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Developed By: Rachelle G. (slides 3-9) Jessica M. (slides 10-14)Rachel S. (slides 15-19 !5-!")Ra#ea$ %. (slides !0-!4)

CLINICAL INFORMATION

SYSTEMS


2/29

TABLE OF CONTENTS

Slide 3-9:B&ie' ove&vie o' *S a$d +eyplaye&s i$volved i$ i,ple,e$i$# i.

Slide 10-14: he ei#h /asic co,po$e$so' R

Slides 15-19: he cli$ical decisio$ ,a+i$#syse, i$ a *S

Slide !0-!!: Sa'ey2Sec&iy

Slide !3-!4: os

Slide !5-!": dcaio$


3/29

WHAT IS CLINICAL

INFORMATION SYSTEMS

li$ical *$'o&,aio$ Syse, (*S) is aech$olo#y /ased syse, ha is applied a

he poi$ o' ca&e a$d is desi#$ed o sppo&he acisiio$ a$d p&ocessi$# o' i$'o&,aio$as ell as p&ovidi$# so&a#e a$d p&ocessi$#capa/iliies.

collecio$ o' va&ios i$'o&,aio$

ech$olo#y applicaio$s ha p&ovides ce$&al&eposio&y o' i$'o&,aio$ &elaed o paie$ca&e ac&oss dis&i/ed locaio$s

(McGo$i#le 6 Mas&ia$!009 p193)


4/29

CONT… WHAT IS CLINICAL

INFORMATION SYSTEMS

*S is also +$o$ as li$ical doc,e$aio$syse,s a$d is he ,os co,,o$ly sed

ype o' paie$ ca&e sppo& syse, ihi$healhca&e oa$i7aio$s.

*S is desi#$ed o collec paie$ daa i$&eal i,e.

*S is paie$ ce$e&ed i$cldi$#o/se&vaio$s i$e&ve$io$s a$d oco,es$oed /y paie$ ca&e ea,.

(McGo$i#le 6Mas&ia$ !009 p !09)


5/29

TEN COMMANDMENTS OF

CLINICAL INFORMATION SYSTEMS

1. Speed is eve&yhi$#.

!. Reali7e doco&s o$8 ai 'o& he co,pe&8spea&ls.

3. Delive&s s-i$-i,e; i$'o&,aio$

4.


6/29

KEY PLAYERS IN CHOOSING

CIS

%he$ choosi$# +ey playe&s o help selec a *S idepe$ds o$ he&e he *S is locaed.

• @&si$#

• Aa/o&ao&y

• ha&,acy

• Mo$io&i$#

• C&de& $&y

•

Billi$#

• *$'o&,aio$ ech$olo#y (*) Depa&,e$

• ecive leade&s2 C

• ddiio$al $cilla&y syse,s o ,ee i$siio$ $eeds

(McGo$i#le 6 Mas&ia$ !009 p 14?)


7/29

KEY PLAYERS FOR

IMPLEMENTATION OF CIS

ecive leade&ship: he si$#le ,os c&iical ele,e$o' sccess o' i,ple,e$i$# a *S is he spo$so&ship/y a se$io& eecive ihi$ he oa$i7aio$.

C- &iical &ole i$ i,ple,e$aio$ a$d is i,pe&aive

ha he C:• o,,$icae he visio$

• o,,$icae he vale o' *S p&oec

• llocae &eso&ces $ecessa&y i$ acco&da$ce ih/d#ea&y cycle

• &/i&ae a$y ,ao& co$=ics /eee$ physicia$s a$dva&ios hospial discipli$es

(a#e. !011)


8/29

KEY PLAYERS FOR

IMPLEMENTATION OF CIS

*$'o&,aio$ ech$olo#y Depa&,e$

%he$ i,ple,e$i$# a *S yo haveyo& +ey playe&s ha a&e i$volved i$helpi$# choose ha ypes o' syse,,ay /e $eeded / i old /ei,po&a$ o develop co,,iees o

develop sho& a$d lo$# e&, #oals 'o&*S ih ,eas&ea/le oco,es.

hese co,,iees old also /eacco$a/le 'o& oco,es o' decisio$s.


9/29

KEY PLAYERS IN REVISING A

CIS

ecive Aeade&ship

C * Depa&,e$

C&i#i$al o,,iees

SaE Aeade&s Depa&,e$ eads


10/29

EIGHT COMPONENTS OF THE

ELECTRONIC HEALTH RECORD (HRE)…

ealh *$'o&,aio$ a$d Daa

aie$ daa i$cldi$# de,o#&aphicsdia#$osis ,edicaio$ liss alleies es&esls ec.

