MSYS 116 Quiz 4

Hospital IS

Hospital Information Systems

• Info processing and info storage subsystem of a hospital

• Computer systems, networks, computer-based application systems installed, info in a hospital as a whole (Haux, Schmücker and Winter 1996)

Functional Model of HIS

• Core applications

• Business and financial systems

• Communications and networking

• Departmental systems

• Documentation systems

• Reminder and advice functions

• Surveillance and related population health systems

Which of the following is not a functional model of HIS?

Hygiene and logistics

Core Applications of Hospital IS

• RADT

• Patient scheduling

• Enterprise Master Patient Index

Which of the following is not a core function?

RATD

RADT

Registration, admission, discharge, transfer

Business and Financial Systems

• Patient Accounting

• Billing

• Revenue Cycle Management

• Payroll

Which of the following is not a Business and Financial Systems?

Enterprise Master Patient Index

Communications and Networking

• Physical infrastructure

• Interconnection between all the parts

• Order entry –results reporting system

• Communication of physician orders to ancillary systems (pharmacy, dietary, OR, radiology, lab)

Which of the following is not part of Communications and Networking?

Support the internal needs of hospital departments

Departmental Systems

• Support internal needs of hospital depts

• Pharmacy, laboratory, radiology, and dietary information systems

True or False: Departmental Systems support the external needs of hospital departments

False - internal

Reminder and Advice Functions

• Assist clinicians in performing patient care activities

• Messages to alert for significant test results

• Utilization criteria

• Drug-drug interactions

• Monitoring of compliance with clinical guidelines and protocols

Which of the following is not a reminder and advice function?

Patient Accounting

Which of the following is not a reminder and advice function?

Syndromic surveillance system

Surveillance and Related Systems

Syndromic surveillance system

Some core modules in hospital information systems

• Patient monitoring systems

• Nursing information systems

• Laboratory information systems

• Pharmacy information systems

• PACS (Picture archiving and communication systems)

What is not a core module in hospital IS?

Utilization criteria

PACS

Picture archiving and communication systems

Key Considerations in Developing Health Information Systems

• Flow of data and information

• Standards and Interoperability

• Usability and User experience

• Sustainability

• Privacy, Security, Ethics

What is not a consideration in developing health IS?

Point-of-care bedsize devices

Considerations in Developing Health Information Systems

Privacy, ______, Ethics

Security

Which of the following is not a key consideration in developing Health IS?

Laboratory information systems

Personal Health Records

• Collection of an individual's medical documentation maintained by the individual themselves, or a caregiver (if patients can’t do so themselves)

• The patient's medical history

True or False: A PHR must only be maintained by the individual themselves

False — can be by caregiver if patient can’t do it themselves

Personal Health Records includes ___?

• Historical and ongoing medications (over-the-counter and alternative treatments)

• Past medical and surgical interventions

• Immunization status

• Contact info of patient's regular health providers

• Emergency contact, Insurance info

• Allergies and medical conditions that can impact delivery of emergency care

• General health and wellness data (e.g., height, weight, heart rate, calories, fluid intake, etc.)

Which of the following is not included in PHR?

Patient Accounting

Why personal health records?

• Chronic diseases are caused by lifestyle and behavior decisions of patient

• Management and continuity of care relies on patient

• BUT we need access to our health care data

Empowering the Patient with Access to PHR

• Control over his / her own PHR

  • Allows which parts of PHR is to be accessed by whom and for how long

• Complete information (from birth to death)

• Complete information of all health care providers

• Accessible anywhere, anytime

• Private and Secure

• Transparent transactions

• Permits easy exchange

Which of the following is not a reason why patient access to PHR empowers them?

Ability to edit data to desired numbers

What Data is Important to Me

• To be connected to my physician

• Track immunization

• Note mistakes on my record

• Transfer new information to my doctor

• Get and track test results

• Help me ask better questions

• Change how I take care of myself

Benefits of PHR

• A snapshot view of the individual’s health.

• Objective data points for vital signs, nutrition, physical activity, and disease course

• Allow individuals to follow their health in real-time and quantify effort and change that happened

• Gamification of the health data collection and reporting process can be source of motivation in achieving health goals

• Clarity of medications to be taken and better compliance

• Identification of successes and failures in the delivery of care and underlying reasons

• Rapid emergency response with availability of health data in the absence of a caregiver

Which of the following is not a benefit of PHR?

Individuals may find patterns where none exist, leading to greater false positives and higher healthcare utilization.

Which of the following is not a benefit of PHR?

Lapses in security and confidentiality are a major concern, especially with cloud-based solutions.

Potential Pitfalls of PHR

• PHRs may be developed as a one-size-fits-all approach that may fail to consider individual variations.

• Individuals find non-existent patterns, leading to greater false positives and higher healthcare utilization.

• Bias in self-reporting health data.

• Anxiety provoked by urge to record all data

• Advertised benefits of commercial PHR applications not be supported by concrete evidence and be misleading to consumers.

• Lapses in security and confidentiality especially with cloud-based solutions.

• Misuse of data by entities with commercial interests.

Clinical Significance of PHR

• Used correctly, PHRs can improve

  • patient adherence to follow-up

  • monitoring of therapeutic goals (blood pressure)

  • recognition of improvement or worsening of control of existing medical conditions

  • compliance with medication regimens, especially complex regimens

• All of these culminate in the achievement of superior management of medical issues.