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Health Informatics
the application of both technology and system in a healthcare setting
Health Information Systems
covers the records, coding, documentation, and administration of patient and ancillary services
Cost and Quality of Healthcare
Enumerate the factors why Health information Systems are increasingly implemented across health industries
Health Information Systems
The implementation of this enables the provision of more efficient and effective healthcare services
Health Information Systems
refer to any system that "captures, stores, manages or transmits information related to the health of individuals or the activities of organizations that work within the health sector."
"captures, stores, manages or transmits information related to the health of individuals or the activities of organizations that work within the health sector."
captures the district-level routine of information systems, disease surveillance systems, laboratory information systems, hospital patient administration systems (PAS), and human resource management information systems (HRMIS)
Well-Functioning Health Information System
an integrated effort to collect, process, report, and use health information and knowledge to influence plicy and decision-making, program action, individual and public health outcomes, and research.
Policy Level
decisions informed by evidence contribute to more efficient resource allocation
Delivery Level
Information about quality and effectiveness of services can contribute to better outcomes
Files are Easier to Access;
More Controls;
Easy to Update;
Communication
Enumerate the Role and Function of Health Information Systems
Sheahan (2017)
describes health information systems as a mechanism to keep track of everything related to patients, from patients medical history, to medication logs, contact information, appointment times, insurance formation, and billing and payment account
Files are Easier to Access
Health information systems have revolutionzed the way that doctors and healthcare professionals maintain patient information.
More Controls
Staff must be authorized to access the health information system.
More Controls
Docts may have permission to update, change, and delete information from the electronical medical record. The receptionist, can only have authority to update a patients appointment
Easy to Update
Health Information Systems let doctors create electronic medical records for their patients. Patient information can be pulled up for review at any time and copies can be made for the patients upon request
Communication
Health information systems allow communication between multiple doctors or hospitals.
Communication - Government IT
Medical professionals must pay close attention to confidentiality issues, such as patient privacy, ad security safeguards to ensure unauthorized users cannot access the information
Communication - Health Information System
delivers accurate information in a timely manner, enabling decision-makers to make better-informed choices about different aspects of the health institution, from patient care to annual budgets.
Communication
Upholds transparency and accountability due to the easier access to information
Health Information system Resources;
Indicators;
Data Sources;
Data Management;
Information Products;
Dissemination and use;
Enumerate the components of Health Information System
Health Metrics Network (HMN), in their Framework and Standards for Country Health Information Systems (2008)
Who defined the Health Information System components?
Health Information System Resources
These consist of the legislative, regulatory, and planning frameworks required to ensure a fully functioning health information system, and the resources that are prerequisited for such system to be functional.
Personnel, Financing, Logistics Support, Information and Communications Technology (ICT); Coordinating mechanisms within and among the six components
Enumerate the resources required to make a Health Information System functional:
Indicators
Related targets for three domains of health information, suhc as the basis for a plan, and strategy for a health information system
Indicators
Need to encompass determinants of health; health system inputs; outputs and outcomes; and health status
Population-Based Approaches;
Institution-Based Data
Enumerate the two categories data sources can be divided into:
Cenuses, Civil Registration, Population Surveys
Give examples of Population-Based Approaches:
Individual Records, Service Records, Resource Records
Give examples of Institution-Based Data:
Data Sources
A number of other data collection approaches and sources (health surveys, research, and information by community-based organizations) do not fit neatly into either of the two categories, but can provide important information that may not be available elsewhere
Data Management
Covers all aspects of data handling: Collection, storage, quality-assurance, flow, processing, compilation, and analysis
Data Management
Specific requirements for periodicity and timeliness are defines where critical (disease surveillance)
Information Products
Data must be transformed into information that will become the basis for evidence and knowledge to shape health action
Dissemination and Use
The value of health information can be enhanced by making it readily accessible to decision-makers and by providing incentives for information use
Demographic data, Administrative data, Health risk information, Health Status, Patient Medical History, Current Medical Management, Outcomes Data
Enumerate the different data dources for health information system:
Demographic Data
Consists of facts such as age (or birth date), gender, race, and ethnic origin, marital status, address of residence, names of and other information about immediate family members and emergency information. Information about employment status (and employer), schooling and education
Administrative Data
Involves facts, with respect to services provided, and also typically includes charges and amounts paid, the kind of practitioner, physician specialty, and nature of institution.
Health Risk Information
Reveals lifestyle and behaviour and facts about family history and genetic factors to evaluate propensity for different diseases
Health Status
Generally reported by the individual themselves, reflects domains of health such as physical functioning, mental and emotional well-being, cognitive functioning, social and role functioning, and perceptions of one's health in the past, present, and future and compared with that of one's peers.
Patient Medical History
Considers data on previous medical encounters such as hospital admissions, surgical procedures, pregnancies, and live births, and the like.
Patient Medical History
Includes information on past medical problems and possibly family history or events (alcoholism/parent divorce)
Current Medical Management
includes the content of encounter forms or parts of the patient record. Such information might reflect health screening, current health problems and diagnoses, allergies, diagnostic or therapeutic procedures performed, laboratory tests carried out, medications prescribes, and counseling provided.
Outcomes Data
compromise a wide array of measure of the effects of health care and the aftermath of various health problems; they might reflect health care events such as readmission to hospital or unexpected complications or side effects of care, and also include measures of satisfaction with care.