Using Health Care Technology

Systems
(Perkembangan global )
by
Joko Sutrisno,S.Kep, Ners
 INFORMATION SYSTEMS

computer systems that collect, store,

process, retrieve, display, and
communicate timely information needed in
practice, education, administration and
research
 Management Information Systems
(MIS)
MIS: A set of techniques to capture & collect data,
analytical tools, operating policies & procedures,
& reporting and communicating protocols that
support management decision making
HIS (Hospital Information Systems- integrated
system used in health care settings to manage
patient information
Expert Systems- provide artificial-generated
solutions to aid decision makers
Benefits of Using Information Systems
• Reduce Errors
• Lower Costs
• Increase Speed of Care
• Coordinate Services & Records
• Improve Quality of services
• Increased Accuracy
• Making nursing more accountable
with fewer resources
 Expectations for Now and the Future
• Access records in real-time
• using portable computers to document &
record information- voice input interfaces
• conduct management and other activities
• access global systems
• remote area access
• disseminate information quickly &
accurately- use of bar codes
 Informatics might include:
• “combination of computer science, information science, and
nursing science designed to assist in the management and
processing of nursing data, information and knowledge to
support the practice of nursing and the delivery of nursing care”

– use of computer-based scheduling package to allocate staff in a hospital

or health care organization;
– use of computers for patient education;
– use of computer-assisted instruction for nursing education;
– nursing use of a hospital information system
– use of artificial intelligence or decision-making systems to support the
use of the nursing process;
 Nursing Uses of Clinical
Information Systems (CIS)
• Assess patient acuity & condition
• Prepare a plan of care or critical pathway
• Specify Interventions
• Document Care
• Track outcomes & quality control
 Nursing & Informatics
• Nursing Information System
• Taxonomy for Nursing
• Monitoring Devices
• Computerized Physician Order Entry
• Point of Care Devices
Management of Nursing Services
in Hospitals
• Patient Acuity Classification Systems

• Nursing Personnel Management Systems

– Demographic, work status, schedules, time-off
requests
– Employment, education, licensure data
 Management of Hospital-Based
Patient Care
• Nursing Care Planning Systems
• Continuous Quality Improvement Systems
• Patient Census Systems
• Inventory Systems
• Order Entry and Results Reporting Systems
• Discharge Planning Systems
• Managed-Care Systems
– Critical paths
– Interdisciplinary
Management of Nursing Services
in Non-Hospital Settings
• Home health - classification for coding
billing, services, clinical care
– Clinical care systems for communication
– Information needed for third-party payers
• Business activities
– Forms, forms, forms
• Clinical care documentation
What information do I need to
be an effective and efficient
manager?
Only after information needs have been identified is
it possible to assess the system requirements for a
nursing management information system
 Examples of Some Currently
Used Systems:
• CPR - Computer-based Patient Record
(INSTITUTE OF MEDICINE)
• NMDS (Nursing Minimum Data Set)
• NIC (Nursing Intervention Classification)
• NOC (Nursing Outcomes Classification)
• NANDA (North American Nursing
Diagnosis Association)
ORGANIZATION ELEMENTS
New system revolved around three
main components in the care delivery
process:
– the caregiver
– data integration
– methodologies or constructs to organize data in
a concise and systematic manner
 Integration
• Blends data and processes together to form whole
– (ie on-line charting with billing and reimbursement
information)
– design automates integration directing information to
the appropriate area
– takes the caregiver to the appropriate area for charting
• Enables caregiver to meet many documentation
needs
 Telehealth
• Use of telecommunications equipment and networks for
the transfer of health information
– Client monitoring
– diagnostic evaluation
– client education
– file transfer and storage
– Used by NASA and the military
• Cost containment
– decreased travel expenses
• Earlier/easier access to healthcare
– specialists, diagnostics
 Legal Ramifications
• Licensure
• Standards
• Disclosure & retention of records
• Confidentiality
• Jurisdiction
• Costs/Reimbursement
• Equipment
 Security and Confidentiality
• Responsibility
• Computer Security Act -1987
• Patient’s Bill of Rights- protects privacy
and confidentiality
• US Privacy Act- 1974
• HIPAA (1996) - Demands more rigorous
standards of patient medical information
 Future Trends in Health Care
Technology
 Some Possibilities Include:
 Voice-input interfaces
 Virtual reality
 Robotics
 Bar codes
 Augmented technology