Management Information System In Healthcare Definitions System- A collection of components that work together to achieve a common objective. Information System- A system that provides information support to the decision-making process at each level of an organization. Health Information System- A system that integrates data collection, processing, reporting, and use of the information necessary for improving health service effectiveness and efficiency through better management at all levels of health services. Health Management Information System- An information system specially designed to assist in the management and planning of health programmes, as opposed to delivery of care. (WHO 2004: 3) Healthcare Information System (HIM) Healthcare is a business and, like every business, it needs good management to keep the business running smoothly. Healthcare information systems means meticulously maintaining a patient's healthcare records and ensuring that confidential information is securely kept. Those in healthcare information systems must have tremendous attention to detail. They are responsible for maintaining, updating, and securing all of a patient's healthcare information. Healthcare service providers who use HIM Hospitals Nursing and residential care facilities Physicians and surgeons Other ambulatory health care service Medical and diagnostic laboratories Dentists and dental clinics Home health care services Other health practitioners Outpatient care centers Health Information Professionals Health information management professionals plan information systems, develop health policy, and identify current and future information needs. They apply the science of informatics to the collection, storage, use, and transmission of information to meet the legal, professional, ethical and administrative records-keeping requirements of health care delivery. Health information managers Medical records and health information technicians Health Information Administrator Implementation managers Trainers Electronic Medical Record System Clinicians rely on complete and accurate data in order to make decisions about patient care. Without a solid system for health information exchange in place between facilities, it is impossible to ensure that a clinician has the entire clinical picture. Without complete historical information on a patient, treatment plans are often askew, which can mean suboptimal, sometimes even lethal, outcomes. Disadvantages of Electronic Medical Record System Enormous start up costs Nurses and doctors are unfamiliarity with technology Hackers may ultimately be able to penetrate system despite security precautions System is attacked by computer viruses Power failure Hospital Management Information System It is essentially a computer system that can manage all the information to allow health care providers to do their jobs effectively. These systems have been around since they were first introduced in the 1960s They manage the data related to the clinic, finance department, laboratory, nursing, pharmacy and also the radiology and pathology departments. The system must be user friendly and should include training by the vendors. Highlights of Hospital Management Information System Patient-centered approach User-friendly, applications easy-to-use & web-enabled Security & privacy (authentication, authorization, privacy, policy) Integration Patient identification Single log-in Data consistency Transparency Records in Health information Management Healthcare quality and safety require that the right information be available at the right time to support patient care and health system management decisions. Health records are archival records or diaries of diagnostic discoveries Clinical data include facts about: 1. patient or client’s overall health status and ability to perform normal bodily functions 2. person’s overall physical, physiological, psychological, sociological and intellectual characteristics 3. performance of interest to patients and health professionals. CLINICAL INFORMATION SYSTEM (CIS) CIS is an information system designed to be used specifically in the critical care environment. It integrates the many computer systems found in a modern hospital, such as pathology and radiology, with an electronic patient record. CIS provides easy bedside access for clinicians. Once the patient is discharged from the Intensive Care unit the information is printed and placed into the patient’s medical record. NURSING INFORMATION SYSTEM (NIS) Nurses are the largest single group of health professionals who directly influence the quality of most health services provided and their outcomes The area of concern of nursing ranges from: clinical care of individual patients to the administration of health services the management of health problems at all levels of complexity including public health and community care, occupational and home care, school health. NIS has been defined as a part of a health care information system that deals with nursing aspects, particularly the maintenance of the nursing record.