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Health Information Systems
This document discusses health information systems, including electronic medical records (EMRs), electronic health records (EHRs), and radiology information systems (RIS). It provides an overview of Bumrungrad Hospital's implementation of a new information system and discusses some of the challenges they faced. Key topics covered include the differences between EMRs and EHRs, challenges of implementing EMRs such as high costs and ensuring confidentiality, and how RIS is used to store and distribute radiological data and manage patient workflow in radiology departments.
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Health Information Systems
- 1. Health Information Systems PresentedBy: Nikhil Agarwal Sachin Pal
- 2. Overview of Bumrungrad’sCase Previously Bumrungrad’s IT operations were handled by 4 UNIX based systems having several applications. Hospital 2000 is an Information System (IS) that provided right information to the right caregiver at right time. They switched to new IS on December 17, 1999. While doing so they faced implementation difficulties. In 2002 , a Picture Archive Communication System (PACS) was included. Provided several benefits.
- 3. Topics for discussion ElectronicMedical records and their challenges Introduction to EHR , difference between EMR and EHR. Radiology Information System.
- 4. Electronic Medical Records(EMR) An application environment composed of the clinical data repository, clinical decision support, order entry, computerized provider order entry, pharmacy, and clinical documentation applications. This environment is used by healthcare practitioners to document, monitor, and manage health care delivery within a care delivery organization or hospital. The data in the EMR is the legal record of what happened to the patient during their encounter at the organization and is owned by it.
- 5. Challenges Excessive startup cost. Thereis a substantial amount of learning that can be obtained from these records. Thus the system must be user friendly so that clinicians can easily retrieve and understand relevant data. Confidentiality. System designs must consider how individually identifiable medical information will be protected and also meet regulatory requirements.
- 6. Electronic Health Records(EHR) It is a record in digital format that is capable of being shared across different health care settings, by being embedded in network-connected enterprise-wide information systems. It include medical history, laboratory test results, radiology images, personal stats like age and weight, and billing information. Electronic Medical Records Electronic Health Records • The legal record of the hospitals. • Subset (i.e. CCR or CCD) of •Owned by the hospitals. information from various hospitals • These systems are being sold by where patient has had encounters. enterprise vendors and installed by • Owned by patient or stakeholder. hospitals, health systems, clinics, • Community, state, or regional etc. emergence today (RHIOs) – or • May have patient access to some nationwide in the future. results info through a portal but is • Provides interactive patient access not interactive. as well as the ability for the patient • Does not contain other hospitals to append information. encounter information. • Connected by NHIN.
- 7. Radiology Information System Itis a computerized database used by radiology departments to store, manipulate and distribute patient radiological data and imagery. RIS is a tool to manage patient workflow and patient records. It is necessary for an integrated solution. PACS and RIS are almost always coupled.
- 8. Features Necessary User accessand patient consent. Electronic and paper based. Radiology Department workflow management. Examination Details. Reporting and report coding. Film and image tracking.
- 9.