This document discusses components and considerations for clinical information systems (CIS). It describes the common components of a CIS including electronic medical records, clinical data repositories, clinical guidelines, and decision support tools. It outlines important factors to consider when implementing a CIS such as cost, safety, security, education and training for staff. Selection of a CIS requires involvement from clinical and administrative staff and should be based on how it improves patient care and integrates with existing systems while protecting privacy. Ongoing support is also essential during and after implementation.
What is Health Informatics?
HI Goals
HI stakeholders
HI subfields / subspecialties
Healthcare trends & HI
HI professional environments
HI education / training opportunities & degrees
HI organizations / journals / meetings / events
HI professional certificates
HI books
Presented at the 7th Healthcare CIO Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on July 8, 2016
What is Health Informatics?
HI Goals
HI stakeholders
HI subfields / subspecialties
Healthcare trends & HI
HI professional environments
HI education / training opportunities & degrees
HI organizations / journals / meetings / events
HI professional certificates
HI books
Presented at the 7th Healthcare CIO Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on July 8, 2016
Introduction to Routine Health Information System SlidesSaide OER Africa
Introduction to Routine Health Information System was created for undergraduate and postgraduate health science students to introduce them to the concepts and methods of routine health information systems.
The learning objectives are to help users explain the roles of routine health information systems (RHIS) in health service management; examine strategies used to improve routine health information systems; acquaint with skills to carry out the process of improving RHIS performance; discuss three categories of determinants that influence RHIS.
Public Health informatics, Consumer health informatics, mHealth & PHRs (Novem...Nawanan Theera-Ampornpunt
Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
Electronic Health Record System and Its Key Benefits to Healthcare IndustryCalance
This case study discusses how Electronic Health Record can turn out to be a solution to the problems associated with paper based clinical records. It’s a future-proof solution decreasing chances of error and loss while increasing patient-provider communication. Find out the key challenges faced by US health industry, key benefits of EHRs, and how Calance can help developing an HER solution. For more info about Calance, visit http://www.calanceus.com
Nursing informatics
What is nursing informatics?
Evolution of nursing informatics
Role of the Nurse as knowledge worker
Medical Informatics
Consumer Informatics
Healthcare Data Management: Three Principles of Using Data to Its Full PotentialHealth Catalyst
Author Douglas Laney is now tackling the topic of Infonomics: the practice of information economics. In his 2017 book, Infonomics: How to Monetize, Manage, and Measure Information as an asset for competitive advantage, Laney provides detailed rationale as well as a thoughtful framework for treating information as a modern-day organization’s most valuable asset.
This article walks through how healthcare organizations can leverage data to its full potential using this framework and the three principles of infonomics:
Measure - How much data does the organization have? What is it worth?
Manage - What data does the organization have? Where is it stored?
Monetize - How does the organization use data?
Introduction to Routine Health Information System SlidesSaide OER Africa
Introduction to Routine Health Information System was created for undergraduate and postgraduate health science students to introduce them to the concepts and methods of routine health information systems.
The learning objectives are to help users explain the roles of routine health information systems (RHIS) in health service management; examine strategies used to improve routine health information systems; acquaint with skills to carry out the process of improving RHIS performance; discuss three categories of determinants that influence RHIS.
Public Health informatics, Consumer health informatics, mHealth & PHRs (Novem...Nawanan Theera-Ampornpunt
Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
Electronic Health Record System and Its Key Benefits to Healthcare IndustryCalance
This case study discusses how Electronic Health Record can turn out to be a solution to the problems associated with paper based clinical records. It’s a future-proof solution decreasing chances of error and loss while increasing patient-provider communication. Find out the key challenges faced by US health industry, key benefits of EHRs, and how Calance can help developing an HER solution. For more info about Calance, visit http://www.calanceus.com
Nursing informatics
What is nursing informatics?
Evolution of nursing informatics
Role of the Nurse as knowledge worker
Medical Informatics
Consumer Informatics
Healthcare Data Management: Three Principles of Using Data to Its Full PotentialHealth Catalyst
Author Douglas Laney is now tackling the topic of Infonomics: the practice of information economics. In his 2017 book, Infonomics: How to Monetize, Manage, and Measure Information as an asset for competitive advantage, Laney provides detailed rationale as well as a thoughtful framework for treating information as a modern-day organization’s most valuable asset.
This article walks through how healthcare organizations can leverage data to its full potential using this framework and the three principles of infonomics:
Measure - How much data does the organization have? What is it worth?
Manage - What data does the organization have? Where is it stored?
Monetize - How does the organization use data?
