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Health Informatics review


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Health Informatics

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Health Informatics review

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