John Wieler
Objectives
• Understand Management Information Systems in a Healthcare context
• Develop a base understanding of data flow
• Identify key systems common to most healthcare providers
John Wieler
Clinical Data Concepts
• The Patient is the center of attention in a hospital (at least for Clinical Systems)
• What data is unique to the patient and the care process?
John Wieler
The Patient:NameAddressNext of Kin Other DemographicsUnique Identifiers
- Hospital Numbers- PHIN- Etc.
Data Flow I: The Patient
AKA: Master Patient Index
John Wieler
The Visit:- Visit Dates and Times- Bed and Room Occupancy- Bed and Room Availability- Visit #/Encounter #/Case#
Data Flow II : The VisitThe Patient
AKA: ATD, Hotel Functions
John Wieler
The Treatment:- Clinical Information - Patient Treatment- Patient Diagnosis- Any other clinical interaction with the Patient
Data Flow III: The Treatment
The Visit
AKA: The Chart (Electronic or Not),
The Medical RecordMedical Acts
The Patient
John Wieler
The Treatment
Order
Schedule
Order Fulfillment
Diagnostic Review
Result
Data Flow III: The Treatment, cont.
John Wieler
The Outcome:- Case Costing- Patient Accounting- Physician Accounting- Coding and Abstracting- Links to External Systems
Data Flow IV : The Outcome
The Treatmen
t AKA: Management Reporting
Decision Support
The Visit
The Patient
John Wieler
General Concepts
• In a most general sense there are a number of interdependent “types” of systems in a healthcare environment
• The base model of Information Systems in Healthcare is what I call the “Greek Temple” diagram.
John Wieler
Key Infrastructure
• Infrastructure == People, Policy, Stuff
• Essentially, how to keep things running
• Examples include– Networking– Helpdesk/PC support– Server administration– Security Policy and Administration
John Wieler
Key Clinical Systems
• Defined as “Having to do with Patients”• Master Patient Index• Admission Transfer Discharge (ATD)• Order Entry & Result Reporting• Diagnostic Imaging and PACS• Lab Systems• Pharmacy Systems
John Wieler
INFRASTRUCTURE
CLIN
ICA
LS
YS
TEM
S
AD
MIN
ISTR
ATIV
E
SY
STEM
S
…then add Administrative Systems
John Wieler
Key Administrative Systems
• Running the Hospital as an Organization• Systems common to most other Organizations• Financial Systems i.e. AP/GL• Materials Management• Payroll• Human Resources (HR)• Staff Scheduling
John Wieler
Admin Systems (II)
• Departmental Systems – Equipment Tracking – O.R. Scheduling– Information Services Help Desk– And many, many others
John Wieler
INFRASTRUCTURE
CLIN
ICA
LS
YS
TEM
S
AD
MIN
ISTR
ATIV
E
SY
STEM
S
DECISION SUPPORT
Top off with Decision Support
John Wieler
Key Decision Support Systems
• Measuring delivery of service
• Using Data to plan future delivery of service
• Health Care Specific – Coding and Abstracting– ICD 9/10– CIHI
John Wieler
Decision Support (II)
• Data Mart/Warehouse Applications
• Smaller Departmental Systems– Workload Measurement– Information Services Help Desk
John Wieler
INFRASTRUCTURE
CLIN
ICA
LS
YS
TEM
S
AD
MIN
ISTR
ATIV
E
SY
STEM
S
DECISION SUPPORT
Support Necessary
Data Flow
Systems
John Wieler
Challenges in Healthcare
• Integration Between Clinical Systems can be very complex
• Want to make things seamless from a patients point of view
• Want to make things easy for a Hospital Employees point of view
• Want to give Clinicians what they want
John Wieler
Challenges in Healthcare (II)
• Example, Ordering an CAT Scan
• Systems involved = Paper, ATD, Scheduling, Radiology, PACS, Order Entry, Result Reporting
• Need data to be consistent and correct
• Need systems to be fast, easy to use
John Wieler
Challenges in Healthcare (III)
• Integration of Data to systems outside of Facilities– Physicians Offices/Clinics (Primary Care)– Integration into Community Services
• Immunization Records• Home Care
• Need identity management, security to be in place across multiple jurisdictions
John Wieler
Why Should I Care?
• Business Processes Issues map into Healthcare space, many career opportunities
• There is a lot of money spent in Healthcare, a good understanding as a vendor can make you successful
Top Related