This document provides an overview of a Hospital Information System (HIS). It discusses the key modules of an HIS including patient registration, appointment scheduling, admissions/discharges/transfers, doctor and nursing workbenches, pharmacy, laboratory, radiology, billing and more. The document also covers standards implemented in HIS like SNOMED and HIPAA. It notes that an HIS helps hospitals provide better quality care through integration of administrative, financial and clinical systems and increases productivity through reduced paperwork. Major HIS vendors are also mentioned.

1. VitalHealth CollegeHospital Information SystemCreated and presented by:SeemaKavatkar

2. AgendaAbout HISModulesStandards implemented in HISBenefitsIntegration of HISHIS vendors

3. About HISHospital Information System (HIS) “It is an integrated information system designed to manage the Administrative, Financialand Clinicalaspects of a hospital.”

4. Patient - a key factor in HISPatient is key factor in HIS

5. What are its modulesThe modules of HIS can be classified into various categories. The primary category are as follows:Back office: In this category, patient is indirectly involved with the system.Front office: In this category, patient is directly involved with the system.

6. Patient RegistrationPatient demographics are captured in this module of HIS

7. At the time of patient registration, the system generates a unique MRN (Medical Registration Number)

8. Subsequently appointments can be generated / scheduled using MRNAppointment SchedulingAny appointment with the physician is scheduled via this moduleAdmission Discharge Transfer (ADT)

9. Admission Discharge Transfer(ADT)Admission: Patient admission details like purpose of admission, date of admission, admission department are captured.

10. Transfer: It describes the patient’s transfer to some other ward.

11. Discharge: Once patient leaves the hospital, the discharge details are captured and maintained in the system.

12. All ADT module plays significant role in patient billingWards Management ModuleWhen patient is admitted bed allocation is done using this module

13. It helps in allocating the bed to the patient to a particular department considering patient preferences.

14. It also mention the facilities about the wards. E.g. General ward, Semi-deluxe, Deluxe.Doctors Workbench (CPOE: Computerised Physician Order Entry.) It is a system provided to the physicians, practitioners or care providers to place various orders for a patient

15. The system transmits these orders directly to the intended department or individuals so that these orders can be executedDoctor’s Workflow CPOEPatient Admission Physician examDocumentation of patient care Patient case paper

16. Investigation results ex; Pathology, Radiology reports

17. Progress notes

18. Operation report

19. Clinical notes

20. Discharge summaryInvestigations Document analysis and assigning of appropriate codeCode validation by physicianDiagnosisTreatment Follow UpCoded data submitted to billingDischarge

21. Nursing Workbench

22. Clinic SpecialtiesIn includes specialized department like Dietician, Physiotherapy, Pneumonologist, Diabetologist and others

23. Using CPOE physician can refer the patient to respective medical specialist. Roster ManagementThis module helps in scheduling working hours of the nursing staff, who need to work round-the-clock.

24. It maintains shift rotation of nurses; analyse their workload and skills . Also helps scheduling staff training PharmacyPharmacy is the place where the requested drugs get dispensed. Both outpatients and inpatients are dispensed drugs from the pharmacy.

25. OTC (over the counter) transaction is also done at the pharmacy.Laboratory Information SystemInventory and billing of lab test

26. The system keeps track of the tests performed on different patients

27. It updates the patient’s lab records in EMRRadiology Information SystemObjective: To store all patient images, scans and ECG graphs on the system

28. It facilitates management of the workflow of radiology services and equipmentCentral Sterilized Supply DepartmentIn this department, all measures related to sterilization of hospital material is taken care

29. Mostly formalin, spirit, chemical solution and sterilizer (equipment) has been used to prevent hospital material from the external infection.Blood BankDonor registration

30. In addition to that it will generate automated reports keeping track of inventory for stock of bloods of different blood groups and their expiry.Operation TheatreThis module handles all functions of Operation Theatre like setting up, booking and confirming appointments, scheduling investigations and maintenance of address bank

31. Multiple OT and resource scheduling and booking

32. Online updating of patient bill

33. Surgery tracking capability

34. Provision for anaesthesia notes

35. Records surgery details all concerned checklists DietaryThis department keep tracks of available food and its expenses.

36. In addition to that, this department strives to meet the therapeutic nutritional needs of the patient by complying with physician’s orders.Electronic Medical Record (EMR)It is the heart of the HIS.

37. EMR contains the data only related to the patient.

38. EMR is integrated with the LIS, RIS, and other modules of the HIS.Patient BillingThis module takes care of generating patient billing details from different modules of HIS like LIS, RIS, EMR, ADT and so on.

39. It can be generated on daily/weekly basis or at the time of discharge.Insurance and Contracts ManagementIt shares the diagnosis and the procedural code with the insurance organization or reimbursement

40. Mostly used codes are ICD and CPTExample of workflow:Radiology Department Workflow

41. Some standards used in HISSNOMED : (Systematized Nomenclature of Medicine)SNOMED code is used to describe clinical information regarding diseases, pathology, specimen which is more effective than ICD codes, which only contain disease specific information.HIPAA: (Health Insurance Portability and Accountability Act ) HIPAA regulations were designed to: protect individuals’ rights to privacy and confidentiality, assure the security of electronic transfer of personal information

42. BenefitsIt helps hospitals and doctors to better serve their patients.Better quality of care, procedures and services to patients.Reduces admin workload thereby increases productivityEnsure paperless hospital environment.

43. Integration of HISHealth Level 7Digital Imaging and Communications in MedicineElectronic Data Interchange For Administration, Commerce and Transport

44. Vendors of HIS

45. For your Time, Ideas and support