OM010 Health care Administration Masters Level
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CLINICAL INFORMATION SYSTEM
Olufunmilayo Adeleke
Walden University
OM010 Comment by Chris Miller: Include the date and
Compatibility of Goals, Value and Mission with CIS
A Clinical Information system is the recommended information system in the Health Information and Management System Society (HIMSS). The organization gives an opportunity for people to participate in discussion and exercises that shapes the industry of healthcare. HIMSS also works to promotes public policies, which aims at improving service delivery in healthcare and encourages the use of emerging technology. The goals of the HIMSS are compatible with Clinical Information system because it focuses on improving the health service delivery system so as to ensure better healthcare delivery (Musen, Middleton & Greenes, 2014). The goal of the HIMSS is to advance the utilization of information system to improve the health of the people. These goals are similar to the Clinical Information System goals, which focuses on improving health care services and increasing between healthcare workers, providers and physicians within the healthcare system. The value of HIMSS is exchanging experiences in an organized manner at a global dimension. The organization is committed to the professional conduct of the highest standard and adding value to the industry of healthcare. The missions, values and the goals of the organizations are compatible with the Clinical information system of improving the health services and continuous innovation.
Roles of Clinical Information System Comment by Chris Miller: headings should be bold
In the HIMSS, Clinical Information System plays a critical role in improving the quality of services that are provided to patients who might be in critical conditions. To properly care for a these patients in the intensive care unit, much attention and coordination is needed and expected from every healthcare staff to attain optimal care. This is particularly important because these patients are already at a higher risk of contracting or becoming sicker or worse; losing their lives. CIS allows the physicians to communicate to one another and exchange data on the specific patients. With technology, exchange of data has been made less stressful. Communication is made easier because the doctors do not need to keep exchanging physical files between nurses, other physicians and or other departments. It also helps because multiple people have access to this data while the patient is being treated (Levesque et al., 2015). The process of decision-making becomes much easier because all the information can be delivered when needed and the references made. Faster decision-making shortens the time it would take to get a diagnosis, which could be the key to saving a patient’s life. CIS also helps in achieving equity because the patients’ data is entered according to the time they arrived and all information is contained in the automated computers. The incidences of unfair treatment are reduced because the clinicians or the doctors follow the information received from the Information system center and are able to provide this information and its time stamps should any complications or legal issues arise.
Impacts of CIS to HIMSS
One of the greatest impacts of the Clinical Integrated Systems is the increased access to medical records. Along with an increased availability of medical records, there will also be a decline in loss of medical records. When information is kept in files, it can easily get lost due to constant shuffling and moving, but the system can recover them in case of anything happens (Wager, Lee & Glaser, 2017). Because manual and physical transportation of files has been eliminated, any issues related to loss or incomplete medical record has been minimized and people can have access to the records instantaneously. Additionally, easier accessibility of patient’s files allows doctors and physicians to address emergencies and unscheduled visit to their healthcare facility. It would be easy to coordinate information from various departments, which promote understanding of what exactly the patient need and the kind of treatment that should be administered to each patient. It also helps in minimizing errors that occur during data entry. Manual data entry increases the risk of human errors that can result in an improper diagnosis. Consider a patient whose blood pressure is 170/70, if a nurse writes down 170 as systolic pressure, any tired physician or healthcare giver could read the pressure as 110/70. A patient with a 170/70 blood pressure is at an increased risk of getting a stroke. When the diagnosis is not made correctly, then it can lead to either ignoring an actual problem or prescribing the wrong medication, which can affect the patient negatively. Technology goes with innovation and improves the social status of the people. CIS also facilitates research, as many people would be eager to understand emerging technology and put it to use. Investing in this research qill not only create new jobs for people but also promises a better future in the healthcare patient information management field. Comment by Chris Miller: good job discussing clinical integration
Usability Factors
Privacy is one of the most important usability factors in Health Information System development. Patient information is sensitive data that should be kept from the public. Patient’s data should not be revealed to a third party, and the discussion should be only between the patient, doctor and other people on the patient’s confidentiality list. It is also important to note that any physician who is not working on the patients file should not be allowed access to the patient’s information either, unless patient release their information for clinical research purposes. Confidentiality of the assessment and diagnosis reports is important to the patients. Other usability factors to consider is the safety of patients and error prevention. All of the usability factors mentioned above go hand in hand, as one usually affects the other. The example with the patient whose blood pressure was recorded incorrectly is a perfect example of how user error can affect the safety of the patient. If this error was not made, the patient would have been diagnosed with high blood pressure and would have been put on medication that can help regulate his/her pressure. Error prevention is a usability factor that is one of most valued ethics of the health care system (Grossman et al., 2016). Error prevention is also crucial as it leads to an accurate diagnosis of the disease. When the right diagnosis of the disease is made, then it would be easy for the doctors to give the right treatment that would lead to recovery and an overall improvement in the health of the patient.
Strategies for Usability Evaluation
Usability testing is one of the strategies which is utilized for the evaluation of the services or product which are offered by the organization. Another strategy is for usability evaluation is a testing plan. Creating a testing plan assists in reviewing the usability of the product or service (Musen, Middleton & Greenes, 2014). Physicians and other healthcare providers should be included in the planning phase as it allows to provide an accurate feedback on the usability of the product or services. This accuracy forms the foundation for effective evaluation. It can also be done by reporting the results which mainly focuses on the recommendations and the findings. Efficiency is a key factor in the clinical information system. Testing for efficiency allows for proper analysis of the system and fixture of any problems that might prevent systems efficiency. By including physicians and healthcare providers in the beta testing phase, overall efficiency of the system will be improved upon which translates to a safer and more efficient health information delivery system.
