2. Health Information Technology For Nursing Curriculum Northern Virginia Community College 2014

3. LEARNING OBJECTIVES Identify the major types of administrative and clinical information systems used in healthcare. Discuss how administrative and clinical information systems are different. Describe how clinical decision support systems can be used in the clinical setting.

4. Administrative Information Systems Contains: Primarily administrative Financial data Purpose: General operations of organization Support management functions Clinical Information System Contains: clinical or health-related information Purpose: Assist providers in diagnosing, treating, monitoring & documenting patient care HEALTHCARE INFORMATION SYSTEMS

5. Patient Administration Systems  Admission, Discharge, and Transfer Registration  Scheduling  Patient billing or accounts receivable  Utilization management Administrative Information Systems

6. Financial Management Systems  Accounts payable  General ledger  Personnel & Materials Management  Payroll  Staff Scheduling Administrative Information Systems

7.  Electronic medical record (EMR)  N ursing documentation  Medication administration  Computerized provider order entry (CPOE)  Telemedicine Clinical Information Systems

8. Roadmap to Clinical Decision Support (CDSS) Source: Peter Durand, alphachimp.com.

9.  Tools or Algorithms  Created by panels of experts  Provides Evidence Based Treatment Options  Embedded or accessible from Clinical Information Systems  Remember output is only as good as input Clinical Decision Support Systems

10. In Closing... Nightingale circa 1854 Source: http://en.wikipedia.org/wiki/Florence_Nightingale “I have applied everywhere for information, but in scarcely an instance have I been able to obtain hospital records fit for any purposes of comparison...If they could be obtained... They could enable us... to improve the treatment and management of the sick.” Source: Nightingale, F. (1863). Notes on hospitals. (3 rd. Ed.). London: Longman, Green, Roberts, & Green. p. 176

11. REFERENCES Hebda, T. L., & Czar, P. (2012). Handbook of informatics for nurses & healthcare professionals (5 edition.). Boston: Prentice Hall. Saba, V., & McCormick, K. (2005). Essentials of nursing informatics (4 ed.). New York: McGraw-Hill Professional. www.healthit.gov

12. Led by Bellevue College, the Health eWorkforce Consortium was formed to elevate Health Information Technology workforce development locally and nationally and provide career paths into this promising field for veterans and others. The nine-college consortium includes Bellevue College, Bellingham Technical College, Clark College, Clover Park Technical College, Northern Virginia Community College, Pierce College, Renton Technical College, Spokane Community College, and Whatcom Community College. The Health Information and Management Systems Society (HIMSS) is also a primary partner. This workforce solution is 100% funded by an $11.7m grant awarded by the U.S. Department of Labor's Employment and Training Administration. The solution was created by the grantee and does not necessarily reflect the official position of the U.S. Department of Labor. The Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability or ownership. This work is licensed under a Creative Commons Attribution 4.0 International License. Exceptions: 1) Materials identified as copyrighted or derived from another source. 2) Materials extracted from the Office of the National Coordinator (ONC) Health Information Technology Workforce Curriculum, which carries a more limited CC-BY SA license.CC-BY SA license