Health Care Information Systems

Radiology Information System Allows direct order entry or accepts orders from other systems Provides scheduling of diagnostic tests Generates client instructions and preparation procedure Permits transcription of results

Radiology Provides picture archiving and transmission of images Generates charges once procedures are done After a report is written it can be view through the clinical information system

Example Patient undergoing MRI The RIS generates questions such as whether the patient is claustrophobic, whether patients has foreign metal bodies The nurse enters the answers The radiologist reviews the answers and determine if the patient is appropriate for testing MRI done, electronic image are sent to the CIS Report is written and the transferred to the CIS

Pharmacy Information Systems Provide checks in order and administration process Reduces errors when used with bar code technology Use lab results, allergy, and interaction information from clinical systems Track medication use, costs, and billing information  decision making

Pharmacy Online access May include more than one system In pharmacy dispensing systems (robots) Unit-based dispensing cabinets in care areas Requires ID and password (badge swipe) Barcode Medication Administration

Pharmacy E-prescribing Process that allows the physician to enter a prescription which is then electronically sent to the pharmacy from computers, PDAs

Barcode Medication Administration Uses barcode on the unit-dose medication package and patient bracelet to ensure right patient, right drug, right dose, right time, right route

E-prescribing Benefits Provides a longitudinal prescription record Review client’s history before ordering med Provides alerts about drug interactions Generates reminders to order home meds for the discharged client Eliminates phone authorization for refills

Physician Practice Management Systems Physician office system Features include capture of demographic and insurance data, scheduling, billing, outcome tracking, and report capability May, or may not, connect to hospital electronic patient records or maintain separate patient records HIPPA compliances

Home Healthcare May communicate with hospital systems to exchange data Support demands for excessive documentation Improve payment for services because it is easier and quicker to find information needed for billing

Administrative systems Registration systems Scheduling systems Financial systems

Registration Systems AKA: Admission/discharge/transfer (ADT) systems Collect and store demographic and insurance data that are verified and updated at the time of each visit Critical to operations to ensure correct patient identification and reimbursement for charges

Scheduling systems Scheduling appointments Need certain info: Referral Authorization by insurance Department Date and time Room Prep Billing info

Smart Technology Improves quality, safety, and efficiency in patient care Optimization of workflow by slowing problems to create better workflow for clinicians Benefits clinicians and patients Adoption can be slow and expensive

The big picture Describe How all these systems can work together to optimize healthcare practice?

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