WEEK ONE DISCUSSION #2
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WeekOneLecture1-3.pptx
HCA 626 – Healthcare Information Systems Week One – Lecture 1
Developer Notes: Continue button to continue to next slide. No left-hand menu, please. Menu drop down on top left corner with various topics and notes on top left corner with narration.
Vo: Welcome to the Week One - Lecture 1 for HCA 626 – Healthcare Information Systems.
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Chapter 1:
Health Information Systems Fundamentals
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VO: Chapter 1 - Health Information Systems Fundamentals (HIS).
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HIS Strategic Planning
The HIS Strategic Plan aligns the HIS and technologies to strategic business directions and initiatives
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VO: HIS Strategic Planning:
The HIS Strategic Plan aligns the HIS and technologies to strategic business directions and initiatives
Supports and enables the strategies to be accomplished
Produces actionable, balanced portfolio of systems that support and enable clinical, business and administrative, and connectivity needs of the organization
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Governance
Use of consistent management methods, policies, decision rights, and processes across all units and departments
Structural methods: steering committees, standards, auditability, consistent policies and processes
Culture of ethics, integrity, and personal accountability
Developer Notes: Make this a click to reveal activity with the HIS fundamentals. When the student clicks on each fundamental the text and vo will play. Align text with VO. Add continue button to continue to next slide.
VO: Governance:
Use of consistent management methods, policies, decision rights, and processes across all units and departments
Structural methods: steering committees, standards, auditability, consistent policies and processes
Culture of ethics, integrity, and personal accountability
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Managing HIS
Techniques and activities deployed to achieve HIS goals and objectives
Methods include generally accepted methods and standards for planning, implementing, supporting, and managing core HIS
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VO: Managing HIS:
Techniques and activities deployed to achieve HIS goals and objectives
Methods include generally accepted methods and standards for planning, implementing, supporting, and managing core HIS
Activities involve the IT Department (information services, information resources, technology, and information systems)
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Managing HIS, cont.
One of the most essential functional areas of a HC organization
Warrants attention from highest levels of the organization
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VO:
Plan and manage HIS and infrastructure, data, analytics, people, implement systems/manage change, train tech staff and end users, and more
One of the most essential functional areas of a HC organization
Expenditures comprise significant portion of the organization’s capital and operating budgets
Warrants attention from highest levels of the organization
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HIS Planning & Budgeting
Uses organization’s strategic business plan as a guide
Should reflect exactly the forward movement and enablement of the organization toward its business and clinical strategies
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VO: HIS Planning & Budgeting:
Uses organization’s strategic business plan as a guide.
Should reflect exactly the forward movement and enablement of the organization toward its business and clinical strategies.
Annual or near-term plans and budgets are established based on the HIS Strategies Plans.
Annual plans drive the annual HIS capital and operating budgets.
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HIS Planning & Budgeting, cont.
Agenda for each year is planning in concert with strategic and operational needs of the organization
Plans and budgets must stay in exact tune with the HIS Strategic Plan
Deviations are dangerous
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VO:
HIS plans and budgets must include everything needed and feasible to accomplish in the coming fiscal year
Agenda for each year is planning in concert with strategic and operational needs of the organization
Plans and budgets must stay in exact tune with the HIS Strategic Plan
Deviations are dangerous
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HIS Selection
Process by which decisions are made about which new software systems to bring into the organization
Methodologies are widely known, repeatable processes
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VO: HIS Selection:
Process by which decisions are made about which new software systems to bring into the organization
Methodologies are widely known, repeatable processes
Must justify why a new system is best rather than using something that already exists in the HIS portfolio
HIS Steering Committee oversees the process
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Implementing HIS
Requires a disciplined methodology that drives a carefully executed, highly detailed project plan
Requires activating new software, training for end users, transition from the old system to the new
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VO: Implementing HIS:
Set of activities that results in software system going from a business plan to a fully utilized HIS
Requires a disciplined methodology that drives a carefully executed, highly detailed project plan
Requires activating new software, training for end users, transition from the old system to the new
Also involves testing and evaluating the new system to make sure it functions as designed
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Keep others not involved in the process in the loop
Closely collaborate with end users, management, clinical staff
Work with interdisciplinary teams on design, requirements, training, testing, activation, and use
The reality of what happens with a new HIS
Managing Change
*Click each photo to reveal activity
Developer Notes: Make this a click to reveal activity with the changes. When the student clicks on each change the text and vo will play. Align text with VO. Add continue button to continue to next slide.
