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Health 305 Health Information Management

Health 305 Health Information Management. Bakheet Aldosari, Ph.D. E-mail: dosarib@gmail.com. Introduction to Health Informatics & Information Management. Healthcare Informatics Defined. Informatics: the science of information management

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Health 305 Health Information Management

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  1. Health 305Health Information Management Bakheet Aldosari, Ph.D. E-mail: dosarib@gmail.com

  2. Introduction to Health Informatics & Information Management

  3. Healthcare Informatics Defined • Informatics: the science of information management • Variety of automation techniques that use computers to manage data and information in support of decision making • Healthcare informatics: information science concerned with all aspects of health-related data and information

  4. What is Health Informatics • Health Informatics is • Health informatics is the science that underlies the fusion of health care, information technology, and business administration, • Guides its integration into all aspects of the patient health experience, including clinical care, nursing, pharmacy and public health. • Focus on the implementation and optimization of the information systems that support clinical practice, • Creates the infrastructure that connects and enables the flow of critical information to and from each of the stakeholders in a patient’s care.

  5. The Difference Between Health Informatics and HIM • Health Informatics is the study of the… • Structure, Dynamics, Design, Implementation and Maintenance • …of information systems used to support processing of health data into information suitable for decision making • … the people, technology, and organizational factors that are applied to those systems

  6. Status of HI in Saudi Arabia • National strategies for adoption and use of EHR Kingdom-wide • Shift to Electronic (Medical or Health) Records • ICD-10 implementations • Medical Insurance Companies • Public Health Informatics • Consumers Informatics • Summits and Conventions, i.e. Saudi E-Health, Arab Health, E-HIM, etc… • Associations, i.e. SAHI • Academic Programs

  7. Challenges To HI Professionals • Shortage in HI Professionals • Underestimating the value of HI / HIM Professionals comparing to other IT or Health related specialties. • NO Associate Degree, i.e. Coding and HIT • Undergraduate Degree, i.e. HIM

  8. The Difference Between Health Informatics and HIM • Health information management is the science of managing patient health information and medical records (Paper based or Electronic). • Health Information Management • HIM FOCUS ON the Dissemination, Communication, Presentation, Utilization, Transmission and Privacy….. of DATA & INFORMATION and its use • HIM IS CONCERNED WITH… the Collection, Organization, Validation, Analysis, Storage and Maintenance …..…of DATA • The Goal of HIM is Quality information = Quality Healthcare

  9. Functions of Health Records

  10. Early History of the Profession • Hospital standardization • American College of Surgeons • 1918 • Raise standards of surgery by establishing hospital standards • Importance of a complete and accurate record of care • Organization of the Association of Records Librarians • Formed in 1928 • Recognized allied health discipline • Approval of first education curriculum in 1932 • Board of Registration established in 1933

  11. Why do we keep health records? • Purposes of the health record • Primary purposes • To support patient care delivery • To provide patient care management • To provide information to run the organization (patient care support) • To determine and validate payment and reimbursement for care and services provided • To assist individuals in management of their own health

  12. Why do we keep health records? (continued) • Purposes of the health record • Secondary purposes: • To support education • To comply with regulations • To conduct clinical and other research • To monitor public health and homeland security • Business purposes

  13. Who uses the health record? • Two categories of users: • Individual users: Individuals who need to use the health record to perform their jobs • Institutional users: Organizations who need the information in the health record to perform various analyses

  14. Who uses the health record? (continued) • Individual users • Patient care providers • Consumers • Patient care management and support • Patient care reimbursement • Others

  15. Who uses the health record? (continued) • Individual users • Patient care providers • Consumers • Patient care management and support • Patient care reimbursement • Others

  16. Who uses the health record? (continued) • Institutional users • Healthcare delivery organizations • Management and review of care organizations • Reimbursement of care organizations • Research organizations • Schools • Accreditation and licensing agencies • Policy makers

  17. What is the main function of the health record? • Storage of Information • Attributes of the storage function • Accessibility • Quality • Security • Flexibility • Connectivity • Efficiency

  18. What is meant by accessibility? • Accessibility means that users must be able to: • Get information easily • When they need it • In a format that is appropriate

  19. What does quality mean in a health record? • Quality attributes that every health record must have: • Data must be: • Accurate • Accessible • Comprehensive • Defined appropriately • Consistent • Defined • Defined at the appropriate level (granular) • Precise • Relevant • Timely

  20. What does security mean in a health record? • Security • Protects privacy of individuals and confidentiality of health records • Privacy -- Right of individuals to control access to their health information • Confidentiality -- Expectation that personal information is kept private

  21. What conditions must be met so that a health record can fill its purposes? • Accessibility • Flexibility • Connectivity • Efficiency

  22. Strengths of the paper based record: • Ease of use. • Portable. • Does not need to downtime. • Flexible in recording data. • Ease of browsing and scanning.

  23. Weakness of the paper based record: • Problems with content: • Missing data. • Spelling. • Errors. • Follow up directions. • Problems with format. • Problem with access, availability, and retrieval.

  24. Weakness of the paper based record: (Continue) • Problems with outpatient clinics record. • Problems with storage. • Miss files. • Lost of charts. • Large space area for the MR. • Separate patient record data such as X-ray reports and films.

  25. Benefits of the EHR: • Can improve Healthcare delivery: • Better data access. • Faster data retrieval. • High quality data. • Support medical and non-medical decision-making. • Enhance quality assurance.

  26. Benefits of the CPR: (Continue) • Can enhance out-come researches program. • Can increase healthcare organization efficiency. • Reducing cost and achieves quality of healthcare. • Improve staff productivity.

  27. Benefits of the CPR: (Continue) • Can moderate the cost of healthcare. • Reduce redundant tests and services. • Manage billing and payment system.

  28. Good Luck to You All,,,,BakheetAldosari, Ph.D. dosarib@gmail.com

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