ADMINISTRATIVE AND CLINICAL HEALTH INFORMATION SYSTEM BY JOSE BARRIGA JR., RN

INTRODUCTION Health care organizations integrate a variety of clinical and administrative types of information systems These systems collect, process, and distribute patient-centered data to aid in managing and providing care An understanding of how each of these types of systems works within health care organizations is fundamental in the study of informatics

CASE MANAGEMENT INFORMATION SYSTEMS (CMIS) Case management information systems(CMIS) identify resources, patterns andvariances in care to prevent costlycomplications related to chronicconditions and enhance the overalloutcomes for patients Once a trend is identified casemanagement systems provide decisionsupport promoting preventative care

CASE MANAGEMENT INFORMATION SYSTEMS (CMIS) A care plan is a set of care guidelinesthat outline the course of treatment andthe recommended interventions that should be implemented to achieveoptimal results CMIS are especially beneficial for patient populations with a high cost of care andcomplex health needs such as theelderly or patients with chronic diseaseconditions

CASE MANAGEMENT INFORMATION SYSTEMS (CMIS) Case management systems assimilatemassive amounts of information obtainedover a patients lifetime by reaching farbeyond the walls of the hospital and trackcare from one medical visit to the next (Simpson & Falk, 1996) Information collected by casemanagement systems is processed in away that helps to reduce risks, ensuresquality, and decrease costs

COMMUNICATIONS SYSTEMS Communication systems promote theinteraction between healthcareproviders and patients.Communication systems havehistorically been separate from othertypes of health information systems andfrom one another Communication Systems Examples : call light systems wireless phones pagers , and instant messaging, Integrating communication systems with clinical applications provides a real-time approach that will facilitate care among the entire healthcare team, patients and their families

CORE BUSINESS SYSTEMS Core Business Systems enhance administrative tasks within health care organizations. Core business systems provide the framework for reimbursement, support of best practices, quality control, and resource allocation.Four common core business systems: 1)admission, discharge and transfer (ADT) 2)financial 3)Acuity 4)scheduling systems

CORE BUSINESS SYSTEMS ADT systems provide the backbone structure for the other types of clinical and business systems (Hassett & Thede,2003). Financial systems manage the expenses and revenue for providing health care. Acuity systems monitor the range of patient types within a health care organization using specific indicators

CORE BUSINESS SYSTEMS Scheduling systems coordinate staff, services, equipment, and allocation of patient beds. Scheduling systems help to track resources within a facility while managing the frequency and distribution of those resources

ORDER ENTRY SYSTEMS are one of the most important systems in use today. These systems automate the way that orders have traditionally been initiated for patients. provide major safeguards by ensuring that physician orders are legible and complete thereby providing a level of patient safety that was historically missing with paper- based orders.

PATIENT CARE SUPPORT SYSTEMS Most specialty disciplines within healthcare have an associated patient care information system. These patient-centered systems focus on collecting data and disseminating information related to direct care

PATIENT CARE SUPPORT SYSTEMS Clinical Documentation Systems also known as Clinical Information Systems(CIS) are the most commonly used type of patient care support system within healthcare organizations. Clinical information systems are designed to collect patient data in real time.

PATIENT CARE SUPPORT SYSTEMS Pharmacy information systems have also become a mainstream patient care support system. These systems typically allow pharmacists to order, manage and dispense medications for a facility

PATIENT CARE SUPPORT SYSTEMS Laboratory Information Systems were perhaps some of the first systems ever used in health care. Laboratory information systems report on blood, body fluid and tissue samples along with biological specimens that are collected at the bedside and received in a central laboratory.

PATIENT CARE SUPPORT SYSTEMS Radiology Information System (RIS) are systems schedule, result, and store information as it relates to diagnostic radiology procedures. The benefit of RIS and PACS systems is their ability to assist in diagnosing and storing vital patient care support data

DEPARTMENTAL COLLABORATION ANDKNOWLEDGE/INFORMATION EXCHANGE The implementation of systems within healthcare is the responsibility of many people and departments. Knowledge exchange is the product of collaboration when sharing an understanding of information promotes learning from past experiences to make better decisions in the future

DEPARTMENTAL COLLABORATION ANDKNOWLEDGE/INFORMATION EXCHANGE At an administrative level, collaboration among key stakeholders is critical to the success of any project. Collaboration also occurs among the various departments impacted by the system. From collaboration comes the exchange of information and ideas through knowledge sharing A multidisciplinary approach assures that systems will work in the complex environment of healthcare organizations with diverse and complex patient populations