1. Health Care Information Systems

2. Radiology Information System
Allows direct order entry or accepts orders from other systems
Provides scheduling of diagnostic tests
Generates client instructions and preparation procedure
Permits transcription of results

3. Radiology Provides picture archiving and transmission of images
Generates charges once procedures are done
After a report is written it can be view through the clinical information system

4. Example Patient undergoing MRI
The RIS generates questions such as whether the patient is claustrophobic, whether patients has foreign metal bodies
The nurse enters the answers
The radiologist reviews the answers and determine if the patient is appropriate for testing
MRI done, electronic image are sent to the CIS
Report is written and the transferred to the CIS

5. Pharmacy Information Systems
Provide checks in order and administration process
Reduces errors when used with bar code technology
Use lab results, allergy, and interaction information from clinical systems
Track medication use, costs, and billing information  decision making

6. Pharmacy Online access May include more than one system
In pharmacy dispensing systems (robots)
Unit-based dispensing cabinets in care areas
Requires ID and password (badge swipe)
Barcode Medication Administration

7. Pharmacy E-prescribing
Process that allows the physician to enter a prescription which is then electronically sent to the pharmacy from computers, PDAs

8. Barcode Medication Administration
Uses barcode on the unit-dose medication package and patient bracelet to ensure right patient, right drug, right dose, right time, right route

9. E-prescribing Benefits
Provides a longitudinal prescription record
Review client’s history before ordering med
Provides alerts about drug interactions
Generates reminders to order home meds for the discharged client
Eliminates phone authorization for refills

10. Physician Practice Management Systems
Physician office system
Features include capture of demographic and insurance data, scheduling, billing, outcome tracking, and report capability
May, or may not, connect to hospital electronic patient records or maintain separate patient records
HIPPA compliances

11. Home Healthcare May communicate with hospital systems to exchange data
Support demands for excessive documentation
Improve payment for services because it is easier and quicker to find information needed for billing

12. Administrative systems
Registration systems
Scheduling systems
Financial systems

13. Registration Systems AKA: Admission/discharge/transfer (ADT) systems
Collect and store demographic and insurance data that are verified and updated at the time of each visit
Critical to operations to ensure correct patient identification and reimbursement for charges

14. Scheduling systems Scheduling appointments Need certain info: Referral
Authorization by insurance
Department
Date and time
Room
Prep
Billing info

15. Smart Technology
Improves quality, safety, and efficiency in patient care
Optimization of workflow by slowing problems to create better workflow for clinicians
Benefits clinicians and patients
Adoption can be slow and expensive

16. The big picture
Describe How all these systems can work together to optimize healthcare practice?

17. Question?