HOSPITAL MANAGEMENT INFORMATION SYSTEM ppt

HOSPITAL MANAGEMENT INFORMATION SYSTEM

1. HOSPITAL MANAGEMENT INFORMATION SYSTEM(HMIS ) UNIT :MANAGEMENT SYSTEMS IN EYE CARE AND PATIENT SAFETY CODE :BCO 2416 PRESENTERS : ANTONY W.WASWA CATHERINE MWIKALI MOSES MWENESI MODERATOR: Wycliffe Were

2. Introduction T echnology is changing the landscape of the world and leading us towards a sophisticated technical world. The emerging role of information and communication technology has created a huge impact on healthcare and enhanced quality of care, patient security and data protection and reduces operating and administrative cost. Telecommunication devices are more user friendly and used by a huge population around the world which has reduced the communication gap to a zero level. A ccessibility to information has become simple using information and communication technology and also people find themselves more relaxed while availing healthcare service

3. OUTLINE Introduction Definitions Overview Components Discussions Conclusion Recommendations References

4. Introduction Most hospitals public and private have deeply concentrated on paper-based records without giving considerations to electronics medical records. There have been many efforts for the application of information and communication technology in medical records and information management; many of these efforts have proven to be unsustainable because of political, socio-economic and technological factors, inadequate skills and knowledge at a local level to handle new systems and technologies

5. Definitions Information systems include all the expert workforce, computer networks, system models and system information required to perform various functions such as collection, processing, storage, access and distribution of information It is possible to see information systems as systems that aim to provide accurate, up-to-date information where and when they are needed

6. Definition HMIS is a system that hospitals collect and process all necessary information through computers about health care services and management. This information can be transferred between the units via the automation system in the electronic environment It plays integrating role different information that emerges in terms of medical, financial and management functions of the hospital . HMIS is an institutional resource planning system that has been privatized and increased in quality according to the needs of the health sector

7. Overview The application of information and communication technologies tools (ICTs) or alternatively e-health tools to successful health care delivery had been widely demonstrated through various ICT health projects in developing and developed world. E-health, an umbrella term that encompasses the use of ICT in healthcare, includes telemedicine, where medical advice or consultation is provided over long distances via Internet, radio, telephone and other communication devices Alternatively e-health is the use of ICT tools for dissemination of health related information such as HIV/AIDS and vaccination hubs using radio, television, Internet or short message service

8. Overview On the contrary, the utilization of e-health tools in the developing countries are posed with challenges which needs to be addressed These barriers include lack of computer equipment, lack of computer skills, cost of computer and so on These have contributed to the unreliability, inaccessibility and lack of sustainability of ICT infrastructures Successful application of e-health tools in the developed economies has contributed to the delivery of quality healthcare services

9. Overview In many industrialized countries of the world, there is huge investment of resources into ICT in health care as a commitment to providing the most efficient and effective health care services to their teeming population Challenges facing Information and Communication Technology applications in Hospitals includes the following; digital divide, security issues, lack of information control, safety, and cost of service delivery to the patients

10. Components of HMIS There is clear value in defining what constitutes a health information system and how its components interact with one another to produce better information for better decisions and better health. In addition to its six components, a health information system can be further divided into its inputs, processes, and outputs. Inputs refer to resources; processes touch on how indicators and data sources are selected and data are collected and managed. Outputs deal with the production, dissemination, and use of information. Accordingly , the six components of a health information system are as follows:

11. Components of HMIS Processes 1.Indicators . A core set of indicators and related targets for the three domains of health information that is the basis for a plan and strategy for a health information system Indicators need to encompass determinants of health; health system inputs, outputs, and outcomes; and health status

12. Components of HMIS Processes 2.Data sources can be divided into two main categories: ( 1) population-based approaches (censuses, civil registration, and population surveys) and ( 2) institution-based data (individual records, service records, and resource records ) There are set standards for each source and strategic elements in achieving these standards A number of other data-collection approaches and sources—occasional health surveys, research, and information produced by community based organizations—do not fit neatly into either of the two main categories but can provide important information that may not be available elsewhere

13. HMIS components Inputs 3.Health information system resources. These consist of the legislative, regulatory, and planning frameworks required to ensure a fully functioning health information system, and the resources that are prerequisites for such a system to be functional. Such resources involve personnel, financing, logistics support, information and communications technology (ICT), and coordinating mechanisms within and among the six components

14. Components of HMIS 4.Data management- This covers all aspects of data handling: collection, storage, quality-assurance, flow, processing, compilation, and analysis. Specific requirements for periodicity and timeliness are defined where critical—as in the case of disease surveillance.

