Hospital Information Systems (HIS) in SEVEN HILLS HOSPITAL

BY: Dr.Priti Shinde. Dr.Yogita Thackre Dr.Rupali Kharche Dr.Ranjan Yadav Dr.Ravi Verma

what is HIS?

HIS. Hospital Information System. One that supports all hospital functions and activities such as patient records, scheduling, administration, chargeback and billing, and often links to or includes clinical information systems such as RIS. (Radiology Information System ) that part of a HIS in which computer systems are used as ICTtools(information and communication technology ) is referred to as its

r computer-supported part the remainder is being referred to as the r non-computer-supported part as a consequence, a hospital has a HIS from ... r the beginning of its existence on

what is HIS?
the question is not

r whether a hospital should be equipped with a hospital information system or not,

but an appropriate question would be ...

r whether the performance should be enhanced, for example, by using state of the art ICT-tools
HIS must consider all areas of a hospital:

r r r r r

wards outpatient units service units (diagnostic, therapy,others) administrative departments management/executive units

what is HIS?
HIS must consider all groups of persons

r r r r r

physicians nurses administrative staff technical staff health informaticians / health information managers

... and last, but not least,

r patients r visitors r suppliers

What is a HIS?
Definitions of HIS abound Occrams rule!

an integrated effort to collect, process, report and use health

information and knowledge to influence policy-making, programme action and research WHO (2000) Guidance on Needs Assessment for National Health Information Systems Development.
a set of interrelated components working together to gather,

retrieve, process, store and disseminate information to support the activities of health system planning, control, coordination and decision-making, both in management and service delivery Jack Smith, in:Health Management Information Systems a handbook for decision makers. OUP, 2000.
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Hospital Information System

Registration

Consulting

Ward

Nursing Stores & Purchase

Diet & Kitchen

Pharmacy

And more...

OT
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Blood Bank

Laboratory

Radiology

Hospital Community Staff Clinical laboratory technologist

Structure of the Hospital Community

Radiological technologist Healthcare professional Physician Pharmacist Nurse

Hospital administrator
Radiological Community

Clinical Laboratory Community Pharmaceutical Community

Patient care Community

Medical Service Patient

Outpatient Community

Inpatient Community

Administration Community Reception Community Medical Accounting Community

What kinds of data flow in a HIS?

birth, morbidity and mortality data type and location of health personnel

type and quality of clinical services provided at national

and sub-national level

population indicators

demographics and socio-economic status

This data can be organized in 5 domains.

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Domains of health data

health determinants

health system inputs

health system outputs

health system outcomes

health status.

Health Care Data

Types of Health Care Data

Patient-Specific Data o Clinical Data o Administrative Data o Financial and Billing Data Aggregate Health Care Data o Disease and Procedure Indexes o Medicare Cost Reports o Health Care Statistics o Outcome Measures and Balanced Scorecards

Types of (health) information systems

Artificial Intelligence

Strategic information systems

Decision support systems, simulation systems, financial forecasting, performance assessment Management information systems Electronic patient records, payroll, invoicing systems, patient administration systems, purchasing/inventory, office automation

Tactical information systems

Operational information systems

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Typical organization structure of a HIS

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Health information subsystems

A health information system can be considered to consist of several separate subsystems:
Data collection based on patient and service records and

reporting from community health workers, health workers and health facilities
Programme-specific monitoring and evaluation

(ex: EPI, Malaria, TB, HIV/AIDS)

Administration and resource management

(budget, personnel, supplies)

Disease surveillance and outbreak notification
Data generated through household surveys (KPC, DHS) Registration of vital events and censuses

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(births, deaths and causes of death)

The information of the hospital come from

Front office

Doctors consultation room

Ward Laboratory

The service providers like financial and insurance

service provider And so on

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This information can be categorized as

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Data Movement in 7 HILLS

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Information will be used by the areas

Patient Administration Clinical Management

Resource Management
Financial Management Management Information System

And more

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Laboratory

Data Entry & Results Review

Event Monitor

Medical Logic Modules

Billing & Financial Specialized Encoders MedLEE

Pharmacy

Database Interface

Medical Entities Dictionary

Radiology Patient Database
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Research Databases

HIS have the ability to link the following major players

Laboratories

Pharmacies
Researchers Doctors and consultants Banks and financial institutions Administrators And knowledge managers

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 HIS should provide

information, primarily about patients, in a way that it is correct, pertinent and up to date, in time, accessible by the right persons at the right site in a usable format r knowledge, primarily about diseases, but also, for example, about the effects of drug interaction, to support diagnosis and therapy r information about the quality of patient care, hospital performance and costs

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in other words: HIS should provide, as far as feasible, r the right information and r the right knowledge r at the right time r in the right place r to the right people r in the right form so that these people can make r the right decisions

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 university hospitals / university medical centers,

in addition to patient care r undertake research and teaching to gain medical knowledge and deeper understanding r new knowledge is gained from specific experiences in patient care through careful data collection r to support this, also specialized biometric methods, such as planning clinical trials,are needed
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ten application areas will be the necessary part of the HIS

Admissions, Medical Records & Abstracting (ADM/MRI/ABS) 2. Billing/Account Receivable (BAR) 3. Community Wide Scheduling (CWS) 4. Data Repository (DR) 5. Imaging and Therapeutic Services (ITS) 6. Laboratory, Microbiology, Blood Bank & Anatomical Pathology (LIS) 7. Order Entry & Electronic Medical Record (OE/EMR) 8. Patient Care System (PCS) 9. Pharmacy (PHA) 10. Remote Physician Access
1.

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Thank you.
Sept 20,2011