VO: Managing Change:
The reality of what happens with a new HIS
Work with interdisciplinary teams on design, requirements, training, testing, activation, and use
Closely collaborate with end users, management, clinical staff
Keep others not involved in the process in the loop
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Managing Vendors
Organizations rely heavily on external companies who produce, deliver, and support HIS software, hardware, and services
Developer Notes: Make this a click to reveal activity with the changes. When the student clicks on each change the text and vo will play. Align text with VO. Add continue button to continue to next slide. VO: Managing Vendors:
Organizations rely heavily on external companies who produce, deliver, and support HIS software, hardware, and services
For-profit corporations that exist to create value for shareholders or returns for their owners and investors
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Harvesting the Yield from HIS
Increases the value and Return on Investment (ROI) in the core HIS
Value garnered is widely underachieved
Developer Notes: Make this a click to reveal activity with the changes. When the student clicks on each change the text and vo will play. Align text with VO. Add continue button to continue to next slide. VO: Harvesting the Yield from HIS:
Magnitude of the work often prevents an organization from taking full advantage of the data and information resources it is creating
HIS produces and captures data resources to create new knowledge through analytics, business intelligence, and clinical intelligence
Increases the value and Return on Investment (ROI) in the core HIS
Value garnered is widely underachieved
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Business, Clinical, and Artificial Intelligence
Allows organization to gain insights and knowledge
Allows them to apply knowledge and insights to improve processes and outcomes
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VO: Business, Clinical, and Artificial Intelligence:
Business intelligence, clinical intelligence, and artificial intelligence systems provide analytical systems, resources, data management, and personnel capabilities.
Allows organization to gain insights and knowledge.
Allows them to apply knowledge and insights to improve processes and outcomes.
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Data Management & Stewardship
To gain yield and value from data, they must be carefully and continuously tended
Must be managed according to the goals of the organization
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VO: Data Management and Stewardship
To gain yield and value from data, they must be carefully and continuously tended
Definition of each data element must be accurate and consistent in its use
Must be managed according to the goals of the organization
Consistency, accuracy, accessibility, and safety must be checked regularly
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Creating New Knowledge
Needs of patients evolve
Healthcare organizations must adapt
Must be data driven to put new knowledge into practice
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VO: Creating New Knowledge:
Health care is a function of information and knowledge workers coming together to help patients, healthcare organizations, patient populations, and communities.
Needs of patients evolve.
Healthcare organizations must adapt.
Must be data driven to put new knowledge into practice.
Organizational culture must embrace adaptation and thirst for new knowledge.
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HIS Regulatory Compliance & Risk Management
HIPAA, MACRA, CMS, MIPS, APMs, DHS regulations, Joint Commission
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VO: HIS Regulatory Compliance and Risk Management:
Actions, systems, policies, and management techniques used to accomplish these initiatives must be done in compliance with HC regulations.
HIPAA, MACRA, CMS, MIPS, APMs, DHS regulations, Joint Commission.
Health care is highly regulated because it is paid for by government/third-party insurance; fraud comprises ~10% of healthcare costs; and patient safety, data, and privacy must be protected.
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HIS Security
Hackers, black market, and ransomware experts threaten HIS
Prevention is among the highest priorities for any HIS agenda
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VO: HIS Security:
Security of HIS, data, and protected health information (PHI) is a primary goal in healthcare.
Hackers, black market, and ransomware experts threaten HIS.
Prevention is among the highest priorities for any HIS agenda.
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HIS Standards
Proprietary software systems strategically withhold opportunity and flexibility for healthcare organizations to use different vendor products simultaneously
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VO: HIS Standards:
HIS technical and data standards must be in place to communicate across providers, insurers, and users of HC
Common protocols and terminology
Proprietary software systems strategically withhold opportunity and flexibility for healthcare organizations to use different vendor products simultaneously
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Common Fundamental Failures
Background
The challenges needing a solution
The solution
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VO: Common Fundamental Failures
Background
The challenges needing a solution
The solution
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HIS Model for the Health Professions
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VO: HIS Model for the Health Professions: View this diagram for a better understanding of H.IS Model for the Health Professions.
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HIS Terminology
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VO: View this table for a better understanding of HIS Terminology.
