Various Types of Health Information Systems

Health Informatics 489Spring 2015

Objectives

To give a brief overview of the wide range of different information

systems in health care.

Core Information Systems in a Health facility

Hospital Information System (HIS)

Enterprise Resource Planning (ERP)

Web PortalsClinical Decision Support Systems

(CDSS)

Radiology information system (RIS)/Picture

Archiving and Communication System

(PACS)

Other Supportive ISs

Enterprise Resource Planning

• ERP is a business management information system. It is usually consist of:

• Human Resources (HR) Information System• Finance Information System• Supplies Information System• Payroll• Inventory management Information System• Billing system

Leon, Alexis. Enterprise resource planning. Tata McGraw-Hill Education, 2008.

Web Portals

• Internet PortalHealthcare organization internet web siteE-Services

• Intranet PortalIt is an internal website can be accessed within the organization domain.

Hospital Information System

• It is considered as the “core-business” application

• Patient Administration Systems (PAS) Plus Clinical Records (Electronic Health Record – EHR)

Haux, Reinhold. "Health information systems–past, present, future."International journal of medical informatics 75.3 (2006): 268-281.

Important HIS modules

• Person Management System (PMS)• Patient’s Billing and Account Receivable • Health Information Management (HIM) System• Clinical Information System (CIS)• Laboratory Information System (LIS)• Blood Bank Information System (BBIS)• Pharmacy Information System (PIS)• Radiology Information System (RIS)• Real-time locating systems (RTLS)• Clinical Decision Support Systems (CDSS)• Business Intelligence (BI)

Patient Management System (PMS)

Sometimes they call it Patient Administration Systems (PAS) • Manage Patient Activities:

• Appointment/Scheduling• Registration• Admission• Discharge• Transfer• Management Of The Deceased

Patient’s Billing And Account Receivable

• Manage Patient Billing And Account Receivable Activities:• Bill Generation• Bill Management• Bill Payment• Collection Management• Refund Management• Account Reconciliation• Report Generation

Health Information Management (HIM) System

• Monitor, Control & Manage Medical Record Office Activities:• File Management• Medical Report• Release of Information• Medical coding• Quality of EHR

Clinical Information System (CIS)

• To Carry out The Clinical Activities:• Doctor Documentation• Nurse Documentation• Computerized Physician Order Entry (CPOE)• Results viewing

Laboratory Information System (LIS)

• Receive Orders & Collect Specimens• Process Orders• Create Testing Work Orders• Lab Equipment Interface• Actual Testing• Generate & Transmit Results• Generate Management Results• Quality Management

BLOOD BANK INFORMATION SYSTEM (BBIS)

• Blood Donation Management• Blood Procurement• Blood Safety• Blood & Blood Component Production• Blood & Blood Component Storage & Distribution• Blood Transfusion Management• Quality Management

Pharmacy Information System (PIS)

• Medication Order Management • Clinical Pharmacy Management • Manufacturing• Inventory Management

Radiology Information System (RIS)

• Receive Subject and Process Order• Exam Management• Transcribe, Validate And Distribute Report• Support Generation Of Management Report• Support Administrative Function

Picture Archiving and Communication System (PACS)

It is a system provides storage, retrieval, management, distribution and presentation of medical images

A PACS has four major components: • Imaging systems, such as magnetic resonance imaging (MRI) and

computed axial tomography (CAT scan) equipment. (we call them modalities)

• A secure network for distribution and exchange of patient information.

• Workstations or mobile devices for viewing, processing and interpreting images.

• Archives for storage and retrieval of images and related documentation and reports.

Clinical Decision Support Systems (CDSS)

• Clinical Decision Support Systems (CDSS) have been defined broadly as any computer programme which helps health professionals make clinical decisions (Shortliffe, 1990).

• This is including information resources software.

Real-time locating systems (RTLS)

RFID – Radio Frequency IDRFID readers can detect and RFID label from a distance and without human action. • Assets can be tracked e.g. Surgical Instruments• Blood samples traking• New born tracking

Business Intelligence (BI)

Dashboards provide a graphical representation of key performance indicators. The aim is to make information more accessible and immediate for busy, senior staff.

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