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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?