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VitalHealth College<br />Hospital Information System<br />Created and presented by:<br />SeemaKavatkar<br />
Agenda<br />About HIS<br />Modules<br />Standards implemented in HIS<br />Benefits<br />Integration of HIS<br />HIS vendors <br />
About HIS<br />Hospital Information System (HIS)<br /> “It is an integrated information system designed to manage the Administrative, Financialand Clinicalaspects of a hospital.”<br />
Patient - a key factor in HIS<br />Patient is key factor in HIS<br />
What are its modules<br />The modules of HIS can be classified into various categories. The primary category are as follows:<br />Back office: <br />In this category, patient is indirectly involved with the system.<br />Front office: <br />In this category, patient is directly involved with the system.<br />
Patient Registration<br /><ul><li>Patient demographics are captured in this module of HIS
At the time of patient registration, the system generates a unique MRN (Medical Registration Number)
Subsequently appointments can be generated / scheduled using MRN</li></li></ul><li>Appointment Scheduling<br /><ul><li>Any appointment with the physician is scheduled via this module</li></li></ul><li>Admission Discharge Transfer (ADT)<br />
Admission Discharge Transfer(ADT)<br /><ul><li>Admission: Patient admission details like purpose of admission, date of admission, admission department are captured.
Transfer: It describes the patient’s transfer to some other ward.
Discharge: Once patient leaves the hospital, the discharge details are captured and maintained in the system.
All ADT module plays significant role in patient billing</li></li></ul><li>Wards Management Module<br /><ul><li>When patient is admitted bed allocation is done using this module
It helps in allocating the bed to the patient to a particular department considering patient preferences.
It also mention the facilities about the wards. E.g. General ward, Semi-deluxe, Deluxe.</li></li></ul><li>Doctors Workbench (CPOE: Computerised Physician Order Entry.) <br /><ul><li>It is a system provided to the physicians, practitioners or care providers to place various orders for a patient
The system transmits these orders directly to the intended department or individuals so that these orders can be executed</li></li></ul><li>Doctor’s Workflow CPOE<br />Patient Admission <br />Physician exam<br />Documentation of patient care<br /><ul><li> Patient case paper
Clinic Specialties<br /><ul><li>In includes specialized department like Dietician, Physiotherapy, Pneumonologist, Diabetologist and others
Using CPOE physician can refer the patient to respective medical specialist. </li></li></ul><li>Roster Management<br /><ul><li>This module helps in scheduling working hours of the nursing staff, who need to work round-the-clock.
It maintains shift rotation of nurses; analyse their workload and skills . Also helps scheduling staff training </li></li></ul><li>Pharmacy<br /><ul><li>Pharmacy is the place where the requested drugs get dispensed. Both outpatients and inpatients are dispensed drugs from the pharmacy.
OTC (over the counter) transaction is also done at the pharmacy.</li></li></ul><li>Laboratory Information System<br /><ul><li>Inventory and billing of lab test
The system keeps track of the tests performed on different patients
It updates the patient’s lab records in EMR</li></li></ul><li>Radiology Information System<br /><ul><li>Objective: To store all patient images, scans and ECG graphs on the system
It facilitates management of the workflow of radiology services and equipment</li></li></ul><li>Central Sterilized Supply Department<br /><ul><li>In this department, all measures related to sterilization of hospital material is taken care
Mostly formalin, spirit, chemical solution and sterilizer (equipment) has been used to prevent hospital material from the external infection.</li></li></ul><li>Blood Bank<br /><ul><li>Donor registration
In addition to that it will generate automated reports keeping track of inventory for stock of bloods of different blood groups and their expiry.</li></li></ul><li>Operation Theatre<br /><ul><li>This module handles all functions of Operation Theatre like setting up, booking and confirming appointments, scheduling investigations and maintenance of address bank
Multiple OT and resource scheduling and booking
Records surgery details all concerned checklists </li></li></ul><li>Dietary<br /><ul><li>This department keep tracks of available food and its expenses.
In addition to that, this department strives to meet the therapeutic nutritional needs of the patient by complying with physician’s orders.</li></li></ul><li>Electronic Medical Record (EMR)<br /><ul><li>It is the heart of the HIS.
EMR contains the data only related to the patient.
EMR is integrated with the LIS, RIS, and other modules of the HIS.</li></li></ul><li>Patient Billing<br /><ul><li>This module takes care of generating patient billing details from different modules of HIS like LIS, RIS, EMR, ADT and so on.
It can be generated on daily/weekly basis or at the time of discharge.</li></li></ul><li>Insurance and Contracts Management<br /><ul><li>It shares the diagnosis and the procedural code with the insurance organization or reimbursement
Mostly used codes are ICD and CPT</li></li></ul><li>Example of workflow:<br />Radiology Department Workflow<br />
Some standards used in HIS<br />SNOMED : (Systematized Nomenclature of Medicine)<br />SNOMED code is used to describe clinical information regarding diseases, pathology, specimen which is more effective than ICD codes, which only contain disease specific information.<br />HIPAA: (Health Insurance Portability and Accountability Act )<br /> HIPAA regulations were designed to:<br /> protect individuals’ rights to privacy and confidentiality,<br /> assure the security of electronic transfer of personal information<br />
Benefits<br />It helps hospitals and doctors to better serve their patients.<br />Better quality of care, procedures and services to patients.<br />Reduces admin workload thereby increases productivity<br />Ensure paperless hospital environment.<br />
Integration of HIS<br />Health Level 7<br />Digital Imaging and Communications in Medicine<br />Electronic Data Interchange For Administration, Commerce and Transport<br />