unit3 - Outline Set Set up Teams and Discuss Project...

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Unformatted text preview: Outline Set Set up Teams and Discuss Project Definition Definition of Terms Information Information systems & technology Health Health care information systems Administrative Administrative applications Clinical applications Clinical applications History and Evolution of Health Care Information Systems History History and Evolution of HCIS (from 1960s until now) Health Health care environment State State of information technology State State of health care information systems Unit 3: Chapter 4 . AHS 435 - Survey of Clinical & Administrative Information Systems Definition Definition 2 Health Care Information System Administrative Administrative information system Information system— Information system—an arrangement of— of— Data Data Processes Processes People Technology Technology that interact to collect, process, store, and provide as output the information needed to support the organization. Contains Contains primarily administrative or financial data Used Used to support the management functions and general operations of the health care organization . AHS 435 - Survey of Clinical & Administrative Information Systems 3 Clinical Clinical information system Contains Contains clinical or healthhealth-related information relevant to the provider in diagnosing, treating and monitoring the patient’s care . AHS AHS 435 - Survey of Clinical & Administrative Information Systems 4 1 Examples of Administrative Applications Examples of Clinical Applications Patient Patient administration systems Admission, Admission, Discharge, and Transfer Registration Scheduling Scheduling Patient Patient billing or Accounts receivable Utilization management Utilization management Financial Financial management systems Accounts Accounts payable General General ledger Personnel Personnel management Materials Materials management Payroll Payroll . Staff Staff Scheduling AHS 435 - Survey of Clinical & Administrative Information Systems Ancillary Ancillary information systems Laboratory Laboratory Radiology Radiology Pharmacy Pharmacy Other clinical information systems Other clinical information systems Nursing Nursing documentation Electronic Electronic medical record (EMR) Computerized Computerized provider order entry Telemedicine Telemedicine and Telehealth Medication Medication administration . 5 History of HCIS AHS 435 - Survey of Clinical & Administrative Information Systems 6 In other words, What What was happening in the health care environment and at the federal level that influenced organizations to adopt or use computerized systems? What was the state of information technology at the time? How How did the environmental factors, coupled with advances in information technology, affect the adoption and use of HCISs? Health care environment + State of information technology = Use of health care information systems . AHS AHS 435 - Survey of Clinical & Administrative Information Systems . 7 AHS 435 - Survey of Clinical & Administrative Information Systems 8 2 ENIAC – 1st Computer – 1946 UNIVAC Electronic Numerical Integrator and Computer Universal Automatic Computer - 1951 . AHS 435 - Survey of Clinical & Administrative Information Systems . 9 AHS 435 - Survey of Clinical & Administrative Information Systems 10 1960s-1960s-Billing is the Center of the Universe Health Health Care Environment Enactment Enactment of Medicare & Medicaid CostCost-based reimbursement Building Building mode Focus on financial needs and capturing revenues State State of Information Technology Mainframe Mainframe computers Centralized Centralized processing Few vendorFew vendor-developed products . AHS 435 - Survey of Clinical & Administrative Information Systems . 11 AHS AHS 435 - Survey of Clinical & Administrative Information Systems 12 3 1960s HCIS Early Data Entry: Punch Cards Administrative Administrative and financial systems Used Used primarily in large hospitals and academic medical centers Developed Developed and maintained in-house inShared systems available to smaller hospitals Shared systems available to smaller hospitals Data Data processing was primarily centralized on mainframe computers . AHS 435 - Survey of Clinical & Administrative Information Systems . 13 AHS 435 - Survey of Clinical & Administrative Information Systems 14 1970s— 1970s—Clinical Department Wake Up; Debut of Minicomputer Picture of Mainframe Health Health Care Environment Time Time of hospital growth and expansion Medicare Medicare and Medicaid expenditures rising Need to contain health care costs Need to contain health care costs State State of Information Technology Mainframes Mainframes still in use Minicomputers Minicomputers become available, smaller and more affordable . AHS 435 - Survey of Clinical & Administrative Information Systems . 