(1) Hospital information systems (HIS) are computer systems that manage patient records and other data to support healthcare providers. They were introduced in the 1960s for billing but now integrate various clinical, financial, and administrative functions.
(2) Modern HIS have applications tailored for different hospital departments like nursing, radiology, and pharmacy. Selecting an effective HIS requires considering factors like cost, scalability, web access, customization, and vendor support.
(3) Key HIS functions include patient registration, scheduling, admissions, discharge, billing, and generating reports for laboratories, contracts, and package deals to improve operations and care.
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Lesson 9 - Hospital Information System
(1) Hospital information systems (HIS) are computer systems that manage patient records and other data to support healthcare providers. They were introduced in the 1960s for billing but now integrate various clinical, financial, and administrative functions.
(2) Modern HIS have applications tailored for different hospital departments like nursing, radiology, and pharmacy. Selecting an effective HIS requires considering factors like cost, scalability, web access, customization, and vendor support.
(3) Key HIS functions include patient registration, scheduling, admissions, discharge, billing, and generating reports for laboratories, contracts, and package deals to improve operations and care.
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HEALTH INFORMATION SYSTEM FOR MEDICAL LABORATORY SCIENCE
Lesson 9: Hospital Information System
HOSPITAL INFORMATION SYSTEM (HIS) (3) Radiology Information Systems (PIS)
→ Can provide billing services and appointment → A computer system structured to manage all the records scheduling aside from reporting and database of health care providers to make available information storage. and reports useful to health care personnel in doing their → Help address commercial concerns of their radiology job more efficiently. departments. → Was introduced in the 1960s, used mainly for billing and inventory. (4) Pharmacy Information Systems (PIS) → Today, it is integrated with other financial, scientific, and → Help monitor the utilization of medicines in health administrative programs. institutions. > Modern HIS has applications built to address the needs of the various department of health → Provide information to identify drug interactions facilities. which helps in administering the appropriate drugs. → While HIS delivers high quality patient care and better SELECTING AN HIS management of financial records, HIS should be: o Affordable Aspects that need to be considered: o Scalable total cost of HIS is available for all sizes and budgets o Centered on the needs of patients and medical package for hardware and software. personnel. o Adaptable to rapid technological changes web-based Available on the internet, authorized o Customizable to the needs of the departments system personnel can access the info, data → If effective, it provides: sharing between hospital is possible, o enhanced integrity of facts and can facilitate access to info from o minimization of transcription error and other health facilities upon request. duplication of records o shorter turnaround time for reports. implementation Provides ample training and assistance and support to the users of the system. HIS FOR DIFFERENT DEPARMENTS Consider HIS provides that offer 24/7 support.
(1) Nursing Information Systems (NIS)
→ carries out numerous functions including handling HIS PROVIDERS IN THE PHILIPPINES of personnel schedules, accurate patient charting, and better clinical data integration. Company’s goal is to improve work → help managers handle overtimes and absences BizBox efficiency in health care institutions through agenda packages. (1994) through software systems, and to → help obtain cost-effective staffing and show staffing produce advanced solutions for netter levels. patient care. → allow better analysis of critical signs through patient charting applications. Specializes in application development for → Useful in designing the patients’ care plan since the KCCI Medsys hospitals, industrial clinics, and medical- (Kaiser-dela related educational institutions. medical info integration function allows nurses to Cruz collect and examine retrieved medical records. Consulting, MEDSYS for hospitals Inc.) MEDSCHO for schools (2) Physician Information Systems (PIS) → Help improve the practice of physicians. PH-based software development → EMRs and EHRs are some programs where PIS is Comlogik company with a vision to be a global deployed and extensively used. (1999) technology company. → Offer support 24/7 to facilitate easier usage of the Led the way in developing innovative system by health care professionals. applications. HIS FUNCTIONS → It is a good practice to generate the billing statement on a regular basis so that the institution could keep track of Help Desk its collectables. → Clients are provided with info and guidelines associated with a company’s or institution’s products and service Contract Management without any hassle. → the process of managing contract creation, execution, and analysis to maximize the operational and financial Scheduling performance of an organization while reducing financial → Managers and employees can effectively discuss their risk. scheduling preferences anywhere through scheduling → A very time-consuming element of business, which software. facilitates the need for an effective and automated contract management system. Patient Registration → Patient registration form records the name, age, gender, Contract