LESSON 9

• A hospital information system (HIS) is fundamentally a computer system that can manage all the information to permit healthcare providers to do their jobs efficiently
• Hospital Information System


  A computer system that can manage all the information to permit healthcare providers to do their jobs efficiently
• Hospital Information System


  • Includes the integration of all scientific, financial, and administrative programs
• Benefits of an effective HIS

  • Enhanced facts integrity
  • Reduced transcription errors
  • Reduced duplication of facts entries
  • Optimized report turnaround times
• Nursing Information Systems (NIS)


  A computer-based information system that assists nurses and offer enhanced patient care
• Nursing Information Systems (NIS)


  • Improves personnel schedules, accurate patient charting, and better clinical data integration
  • Allows users to go into details regarding patients' critical signs
  • Includes admission information, care plan, and all applicable nursing notes
  • Allows nurses to collect, retrieve, and examine the medical records and then integrate it to design a patients' care plan
• Physician Information Systems (PIS)


  Aims to enhance the practice of physicians
• Physician Information Systems (PIS)


  • Encouraged by the government for deployment
  • Added through computers, servers, and networks
  • Uses extensively deployed programs (e.g. Electronic Medical Records/EMRs, Electronic Health Records/EHRs, and others)
  • Mostly have 24/7 support enabling health professionals to troubleshoot issues
• Radiology Information Systems (RIS)


  Popular for their capability to provide radiology billing services, appointment scheduling, as well as reporting and patient database storage
• Radiology Information Systems (RIS)


  • Control the commercial enterprise side of radiology practices
  • Radiology practice has become more complicated with advances in technology and more hospitals now
• Pharmacy Information Systems


  Enables pharmacists monitor how medicine is utilized in hospitals
• Pharmacy Information Systems


  • Facilitates users supervise drug allergies and different medication-related complications
  • Enables users to identify drug interactions and also helps administer the appropriate drugs based on the patient's physiologic conditions
• Factors to consider when selecting a Hospital Information System

  • Total cost of package
  • Web-based system
  • Implementation and support
• BizBox


  An IT company focused on the healthcare industry in the Philippines
• BizBox


  • Started 30 years ago with the goal of helping people improve their work efficiency through software
  • With the first hospital project in 1994, BizBox evolved into one of the top IT companies focused on the healthcare industry
  • Uses the latest technology from Microsoft
  • Leveraging on Windows Server, SQL Server and Net
  • Builds mission-critical applications for the healthcare environment
  • A Microsoft Gold Certified Partner and the recipient of the ISV of the Year Award
• KCCI MEDSYS


  An integrated, comprehensive, and proven solution for hospitals, industrial clinics and medical related educational institutions in the Philippines
• COMLOGIK


  A Philippine based software development company that established its operation in the year 1999
• COMLOGIK


  • Led the way in developing innovative applications like online hospital services wherein patients can access their billing as well as the examination results, while your Administrators can access their reports and your Doctors their patient's records anywhere and anytime they need to
• Help Desk


  A useful resource meant to offer the customer or end user with information and guide associated with a company's or institution's products and services
• Scheduling


  Managers and employees can access work schedules from everywhere and effectively discuss their scheduling preferences
• Patient Registration


  A patient registration form needs to be filled up whenever a patient visits a hospital or clinic to avail of medical treatment
• Admission


  An admissions counselor will call you to gather preliminary information, offer vital information concerning your hospital stay and answer your questions
• Discharge


  The point at which the patient leaves the health facility and either returns home or is transferred to some other facility including one for rehabilitation or to a nursing home
• Discharge


  • Entails the medical instructions that the patient will need to fully recover
  • Discharge planning considers the patient's needs after the hospital stay, and may involve numerous exceptional services which includes visiting nursing care, physical therapy, and home blood drawing
• Transfer


  The movement (along with the discharge) of an individual outside a hospital's premises at the instruction of any person employed by (or affiliated or related, directly or indirectly, with) the hospital
• Transfer


  • Does not encompass movement of an individual who has been declared lifeless, leaves the facility without the permission of any such authorized person, or leaves against medical advice (HAMA)
• Billing


  Itemize all of a purchaser's invoices and payments, and maintain a rolling balance of how much they owe
• Laboratory Reporting


  • All laboratory reports must possess common elements as required by federal legislation or by company policies
  • May also contain supplementary items not specifically required, but which the lab chooses to report to aid in the interpretation of results
• Elements of a Laboratory Report

  • Patient name and identification number or a unique patient identifier and identification number
  • Name and address of the laboratory location where the test was performed
  • Date report printed
  • Test report date
  • Name of doctor or legally authorized person ordering the test(s)
  • Specimen source, when appropriate
  • Date and time of specimen collection
  • Laboratory accession number
  • Name of the test performed
  • Test results
  • Abnormal test results
  • Critical results
  • Units of measurement (for quantitative results)
  • Reference intervals (or reference ranges)
  • Interpretation of results
  • Condition of specimen
  • Deviations from test preparation procedures
  • Medications, health supplements, etc. taken by the patient
• Cardiology Reporting


  Vascular sonography reports can be created with a touch of a few buttons if software designed for cardiology is used
• Cardiology Reporting


  • Vascular software programs understand the needs of the medical staff that prepare and read these reports and are quite intuitive
  • Vascular sonography reports will indicate valuable information about the results of the ultrasonic ultrasound and might include diagrams of the veins and arteries to help determine and measure items such as blood flow, presence of plaque, narrowing and the presence of clots
• Radiology Reporting


  A clinical and source document that provides interpretation and describes any radiology procedure conducted by a radiologist
• Radiology Reporting

  • The only person who is privileged to prepare and document a radiology report is a qualified physician who has been granted specific clinical privileges in that hospital or clinical settings
  • The length of the report should have some relationship to the complexity and cost of the exam
  • It should have pertinent positive and negative findings and address any specific clinical concerns
  • All important findings need to be stated first and any incidental findings are reported at the end
  • The main components are: patient's demographics, relevant clinical information and ICD-9 code, body of the report, and impression (conclusion or diagnosis)
• Discharge Summary


  A clinical report arranged by a health practitioner or different health expert at the conclusion of a hospital stay or series of treatments
• Discharge Summary


  • Outlines the patient's main complaint, the diagnostic findings, the treatment administered and the patient's response to it, and guidelines on discharge
• Total cost of package


  Discuss the necessities of your hospital with you. Solutions are available for hospitals of all sizes and budgets.
• Web-based system


  • User-friendly features
  • Available on the Internet
  • Authorized employees can access the information whenever they need from anywhere
  • Does not bind all caregivers to their office desks
  • Offers them with statistics
• Implementation and support


  1. Change is continually resisted by people

  2. Deploying or upgrading a hospital information system can also invite employee criticism

  3. Invite the vendor for assistance in an implementation

  4. Request for staff training

  5. Select a vendor that gives 24/7 support through the telephone or web, so your hospital staff can at once access support
• BIZBOX


  • No scheduling feature
  • Has inpatient, outpatient, ancillary services (request), and upshot (result)
  • green - active
  • yellow - may go home
  • orange - MGH; clearance
  • black - dead