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An Introduction to HIS

Hou Hai-feng

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what is HIS?

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what is HIS?

• HIS. Hospital Information System. One that supports all hospital functions and activities such as patient records, scheduling, administration, charge-back and billing, and often links to or includes clinical information systems such as RIS. (Radiology Information System )

• that part of a HIS in which computer systems are used as ICT-tools(information and communication technology ) is referred to as its

computer-supported part• the remainder is being referred to as thenon-computer-supported part• as a consequence, a hospital has a HIS from ...the beginning of its existence on

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what is HIS?

• the question is notwhether a hospital should be equipped with a hospital

information system or not,• but an appropriate question would be ...whether the performance should be enhanced, for example,

by using state of the art ICT-tools• HIS must consider all areas of a hospital:wardsoutpatient unitsservice units (diagnostic, therapy,others)administrative departmentsmanagement/executive units

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what is HIS?

• HIS must consider all groups of personsphysiciansnursesadministrative stafftechnical staffhealth informaticians / health information managers...• ... and last, but not least,patientsvisitorssuppliers...

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Hospital Information System

Registration Consulting Ward Nursing

Pharmacy

Stores & Purchase

RadiologyLaboratoryOT Blood Bank

Diet & Kitchen

And more...

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Structure of the Hospital Community

Hospital Community

Patient care Community

Outpatient Community Inpatient Community

Administration Community

Reception Community Medical Accounting Community

Healthcare professional

Staff

Clinical laboratory technologist

Radiological technologist

Physician

Nurse

Hospital administrator

Clinical Laboratory Community

Radiological Community

Pharmaceutical Community

Pharmacist

Medical Service

Patient

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Development steps of HIS

Management Information

System

Clinical Information

System

MIS

CIS

GMIS

Geographical Management Information System

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The information in hospital

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The information of the hospital come from

• Front office

• Doctors consultation room

• Ward

• Laboratory

• The service providers like financial and insurance service provider

• And so on

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This information can be categorized as

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Simple Model of Hospital Information System (HIS) &

Data Movement

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Information will be used by the areas

• Patient Administration

• Clinical Management

• Resource Management

• Financial Management

• Management Information System

• And more…

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Laboratory

Pharmacy

Radiology

Data Entry& Results Review

EventMonitor

Billing &Financial

MedicalLogic

Modules

MedicalEntities

Dictionary

DatabaseInterface

PatientDatabase

ResearchDatabases

Specialized Encoders MedLEE

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Conclusions• The system allows for interaction between the various

component in an integrated and modular format• While creating a composite Master Patient Index

comprising of all kinds of financial,administrative and clinical information, the system also serves to pass on the message

• A technology that allows computers and networks to add and extract value from information as the information moves throughout an organization

• The information can be assigned, routed, activated and managed through system-controlled rules that mirror the decision processes of the business operations in the hospital

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The function of HIS

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• Laboratories

• Pharmacies

• Researchers

• Doctors and consultants

• Banks and financial institutions

• Administrators

• And knowledge managers

HIS have the ability to link the following major players

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• the aim of a HIS is to adequately enable the execution of information processing

functions – for patient care, including administration as well as – for research and education mainly for university hospitals - considering economic hospital management, as well aslegal and other requirements• therefore HIS contributes to a high quality of patient care and

medical research

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• HIS should provide information, primarily about patients, in a way that it

is correct, pertinent and up to date, in time, accessible by the right persons at the right site in a usable format

knowledge, primarily about diseases, but also, for example, about the effects of drug interaction, to support diagnosis and therapy

information about the quality of patient care, hospital performance and costs

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in other words:• HIS should provide, as far as feasible, the right information andthe right knowledgeat the right timein the right placeto the right peoplein the right form• so that these people can makethe right decisions

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• university hospitals / university medical centers, in addition to patient care

undertake research and teaching to gain medical knowledge and deeper understanding

new knowledge is gained from specific experiences in patient care through careful data collection

to support this, also specialized biometric methods, such as planning clinical trials,are needed

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ten application areas will be the necessary part of the HIS

1. Admissions, Medical Records & Abstracting (ADM/MRI/ABS)

2. Billing/Account Receivable (BAR) 3. Community Wide Scheduling (CWS) 4. Data Repository (DR) 5. Imaging and Therapeutic Services (ITS) 6. Laboratory, Microbiology, Blood Bank & Anatomical

Pathology (LIS) 7. Order Entry & Electronic Medical Record (OE/EMR) 8. Patient Care System (PCS)9. Pharmacy (PHA) 10. Remote Physician Access

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importance of HIS

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• the information system of a hospital is an important quality factor

• the information system of a hospital is an important cost factor

• the quality of HIS is becoming increasingly relevant in the competition between hospitals

• a HIS can provide a holistic view of patients and of a hospital

• a HIS can be seen as the memory and nervous system of a hospital

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Thank you very much.Any questions?