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An Introduction to HIS. Hou Hai-feng. what is HIS?. what is HIS?.
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An Introduction to HIS Hou Hai-feng
what is HIS? • HIS. Hospital Information System. One that supports all hospital functions and activities such as patient records, scheduling, administration, charge-back 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 ICT-tools(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 wards r outpatient units r service units (diagnostic, therapy,others) r administrative departments r management/executive units
what is HIS? • HIS must consider all groups of persons r physicians r nurses r administrative staff r technical staff r health informaticians / health information managers r ... • ... and last, but not least, r patients r visitors r suppliers r...
Registration Nursing Consulting Ward Stores & Purchase Diet & Kitchen Pharmacy And more... Laboratory Radiology OT Blood Bank Hospital Information System
Hospital Community Staff Structure of the Hospital Community Clinical laboratory technologist Radiological technologist Healthcare professional Physician Pharmacist Nurse Hospital administrator Radiological Community Clinical Laboratory Community Pharmaceutical Community Patient care Community Medical Service Outpatient Community Inpatient Community Patient Administration Community Medical Accounting Community Reception Community
Development steps of HIS GMIS Geographical Management Information System Clinical Information System CIS Management Information System MIS
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
Simple Model of Hospital Information System (HIS) & Data Movement
Information will be used by theareas • Patient Administration • Clinical Management • Resource Management • Financial Management • Management Information System • And more…
DataEntry & ResultsReview Billing& Financial Medical Logic Modules Event Monitor Specialized Encoders MedLEE Database Interface Medical Entities Dictionary Laboratory Pharmacy Radiology Research Databases Patient Database
Conclusions • The system allows for interaction between the various component in an integrated and modular format • While creating a composite Master Patient Index comprising of all kinds of financial,administrative and clinical information, the system also serves to pass on the message • A technology that allows computers and networks to add and extract value from information as the information moves throughout an organization • The information can be assigned, routed, activated and managed through system-controlled rules that mirror the decision processes of the business operations in the hospital
HIS have the ability to link the following major players • Laboratories • Pharmacies • Researchers • Doctors and consultants • Banks and financial institutions • Administrators • And knowledge managers
the aim of a HIS is r to adequately enable the execution of information processing functions – for patient care, including administration as well as – for research and education mainly for university hospitals - r considering economic hospital management, as well as r legal and other requirements • therefore HIS contributes to a high quality of patient care and medical research
HIS should provide r 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
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
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
ten application areas will be the necessary part of the HIS • Admissions, Medical Records & Abstracting (ADM/MRI/ABS) • Billing/Account Receivable (BAR) • Community Wide Scheduling (CWS) • Data Repository (DR) • Imaging and Therapeutic Services (ITS) • Laboratory, Microbiology, Blood Bank & Anatomical Pathology (LIS) • Order Entry & Electronic Medical Record (OE/EMR) • Patient Care System (PCS) • Pharmacy (PHA) • Remote Physician Access
the information system of a hospital is an important quality factor • the information system of a hospital is an important cost factor • the quality of HIS is becoming increasingly relevant in the competition between hospitals • a HIS can provide a holistic view of patients and of a hospital • a HIS can be seen as the memory and nervous system of a hospital