HEALTH INFORMATION SYSTEM

• Hospital Information System


  A computer-based medical information system for patient care and hospital management
• Hospital Information System


  Computerizes the financial, administrative, patient care activities of hospital, generates, management reports, and operational statistics
• Hospital Information System


  Acquires, stores, processes, delivers patient related information in a hospital to those who need the information
• Hospital Information System


  An integration system comprising order entry system, clinical information, administrative systems and departmental subsystems within the hospital
• Optimize


  • Proper systems analysis
  • Input from all categories of users
  • Business process re-engineering
  • Review policies, procedure and work flow to take advantage of computerisation and information management possibilities
  • Develop or adapt software to best business processes
• Optimize


  • Services and facilities can be retrieved from the system
  • Optimal use of hospital beds can be planned
  • Planning of physical facilities and equipment in different department
  • Planning the needs of hospital personnel
  • Preparing reports of financial statements and budgets
  • Inventory control of vital and essential drugs
  • Epidemiological studies
• Steps in the development of HIS

  1. Feasibility

  2. Requirements

  3. Design

  4. Coding

  5. Integration and Testing

  6. Installation

  7. Training

  8. Operation

  9. Administration

  10. Maintenance
• Isolated Applications


  System installed and use in isolation, within department, no integration
• Monolithic Systems


  Holistic system, one single system, developed and installed, scalability constraint, integration with external system constraint
• Evolutionary Type I


  Expansion of monolithic system, creation of new module from one single system
• Evolutionary Type II


  Integration of separate applications, existence of central core system, modular
• Composable


  Distributed computing, client/server computing, Evolutionary type I and/or II, standard messaging for communication between modules/system
• Components of Hospital Information System

  • Functional
  • Strategic
  • People & Process
  • Technology
• Functional Components


  • Administrative component
  • Clinical component
• Administrative Component


  Business support, Clinical support
• Business Support


  To help hospital director and management team manage the hospital as an enterprise, e.g. Finance and Patient Billing, Human resource, General Management, Office automation, Fixed asset and material management
• Clinical Support


  To support middle managers to manage clinical support services, e.g. Clinical waste management, Biomedical, Linen, Transport, Catering, Porter services
• Clinical Component


  • Administrative, Core clinical process, Ancillary
• Administrative Clinical Component


  Person/patient management, Registration, admission, discharge, transfer, Appointment and scheduling, Bed management, Medical Record and Document management, Roster Management
• Core Clinical Process - Clinical Information System


  History taking, physical examination, ward-round review, task documentation, Point of care test/investigation, Point of care documentation, Investigations, procedures, nursing tasks, Medication prescription, Order Management, Clinical Organizer/dashboard for healthcare providers, Medication Administration Record
• Ancillary Component


  • Laboratory information system, Radiology Information System, Pharmacy Information System, Critical Care Information System, Operating Theatre Information System, Mortuary Information System, Rehabilitation Information System, Ambulatory Care Information System, Emergency and Disaster Information System, Day Care Center, Haemodialysis