1. John Wieler Management Information Systems In a Healthcare Setting

2. John Wieler Objectives Understand Management Information Systems in a Healthcare context Develop a base understanding of data flow Identify key systems common to most healthcare providers

3. John Wieler Clinical Data Concepts The Patient is the center of attention in a hospital (at least for Clinical Systems) What data is unique to the patient and the care process?

4. John Wieler The Patient: Name Address Next of Kin Other Demographics Unique Identifiers - Hospital Numbers - PHIN - Etc. Data Flow I: The Patient AKA: Master Patient Index

5. John Wieler The Visit: - Visit Dates and Times - Bed and Room Occupancy - Bed and Room Availability - Visit #/Encounter #/Case# Data Flow II : The Visit The Patient AKA: ATD, Hotel Functions

6. John Wieler The Treatment: - Clinical Information - Patient Treatment - Patient Diagnosis - Any other clinical interaction with the Patient Data Flow III: The Treatment The Visit AKA: The Chart (Electronic or Not), The Medical Record Medical Acts The Patient

7. John Wieler The Treatment Order Schedule Order Fulfillment Diagnostic Review Result Data Flow III: The Treatment, cont.

8. John Wieler The Outcome: - Case Costing - Patient Accounting - Physician Accounting - Coding and Abstracting - Links to External Systems Data Flow IV : The Outcome The Treatment AKA: Management Reporting Decision Support The Visit The Patient

9. John Wieler General Concepts In a most general sense there are a number of interdependent “types” of systems in a healthcare environment The base model of Information Systems in Healthcare is what I call the “Greek Temple” diagram.

10. John Wieler INFRASTRUCTURE Start with Infrastructure

11. John Wieler Key Infrastructure Infrastructure == People, Policy, Stuff Essentially, how to keep things running Examples include –Networking –Helpdesk/PC support –Server administration –Security Policy and Administration

12. John Wieler INFRASTRUCTURE CLINICAL SYSTEMS Add Clinical Systems

13. John Wieler Key Clinical Systems Defined as “Having to do with Patients” Master Patient Index Admission Transfer Discharge (ATD) Order Entry & Result Reporting Diagnostic Imaging and PACS Lab Systems Pharmacy Systems

14. John Wieler INFRASTRUCTURE CLINICAL SYSTEMS ADMINISTRATIVE SYSTEMS …then add Administrative Systems

15. John Wieler Key Administrative Systems Running the Hospital as an Organization Systems common to most other Organizations Financial Systems i.e. AP/GL Materials Management Payroll Human Resources (HR) Staff Scheduling

16. John Wieler Admin Systems (II) Departmental Systems –Equipment Tracking –O.R. Scheduling –Information Services Help Desk –And many, many others

17. John Wieler INFRASTRUCTURE CLINICAL SYSTEMS ADMINISTRATIVE SYSTEMS DECISION SUPPORT Top off with Decision Support

18. John Wieler Key Decision Support Systems Measuring delivery of service Using Data to plan future delivery of service Health Care Specific –Coding and Abstracting –ICD 9/10 –CIHI

19. John Wieler Decision Support (II) Data Mart/Warehouse Applications Smaller Departmental Systems –Workload Measurement –Information Services Help Desk

20. John Wieler INFRASTRUCTURE CLINICAL SYSTEMS ADMINISTRATIVE SYSTEMS DECISION SUPPORT Support Necessary Data Flow Systems

21. John Wieler Challenges in Healthcare Integration Between Clinical Systems can be very complex Want to make things seamless from a patients point of view Want to make things easy for a Hospital Employees point of view Want to give Clinicians what they want

22. John Wieler Challenges in Healthcare (II) Example, Ordering an CAT Scan Systems involved = Paper, ATD, Scheduling, Radiology, PACS, Order Entry, Result Reporting Need data to be consistent and correct Need systems to be fast, easy to use

23. John Wieler Challenges in Healthcare (III) Integration of Data to systems outside of Facilities –Physicians Offices/Clinics (Primary Care) –Integration into Community Services Immunization Records Home Care Need identity management, security to be in place across multiple jurisdictions

24. John Wieler Why Should I Care? Business Processes Issues map into Healthcare space, many career opportunities There is a lot of money spent in Healthcare, a good understanding as a vendor can make you successful

25. John Wieler Questions or Comments?