1. 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.

2. Health Information Systems 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

3. Health Information Systems 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 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

4. Information System Automated system –Computer hardware and software Receives data Processes data Outputs data –Supports the functions of the organization 4 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

5. 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 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

6. Characteristics of an Information System Organization of data into information –Example Data dictionary Ability to analyze the information –Example Medication management 6 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

7. Major Information System Categories Transaction Processing System (TPS) Management Information System (MIS) Decision Support System (DSS) 7 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

8. Transaction Processing System (TPS) –Processes information in order to complete a transaction Examples: –Admit, discharge, transfer (ADT) –Patient billing 8 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

9. 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 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

10. Management Information System (MIS) –Helps managers plan, organize, and evaluate their department Examples: –Laboratory department –Emergency department 10 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

11. 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 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

12. 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 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

13. 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 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

14. HCIS Components Patient management and billing Department management Care delivery and clinical documentation Clinical decision support Financial and resource management 14 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

15. 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 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

16. Department Management Systems that support a department’s information needs –Example Health Information Management Department Systems –Supporting technology Electronic Document Management Systems Supplies data to patient databases 16 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

17. Care Delivery and Clinical Documentation Systems that support the delivery of the care and documentation of that care –Example Clinical information systems –Supporting technology Clinical documentation Houses patient clinical data 17 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

18. Clinical Decision Support Systems that support the clinical staff with data interpretation and decision-making –Example Prescription decision support –Supporting technology Drug-drug interactions Accesses patient clinical data 18 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

19. Financial and Resource Management Systems that support business functions –Example Accounts Payable System –Supporting technology Claims administration Houses f inancial and employee data 19 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

20. 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 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

21. Health Information Systems 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 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a

22. Health Information Systems 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. 22 Health IT Workforce Curriculum Version 3.0/Spring 2012 Health Management Information Systems Health Information Systems Overview Lecture a