This document discusses health information management systems. It defines key terms like health information systems and health management information systems. It describes how hospitals, medical professionals, and other healthcare providers use health information management systems. It outlines the roles of health information professionals and discusses electronic medical record systems, their advantages, and disadvantages. It also describes hospital management information systems, clinical information systems, and nursing information systems. Overall, the document provides an overview of how health information is managed and stored through various information systems to support patient care and healthcare administration.

1. MANAGEMENT
INFORMATION SYSTEMIN
HEALTH CARE

2. Definitions
System- A collection of components that work together to achieve a
common objective.
Information System- A system that provides information support to
the decision-making process at each level of an organization.
Health Information System- A system that integrates data
collection, processing, reporting, and use of the information
necessary for improving health service effectiveness and
efficiency through better management at all levels of health
services.
Health Management Information System- An information system
specially designed to assist in the management and planning of
health programmes, as opposed to delivery of care. (WHO 2004:
3)

3. HEALTHCARE INFORMATION
SYSTEM (HIM)
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Healthcare is a business and, like every business, it needs
good management to keep the business running smoothly.
Healthcare information systems means meticulously
maintaining a patient's healthcare records and ensuring that
confidential information is securely kept.
Those in healthcare information systems must have
tremendous attention to detail.
They are responsible for maintaining, updating, and
securing all of a patient's healthcare information.

4. Healthcare service
providers who use HIM
 Hospitals
 Nursing and residential care facilities
 Physicians and surgeons
 Other ambulatory health care service
 Medical and diagnostic laboratories
 Dentists and dental clinics
 Home health care services
 Other health practitioners
 Outpatient care centers

5. HEALTH INFORMATION
PROFFESIONALS
Health information management professionals plan
information systems, develop health policy, and identify
current and future information needs.
They apply the science of informatics to the collection,
storage, use, and transmission of information to meet the
legal, professional, ethical and administrative records-
keeping requirements of health care delivery.
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Health information managers
Medical records and health information technicians
Health InformationAdministrator
Implementation managers
Trainers

6. ELECTRONIC MEDICAL
RECORD SYSTEM
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Clinicians rely on complete and accurate data in order to
make decisions about patient care.
Without a solid system for health information exchange in
place between facilities, it is impossible to ensure that a
clinician has the entire clinical picture.
Without complete historical information on a patient,
treatment plans are often askew, which can mean
suboptimal, sometimes even lethal, outcomes.

8. DISADVANTAGES OF ELECTRONIC
MEDICAL RECORD SYSTEM
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Enormous start up costs
Nurses and doctors are unfamiliarity with technology
Hackers may ultimately be able to penetrate system despite
security precautions
System is attacked by computer viruses
Power failure

9. HOSPITAL MANAGEMENT
INFORMATION SYSTEM
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It is essentially a computer system that can manage all the
information to allow health care providers to do their jobs
effectively.
These systems have been around since they were first
introduced in the 1960s
They manage the data related to the clinic, finance
department, laboratory, nursing, pharmacy and also the
radiology and pathology departments.
The system must be user friendly
and should include training by
the vendors.

10. HIGHLIGHTS OF HOSPITAL
MANAGEMENT
INFORMATION SYSTEM
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Patient-centered approach
User-friendly, easy-to-use & web-enabled applications
Multi-level distributed hospital information system
Security & privacy (authentication, authorization, privacy
policy)
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Integration
Patient identification
Single log-in
Use of controlled vocabularies for coding
Data consistency
Transparency

11. RECORDS IN HEALTH
INFORMATION MANAGEMENT
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Healthcare quality and safety require that the right information
be available at the right time to support patient care and health
system management decisions.
Health records are archival records or diaries of diagnostic
discoveries
Clinical data include facts about:
1. patient or client’s overall health status and ability to perform
normal bodily functions
2. person’s overall physical, physiological, psychological,
sociological and intellectual characteristics
3. performance of interest to patients and health professionals.
Health records contain time and source-oriented collections of
text-based (alphanumeric) information, physiological tracings
(from analogue signals), and images and sounds (multimedia).

12. CLINICAL INFORMATION
SYSTEM (CIS)
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CIS is an information system designed to be used
specifically in the critical care environment.
It integrates the many computer systems found in a modern
hospital, such as pathology and radiology, with an
electronic patient record.
CIS provides easy bedside access for clinicians.
Once the patient is discharged from the Intensive Care unit
the information is printed and placed into the patient’s
medical record.

13. NURSING INFORMATION
SYSTEM (NIS)
Nurses are the largest single group of health professionals who
directly influence the quality of most health services provided
and their outcomes
The area of concern of nursing ranges from:
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clinical care of individual patients to the administration of health
services
the management of health problems at all levels of complexity
including public health and community care,
occupational and home care,
school health.
NIS has been defined as a part of a health care information system
that deals with nursing aspects, particularly the maintenance of
the nursing record.

14. NURSING INFORMATION
SYSTEM (NIS) II
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NIS emphasizes patient safety via the installation of systems that
focuses on reducing errors in healthcare
In Greek Hospitals there have been made many
trials and efforts in order to develop electronic
nursing documentation with little results.
 There are many difficulties and some of them are
different levels of nursing education, low nurse
to patient ratios, not involvement of nurses in the
phases of their implementation, resistance in
change.

15. NURSING INFORMATION
SYSTEM (NIS) III
The main tasks in the nursing care process include:
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processes of patient care
ward management
communication
cooperation with other health professionals
education and research processes.

16. NURSING INFORMATION
SYSTEM (NIS) IV
The activities nurses perform when caring for patients have
been identified and nursing roles have been categorized into
three global categories:
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managerial roles or coordinating activities that involve the
gathering and transmission of patient information
physician-delegated tasks
autonomous nursing function, characteristic of professional
nursing practice.

17. CONCLUSION
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Nurses are responsible for a substantial part of the patient
record and hence are particularly affected by the
computerisation
The appliance of Information Systems into nursing
provides important advantages in the administration of the
nursing personnel’s data
The use of nursing information systems (NIS) has increased
completeness of some nursing documentation elements.