelson F. Granados, 2006 at University of Minnesota Carlson School of Management
87. Context
The current location
The tailwind The headwind
The past journey The
direction The destination
The speed
The sailor(s) & The sail
people on board The boat
The sea
87 The sailboat image source: Uwe Kils via http://en.wikipedia.org/wiki/Sailing
88. “The Boat”
Size
Resources
Structures
Work Processes
Facilities/Geography
Etc.
88
89. “The Sea”
Target customers
Local competitiveness
Relationship of hospital to local players
Inter‐organizational collaboration
IT market environment
National/international trend
Regulations
Standard of care
Etc.
89
90. SWOT Analysis
“The Boat” “The Sea”
“The Tailwind” Strengths Opportunities “The Tailwind”
“The Headwind” Weaknesses Threats “The Headwind”
90
91. IT Outsourcing Decision Tree
Keep Internal
No
Is external delivery
No reliable and lower cost?
Does service offer Yes OUTSOURCE!
competitive advantage?
Yes Keep Internal
91 From a teaching slide by Nelson F. Granados, 2006
92. IT Outsourcing Decision Tree: Ramathibodi’s Case
External delivery unreliable
• Non‐Core HIS
External delivery higher cost
• ERP maintenance/ongoing
customization
Keep Internal
No
Is external delivery
No reliable and lower cost?
Does service offer Yes OUTSOURCE!
competitive advantage?
ERP initial
implementation,
Yes Keep Internal
PACS, RIS,
Core HIS, CPOE Departmental
Strategic advantages systems,
• Agility due to local workflow accommodations IT Training
• Secondary data utilization (research, QI)
• Roadmap to national leader in informatics
92
93. Gartner Hype Cycle
Image source: Jeremy Kemp via http://en.wikipedia.org/wiki/Hype_cycle
93 http://www.gartner.com/technology/research/methodologies/hype‐cycle.jsp
97. Summary
Healthcare is complex
Health IT can benefit healthcare through
Information delivery
Process improvement
Empowering providers & patients
The world is moving toward health IT
Health informatics is related to & relies on the field of IT, but they
are not the same
Management of hospital IT is crucial to success
Know your organization (“context”)
Strategic mindset
Project & change management
97
98. Final Words...
Don’t forget our real aim...
Adoption Use Outcomes
98
100. References
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