Comp6 Unit2a Lecture Slides

Health Management Information
Systems
Health Information Systems
Overview
Lecture a
This material Comp6_Unit2a was developed by Duke University, funded by the Department of Health and Human Services,
Office of the National Coordinator for Health Information Technology under Award Number IU24OC000024.
Overview
Learning Objectives
1. Define the concept of an information system
and its characteristics (Lecture a)
2. Describe the different types of information
systems (Lecture a)
3. Describe various types of technologies that
support health care information systems
(Lecture a)
2
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Health Management Information Systems
Health Information Systems Overview
Lecture a
Overview
Learning Objectives
4. Examine the challenges presented by emerging
trends in information technology, social media,
and global communications (Lecture b)
5. Discuss the advantages and disadvantages of
using the Internet as a platform for health care
applications (Lecture b)
3
Lecture a
Information System
Automated system
Computer hardware and software
Receives data
Processes data
Outputs data
Supports the functions of the organization
4
Lecture a
General Characteristics of an
Information System
Inputs
Order for a drug
Data
Prescribed drug
Process
Verifies drug is correct for the order
Outputs
Documentation of administration
5
Lecture a
Characteristics of an Information
System
Organization of data into information
Example
Data dictionary
Ability to analyze the information
Example
Medication management
6
Lecture a
Major Information System
Categories
Transaction Processing System (TPS)
Management Information System (MIS)
Decision Support System (DSS)

7
Lecture a
Transaction Processing System
(TPS)
Transaction Processing System (TPS)
Processes information in order to complete a
transaction
Examples:
Admit, discharge, transfer (ADT)
Patient billing
8
Lecture a
Admission-Discharge-Transfer
(ADT)
The name given to software systems used in
health care facilities that register and track
patients from admission through discharge
including transfers; usually interfaced with other
systems used throughout a facility such as an
electronic health record or lab information
system.
9
Lecture a
Management Information System
(MIS)
Management Information System (MIS)
Helps managers plan, organize, and evaluate
their department
Examples:
Laboratory department
Emergency department

10
Lecture a
Emergency Department
Information Systems
Dashboard systems
Communication systems
Clinical decision support
Documentation systems
Computerized training and information retrieval
Systems to facilitate public health surveillance
11
Lecture a
Decision Support System (DSS)
Information system
Gathers data from a variety of sources
Assists in providing structure to the data
Facilitates and improves the outcome of
business and organizational decision-making
activities
Example:
Clinical DSS
12
Lecture a
Health Care Information
System (HCIS)
Information system used within a health care
organization
Facilitates communication
Integrates information
Documents health care interventions
Performs record keeping
Otherwise support the functions of the
organization
13
Lecture a
HCIS Components
Patient management and billing
Department management
Care delivery and clinical documentation
Clinical decision support
Financial and resource management
14
Lecture a
Patient Management and Billing
Systems that support the management of the
patient
Example
Patient identification
Supporting technology
Master patient index
Patient-identifying directory
Links to the patient record
Facilitates patient identification
Assists in maintaining a longitudinal patient record
15
Lecture a
Department Management
Systems that support a departments information
needs
Example
Health Information Management Department
Systems
Electronic Document Management Systems
Supplies data to patient databases
16
Lecture a
Care Delivery and Clinical
Documentation
Systems that support the delivery of the care
and documentation of that care
Example
Clinical information systems
Clinical documentation
Houses patient clinical data

17
Lecture a
Clinical Decision Support
Systems that support the clinical staff with data
interpretation and decision-making
Example
Prescription decision support
Drug-drug interactions
Accesses patient clinical data
18
Lecture a
Financial and Resource
Management
Systems that support business functions
Example
Accounts Payable System
Claims administration
Houses financial and employee data
19
Lecture a
Practice Management
Practice management system (PMS)
Combination of financial and administrative
functions
Patient appointment, scheduling, registration,
billing, and payroll functions
PMS and electronic medical records integration
20
Lecture a
Overview
Summary Lecture a
Definition of an information system and its
characteristics
Types of information systems that support the
health care enterprise requirements
Types of technologies that support health care
information systems
21
Lecture a
Overview
References Lecture a
References
AHIMA e-HIM Work Group on Electronic Document Management as a Component of EHR. (2003). Retrieved from
http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_021595.hcsp?dDocName=bok1_021595
American Health Information Management Association. (2012). Pocket glossary for health information
management and technology (3
rd
ed.). Chicago, IL: Author.
Betts, G. (2007). Characteristics of an information system. Retrieved from
http://www.bettscomputers.com/characteristicsofinformationsystems.htm
Das, M. & Eichner, J. (2010, March). Challenges and barriers to clinical decision support (CDS) design and
implementation experienced in the agency for healthcare research and quality CDS demonstrations (Prepared for
the AHRQ National Resource Center for Health Information Technology under Contract No. 290-04-0016.) AHRQ
Publication No. 10-0064-EF. Retrieved from
healthit.ahrq.gov/portal/server.pt/gateway/PTARGS_0_11699_911566_0_0_18/CDS_challenges_and_barriers.pdf
Healthcare Information and Management Systems Society (HIMSS). (2010). HIMSS dictionary of healthcare
information technology terms, acronyms and organizations (2
rd
ed.). Chicago, IL: Author.
National Research Council. (2007). Hospital-Based emergency care: At the breaking point. Washington, DC: The
National Academies Press.
Vogel, L.H., & Perreault, L.E., (2006). Management of information in healthcare organizations. In Shortliffe. E. H.,
& Cimino, J. J. (Eds.), Biomedical informatics: Computer applications in health care and biomedicine (3
rd
ed) (pp.
476-510). New York, NY: Springer Science + Business Media.

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Lecture a

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Health Management Information

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