management strategy is successfully implemented marital status, and other relevant information regarding when organizations can see the following: the patient. (Demographic Data) • Realization of expected business benefits and → Information is used for record keeping and account financial returns management purpose. • Cooperation and responsiveness of the supplier to the organization’s needs Admission • No contract disputes or surprises → Before a patient is admitted, admissions counselor will • Satisfactory delivery of services to both parties call him or her to gather preliminary information, offer vital info concerning the hospital stay, and answer Package Deal Designer questions if there are any. → Posting diagnostic medical packages for in-patients, out- → Physician may also schedule recurring medical exams patients, and emergencies requires the same process; before hospitalization. difference is that for emergencies. → Other routine test can also be carried out on the day of → Can access information regarding package deals without admission going through the hassle of paperwork. → Hulog ng langit daw ni siya ana si sir bong Discharge → Instructions that accompany a patient’s discharge or Reporting transfer are more efficiently provided. → Include discharge planning which details services to be Laboratory Reporting administered after the hospital stay to ensure the full → All laboratory reports must possess common elements as recovery of the patient. required by institutional and company policies. → They may also contain supplementary items not Transfer specifically required, but which the laboratory chooses to → The movement of an individual outside of the hospital report to aid in the interpretation of results of medical premises at the instruction of any authorized hospital testing. personnel. → DOES NOT encompass (a) movement of the deceased, or For identification and filling purposes, some lab reports may (b) leaves the facility without authorized permission. display elements with administrative or clerical information → Patient transfer details are easily accessed and such as the following: processed. • Patient name and identification number or a unique patient identifier and identification number Billing • Name and address of the laboratory location where → Shows all records pertaining to the invoices, payments, the test was performed and the current balance of a patient’s account. • Date when report was printed → Numerous invoices can be combined, and a lump sum • Test report date payment can be made. • Name of doctor or legally authorized person > Useful for patients who require frequent ordering the test(s) health care services. Laboratory report can be more meaningful by adding → Enable isolation of drugs and devices that are used information about the specimen and the test itself such as: regularly and forecasts capacity shortages. • Test results → Accountable for receiving materials, retaining central • Critical results stock, and delivering supplies within the institution. • Condition of specimen Abnormal test results • Name of the test performed MANAGEMENT REPORTING • Interpretation of results → A platform for reporting and controlling info valuable to • Laboratory accession number the institution. • Specimen source (if applicable) → Provide non-monetary info which enables the • Reference intervals (or reference ranges) management to have an oversight of its operations. • Deviations from test preparation procedures → Data redundancy and data quality issues are minimized. • Medications, health supplements, etc. taken by the → A good management reporting system enhances the patient capability of an institution to be more responsive, • Units of measurement (for quantitative results) efficient, and effective in decision-making which affects • Date and time of specimen collection the performance of the institution. → Offer a single holistic view which highlights high value Radiology Reporting sources and eradicates the lack of visibility in reviewing → An official medical document that provides the details of the performance of the institution. the requested radiology examination and the procedure conducted by the radiologist. IN-BUILT TALLY INTERFACE → The main objective of the report is to address the queries Tally.ERP9 in the request. → a software that provides simplified solutions to → The findings should consider both positive and negative operations in health institutions such as registration, findings. accounting, inventory management, tax → The length of the report is dependent on the complexity management, among other. and cost of the examination. → It is easy to learn and can be implemented with minimum resources. The basic sections of a radiology report must include the ff:
• Administrative info • Comparisons
• Patient identification • Summary or impression • Clinical history • signature of radiologist • Imaging technique
Cardiology Reporting → Contain important medical information based on the test results of the patient which are set against past medical records.
MATERIALS MANAGEMENT SYSTEM
→ Primarily concerned with planning, identifying, purchasing, storing, receiving, and distributing materials → Purpose is to guarantee that the right and sufficient materials are in the right location when needed. → Necessary for a hectic health center to streamline the hospital supply chain. → Utilize barcodes and RFID tags with precise identification numbers assigned for each inventory object to enable accurate tracking and control. → Automatic stock management also assist health care institutions in figuring out whether merchandise has been recalled or damaged and should not be given to patients.