Management Information
Systems
In a Healthcare Setting
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
Data Flow I: The Patient
The Patient:
Name
Address
Next of Kin
Other Demographics
Unique Identifiers
- Hospital Numbers
- PHIN
- Etc.
AKA: Master Patient Index
John Wieler
Data Flow II : The Visit
The Patient
The Visit:
- Visit Dates and Times
- Bed and Room Occupancy
- Bed and Room Availability
- Visit #/Encounter #/Case#
AKA: ATD, Hotel Functions
John Wieler
Data Flow III: The Treatment
The Patient
The Visit
The Treatment:
- Clinical Information
- Patient Treatment
- Patient Diagnosis
- Any other clinical
interaction with the Patient
AKA: The Chart (Electronic or Not),
The Medical Record
Medical Acts
John Wieler
Data Flow III: The Treatment, cont.
Order
Schedule
Order
Fulfillment
The Treatment
Diagnostic
Review
Result
John Wieler
Data Flow IV : The Outcome
The Patient
The Visit
The Outcome:
- Case Costing
- Patient Accounting
- Physician Accounting
- Coding and Abstracting
- Links to External Systems
The
Treatment
AKA: Management Reporting
Decision Support
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
Start with Infrastructure
INFRASTRUCTURE
John Wieler
Key Infrastructure
• Infrastructure == People, Policy, Stuff
• Essentially, how to keep things running
• Examples include
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Networking
Helpdesk/PC support
Server administration
Security Policy and Administration
John Wieler
CLINICAL
SYSTEMS
Add Clinical Systems
INFRASTRUCTURE
John Wieler
Key Clinical Systems
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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
CLINICAL
SYSTEMS
ADMINISTRATIVE
SYSTEMS
…then add Administrative Systems
INFRASTRUCTURE
John Wieler
Key Administrative Systems
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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
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Equipment Tracking
O.R. Scheduling
Information Services Help Desk
And many, many others
John Wieler
CLINICAL
SYSTEMS
Top off with Decision Support
INFRASTRUCTURE
John Wieler
ADMINISTRATIVE
SYSTEMS
DECISION SUPPORT
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
CLINICAL
SYSTEMS
Support Necessary
Data
Flow
Systems
INFRASTRUCTURE
John Wieler
ADMINISTRATIVE
SYSTEMS
DECISION SUPPORT
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
John Wieler
Questions or Comments?
John Wieler