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MANAGEMENT

INFORMATION
SYSTEM IN HEALTH
CARE

Maria Ruuto
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)
HEALTHCARE INFORMATION
SYSTEM (HIM)

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.
Healthcare service

Hospitals providers who use HIM

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


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.

Health information managers

Medical records and health information technicians

Health Information Administrator

Implementation managers

Trainers
ELECTRONIC MEDICAL
RECORD SYSTEM

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.
DISADVANTAGES OF ELECTRONIC
MEDICAL RECORD SYSTEM

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
HOSPITAL MANAGEMENT
INFORMATION SYSTEM

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.
HIGHLIGHTS OF HOSPITAL
MANAGEMENT
INFORMATION SYSTEM

Patient-centered approach

User-friendly, easy-to-use & web-enabled applications

Multi-level distributed hospital information system

Security & privacy (authentication, authorization, privacy


policy)

Integration

Patient identification

Single log-in

Use of controlled vocabularies for coding

Data consistency

Transparency
RECORDS IN HEALTH
INFORMATION MANAGEMENT

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 clients overall health status and ability to perform
normal bodily functions
2. persons 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).
CLINICAL INFORMATION
SYSTEM (CIS)

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 patients
medical record.
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:

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.
NURSING INFORMATION
SYSTEM (NIS) II

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.
NURSING INFORMATION
SYSTEM (NIS) III
The main tasks in the nursing care process include:

processes of patient care

ward management

communication

cooperation with other health professionals

education and research processes.


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:

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.
CONCLUSION

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 personnels data

The use of nursing information systems (NIS) has increased


completeness of some nursing documentation elements.
Used literature
World Health Organization. (2004). Developing health
management information systems: a practical guide for
developing countries.
Malliarou,M., Zyga, S. (2009). Advantages of Information
Systems in Health Services. Sport Management
International Journal. VOL. 5, Number 2
Marin, H.F., Rodrigues, R.J., Delaney, C., Nielsen, G.H.,
Yan, J. (2000). Building Standard-Based Nursing
Information Systems. Pan American Health Organization.
World Health Organization. Division of Health Systems and
Services Development.
Used literature II
http://www.personalitydesk.com/career-profile/health-service
s-manager#axzz1jR6lUqR1
http://www.guidetoonlineschools.com/degrees/healthcare/healthc
are-information-systems
http://www.information-management-architect.com/healthcare-i
nformation-system.html
http://en.wikipedia.org/wiki/Health_information_management
http://www.ama-
assn.org/ama1/pub/upload/mm/40/healthinfoman0809.pdf
http://www.wisegeek.com/what-are-the-disadvantages-of-electro
nic-medical-records.htm
http://intensivecare.hsnet.nsw.gov.au/clinical-information-system
s
Thank You for listening. Any
questions? :)