Integration with Other Products
The clinical Information system will integrate other products such as insurances, payment information, laboratory reports, patient’s health history and surveys. The physician who is discharging the patients would be able to receive a message in the system that payment of patient has been made and he or she can be discharged. If the payment were made through insurance cover, it would also reflect hence less time would be taken. It can help in facilitating faster services delivery for both inpatients and outpatients.
Security and Privacy
The system ensures that the security and privacy of patient information are maintained. This is done through the purchase of reliable software which enhances the safety of the data. With the technological advancement, cloud computing is widely applied to come up with software which ensures the safety of the data or information. Security is also ensured through the hiring of employees who have relevant skills and are experienced in information technology (Boulware et al., 2016). Privacy is maintained by ensuring the data only passes in the hand of the authorized individuals. Information from the diagnosis and assessment of the patient is kept confidential and no third party which is allowed to discuss it. Comment by Chris Miller: This area vague and general – think about the specific types of health information that needs to be protected and then consider best practices. Think about meaningful use guidelines for example
Support of the Vendor
Vendors provide support by ensuring that the system is fully installed with all relevant features available. Vendors also make sure that the system is working and are available to assist in rectifying any system lags or glichtes that might occur during testing and or actual usage of the system. The vendor will also make sure that updated version of the software which is needed by the organization is available and update of the system can be accessed anytime to facilitates the faster working of the system and provide quality services.
Reliability and Stability
Clinical Information System will invest in testing’s that will ensure the reliability of the system. It will also be stable because most of the software would be obtained from companies which are experienced in cloud computing. The management team will be experienced with all relevant skills which are required to operate and ensure effective running of the software. Robust analytics are run to help provide operational and clinical insights to the automated registration tools. This allows the system to provide high-quality experience for the patients while reorganization the intake process for the healthcare facility as well. Comment by Chris Miller: this area also is still a little generalized. Try to expand more on reliability factors as they are specifically related to health information systems.
The Cost of the Clinical Information System Comment by Chris Miller: This cost is not really well laid out and justified. What is the cost of implementation for the electronic health record system, consider average in licensing fees, average hardware cost average training cost etc. in the field. I noted at the end you have 10,000 million which is well over $1 trillion I think that's an error? There's no support for your cost analysis. It's too vague in general.
The resources which will be used in the process of buying, installing and making the software function would include the cost of buying the computers and technology involved in building the new system. Computers are needed so that they can be interconnected and promote the easy transfer of the data. There is also cost involved buying software which is needed for maintaining data security of the organization (Musen, Middleton & Greenes, 2014). Some of the software is very expensive and can be costly to buy. Installation space is also required and the team which will be involved in the continuous management of the system. The overall estimate of the cost which might be incurred $10,000 million for the system to start operating in a hospital depending on its size. Comment by Chris Miller: Indent five spaces
The Process of Acquisition and Selection
Clinical information system requires a wise chose so that the system will function according to the intended functions. The buyer considers the cost of the resources which will be required for the effective functioning of the system (Jeon et al., 2017). The organization tries to compare both the external and internal factors that might affect the workability of the system. The process put into consideration goals, plans of the healthcare and objectives. There is an assessment of the changes which will take place in the system integration, a cost that will be incurred and the management change. The process is designed such that the needs of the stakeholders are given great value. Comment by Chris Miller: I'm not seeing a timeline though. By timeline we mean implementation how long to train the end-users, etc. Give a timeframe breakdown
Conclusion Comment by Chris Miller: this should be bold and centered
Clinical information system is an important system as recommended by HIMSS as it works to increases the value of patient care and communication within healthcare facilities. Both cost and implementation is a factor that might affect a healthcares desire to incorporate CIS. However, the desired outcome of reducing clinical error and improving service delivery in healthcare by encourages the use of emerging technology is the reason CIS is recommended by HIMSS.
References
Boulware, L. E., Cooper, L. A., Ratner, L. E., LaVeist, T. A., & Powe, N. R. (2016). Race and trust in the health care system. Public health reports.
Grossman, R. L., Heath, A. P., Ferretti, V., Varmus, H. E., Lowy, D. R., Kibbe, W. A., & Staudt, L. M. (2016). Toward a shared vision for cancer genomic data. New England Journal of Medicine, 375(12), 1109-1112.
Jeon, J., Kim, J., Park, Y., & Lee, H. (2017). An analytic network process approach to partner selection for acquisition and development. Technology Analysis & Strategic Management, 29(7), 790-803.
Levesque, E., Hoti, E., Azoulay, D., Ichai, P., Samuel, D., & Saliba, F. (2015). The implementation of an Intensive Care Information System allows shortening the ICU length of stay. Journal of clinical monitoring and computing, 29(2), 263-269.
Musen, M. A., Middleton, B., & Greenes, R. A. (2014). Clinical decision-support systems. In Biomedical informatics (pp. 643-674). Springer, London
Nguyen, L., Bellucci, E., & Nguyen, L. T. (2014). Electronic health records implementation: an evaluation of an information system impact and contingency factors. International journal of medical informatics, 83(11), 779-796.
Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Healthcare information systems: a practical approach to healthcare management. John Wiley & Sons.