Clinical information system presentation

CIS presentation for NUR 3563 by Shannon Simpson
Southwest Baptist University

1. CLINICAL INFORMATION SYSTEM BY: Shannon Simpson Healthcare Informatics NUR 3563

2. CIS Definition/overview Clinical Information System—is a technology based system that is applied at the point of care and is designed to support the acquisition and process of information as well as providing storage and processing capabilities. It is a collection of various information technology applications that provides a centralized repository of information related to patient care across distributed locations . ( McGonigle, D & Mastrain, K).

3. The 8 components needed in the CIS system

4. Technological Competencies All users of computerized clinical information system need to have technological competencies. These competencies, computer literacy and keyboarding skill, should be addressed long before a system is implemented (Thede , L & Sewell, J ).

5. Who are the key players? Implementation should involve those who work w/ patients to improve the interface, accuracy and security .

6. Costs involved with implementing a CIS system

7. SAFETY Safety is very important when it comes to CIS, because there are issue with the following: Storage Access Backup HIPPA laws Ethical issues Protection

8. Safety Con’t Storage of Data Should provide retrieval of data used in long-range planning and research (Thede, L & Sewell, J). Protection of the files Major software upgrades include new virus protectors. Equipment and software upgrades to ensure up-to-date software (Thede , L & Sewell, J).

9. Safety Con’t Ways to protect your passwords Change your password often Use letters and numbers Never give your password out to anyone Ways to back up data DVD To a main Hub off site A zip drive Any other device that can be stored off location site (Thede, L & Sewell, J).

10. HIS project requirements refer to certain needs that include:

11. Electronic MEDICAL Record Electronic medical records are records about patient care that are kept on a computer rather than on paper, the traditional medium for patient histories. These records can include extensive information about a patient's general health, current and past illnesses and medical conditions, diagnostic test results and treatments and medications prescribed. Often, electronic medical records also include an application for prescribing and ordering medication (Heflin, C). They are owned and managed by the institution or provider that creates them, and are often combined so that information from all member agencies and providers is accessible by those with the required authorization ( Thede, L & Sewell, J ).

12. How often should it be updated to meet EBP guidelines? EBP guidelines should be updated frequently, as little as every 3 months but no longer than 1 year, to ensure the best standard of care is being delivered to the patients.

13. Advantages of EMR Advantages Computerized records have several advantages over traditional paper records: 1. The data tends to be more accurate. Electronic records eliminate the possibility of mistakes as a result of misreading a doctor's handwriting. 2. They're easily accessible to all care providers and to more than one care provider at a time. 3. They're easy to store and take up less space than paper records. 4. They're easily portable from one doctor's office to another. 5. Their use can lead to cost savings, since keeping electronic records is more efficient than retaining paper records (Heflin, C).

14. Disadvantages of EMR Disadvantages of computerized records include the following: 1. The possible incompatibility of computer systems among various health care providers can lead to difficulty in sharing the data. 2. Privacy and security can be an issue. If someone hacks into a computer system, thousands of patients' records can be compromised. Also, some critics say the federal government wants to use electronic records systems to ration health care services. 3. Computer crashes make records inaccessible. 4. The cost of implementing an electronic records system can be expensive ( Heflin, C).

15. References Ciotti, V. & Swab, J (2010). What to consider when purchasing an EHR system. Healthcare financial management, 64(5):38-41 Cinhal plus with Full Text. Heflin, C Definition of electronic medical record . (n.d) retrieved 04/10/2012, from eHow Web Site: http:// www.ehow.com/about_5059193_definition-electronic-medical-records.html McGonigle, D & Mastrain, K (2009). Nursing Informatics and the Foundation of Knowledge. Jones and Bartlett Publishers . Pg 193. Thede , L & Sewell, J (2010). Informatics and Nursing. Philadelphia, PA 19106: Lippincott Williams & Wilkins. Pg. 233-234, 329-340, 350,