HOSPITAL INFORMATION SYSTEM

PRESENTING TO YOU HOSPITAL INFORMATION SYSTEM

Definition of HIS

a comprehensive, integrated information system designed to manage the administrative, financial and clinical aspects of a hospital

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Done by: Jamie ang

Jannie tan

Lee si hui

Mohd Shazali

Vanessa Lim

Benefits of HIS

Increased time nurses spend with patients

Access to information Improved quality of documentation

Improved quality of patient care

Increased nursing productivity

Improved communications

Reduced medication errors

Reduced hospital costs

Increased nurse job satisfaction

Development of a common clinical database

Improved patient's perception of care

Enhanced ability to track patient's record

Enhanced ability to recruit and retain staff

Improved hospital image

Aims of HIS

Aims of HIS:

To achieve the best possible support of patient care & administration by electronic data processing

Key features

• Patient information – biodata, allergies and medical alerts



• Patient accounting – charging, billing, discounts & concessions, claims management, doctor fees, accounts receivable, general ledger, etc



• Registration management – booking of appointments, patient registration and queue management



• Bed management – admissions, allocation of bed/room, transfer and discharge



• Order management – ordering of medication, diagnostic imaging and treatment



• Operating theatre scheduling – surgery rostering and management



• Pharmacy management – bagging, labeling and dispensing of ordered medication



• Materials management – item management, stock take, transfer of items, etc



• Job scheduling – task management and follow up

Telemedicine

Telemedicine

• use of communications & information technologies for delivery of clinical care


• practiced on the two concepts : real time & store-and-forward

• real time:
  Øe.g. telephone call/robotic surgery
  Ø presence of both parties and a communications link between them that allows a real-time interaction to take place


• store-and-forward:
  Øinvolves acquiring medical data à transmitting data to a doctor or medical specialist for assessment offline
  Ødo not require presence of both parties at the same time
  Ødermatology, radiology, pathology are common specialties that are conducive to asynchronous telemedicine

Decision support systems

Decision support systems

• aimed at supporting the clinician in decision making
• these systems can take the place of clinician's in some areas
  Øpersonnel costs can be reduced
• BUT, with current knowledge about these systems
  Øsupport the care provider
• provide this support in 3 different ways:
  1.by providing formatting tools that help to organize, categorize and manipulate data;
  2.by allowing the manipulation of the data from the formatting tools based on weightings that help to determine priorities and likelihoods of outcomes
  3.by suggesting courses of action for a particular problem or issue
  oComponents of a decision support system includes:
  -a knowledge base; an inference engine; a patient database; and user friendly interfaces

Point of care systems [POC]

Point of care systems [POC]

• the answer to timely, efficient data collection or capture


• early point à simply the stationary computer terminal at the bedside or available for a cluster of patients nearby where the care was given


• today à several configurations that include hand held devices or laptop computers


• The goals of these systems includes:

1. decreasing the time spent in documenting patient care

2. eliminating inaccurate and duplicate charting

3. improving the timely availability of data and information

4. improving access to the information

5. providing information and support to the clinician to help them make the best decision for care

Electronic medical record [EMR]

Electronic medical record [EMR]
o medical record in digital format
oprovide timely, accurate patient information readily available to the health care team