15 AHS 435 - Survey of Clinical & Administrative Information Systems 16 4 1970s HCIS 1979 – Apple II+ Microcomputer Turnkey Turnkey systems available through vendor community Increased interest in clinical applications Increased (particularly in ancillary departments) Shared Shared systems still used . AHS AHS 435 - Survey of Clinical & Administrative Information Systems . 17 1980 – Radio Shack TRS 80 AHS 435 - Survey of Clinical & Administrative Information Systems 18 1980s— 1980s—Computers for the Masses Health Health Care Environment Medicare Medicare introduces prospective payment system for hospitals Medicaid Medicaid and other private insurers follow suit Need Need for financial and clinical information an State State of Information Technology Unveiling Unveiling of the microcomputer (PC) Advent Advent of local area network . AHS AHS 435 - Survey of Clinical & Administrative Information Systems . 19 AHS 435 - Survey of Clinical & Administrative Information Systems 20 5 1990s— 1990s—Health Care Reform; Advent of Internet 1980s HCISs Distributed Distributed data processing Expansion Expansion of clinical information systems in hospitals Physician Physician practices introduce billing systems Affordable, Affordable, powerful computers now available to smaller organizations Ability Ability to integrate financial and clinical information becomes increasingly important Health Health Care Environment Medicare Medicare changes in physician reimbursement Health Health care reform efforts of Clinton administration Growth Growth of managed care and integrated delivery systems IOM IOM calls for adoption of computer-based computerpatient record . AHS 435 - Survey of Clinical & Administrative Information Systems . 21 1990s continued AHS 435 - Survey of Clinical & Administrative Information Systems 22 1990s continued State State of Information Technology Unveiling Unveiling of the Internet (World Wide Web) Internet Internet revolutionizes how organizations communicate with organizations communicate with each each other, market services, conduct business Cost Cost of hardware drops . AHS 435 - Survey of Clinical & Administrative Information Systems Health Health Care Information Systems Health Health care organizations take advantage of Internet Vendor Vendor community explodes Wide range of HCIS products/services Wide range of HCIS products/services available available Growing Growing interest in clinical applications Still Still relatively small growth in adoption of CPR/EMR systems . 23 AHS 435 - Survey of Clinical & Administrative Information Systems 24 6 2000 and Beyond: Health Care IT Arrives; Patients Take Center Stage 2000 and Beyond Health Health Care Information Systems National National call for EHR adoption Infusion Infusion of HIT funding Office Office of the National Coordinator for HIT (ONC) Regional health information organizations Regional health information organizations Health Health care organizations struggle with how to successfully implement point of care clinical systems CPOE CPOE EHR EHR E-prescribing . AHS 435 - Survey of Clinical & Administrative Information Systems 25 2000 and Beyond Health Health Care Environment IOM IOM reports on patient safety and medical errors HHS HHS calls for standards for EHRs Spiraling health care costs Economic Economic upheaval and growing number of uninsured Health Health care transparency and pay-forpay-forperformance New New Administration Federal Federal stimulus money available for HIT . AHS 435 - Survey of Clinical & Administrative Information Systems 26 Summary State State of Information Technology Challenges Challenges of health care environment, coupled with advances in information technology, led to state of health care information systems Important to look at where health care Important to look at where health care industry industry has come in its adoption and use of IT and where it has yet to go Internet Internet use moves to new level Voice Voice recognition rebounds Bar Bar coding and RFID PDAs and multipurpose cell phones PDAs and multipurpose cell phones PHRs PHRs and consumer maintaining WebWebbased records Web Web 2.0 technologies Cloud Cloud Computing . AHS 435 - Survey of Clinical & Administrative Information Systems . 27 AHS 435 - Survey of Clinical & Administrative Information Systems 28 7 ...
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This note was uploaded on 08/21/2011 for the course AHS 401 taught by Professor Paustian during the Spring '11 term at University of Alabama at Birmingham.

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