hospital information sytem

8/2/2019 Hospital Information sytem

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HOSPITALINFORMATION

SYSTEM


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INTRODUCTIONHIS are computer based software

applications that integrate many

medical, nursing, administrativeand miscellaneous functions ofhospitals.


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IT COMPONENTThe computer parts that are

essential to delivery of a HIS could

be broken down into the following.a. Hardware

b. Software


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HARDWAREHardware are the computers and

the monitors.

Hardware which were availableon the early days of HISimplementation were stand alone

systems doing simple tasks withbasic software programs.


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Rapid progress in technology has

led to very high-end computers,which are connected to a server.

Some advanced systems outsourcetheir entire IT operations to a thirdparty computer firm. This is calledan ASP (Application ServiceProvider)


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SOFTWAREMany types of software are

necessary for various functions of

the computers; Very important OS(Operating System) which are usedcommonly are

WINDOWS, DBS (Data Basemanagement Software), ORACLE,LINUX, UNIX


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ANTIVIRUSAntivirus software is necessary to

prevent computer viruses from

corrupting the system.These software's need to be

updated on a daily basis.


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CLIENT SERVER TECHNOLOGYSOFTWAREMost HIS systems us client server

technology software.

Useful in integrating theadministrative and integrativemedical information.

Common examples of this type ofsoftwares are COBRA and CORBA.


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APPLICATIONSSimple systems would only used

for accounts and billing.

Complex systems would includeelectronic medical records (EMR)and Nursing and Ward

management and decision makingsoftware.


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Medical components of HIS revolvesaround the EMR. Prescribing and

Laboratory information would also beavailable.

Nursing functions can be incorporated

in a HIS. Routine information about bedstatus, nursing procedures andmedication administration.


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Administrative functions of HISinclude managing employees, cash

flow projections, equipmentpurchase and maintenance andvarious other administrative

matters.


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MEDICAL AND NURSINGFUNCTIONS OF HIS PATIENT REGISTRATION

CONSULTATION RECORDS

EMR

COMPUTERIZED PHYSICIAN ORDERENTRY (POE)

WARD MANAGEMENT

PHARMACY LABORATORY

DIET MANAGEMENT


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PATIENT REGISTRATIONPatients are registered initially when

they visit the hospital initially.

All details of patients are computerized

and they are given a unique number.

Some hospitals issues cards like creditcards for retrieval of record at a laterdate.

Bar coding is useful in unique

identification of patients.


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CONSULTATION RECORDSInstead of keeping paper records,

consultation records kept on the

HIS would be more orderly andwould indicate the date and timeof the consult.

It would be valuable for insuranceand medico-legal purposes.


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EMRElectronic Medical Records are

comprehensive data of patients

admitted to the hospital.They are similar to folders which

contains all patients details.

These information's are confidentialand can be accessed only by anauthorized persons.


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COMPUTERIZED PHYSICIAN ORDERENTRYMedication errors are a major source of

mortality and morbidity of hospitalizedpatients.

A computerized entry will have clarityof the medication name and dosage.

Drug interactions would generatealerts.

Tracking and audit of medications can

be done easily.


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WARD MANAGEMENTHIS are very useful in tracking patients

from the time of registration till

discharge.Bed occupancy and availability can be

visualized easily.

Doctors visits and progress notes canbe recorded.

All nursing details can be planned,

entered and can be audited.


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PHARMACYStocks of drugs are available

instantaneously.

Orders for medications can bedone electronically.

Billing is instant.

Effective implementation wouldreduce pliferage.


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LABORATORYHIS will be extremely useful in

deciding investigations, ordering

and viewing investigations.Maintaining a chart of

investigations could be easy.

New test and their collectionprotocols are viewed.


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DIET MANAGEMENTPlanning, execution and monitoring

proper diet management systems

is a very important part of hospitalfunction.

A HIS can improve the efficiency in

this department substantially.


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ADMINISTRATIONFUNCTIONSThe entire hospital administrative

functions are integrated into HIS.

Some of the essential functions areas follows.

1. Human resources

2. House keeping functions3. Stores

4. Front office


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HUMAN RESOURCE FUNCTIONKeeping a track on staff

requirements, training, efficiency

and error tracking are functions,which can be easily addressed.


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HOUSE KEEPING FUNCTIONHouse keeping function can be

streamlined and monitored.


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STORESPurchase and inventory management is

very important in keeping costs downin a hospital.

Keeping track of equipments are veryimportant.

Ordering, repairs, spares andmaintenance of equipments becomeseasy.


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CSSD, marketing, ambulance,security and billing can becustomized for the various areas ofthe hospital like in patients, outpatients, pharmacy and laboratory

etc.


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FRONT OFFICEDetails of consultants and their

timings and leave status isavailable here.

Some front office personnel alsoschedule appointments, mailing

and correspondence is alsohandled here.


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CONCLUSIONSHIS encompasses the application of

IT in the hospital setting.

An ideal JIS design should befocused on the linking of financialinformation system (FIS) and

Management Information System(MIS).

hospital information sytem

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