Assignment 4
Kpatel
Chapter09HI.pptxIntroduction to Healthcare Informatics, Second Edition
Chapter 9:
Healthcare Informatics and Decision Making
© 2017 American Health Information Management Association
© 2017 American Health Information Management Association
Objectives
Interpret the use of decision support systems (DSSs) in healthcare settings
Compare and contrast the potential and limitations of DSSs in research
Use data visualization processes to facilitate decision making
Analyze the trends that demonstrate quality, safety, and effectiveness of patient care using statistical analysis of healthcare data
Evaluate administrative reports using department software tools
© 2017 American Health Information Management Association
Decision Support Systems
Definition
Administrative decision systems
Clinical decision support systems (CDSSs) provide:
The right information
To the right person
In the right format
Through the right channel
At the right time
© 2017 American Health Information Management Association
Knowledge Management
Definition
A model of knowledge management (KM):
A knowledge artifact, codified knowledge in a format insufficient for fully effective use by practices
A number of interdependent processes are necessary to manage knowledge
There are social and technical dimensions to these processes as a result of knowledge being tacit and being explicit
Action emanates from the tacit dimension of knowledge and KM processes engaged in pursuit of organization’s mission
© 2017 American Health Information Management Association
A Conceptual Knowledge Management Framework in Healthcare
© 2017 American Health Information Management Association
Administrative Uses
Natural language processing (NLP)
Computer assisted coding (CAC)
HIM
Executive and department managers, public health agencies
Data analytics
Electronic patient portals
© 2017 American Health Information Management Association
Example of Alert for Preventive Care
| Wellness Reminder | Due Date | Last Completed | Location |
| Body Mass >25 Alert | DUE NOW | UNKNOWN | DAYT29 |
| Colon Cancer Screening | 13 Aug 2016 | 13 Aug 2012 | DAYT29 |
| Influenza Vaccination | 13 Aug 2016 | 13 Aug 2011 | DAYT29 |
| Pneumonia Vaccination | DUE NOW | UNKNOWN | DAYT29 |
| Control of Your Cholesterol | 13 Aug 2016 | 13 Aug 2011 | DAYT29 |
| Eye Exam for Diabetes | 13 Aug 2016 | 13 Aug 2011 | DAYT29 |
© 2017 American Health Information Management Association
Clinical Decision Support Systems— Improve Safety and Quality
The health record the primary communication tool
Disparity in access to information for CDSSs
Provider bias
Literacy of patients
Best way to communicate with patients
The Joint Commission
Leadership support
© 2017 American Health Information Management Association
Research About Decision Support Systems
Long-term care
Genomics and personalized Medicine
Computer-Assisted Coding (CAC)
Community mental health
© 2017 American Health Information Management Association
Unintended Consequences of Clinical Decision Support Systems
Definition
A study of CPOE
© 2017 American Health Information Management Association
Unintended Consequences Guide Framework
© 2017 American Health Information Management Association
Quality
Workflow
Just-in-time information
Legal Health Record
© 2017 American Health Information Management Association
The State of the Art
Time, speed, and ease
The interaction in using the system
Future perspective
© 2017 American Health Information Management Association
