2. Changing role of IT professionals in Hospitals IT use to be a secondary dept. since need of It was not realized. The main work use to be troubleshooting and maintenance of network infrastructure.
3. Present Scenario Today IT professionals in health care or hospitals deals with analyzing the requirements of the hospitals to make their work more efficient & less time consuming and developing applications they need and implementation and maintenance of the same. IT in Hospitals has been used in following Applications: HIS EMR E-prescriptions E-health Telecommunication CDSS
4. Hospital Information System Hospital Information System (HIS) can be defined as a comprehensive, integrated information system designed to manage the administrative, financial and clinical aspects of a hospital that enable better quality of patient care, reduce the time spent for clerical works, reduce the overall cost, increase the productivity and more important providing the more reliable , correct and regular data. The computer hardware and software that processes a hospital's data, including financial, Pt-related, and 'strategic' management data, Pt accounts, Pt tracking, payroll, reimbursements, taxes, statistics
5. History Hospital information systems were first developed in the 1960s and have been an essential part in hospital information management and administration. The systems were used to manage patient finance and hospital inventory.
6. HIS is generally Used for- Operational management Functional Management Strategic Management
30. Additional applications required which are generally integrated with HIS It is required to facilitate the exchange of Information or patient records as none of them is stand alone application. PACS Back Office Applications(Asset & Inventory Mgmt,Billing,financial & administrative modules) EMR
31. Key Points you should look for to differentiate other HIS from the best one for your Hospital a good HIS Billing Module Inventory Module Consignment Module Discharge Summery
32. Billing Module All the operational processes applied to the patient and all the medicine and material used are listed in the billing screen. Last controls are performed in this module and if the processes are entered completely, the bill is saved. (Bookkeeping, diagnosis, provision, doctor etc) Records about the patients are examined in the outpatient and inpatient billing departments depending on the health service the patient received, accruement procedures are completed and the bill is created.
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34. It should have proper system to show the applicable tariffs correlated with tie-ups and insurance that automatically system can calculate the discounted rate on the base tariffs which are beforehand set for different categories of patients.
41. Contents I.Basic Elements Date of admission. Date of discharge. Disposition location (eg, home, ecf, short-term rehab). Principal diagnosis for hospitalization. Secondary diagnoses addressed during hospitalization. Procedures performed during hospitalization. Consultants
42. II. History A succinct summary of the key events leading to hospitalization. The past medical history. Pertinent elements of the social history. Pertinent elements of the family history III. Physical Exam Findings (positive or negative) pertinent to history elements. IV. Data Pertinent (normal and abnormal) laboratory data. Pertinent results of diagnostic studies (e.G., Cxr, ekg).
43. V. Hospital Course Summary statement pertaining to the principal diagnosis. Problem list that parallels the diagnoses listed Separate paragraph dedicated to each problem listed. Brief discussion of the evaluation of each problem. Brief discussion of the treatment of each problem. Brief discussion of the outcome of each problem. Specific follow-up plan for each relevant problem
44. VI. Discharge Plan Future physician’s visits scheduled (or to be scheduled). Specific studies that require follow-up a list of discharge medications (names, doses, & frequency). mention of how information was/will be communicated to PMD. “cc” to treating physicians. VII. Additional comments or suggestions
45. Inventory Management system Hospitals need to actively manage what is bought, when it is bought, how much, as well as for what price, including discounts and rebates Inventory Management Module offers a time saving inventory solution that is precise and scalable, allowing you to monitor inventory usage more accurately and capture charges more efficiently by eliminating redundant data entry. Designed to support multiple facilities and multiple labs, the Inventory Management Module can be tailored to a hospital’s workflow.
46. Workflow of Inventory(Basic workflow) Purchase department Purchase Department Main store Central Medical store Central Pharmacy Store Sub holding store Consumed Chargeable Non chargeable
47. An Inventory Module Should facilitate the sequence wise Processes as follows Purchase Dept(Rate contract) Purchase Requisition from different dept Approved & authorized Order is placed Goods delivered Goods Checking Goods Receiving Note Stocked Central store Items Issued Departmental sub Store
48. Features FIFO format of System issue Stock Expiry Records Batch wise distribution List(Same expiry Date) Medicines should not be enlisted with the generic name but the Brand name as cost differs for both. Integration of Consignment Module . Item Mapping 1) item number (most unique)2) inventory number (unique)3) catalog (unique to a group of inventory items)4) description (free flow text description of item)
49. ORDER MANAGEMENT(order entry, order review and/or validation, interdepartmental communication, order inquiry, and reporting requirements) Alerts system until confirmation of the receipt/delivery handles new drug orders Manages Material Resource Planning (MRP) Management Regulates Material forecast, Reservation management Substitute Goods Management system