15. HMIS components Outputs 5.Information products. Data must be transformed into information that will become the basis for evidence and knowledge to shape health action 6.Dissemination and use The value of health information can be enhanced by making it readily accessible to decision makers (giving due attention to behavioral and organizational constraints) and by providing incentives for information use

16. Discussion Application of ICT in information management in the hospital is the intersection of information science, computer science, information technology and healthcare It deals with the resources, devices, and methods required in optimizing the acquisition, storage, retrieval, and use of information in health care and biomedicine This includes not only computers but also clinical guidelines, formal medical terminologies, and information and communication systems Research and development efforts within the healthcare industry and the rapid advancement in ICT over the last two decades have brought about significant advances in the quality of medical services to the patients

17. Discussion C omputers, soft wares such as Microsoft, word, excel etc , surgical ICT tools, internet, management software, infection detecting technologies, Health Information system programme (HISP), ultrasound imaging devices, telemedicine, national health care management information system (NHC/MIS) and scanner are the ICT tools applied for medical purposes in the selected hospitals I nadequate training, insufficient knowledge on use of IT tools, failure of equipment/old IT tools, security/privacy issues, inadequate ICT facilities, lack of physical access to the tools and affordability are the challenges facing the use of information and communication technology in medical records and information management in selected hospitals

18. Conclusion Information and communication technology in healthcare has helped in finding the possible prevention measures to eradicate and reduce the spread of diseases Information and communication technology helps in diagnosis which reduces the time and cost This saves the lives of many individuals by providing treatment in advance. Through information and communication technology, the traditional healthcare systems are eliminated and new models are formed for effective quality care The fundamental use of information and communication technology in hospitals is for electronic storage of medical data making retrieval of the information easily

19. Conclusion Through information and communication technology,data are transferred to the patient or to the doctors for consultation The development in the sector permeates every human activity; social, economic, cultural, religious, political or health care The huge networking possibilities afforded by ICT has significantly transformed the health care systems in the world, dispersing health care information with comparative ease, bringing patient closers to care givers, making access to the best health care technology and expertise available to the remotest parts of the world

20. Recommendation on the use of HMIS Continuous training, awareness, exposure or workshops for staff in the hospital on the application and use of ICT tools which are seldom or never used in the hospitals to improve the health care services rendered in the hospitals . The hospital management should also provide access free information and communication technology tools available to the medical records officers, doctors and nurses to encourage and enhance their knowledge on the use of ICT so as to aid effective use of ICT in hospitals Adequate budgetary allocation should be given to the hospitals for acquisition of information and technology tools needed in the hospitals for effective information management and medical records in the hospitals

21. Recommendation on the use of HMIS M edical records officer, doctors and nurses should be considered using information and communication technology tools instead of concentrating on manuals methods for medical records and information management in hospitals as this will increase their knowledge to the fully usage of ICT tools Formal training and orientation programs should be organized at the various departments in the hospitals for medical records officers, doctors and nurses on the use and application of information and communication technology in their professional field so that there will be enough staff to make use of the ICT tools which will promote efficient medical records and information management in the hospitals

22. Impact of ict in health care

23. ICTs - tools that facilitate communication and the processing and transmission of information by electronic means. The full range of ICTs, from radio and television to telephones (fixed and mobile), computers and the Internet. The primary components of health information  technology   are the following: Electronic health records (EHRs) Personal health records (PHRs) Electronic prescribing (E-prescribing )

24. POSITIVE IMPACT 1 . Improved communication channels W ebinars and videos, online platforms and social media. Videoconferencing has made it simple to converse across national boundaries. 2. Improved patient care Pacemakers , health monitors, make it simple for individuals to keep track of their own health. Massive surgeries ,Capsule Endoscopy cameras, which are small enough for a patient to swallow.

25. 3. Better accessibility of information D ata can be saved digitally, sparing hospitals a lot of money and space. 4. Telehealth and telemedicine T elehealth and telemedicine help patients to communicate with their doctors from anywhere across the globe. Patients can use these platforms to monitor for symptoms, manage their medications, communicate with specialized experts Telemedicine and other e-health applications help to address the deficit of physicians

26. 5. Availability of online education Students pursuing a profession in healthcare can get their education online, personal professional development an continuous medical education Internet, audioconferencing, CD Roms and Personal Digital Assistants can help to keep health staff informed and allow health staff in turn to get access to knowledge and information. 6. Health applications  Healthcare applications enable healthcare workers to double-check test findings , medication dosage suggestions, and other key data. 7.Research S upported more effective health research and the dissemination and access to research findings

27. 8.Better quality of care . Improved the knowledge level of the patients The use of the computers or monitors, digital ICT tools, the patients have a chance of grasping the visual perspective of the health status   It is critical to patients’ diagnosis and the r eduction of medical errors that help to Improve the level and quality of healthcare outcomes and patients’ safety 9 . Modern updates U sers of ICT are more inclined to become well-informed, better supported, and have improved behavioral outcomes Imaging technologies feeds a number of emerging trends with potential application in ICT’s medical instruments and healthcare clearly It has improved and contributed to more affordable wide range of medical imaging, remote diagnostic and even treatment

28. 10. Reduction of paper work R educed workload among users, improvement in patients’ waiting time M inimized mistakes which were an inherent feature of the paper-based records-keeping system. P atients waiting time has significantly improved and there has also been drastic reduction in missing patients’ records and folders as a result of unique coding cells offered by the EHR system.