HIPAA's Title II- Administrative Simplification Rules: The Three Basic Rules ...Quinnipiac University
HIPAA Title II, The Administrative Simplification provisions were establish for a variety of reasons. The main rationale was to take advantage of twenty-first century technology, and increase efficiency by eliminating redundant and manual processes. By establishing electronic health information systems, electronic protected health information (ePHI) became Congress’ top priority, on how healthcare organizations should deal with such vital and confidential information.
The aim of this paper is to examine an in-depth look at HIPAA’s Title II on how technology has enhanced the way healthcare organizations conduct their business activities on a daily basis, while specifically addressing the privacy and security issues that many are concerned about. This paper will explain the background and history behind HIPAA and Title II, including Congress’ goals and objectives for this act, and then will go into great detail about the three basic rules that HIPAA, and more specifically Title II, are all about.
Cis evaluation final_presentation, nur 3563 sol1SBU
An overview of a Computer Information System (CIS) and considerations that need to be taken with implementing an Electronic Health Record (EHR) in a healthcare setting.
The HIPAA Security Rule establishes national standards to protect individuals’ electronic personal health information that is created, received, used, or maintained by a covered entity. The Security Rule requires appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity, and security of electronic protected health information. The Security Rule is located at 45 CFR Part 160 and Subparts A and C of Part 164.
HIPAA Security Rule list 28 adminstrative safeguards, 12 Physical safeguards, 12 technical safeguards along with specific organization and policies and procedures requirements. EHR 2.0 HIPAA security assessment services help covered entities to discover the gap areas based on the required and addressable requirements.
There are two main rules for HIPAA. One is a rule on privacy and the other on Security.
The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives patients rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections. The Privacy Rule is located at 45 CFR Part 160 and Subparts A and E of Part 164.
How often the security should be reviewed?
Security standard mentioned under HIPAA should be reviewed and modified as needed to continue provision of reasonable and appropriate protection of electronic protected health information.
Confidentiality
Limiting information access and disclosure to authorized users (the right people)
Integrity
Trustworthiness of information resources (no inappropriate changes)
Availability
Availability of information resources (at the right time)
http://ehr20.com/services/hipaa-security-assessment/
Mobile-First SEO - The Marketers Edition #3XEDigitalAleyda Solís
How to target your SEO process to a reality of more people searching on mobile devices than desktop and an upcoming mobile first Google index? Check it out.
Health institution requires quality data and information management to function effectively and efficiently. It is an understatement to say that many organizations, institutions or government agencies have become critically dependent on the use of database system for their successes especially in the hospital. This work aims at developing an improved hospital information management system using a function-based approach. An efficient HIMS that can be used to manage patient information and its administration is presented in this work. This is with the goal of eradicating the problem of improper data keeping, inaccurate reports, wastage of time in storing, processing and retrieving information faced by the existing hospital information system in order to improve the overall efficiency of the health institution. The system was developed with Hypertext Markup Language (HTML), Cascading Style Sheets (CSS), Hypertext Preprocessor (PHP), and My Structured Query Language (MySQL). The new system was tested using data collected from Renewal Clinic, Ibadan, Nigeria was used as case study were the data for the research was collected and the system was tested. The system provides a vital platform of information storage and retrieval in hospitals.
2. Overview of a CIS Clinical Information Systems (CIS) consists of information technology that is used at the point of patient care. Included in the decision making is electronic medical records, clinical data repositories, clinical care guidelines, medication interactions and others per program(University of Medicine and Dentistry of New Jersey 2009).
3. Overview of a CIS There are many components to the repository in a CIS. The patients’ medical history including prior hospitalizations, progress notes, surgical notes, nurses charting, vital signs and lab results. The patients current and past medications are also listed with patient allergies to assist in medication administration. This information is available to help decide the plan of care for patients. Clinical guidelines are also incorporated.
4. Who picks the CIS? The entire healthcare team from people involved in direct patient care to the persons controlling the budget and current medical records. A CIS has to work for the facility it is placed in and has to be changed and improved as the healthcare facility changes. Hospital management should pick a program based on the financial aspect, how it will improve patient care, how well it will meld into already established systems and how secure it will be for patient privacy. Many companies provide tech support and follow-up education before during and after CIS implementation Healthland is one company that continuous to provide support to hospital staff during the entire implementation process and beyond(Healthland 2010)
5. EHR Components The common denominator of the eight basic components of a successful electronic health record must be : Patient Safety (McGonigle, & Mastrian, 2009)
6. EHR Components Should include: Health Information and Data Results Management Order Entry Management Decision Support Electronic Communication and Connectivity Patient Support Administration Reporting and Population Health Management (McGonigle, & Mastrian, 2009)
7. EHR Components Administrative Components: Patient Name, Demographics, Chief complaint, Patient disposition, etc. The registration portion of an EHR contains a unique patient identifier, usually consisting of a numeric or alphanumeric sequence ("Mitre center for," 2006)
8. EHR Components Lab systems to integrate orders, results from laboratory , schedules, billing, and other administrative information .
