Download HOSPITAL INFORMATION SYSTEMS

IS 362
ADVANCED TOPICS IN INFORMATION SYSTEMS
HOSPITAL INFORMATION SYSTEMS
(HIS)
L.Kholoud Baselm
1434/1435 – 2013/2014 Semester II
Outline
• HIS for Different Departments
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Nursing Information Systems ( NIS )
Radiology Information System (RIS)
Picture archiving and communication system (PACS)
Pharmacy Information Systems (PIS)
HIS for Different Departments
HIS for Different Departments
• Modern HIS can be composed of one or several software
components that addressing the needs of various
departments in the hospital and also connected to a variety
of sub-systems in different medical specialties.
• They manage the data related to the clinic, finance
department, laboratory, nursing, pharmacy and also the
radiology and pathology departments.
Insurance
Companies
Other
Hospitals
Pharmacy
Suppliers
Radiology
Laboratories
Patients
Doctors
Nurses
Administrative
Staff
Hospital Information System
1- NURSING INFORMATION SYSTEMS ( NIS )
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Nursing Information Systems ( NIS )
• NIS is a part of a health care information system that deals
with nursing aspects and are designed to help nurses
provide better patient care.
• A good NIS can perform a number of functions and deliver
benefits such as:
• Improving staff schedules: The nursing department can
have a better managed work force through schedule
applications enabling managers to handle absences and
overtime.
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Nursing Information Systems ( NIS )
• Accurate patient charting: this application allows nurses to
enter details regarding patients’ vital information. This ensure
that the patients’ information is up to date and stored in one
place all the time.
• Improve clinical data integration: Clinical data integration is
also very useful, allowing nurses to collect, retrieve and
analyze the clinical information and then integrate it to
design a patients’ care plan.
• Nurses also use it for admission information, and all relevant
nursing notes.
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Nursing Information Systems ( NIS )
• All these features in NIS ultimately lead to a reduction in
planning time and better assessments and evaluations. The
chance of prescribing the wrong medication also decreases
since there is always a reference for electronically prescribed
drugs.
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2- RADIOLOGY INFORMATION SYSTEM (RIS)
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Radiology Information System (RIS)
• RIS: is a software suite used by radiology departments to
store, manipulate and distribute patient radiological data
and medical imagery.
• More hospitals now turn to RIS because the radiology
practice has become more complex with advances in
technology.
• It is often used in conjunction with a picture archiving and
communication system (PACS).
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Radiology Information System (RIS)
An RIS has several basic functions:
1. Patient Registration and scheduling
• Appointments Booking: Appointments can be made for both
in- and out-patients with specific radiology staff.
• Patient List Management.
2. Radiology Department workflow management
3. Billing
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An RIS facilitates detailed financial record keeping.
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Radiology Information System (RIS)
4. Patient management: this includes
• Patient Tracking: RIS can track a patient’s entire workflow within the
radiology department.
• Reporting and printout: An RIS can generate statistical reports for a
single patient, group of patients or particular procedure.
• Results Entry: Images and reports can be added to and retrieved
from electronic medical records (EMRs) and viewed by authorized
radiology staff.
• Results Delivery including faxing and e-mailing of clinical reports.
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3- PICTURE ARCHIVING AND COMMUNICATION SYSTEM
(PACS)
Picture archiving and communication system
(PACS)
• PACS: is a medical imaging technology that allows any type of
medical image to be stored on a hospital network and also
accessed at any workstation.
• Its SW is easy to use and provides different methods for
adjusting image view setting.
• It has replaced hard copy images with digital ones.
• All PACS, whether they span the entire enterprise or are
localized within a department, should also interface with
existing hospital information systems.
Picture archiving and communication system
(PACS)
• PACS are used to store diagnostic images such as X-ray,
ultrasound, MRI and CT images.
• Then the radiologists and the patient's physicians can access
to the images from any workstation on the hospital network.
• Of course, here is a level of security needed to ensure patient
privacy, therefore special authorization is needed.
Picture archiving and communication system
(PACS)
Picture archiving and communication system
(PACS)
Why PACS is better than traditional imaging processes?
• Accessibility to images is much faster.
• Multiple physicians can view an image, which can speeds
up diagnoses and protect the patient from doing multiple
scans.
• Digital processing allows the physician to adjust the image
view setting (brightness, contrast, ... etc)
• Storage and organization of images are much easier.
Picture archiving and communication system
(PACS)
How does PACS work?
1. The image is captured by the device (Ultrasound , MRI , ... ) and
converted to a special format.
2. Through a PACS workstation, it is assigned all the appropriate
patient information.
3. Then, the image is stored and archived in the server.
4. Now, the images can be accessed and reviewed.
4- PHARMACY INFORMATION SYSTEMS (PIS)
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Pharmacy Information Systems (PIS)
• Pharmacy information systems (PIS) are complex computer
systems that have been designed to meet the needs of a
pharmacy department.
• Through the use of such systems, pharmacists can
supervise and have inputs on how medication is used in a
hospital.
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Pharmacy Information Systems (PIS)
PIS has several basic functions:
1. Clinical Screening
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The Pharmacy Information System can assist in patient care
by the monitoring of drug interactions, drug allergies and
other possible medication-related complications.
When a prescription order is entered, the system can check
to see if there are any interactions between two or more
drugs taken by the patient simultaneously or with any typical
food, any known allergies to the drug, and if the appropriate
dosage has been given based on the patient’s age, weight
and other physiologic factors.
Alerts and flags come up when the system picks up any of
these.
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Pharmacy Information Systems (PIS)
2. Prescription Management
• The Pharmacy Information System can also be use to mange
prescription for inpatients and/or outpatients.
• When prescription orders are received, the orders are matched
to available pharmaceutical products and then dispensed
accordingly depending on whether the patient is an inpatient or
outpatient.
• It is possible to track all prescriptions passed through the
system from who prescribed the drug, when it was prescribed
to when it was dispensed.
• It is also possible to print out prescription labels and
instructions on how medication should be taken based on the
prescription.
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Pharmacy Information Systems (PIS)
3. Patient Drug Profiles
• These are patient profiles managed by the Pharmacy
Information System and contain details of their current and
past medications, and known allergies.
• These profiles are used for clinical screening anytime a
prescription is ordered for the patient.
4. Report Generation
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Most Pharmacy Information Systems can generate reports
which range from determining medication usage patterns in
the hospital to the cost of drugs purchased and /or dispensed.
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Pharmacy Information Systems (PIS)
5. Inventory Management
• Pharmacies require a continuous inventory culture in order to ensure
that drugs do not go out of stock.
• When done manually it is very difficult to maintain an accurate
inventory.
• Pharmacy Information Systems aid inventory management by:
o Maintaining an internal inventory of all pharmaceutical products.
o Providing alerts when the quantity of an item is below a set
quantity.
o Providing an electronic ordering system that recommends the
ordering of the affected item and with the appropriate quantity
from approved suppliers.
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Pharmacy Information Systems (PIS)
6. Interactivity with other systems
• It is important that Pharmacy Information Systems should be able
to interact with other available systems such as the clinical
information systems to receive prescription orders and financial
information system for billing and charging.
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