Resls Ma$a#e,e$

Ma$a#es c&&e$ a$d hiso&ical&esls2&epo&s o' all ypes.

C&de& $&y Ma$a#e,e$

$a/les cli$icia$s o o&de& ,edicaio$s a$dohe& ca&e o&de&s i$cldi$# co$slaio$sla/o&ao&y $&si$# ec.

McGo$#ile D. 6 Mas&ia$ F. (!009). Nursing informatics and the foundation of knowledge. Sd/&y M: Jo$esa$d Ba&le /lishe&s.


11/29

Decisio$ Sppo&

le&s sed o i,p&ove paie$ ca&e sch assc&ee$i$# 'o& co&&ec ,edicaio$ selecio$ a$ddosi$# ,edicaio$ i$e&acio$s vacci$aio$s healh

&is+ sc&ee$i$# ec.

lec&o$ic o,,$icaio$ 6 o$$eciviy

C$li$e co,,$icaio$ /eee$ healhca&e ea,,e,/e&s collea#es a$d paie$s alloi$# 'o&

colla/o&aio$ ihi$ a$d ac&oss sei$#s a$di$siio$s.

aie$ Sppo&

aie$ access o edcaio$ a$d sel'-,o$io&i$# ools

'&o, ohe& sei$#s sch as ho,eMcGo$#ile D. 6 Mas&ia$ F. (!009). Nursing informatics and the foundation of knowledge. Sd/&y M: Jo$es


ELECTRONIC HEALTH RECORD

(HRE)…


12/29

d,i$is&aive &ocess

lec&o$ic schedli$# /illi$# clai,s ec.

Repo&i$# 6 oplaio$ ealh Ma$a#e,e$

Daa collecio$ ools o sppo& p/lic a$dp&ivae &epo&i$# &ei&e,e$s.

he 'olloi$# slide ills&aes hodaa is colleced /y ,a$y ,e,/e&so' he healh-ca&e ea, a$d ho i

all Hs o#ehe& o c&eae he RI

McGo$#ile D. 6 Mas&ia$ F. (!009). Nursing informatics and the foundation of knowledge. Sd/&y M: Jo$es a$d Ba&le /lishe&s.


ELECTRONIC HEALTH RECORD

(HRE)…


13/29@aio$al *$sies o' ealh @aio$al e$e& 'o& Resea&ch. (!00>). lec&o$ic healh &eco&ds ove&vie. Re&ieved '&o, hp:22.$c&&.$ih.#ov2p/licaio$s2i$'o&,aics2eh&.pd'.


14/29

THE EHR IS AN IMPORTANT PIECE OF THE

COMPUTER INFORMATION SYSTEM (CIS)

he ,os co,,o$ /e$eHs i$clde:

*$c&eased delive&y o' #ideli$e-/ased ca&e.

$ha$ced capaciy o pe&'o&, s&veilla$ce a$d

,o$io&i$# 'o& disease co$diio$s. Redcio$ i$ ,edicaio$ e&&o&s.

Che& poe$ial /e$eHs i$clde:

Redcio$ i$ cos.

*,p&oved aliy a$d oco,es.

McGo$#ile D. 6 Mas&ia$ F. (!009). Nursing informatics and the foundation of knowledge. Sd/&y M: Jo$es a$d Ba&le /lishe&s.


15/29

CLINICAL DECISION

SUPPORT SYSTEM

li$ical decisio$ sppo& syse,s a&eco,pe& p&o#&a,s desi#$ed o help

healh ca&e p&o'essio$als ,a+e cli$icaldecisio$s; (Ba++e$)

cli$ical decisio$ ,a+i$# syse, ihi$ a*S is he pe&'ec ay o ,a+e s&eevide$ce /ased p&acice is /ei$# 'olloed

a$ i,p&ove cli$ical pe&'o&,a$ce 'o& d&#dosa#e a$d p&eve$ive ca&e ($)


16/29

DIFFERENT TOOLS FOR CDSS

*$'o/o$s a&e a #&ea syse, i$sied/ecase i allos co$e$-speciHc

i$'o&,aio$ o /e accessed (Ba++e$) Rei&e p o dae evide$ce spplied /y

he co$e$ p&ovide&s (Ba++e$)

o,pe&-/ased ale&s o #&a/ p&ovide&s8

ae$io$ also p&ovide vala/lei$'o&,aio$ (Ba++e$)

sed 'o& sch hi$#s as d&#-d&# a$dd&#-la/ i$e&acio$s


17/29

STRUCTURE OF THE

CDSS

S&c&e o' he cli$ical decisio$sppo& syse, $eeds o i$volve a 'e

sepa&ae aspecs (Ba++e$) Daa acisiio$

daa is #ahe&ed '&o, ohe& syse,s i$he *S ha$ ca$ /e accessed h&o#h a

se& i$e&'ace

ealh ca&e sa$da&ds

SpeciHc #ideli$es se 'o& he i$siio$


18/29

STRUCTURE (CON’T)