9. EHR Components Radiology The system should tie together radiology data (e.g., orders, interpretations, patient identification information) and images. They are usually used in conjunction with picture archiving communications systems. ("Mitre center for," 2006)
10. Clinical Decision Making Should Include Accessibility and Use for: Nurses Administrative Staff Lab Personnel Pharmacy Physicians All disciplines need to be able to use and update information.(Farukhi)
11. Clinical Decision Making Designed to assist health care professionals in the areas of : Information Management Access (e.g., reference ranges for lab values ). Electronic Resources (e.g., bibliographic databases and pharmacy knowledge bases). Tools for focusing attention to things that might be overlooked (e.g., abnormal labs). (Bakken, Currie, Lee, Roberts, & Cimino, 2008)
12. Clinical Decision Making Tools for Patient Specific Consultation : Custom Tailored Assessments Advice Based on Set of Patient Specific Data Decision Analysis Diagnostic Decision Support Protocol Eligibility Treatment Recommendations All should be focused on Evidence Based Practice (Bakken, Currie, Lee, Roberts, & Cimino, 2008)
15. Safety YouTube - electronic medical records security The above video highlights some of the concerns of safety with patient information that is contained in electronic format.
28. Cost Considerations V. Ciotti (2009) stated that EPIC a very popular CIS is overly expensive. He mentioned there are other providers that are more reasonable . Analyst S.Gunasekaran(2009) stated that Epic only brings in a fraction of the Billion dollar price tag hospitals advertise. The processes of picking a CIS is challenging and has many facets.
29. Cost Considerations Sanyal (2009) Stated to choose a program within budget that can be upgraded and changed with the changing of the hospital. The cost for these changes and upgrades including storage and safety need to be considered.
31. Nursing Informatics Methods of training Online Hands on Blended Modalities of training Video Webcasts Tutorials Simulations
32. References: University of Medicine and Dentistry of New Jersey. (2009). Clinical Information Systems. Retrieved April 7, 2010, from http://informatics.umdnj.edu/clinical/information_systems.htm Healthland. (2010). Support. Retrieved April 7, 2010, from http://www.healthland.com/services/ Ciotti, V. (2009, February 16). EPIC costs. Retrieved April 7, 2010, from http://www.healthcare-informatics.com/ME2/dirmod.asp?sid=&nm=&type=Blog&mod=View+Topic&mid=67D6564029914AD3B204AD35D8F5F780&tier=7&id=AE67FD3F7317442B96C91EF2D7921181 Gunasekaran, S. (2009, February 17). Top 10 Misconceptions about IT Project Pricetags. Retrieved April 7, 2010 Sanjay, S. (2009). Picking a CIS. Retrieved April 6, 2010, from http://mua.academia.edu/SanjoySanyal http://www.linkedin.com/in/sanyalsanjoy8
33. References Mitre center for enterprise modernization. (2006). [Web]. Retrieved from http://www.ncrr.nih.gov/publications/informatics/EHR.pdf McGonigle, D., & Mastrian, K. (2009). Nursing informatics and the foundation of knowledge. Sudbury, MS: Jones and Barlett. Farukhi, F. (n.d.). Clinical dicision support systems. Retrieved from http://www.cwru.edu/med/epidbio/mphp439/Clinical_Decision.htm Bakken, S., Currie, L., Lee, N., Roberts, D., & Cimino, J. (2008). Integrating evidence into clinical information systems for nursing decision support. International Journal of Medical Informatics, 77(6), Retrieved from http://www.ijmijournal.com/article/S1386-5056(07)00162-1 doi: 10.1016/j.ijmedinf.2007.08.006
Editor's Notes
According to the text, safety and security incorporates many different elements. Virtual security is a huge issue because so many people are finding new ways to steal peoples information. Hackers and viruses are the virtual threat that staff in IT work to prevent. As nurses our duty is to eliminate the physical threat and the protect patients privacy by keeping HIPPA in our minds. Shoulder surfing, according to pg 185 in our text, is the primary threat on the nursing level. I know that screen protectors are a physical barrier to decrease this threat. Unfortunately no matter the amount of security measures in place there are still people trying to find new ways to steal information.