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Management Information Systems

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  1. Management Information Systems In a Healthcare Setting John Wieler

  2. 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

  3. 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

  4. The Patient: Name Address Next of Kin Other Demographics Unique Identifiers - Hospital Numbers - PHIN - Etc. Data Flow I: The Patient AKA: Master Patient Index John Wieler

  5. The Visit: - Visit Dates and Times - Bed and Room Occupancy - Bed and Room Availability - Visit #/Encounter #/Case# The Patient Data Flow II : The Visit AKA: ATD, Hotel Functions John Wieler

  6. The Patient The Visit The Treatment: - Clinical Information - Patient Treatment - Patient Diagnosis - Any other clinical interaction with the Patient Data Flow III: The Treatment AKA: The Chart (Electronic or Not), The Medical Record Medical Acts John Wieler

  7. The Treatment Data Flow III: The Treatment, cont. Order Schedule Order Fulfillment Diagnostic Review Result John Wieler

  8. The Treatment The Patient The Outcome: - Case Costing - Patient Accounting - Physician Accounting - Coding and Abstracting - Links to External Systems The Visit Data Flow IV : The Outcome AKA: Management Reporting Decision Support John Wieler

  9. 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

  10. Start with Infrastructure INFRASTRUCTURE John Wieler

  11. 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

  12. Add Clinical Systems CLINICAL SYSTEMS INFRASTRUCTURE John Wieler

  13. 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

  14. CLINICAL SYSTEMS INFRASTRUCTURE …then add Administrative Systems ADMINISTRATIVE SYSTEMS John Wieler

  15. 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

  16. Admin Systems (II) • Departmental Systems • Equipment Tracking • O.R. Scheduling • Information Services Help Desk • And many, many others John Wieler

  17. DECISION SUPPORT CLINICAL SYSTEMS ADMINISTRATIVE SYSTEMS INFRASTRUCTURE Top off with Decision Support John Wieler

  18. 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

  19. Decision Support (II) • Data Mart/Warehouse Applications • Smaller Departmental Systems • Workload Measurement • Information Services Help Desk John Wieler

  20. DECISION SUPPORT Support Necessary CLINICAL SYSTEMS ADMINISTRATIVE SYSTEMS Data Flow Systems INFRASTRUCTURE John Wieler

  21. 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

  22. 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

  23. 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

  24. 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 John Wieler

  25. Questions or Comments? John Wieler