Bakheet Aldosari, Ph.D. Health 305 Health Information Management Bakheet Aldosari, Ph.D.

Bakheet Aldosari, Ph.D. Introduction to Health Informatics & Information Management

Bakheet Aldosari, Ph.D. Healthcare Informatics Defined Informatics: the science of information management Variety of automation techniques that use computers to manage data and information in support of decision making Healthcare informatics: information science concerned with all aspects of health-related data and information

Bakheet Aldosari, Ph.D. What is Health Informatics Health Informatics is Health informatics is the science that underlies the fusion of health care, information technology, and business administration, Guides its integration into all aspects of the patient health experience, including clinical care, nursing, pharmacy and public health. Focus on the implementation and optimization of the information systems that support clinical practice, Creates the infrastructure that connects and enables the flow of critical information to and from each of the stakeholders in a patient’s care.

Bakheet Aldosari, Ph.D. The Difference Between Health Informatics and HIM Health Informatics is the study of the… Structure, Dynamics, Design, Implementation and Maintenance …of information systems used to support processing of health data into information suitable for decision making … the people, technology, and organizational factors that are applied to those systems

Bakheet Aldosari, Ph.D. Status of HI in Saudi Arabia National strategies for adoption and use of EHR Kingdom-wide Shift to Electronic (Medical or Health) Records ICD-10 implementations Medical Insurance Companies Public Health Informatics Consumers Informatics Summits and Conventions, i.e. Saudi E-Health, Arab Health, E-HIM, etc… Associations, i.e. SAHI Academic Programs

Bakheet Aldosari, Ph.D. Challenges To HI Professionals Shortage in HI Professionals Underestimating the value of HI / HIM Professionals comparing to other IT or Health related specialties. NO Associate Degree, i.e. Coding and HIT Undergraduate Degree, i.e. HIM

Bakheet Aldosari, Ph.D. The Difference Between Health Informatics and HIM Health information management is the science of managing patient health information and medical records (Paper based or Electronic). Health Information Management HIM FOCUS ON the Dissemination, Communication, Presentation, Utilization, Transmission and Privacy….. of DATA & INFORMATION and its use HIM IS CONCERNED WITH… the Collection, Organization, Validation, Analysis, Storage and Maintenance …..…of DATA The Goal of HIM is Quality information = Quality Healthcare

Bakheet Aldosari, Ph.D. Functions of Health Records

Bakheet Aldosari, Ph.D. Early History of the Profession Hospital standardization –American College of Surgeons –1918 –Raise standards of surgery by establishing hospital standards –Importance of a complete and accurate record of care Organization of the Association of Records Librarians –Formed in 1928 –Recognized allied health discipline –Approval of first education curriculum in 1932 –Board of Registration established in 1933

Bakheet Aldosari, Ph.D. Why do we keep health records? Purposes of the health record –Primary purposes To support patient care delivery To provide patient care management To provide information to run the organization (patient care support) To determine and validate payment and reimbursement for care and services provided To assist individuals in management of their own health

Bakheet Aldosari, Ph.D. Why do we keep health records? (continued) Purposes of the health record –Secondary purposes: To support education To comply with regulations To conduct clinical and other research To monitor public health and homeland security Business purposes

Bakheet Aldosari, Ph.D. Who uses the health record? Two categories of users: –Individual users: Individuals who need to use the health record to perform their jobs –Institutional users: Organizations who need the information in the health record to perform various analyses

Bakheet Aldosari, Ph.D. Who uses the health record? (continued) Individual users –Patient care providers –Consumers –Patient care management and support –Patient care reimbursement –Others

Bakheet Aldosari, Ph.D. Who uses the health record? (continued) Individual users –Patient care providers –Consumers –Patient care management and support –Patient care reimbursement –Others

Bakheet Aldosari, Ph.D. Who uses the health record? (continued) Institutional users –Healthcare delivery organizations –Management and review of care organizations –Reimbursement of care organizations –Research organizations –Schools –Accreditation and licensing agencies –Policy makers

Bakheet Aldosari, Ph.D. What is the main function of the health record? Storage of Information –Attributes of the storage function Accessibility Quality Security Flexibility Connectivity Efficiency

Bakheet Aldosari, Ph.D. What is meant by accessibility? Accessibility means that users must be able to: Get information easily When they need it In a format that is appropriate

Bakheet Aldosari, Ph.D. What does quality mean in a health record? Quality attributes that every health record must have: –Data must be: Accurate Accessible Comprehensive Defined appropriately Consistent Defined Defined at the appropriate level (granular) Precise Relevant Timely

Bakheet Aldosari, Ph.D. What does security mean in a health record? Security – Protects privacy of individuals and confidentiality of health records Privacy -- Right of individuals to control access to their health information Confidentiality -- Expectation that personal information is kept private

Bakheet Aldosari, Ph.D. What conditions must be met so that a health record can fill its purposes? Accessibility Flexibility Connectivity Efficiency

Bakheet Aldosari, Ph.D. Strengths of the paper based record: Ease of use. Portable. Does not need to downtime. Flexible in recording data. Ease of browsing and scanning.

Bakheet Aldosari, Ph.D. Weakness of the paper based record: Problems with content: Missing data. Spelling. Errors. Follow up directions. Problems with format. Problem with access, availability, and retrieval.

Bakheet Aldosari, Ph.D. Weakness of the paper based record: (Continue) Problems with outpatient clinics record. Problems with storage. Miss files. Lost of charts. Large space area for the MR. Separate patient record data such as X-ray reports and films.

Bakheet Aldosari, Ph.D. Benefits of the EHR: Can improve Healthcare delivery: Better data access. Faster data retrieval. High quality data. Support medical and non-medical decision-making. Enhance quality assurance.

Bakheet Aldosari, Ph.D. Benefits of the CPR: (Continue) Can enhance out-come researches program. Can increase healthcare organization efficiency. Reducing cost and achieves quality of healthcare. Improve staff productivity.

Bakheet Aldosari, Ph.D. Benefits of the CPR: (Continue) Can moderate the cost of healthcare. Reduce redundant tests and services. Manage billing and payment system.

Bakheet Aldosari, Ph.D. Good Luck to You All,,,, Bakheet Aldosari, Ph.D.