hospital management information system
TRANSCRIPT
'MIS' is a planned system of the collecting, processing, storing and disseminating data in the form of information needed to carry out the functions of management
It deals with the resources, devices, and methods required to optimize the acquisition, storage, retrieval, and use of information in health and biomedicine for providing an effective and efficient health care delivery system.
MANAGEMENT INFORMATION
Network of data processing procedures developed within an organization for the purpose of providing an effective information to support decision making and other management functions
Management functions
MIS- Provides requisite data in the desired format for “POSDCORB”
- Planning- Organizing- Staffing- Communication- Co-ordination- Monitoring- Controlling- Reviewing- Decision Making- Budgeting
MIS Provides
Information regarding
General Administration Personnel Management Accounts and Finance Beneficiaries
Minimize uncertainty in management decisions
Facilitate achievement of organizational goals
Ensure quality standards in health-care
Information– not data Relevant Sensitive Un-biased / uniform Comprehensive Timely Action-oriented Performance oriented Cost-effective
MIS – For Decision Making
- Recognition of Problems- Collection and Analysis of data- Generation of Alternatives- Assisting in choice of best alternative- Communication and Implementation- Review
Includes a system which acquires ,stores, processes and delivers patient related information in a hospital with required details in response to a query or routinely or periodically as per predetermined format to those who need it is called a hospital information systems (HIS)
Clinicial functions Administrative functions Control functions Strategic planning
Clinical information system
Administrative information system
Ancillary services information system
Disease Surveillance information system
Patient demographics. Medical history, examination and progress
reports of health and illnesses. Medicine and allergy lists, and immunization
status. Laboratory test results. Radiology images (X-rays, CTs, MRIs, etc.) Photographs, from endoscopies or laparoscopy
or clinical photographs.
Medication information, including side-effects and interactions.
Evidence-based recommendations for specific medical conditions
A record of appointments and other reminders.
Billing records. Eligibility Advanced directives, living wills, and health
powers of attorney
Patient related information◦ Adequacy of services◦ Quality of care◦ Epidemiological studies
Annual return of services ,facilities utilization
Optimal use of beds, facilities ,equipment◦ Assess productivity
Inventory control
Data from different departments
Health personnel data
Financial data
Future plans
Advances in patient care
Advances in management tools and technology
HIS
- SUB-SYSTEMS
Reservation, Admission Discharge Outpatient Registration Billing Personnel Scheduling Patient Care
Pharmacy Diet Planning Accounts Finance Administration Materials Equipment Feedback Analysis
HIS- SUB-SYSTEMS
Inpatient Management
Bed Occupation Details Bed Status IP Census Transfer Out Slip (From Wards)
Billing
• Bill Concession• Category Payments• Category Services• Consolidated Bill Concession• Counter Payment• Category Payment Cheque• IP Bill Concession• Final IP Bill Consolidate• Final IP Bill
• Detailed Bill• OP Payments• Open Counters• OP Voucher• Expenses for Package Patients• Payment/Receipt• List of Services• Service Rate• Voucher
Billing (contd.)
Pharmacy
• Patient Issue and Returns• Patient Issue• External Patient Pharmacy Bill• Inpatient Pharmacy Bill• Outpatient Pharmacy Bill• Purchase• Pharmacy Sales
Laboratory
• Lab Request• Statistics about number of Tests• List of Panels• Test Request• Lab Wise Report for External Patients• Lab Wise Report for Inpatients• Lab Wise Report for Outpatients• List of tests
General Administration
• Bed Occupancy• Category Census• Employee Address• Employee Details• Employees Joined in the Current Month• Report Employee Details, Employee Number Wise• IP Census• MR Census• OP Census• Monthly Census• Employee PF
Personnel
• Service Certificate• No Due Certificate• Separation List• List of Disciplinary Cases• Loan Details• Reimbursement Details• Impending Confirmation List• Impending Retirement Details• Impending Separation List
The Center for Information Technology Leadership described four different categories (“levels”) of data structuring at which health care data exchange can take place
The four levels are:
Level
Data Type Examples
1 Non-electronic data Paper, mail, and phone call
2 Machine transportable data. Fax, email, and unindexed documents
3 Machine organizable data (structured messages, unstructured content)
documents, images, and objects.
Level Data Type Examples
4 Machine interpretable data (structured messages, standardized content)
Automated transfer from an external lab of coded results into a provider’s EHR. Data can be transmitted (or accessed by HIT systems without need for further semantic interpretation or translation.
decision support systems in healthcare, including clinical decision support systems
architectures for electronic medical records and other health information systems used for billing, scheduling, and research
standards (e.g. DICOM, HL7) and integration profiles (e.g. Integrating the Healthcare Enterprise) to facilitate the exchange of information between healthcare information systems
Systematized Nomenclature of Medicine, Clinical Terms (SNOMED CT), MEDCIN, Logical Observation Identifiers Names and Codes (LOINC), - used to allow a standard, accurate exchange of data content between systems and providers
- Electronic Medical Records
Translate information from paper records into a computerized format.
Contents - Patient’s historiesFamilyRisk factorsFindings from physical examinationVital signsTest ResultsKnown allergiesImmunizationsHealth ProblemsTherapeutic Procedures and MedicationsResponse to Therapy
Electronic Medical Records (EMR)
Also include -
- Provider’s assessment and plans- Advance Directives- Information, about the patient’s assent to and understanding of therapy.- Permission for Disclosure of Information for use by other care providers or bill payers.
Requisites for good MIS
- Acquisition of appropriate hardware and software (customized)- Selection and training of qualified staff- Products and system- Proper maintenance- Control- Review
Qualities of Good MIS
- Accurate- Reliable- Relevant- Timely- Concise- Comprehensive- Effective
Limitation
- Cost - Initial- Recurring- Up gradation
- Need for Trained staff- Need for Proper Maintenance- Possibility of loss of information
Old record incorporation Social and organizational barriers Confidentiality Technology limitations Budgetary constraints User acceptance and competence Preservation Legal status Setting standards Customization