Daa Reposio&ies

Daa ca$ /e so&ed a$d lae& &e&ieved d&i$#

se o' he syse,

Di#ial So&ces o' vide$ce

Ma$y i$e&$al a$d ee&$al so&ces o' evide$ceha a&e li$+ed o speciHc co$e$

Resea&ch is evolvi$# /es ca&e p&acices asch a 'as &ae

evide$ce shold /e pdaed '&ee$ly oallo he /es ca&e o /e i,ple,e$ed


19/29

COMPANIES WHO DESIGN

CDSS

Medic cha$#e p&ovides a co,p&ehe$sivelis o' co,pa$ies ha desi#$ DSS

So,e o' hese co,pa$ies a&e:

McFesso$

ho,so$ Ree&s

G ealhca&e

Sa$ovia

,i&sys

o (Mediccha$#e !011)

http://www.medicexchange.com/CDSS-Companies.htmlhttp://www.medicexchange.com/CDSS-Companies.html


20/29

SECURITY!!!!

Sec&iy is a ,ao& isse 'o& R.

Bac+-p o' daa ,s /e co$i$os a$dao,aic (eve&y ho& day o& ee+)

So&a#e o' all o' he daa is esse$iala$d sally se$ oE ca,ps. * also,s /e a/le o las 'o& he le$#h o' hepaie$s li'e a$d di#ial si#$a&es ,ssay &eleva$.

Sec&iy ,s also i$clde p&oecio$ 'o&vi&ses a$d o&,s. his ca$ /eacco,plished h&o#h H&ealls a$i-vi&s so'a&e a$d li,ii$# he se o'each co,pe& o o$ly do ha is $eeded($o e/ s&H$# i$ $+$o$ sies.)

(%ai$e& !00?)


21/29

SECURITY

“Confdentiality: he paie$8s &eco&ds a&e p&ivaea$d co$Hde$ialL $o $aho&i7ed pe&so$ ,ay i$speche co$e$s o' he paie$8s &eco&ds.;

“Control: he paie$ co$&ols he access o his o&

he& &eco&ds. paie$ ,ay #&a$ access o a$ a$d&evo+e sch access &i#hs he$ he &ea,e$ isove&.;

“Integrity: he paie$8s li'e ,ay depe$d o$ hedaa co$ai$ed i$ he &eco&ds a$d he&e'o&e o$ly

aho&i7ed people ca$ e$e& o& cha$#e he daa.;

“Legal Value: he paie$8s &eco&ds a&e he$adle&aed co,plee &eco&d o' all acio$s a+e$ /yhe s o$ /ehal' o' ha paie$ a$d shold /e hedeH$iive so&ce o' i$'o&,aio$ a/o said acio$s.;

• (%ai$e& !00?)


22/29

SECURITY

*- he ealh *$'o&,aio$o&a/iliy a$d cco$a/iliy c assi#$ed i$o la /y &eside$ Billli$o$ i$ 199> hich add&esses he

$eed 'o& sa$da&ds o &e#lae a$dsa'e#a&d healh i$'o&,aio$ a$d,a+i$# p&ovisio$s 'o& healh i$s&a$cecove&a#e 'o& e,ployed pe&so$s hocha$#e o/s.

his la /asically &ei&es ha all,eas&es ,s /e a+e$ o i$s&e ha$o o$e is a/le o see he paie$s,edical &eco&ds ha a&e $o spposedo (li,ii$# access) a$d hose ha see

he &eco&ds ca$ $o al+ a/o i.


23/29

COST

he BC &ece$ly co$dced a sdy a$d &epo&edha o$ ave&a#e R i,ple,e$aio$ coss 'o&hospials a,o$ o app&oi,aely 14500 pe& /ed'o& i,ple,e$aio$.

$$al ope&ai$# coss a,o$ o !"00 pe& /edpe& yea&.

$$al $e savi$#s o he healhca&e seco& o'a/o ?0 /illio$ (i$ !005 dolla&s) &elaive o oalspe$di$# 'o& healh ca&e o' a/o ! &illio$ pe&

yea& i' all p&ovide&s a$d hospials app&op&iaelyi,ple,e$ Rs.

