Clinical and Administrative Information Systems in Healthcare Environments

Clinical and Administrative Information Systems in Healthcare Environments Health Information Technology For Nursing Curriculum Northern Virginia Community College 2014

LEARNING OBJECTIVES • Identify the major types of administrative and clinical information systems used in healthcare. • Discuss how administrative and clinical information systems are different. • Describe how clinical decision support systems can be used in the clinical setting.

HEALTHCARE INFORMATION SYSTEMS Administrative Information Systems Clinical Information System Contains: • Primarily administrative • Financial data • clinical or health-related information Purpose: • General operations of organization • Assist providers in diagnosing, treating, monitoring & documenting patient care • Support management functions

Administrative Information Systems Patient Administration Systems § Admission, Discharge, and Transfer Registration § Scheduling § Patient billing or accounts receivable § Utilization management

Administrative Information Systems Financial Management Systems § Accounts payable § General ledger § Personnel & Materials Management § Payroll § Staff Scheduling

Clinical Information Systems § Electronic medical record (EMR) § Nursing documentation § Medication administration § Computerized provider order entry (CPOE) § Telemedicine

Roadmap to Clinical Decision Support (CDSS) Source: Peter Durand,

Clinical Decision Support Systems § Tools or Algorithms § Created by panels of experts § Provides Evidence Based Treatment Options § Embedded or accessible from Clinical Information Systems § Remember output is only as good as input

In Closing. . . “I have applied everywhere for information, but in scarcely an instance have I been able to obtain hospital records fit for any purposes of comparison. . . If they could be obtained. . . They could enable us. . . to improve the treatment Source: Nightingale, F. (1863). Notes on hospitals. (3 rd. Ed. ). London: Longman, Green , Roberts, & Green. p. 176 Nightingale circa 1854 Source: http: //en. wikipedia. org/wiki/Florence_Nightingal e

REFERENCES • Hebda, T. L. , & Czar, P. (2012). Handbook of informatics for nurses & healthcare professionals (5 edition. ). Boston: Prentice Hall. • Saba, V. , & Mc. Cormick, K. (2005). Essentials of nursing informatics (4 ed. ). New York: Mc. Graw-Hill Professional. • www. healthit. gov

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