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Health Information Systems (HIS)
Technology Infrastructure
Hardware
Software
Middleware
Networks
End-users
Activation/implementation
Communication
HIS development
Design
HIS management
HIS governance
HIS planning
Ongoing maintenance
Roles
*Click on each photo to reveal activity
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VO: Roles:
HIS planning
HIS governance
HIS management
Design
HIS development
Activation/implementation
Ongoing maintenance
Communication
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Vendor & Provider Relations
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VO: View this table for a better understanding of Vendor & Provider Relations.
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HIS development began in the 1960s
Beginnings were local, humble, and rooted in data processing departments of hospitals
There was no Internet to connect capabilities
Unintended consequences of new technology
Vendor marketplace is dynamic
History of HIS
HIS followed the advent of computerization of U.S. society in general
1960s: Early software applications focused on accounting and financial applications
”Data” of finance and accounting involved dollars and cents (standardized and universally understood data elements)
1970s: Early HIS and tech vendors (SMS, now Cerner)
Developer Notes: Make this a click to reveal activity with the History of HIS. When the student clicks on each bullet the text and vo will play. Align text with VO. Add continue button to continue to next slide.
VO: The Early Days:
HIS followed the advent of computerization of U.S. society in general.
1960s: Early software applications focused on accounting and financial applications.
”Data” of finance and accounting involved dollars and cents (standardized and universally understood data elements).
1970s: Early HIS and tech vendors (SMS, now Cerner).
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History of HIS
SAIC created early clinical information system for VA hospitals
1980s: Minicomputer (H-P, Digital Equipment Corporation, IBM)
More efficient, less expensive, fewer people needed to operate
Many early software systems sold by vendors were originally developed in hospital DP departments
Developer Notes: Make this a click to reveal activity with the History of HIS. When the student clicks on each bullet the text and vo will play. Align text with VO. Add continue button to continue to next slide.
VO: The Early Days, cont.
SAIC created early clinical information system for VA hospitals
1980s: Minicomputer (H-P, Digital Equipment Corporation, IBM)
More efficient, less expensive, fewer people needed to operate
Many early software systems sold by vendors were originally developed in hospital DP departments
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History of HIS
First-generation HIS clinical order entry systems were extensions of charge-capture systems for patient billing
Initial clinical systems included “order entry” systems, early versions of computerized provider order entry (CPOE)
Through the 1990s, advent of the Internet transformed healthcare computing
Developer Notes: Make this a click to reveal activity with the History of HIS. When the student clicks on each bullet the text and vo will play. Align text with VO. Add continue button to continue to next slide.
VO: Evolution of Clinical Systems and the HER:
First-generation HIS clinical order entry systems were extensions of charge-capture systems for patient billing
Initial clinical systems included “order entry” systems, early versions of computerized provider order entry (CPOE)
Through the 1990s, advent of the Internet transformed healthcare computing
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History of HIS
IOM To Err Is Human report drove desire to improve quality and efficiency of care
HIS and technology are essential tools in that process
Government legislation: Title XIII
Challenge: Change from fee-for-service reimbursement methodology to value-based reimbursement system
Developer Notes: Make this a click to reveal activity with the History of HIS. When the student clicks on each bullet the text and vo will play. Align text with VO. Add continue button to continue to next slide.
VO: The Current Climate:
IOM To Err Is Human report drove desire to improve quality and efficiency of care.
HIS and technology are essential tools in that process.
Government legislation: Title XIII.
Challenge: Change from fee-for-service reimbursement methodology to value-based reimbursement system.
Reliance on vendor marketplace increases cost of automation.
Prevention, wellness, chronic care, and care coordination are replacing acute-care model.
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Summary
The task for health professionals is to provide the education and support needed to create the kinds of HIS we need in today’s challenging and changing healthcare environment
Developer Notes: You have concluded with the Week One Interactive Presentation. Please proceed back to Week One in Blackboard to continue the curriculum for Week One.
VO:
The task for health professionals is to provide the education and support needed to create the kinds of HIS we need in today’s challenging and changing healthcare environment.
Clinical, business, and technology health professions now can only be done proficiently with HIS knowledge, ability, and activity.
Reliance on vendors and change from acute, medical, sickness-based, institutional scenario to new model based on prevention, wellness, chronic care management, and care coordination create HIS challenges.
You have concluded with the Week One Interactive Presentation. Please proceed back to Week One in Blackboard to continue the curriculum for Week One.
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