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The role of computers in health information systems
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Clinical Information System A clinical information system, CIS, is widely used in the healthcare field. These systems have a variety of uses, and they aid in facilitating the practices in the healthcare profession greatly. A clinical information system, defined, is a system that is computer based and designed to collect, store, manipulate, and make readily available important clinical information, with an example being electronic medical records (Clinical Information Systems). These systems are a source for hosting information about patients. The function of a clinical information system is to store data that can be shared and analyzed in order to understand a patient’s current condition and also to aid in making more accurate healthcare treatment …show more content…
Patients may have multiple doctors, or they may seek multiple opinions regarding their conditions, so sharing patient records is a necessity. There are three main types of clinical information that are essential to accurately diagnosing and treating patients, so individual providers and care teams must have access to the health records, quickly changing medical-evidence base, and provider orders for patient care (Reid). With the ability to readily access this information and share this information between providers, patients can have treatment plans that effectively encompass all aspects of their condition and allows them to have a tailored treatment plan to fulfill their needs and …show more content…
Patients are able to communicate with their healthcare providers and their healthcare providers are able to communicate with each other. The information that both patients and providers have access allows them to be aware of medication lists, medical history, current diagnoses, and diagnosis testing. All parties are able to ensure that this data is up to date and accurate, and this allows new diagnoses to be accurate and treatment to be effective. There is opportunity in using big data to gather information from the data pool to help make significantly more accurate decisions and diagnoses, however this is also a challenge because the data pool can only allow for the accuracy based on the information it has access
Generally, the development and adoption of Clinical Decision Support (CDS) systems is based on the necessity and essence of technical standards in enhancing healthcare. However, the various health IT tools must comply with some data interchange standards in order to enhance access to clinical records, lessen clinical errors and risks to patient safety, and promote innovation in “individual-based” care (Hammond, Jaffe & Kush, 2009, p.44). The need for compliance with standards is fueled by their role in enabling aggregation of informa...
Introduction “Health informatics is the science that underlies the academic investigation and practical application of computing and communications technology to healthcare, health education and biomedical research” (UofV, 2012). This broad area of inquiry incorporates the design and optimization of information systems that support clinical practice, public health and research; understanding and optimizing the way in which biomedical data and information systems are used for decision-making; and using communications and computing technology to better educate healthcare providers, researchers and consumers. Although there are many benefits of bringing in electronic health systems there are glaring issues that associate with these systems. The
Medical records are the most basic of clinical tools (Pullen and Loudon 2006) and their main importance is to serve as a form of memoir or aid in client and patient support. Medical records therefore provides essential evidence of care provision, thereby enabling effective communication between health care professionals, members of the multidisciplinary team and all clinicians as a whole.
...f clinical information systems in health care quality improvement. The Health Care Manager. 25(3): 206-212.
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
Currently, we use the electronic health record system called Computer Programs and Systems, Inc. (CPSI). CPSI is “a l...
The implementation of the Clinical Decision Support System (CDSS) was to allow physicians the ability diagnoses patients with the use of evidence based decisions. Physicians can explore relevant medical information through the CDSS from reliable medical experts, clinical guideline extractions and alerts of new and different phases of patient management without the interruption of the medical organization’s workflow (Chiarugi, Colantonio, Emmanouili...
...nce an incident that may not be seen as such by staff working in the same environment but, if the staffs have frequently witness that the same incident occur; they may stop reporting the incident. However, database application system can save charting time which could be utilized to provide care to residents. Administration function like medical records, risk assessments, daily reports and coding requires documentations from the service users` electronic medical record database to enhance the EHR, which link the EHR data with databases containing standardized assessment information from external healthcare systems. If the database is not similar as to what other healthcare systems use, it is impossible to share information from EHR database with other clinical application systems.
Learning Experience Journal Entry – Director of Health Information Management and the Supervisor of Medical Records Coder
Clinical Documentation Improvement ensures that their health care system provides the accurate recording of medical records. The health information management industry (HIM) thrives over the improvements towards clinical documentation as medical assistance validates healthcare and optimizes their medical processing system. Clinical documentation specialist (CDS) is essential in order to alter the medical landscape in a positive measure as they provide detailed documentation and medical coding. Documentation requirements for Health Information Management (HIM) professionals intend on making the healthcare data obtainable from the additional diagnoses, which will require an enhancement of the documentation system. Thus, the ICD-10 is a new tool
A major component of clinical decision support system is it helps locate and prevent errors made by many providers. Other components of a clinical decision- support system are speed- this can make or break at system, it is very annoying if you have to set and wait for the system to perform a simple function as looking up information, the need and delivery of real time- if there is lag time and the information needed doesn’t appear in seconds it can pose as the system is not performing up to par, fit of the users work –flow- the alerts, guidelines, and algorithms need to be in place so there are no confusions when a users are dispersing medications, usability- this makes a tremendous difference in how a system performs many clinician want to be able to use a computer system with ease, if the system is to complicated it can appear as not user friendly, being aware that there will be resistances from the provider- offend many providers will give pushback on changing there mind without input as to way a change is required; for example should x-rays be taking on all patients with abdomen pain, approximately five percent of physician actually went with the recommendation of not ordering x-rays on patie...
Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.
In other words, ICT basically promotes professionalism and reduce human effort as well as reducing the chances of erring. Healthcare simply means preventing, diagnosing and curing ailments that terminate life and reduce lifespan of human and all living things. In other words, the prevention, treatment, and management of illness and the preservation of mental and physical well-being through the services offered by the medical and allied health professions. Information and Communications Technology (ICT) play a vital role in improving health care for humanity. It is efficient in providing, communicating and storing certain information about users and uses. ICT helps in bridging the gap created in health sector and may be used to enhance efficient relationships between the healthcare providers and health researchers. In other words, through the development of databases and other applications, ICT enhances health research and; this provides the capacity to improve health system efficiencies and prevent medical errors. The use of ICT can never be evaluated without