(lec&o$ic ealh Reco&d *,ple,e$aio$: os a$dBe$eHs !010)


24/29

BENEFITS OF EHR THAT

LOWER THE COST

Re,i$d physicia$s a/o app&op&iae p&eve$iveca&e

*de$i'y ha&,'l d&# i$e&acio$s o& possi/le

alleic &eacio$s o p&esc&i/ed ,edici$es li,i$ae p&o/le,s associaed ih ille#i/le

,edicaio$ o&de&s

Mai,i7e2sa$da&di7e /oh daa a$d aliy o'

paie$ ca&e *$c&ease co,plia$ce ih JC sa$da&ds

dec&easi$# H$es.

Redce he dplicaio$ o' dia#$osic es

(lec&o$ic ealh Reco&d *,ple,e$aio$: os a$d Be$eHs !010)


25/29

EDUCATION

@&ses $eed o /e app&op&iaelyeipped ih he ools o eEecively a$d

eNcie$ly ,a$a#e daa i$'o&,aio$ a$d+$oled#e; (McGo$i#le !009 p# 13>)

o,pe& edcaio$ is /es do$e i$ aclass&oo, sei$# o p&o,oe ha$ds-o$lea&$i$#

• (McGo$i#le !009)


26/29

EDUCATION (CON’T)

Re-edcaio$ shold a+e place a$yi,e he&e a&e ,ao& syse, pdaes

%ih ,i$o& pdaes ,e,os ca$ /ese$ o

pdaes shold$8 s a+e place aspeciHc i,es / o$ly he$ he&e a&e

si#$iHca$ cha$#es ha /ee& hesyse,

• (McGo$i#le !009)


27/29

EDUCATION (CON’T)

dcaio$ 'o& he co,pe& i$'o&,aio$syse,s shold /e do$e /y e,ployees '&o,he co,pa$y ha c&eaed he syse,

hey +$o all he i$s a$d os

ospial * ,e,/e&s ill $o have e$o#hi,e o /eco,e p&oHcie$ e$o#h oho&o#hly each

*' a hospial * ,e,/e& as &ai$ed '&o, heco,pa$y a$d he$ &ai$s hospial e,ployeesso,e hi$#s ca$ /e los i$ &a$slaio$

o (McGo$i#le !009)


28/29

REFERENCES

Ba++e$ S. &&ie A. M. Aee @. Ro/e&s %. D. olli$s S. .i,i$o J. J. (!00?). *$e#&ai$# evide$ce i$o cli$icali$'o&,aio$ syse,s 'o& $&si$# decisio$ sppo&. Int J MedInform 77(>). 413-4!0.

Electronic Health Record Implementation: Cost and ene!ts" (!010). Re&ieved @ove,/e& ! !011 '&o, e&osyse,s:hp:22.pe&osyse,s.co,2,edia&oo,2li/&a&y2Se&viceCve&vies2Se&viceCve&vieOoss$dBe$eHs.pd'

$ D. A. ay$es R. B. a$$a S. . S,ih F. (199?).Eecs o' co,pe&-/ased cli$ical decisio$ sppo& syse, o$

physicia$ pe&'o&,a$ce a$d paie$ oco,es. #he Journal ofthe $merican Medical $ssociation %&' (15). 1339-134>.

McGo$i#le D. 6 Mas&ia$ F. (!009). Nursing informatics andthe foundation of knowledge" Jo$es a$d Ba&leL Sd/&yM.


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REFERENCES

Mediccha$#e (!011).hp:22.,edicecha$#e.co,2DSS-o,pa$ies.h,l

@aio$al *$sies o' ealh @aio$al e$e& 'o& Resea&ch. (!00>).Electronic health records o(er(iew. Re&ieved '&o,hp:22.$c&&.$ih.#ov2p/licaio$s2i$'o&,aics2eh&.pd' .

a#e . (!011). Critical factors for implementing a clinicalinformation s)stem" Ai'e a$d ealh Ai/&a&y. Re&ieved 10-!011'&o,!hp:22H$da&icles.co,2p2a&icles2,iO,01051>2

Sha/o M. (!004).#en commandments for implementing clinicalinformation s)stems" JlyL 1"(3): !>5-!>9. Baylo& $ve&siy

Medical e$e&hp:22.$c/i.$l,.$ih.#ov2p,c2a&icles2M1!00>>!2

%ai$e& J. (!00? Dece,/e& !4). *ecurit) Re+uirements for a,ifelong Electronic Health Record *)stem: $n -pinion" Re&ieved @ov! !011 '&o, he Cpe$ Medical *$'o&,aics Jo&$al:hp:22.$c/i.$l,.$ih.#ov2p,c2a&icles2M!>>9>432
http://www.medicexchange.com/CDSS-Companies.htmlhttp://www.ncrr.nih.gov/publications/informatics/ehr.pdfhttp://www.ncrr.nih.gov/publications/informatics/ehr.pdfhttp://www.medicexchange.com/CDSS-Companies.html

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