29. 11. Enhanced health financing. With the introduction of mobile money such as M- Pesa which is one of the trends in Information This has made it possible even for low-income earners to manage payments from their mobile phones without necessarily having a bank account to cater for their hospital bills 12. Patient privacy Helps to keep patients data safe and maintain privacy

30. NEGATIVE IMPACT Costly treatment Almost all treatments and surgeries involving technology are very costly, such as robotic surgery. S urgeries incorporating technological machinery can be very expensive eg phaco cataract surgery. The vast majority of patients are living in rural areas and are poor. Therefore , costly surgeries are not an option for poor patients.

31. 2. Displaying incorrect results of the patient’s condition T echnological machines are made by programmers and engineers . Sometimes bugs and errors come into it eg laboratory tests. If it is showing the wrong result and the doctor is giving out the wrong diagnosis to the patients then it may put the patient’s life in danger .

32. 3. Breaching of patient information F ault in technology can break the law of privacy. In hospital computer databases, healthcare records about patients can be leaked. C omputer systems can be hacked, enabling confidential information about a patient’s treatment to be stolen and altered . 4.Patients Interact with Technology Instead of a Live Care Provider Patients google conditions and buy over the counter drugs resuting to mismanagement

33. 5. Risk of Miscommunication Especially for the elderly and the most vulnerable patients, relying on technology as the interface of care can cause confusion and frustration It can lead to treatment plans not being understood properly, or patient non-compliance . 6. Too Much Reliance on Technology O verreliance on systems may lead to complacency among clinicians potentially resulting in failure to cross-check or consider alternatives to the system’s predictions . It may also lead to laxity at work due to technology dependent Use of uatoref instead of retinoscopy

34. OPPORTUNITIES AND THREATS OF USING ICT IN EYE CARE

35. introduction ICT in eye care offers numerous opportunities and benefits also comes with certain threats and challenges some of the key opportunities and threats associated with using ICT in eye care are

36. Opportunities Telemedicine and Remote Consultations ICT allows for remote consultations and telemedicine, making it easier for patients to access eye care services, especially in rural or underserved areas This can lead to early detection and timely treatment of eye conditions.

37. cont 2. Digital Imaging and Diagnostics: Advanced imaging technologies, such as retinal scans and optical coherence tomography, enable precise and non-invasive diagnosis and monitoring of eye diseases . 3. Electronic Health Records (EHR): EHR systems can streamline the management of patient records and improve the accuracy and accessibility of patients' medical history, enhancing the quality of care and patient outcomes.

38. cont 4. Education and Training: ICT can be used to provide online training and education for eye care professionals, ensuring they stay up-to-date with the latest advancements in the field 5. Data Analytics and Research: ICT allows for the collection and analysis of vast amounts of data, aiding in research, epidemiology, and the development of new treatments and therapies

39. cont 6. Remote Monitoring: Wearable devices and mobile apps can be used to monitor and manage eye conditions, providing continuous care and feedback to both patients and healthcare providers 7. Customized Treatment Plans: ICT can help in tailoring treatment plans and interventions to individual patients, taking into account their unique needs and preference

40. Threats Data Security and Privacy: The collection, storage, and transmission of sensitive patient data in the digital realm raise concerns about data breaches and privacy violations. Ensuring the security of patient information is paramount 2. Access and Equity: While ICT can improve access to eye care services, there is a risk of exacerbating the digital divide, with some individuals lacking access to the necessary technology or internet connectivity

41. cont 3. Misdiagnosis and Inaccurate Information: Relying solely on digital tools for diagnosis or self-diagnosis may lead to errors and inaccurate information, potentially delaying proper medical treatment 4. Regulatory Challenges: The use of ICT in healthcare is subject to various regulations and standards. Complying with these regulations and ensuring the safety and efficacy of ICT solutions can be challenging

42. cont 5. Technological Barriers: The rapid pace of technological advancement may lead to difficulties in keeping up with the latest tools and systems, especially for smaller or underfunded healthcare facilities 6. Digital Fatigue: Patients and healthcare professionals may experience digital fatigue or burnout from the constant use of ICT, potentially affecting the quality of care and patient-provider relationships.

43. cont 7 . Costs : Implementing and maintaining ICT infrastructure and systems can be costly, and these expenses may be a barrier to smaller healthcare facilities or those in low-resource settings.

44. conclusion while ICT offers numerous opportunities to enhance eye care services, it also presents several challenges that need to be carefully managed to ensure that the benefits are maximized while the threats are minimized.

45. THANKS

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