MTY1106 HEALTH INFORMATION SYSTEM FOR MEDICAL TECHNOLOGY (LECTURE)

W11
Hospital Information System
Jilian Vanessa Lopez, RMT | FEU BS Medical Technology 2023 L9A
OUTLINE – has applications built to address the needs of the
Hospital Information System 1 various departments of health facilities such as:
HIS For Different Departments 1 ➢ nursing,
Nursing Information Systems 1 ➢ pharmacy,
Physician Information Systems 2
Radiology Information Systems 2
➢ finance,
Pharmacy Information Systems 2 ➢ radiology,
Selecting A Hospital Information System 2 ➢ pathology
Total Cost Of Package 2 • while HIS delivers high quality patient care and better
Web-Based System 2 management of financial records, it needs to be
Implementation And Support 2 ✓ affordable,
HIS Providers In The Philippines 2 ✓ scalable,
Bizbox 2
✓ centered on the needs of patients and medical
Kcci Medsys 2
Comlogik 2 personnel
HIS Functions 3 • should be adaptable to rapid technological changes
Help Desk, Scheduling, Patient Registration 3 • an effective HIS also provides:
Help Desk 3 ✓ enhanced integrity of facts
Scheduling 3 ✓ minimization of transcription error
Patient Registration 3 ✓ minimization of duplication of records,
Admission, Discharge, And Transfer Procedures 3
✓ shorter turnaround times for reports
Admission 3
Discharge 3 • HIS available today links computers that are capable of
Transfer 3 quickly optimizing operations and delivering quality service
Billing, Contract Management, 3 • the systems
And Package Deal Designer 3 – gather, process, retrieve patient information, and
Billing 3 provide hospital stakeholders with relevant
Contract Management 4 information through reports for better decision-making
Package Deal Designer 4
– also guarantees delivery of information required by
Laboratory, Radiology, And Cardiology Reporting 4
Laboratory Reporting 4 the health care personnel because of the optimized
Radiology Reporting 4 core library
Basic Sections Of A Radiology Report 4 – can also be customized to consider the particular
Cardiology Reporting 5 needs of the departments and centralized them into
Materials Management System 5 the system
Pharmacy, Main Stores, And Purchase 5 • however, a hospital should provide the requirements in
Management Reporting 5 detail to the HIS provider during the initial stages of
In-Built Tally Interface 5
scoping so that it needs will be met and accurately
provided
OBJECTIVES
HIS for DIFFERENT DEPARTMENTS
At the end of the lesson, the students should be able to:
1. discuss hospital information system, its use in the
Nursing Information Systems
different departments of the hospital, and the criteria for
selection; ▪ NIS are developed to enhance patient care by providing
2. identify the functions of a hospital information system nurses with accurate information to assist them in
from patient registration to billing; performing their duties more efficiently
3. explain the different reports and summary in the hospital ▪ NIS carries out numerous functions including the handling
information system; and of:
4. the use of materials management system and in-built tally ➢ personnel schedules,
interface ➢ accurate patient charting, and
➢ better clinical data integration
HOSPITAL INFORMATION SYSTEM ▪ agenda packages help enhance the management of the
module: workforce by helping managers handle overtimes and
• delivery of quality patient care and better financial absences
management ▪ used to obtain cost-effective staffing and show staffing
• should be patient centric, medical staff centric, levels
affordable, and scalable ▪ reduction in planning time
• must be user-friendly and should include training ▪ better assessments and evaluations
• flexible to accommodate hospital growth ▪ Patient Charting Applications – allow better analysis of
critical signs
book: ▪ nurses could check admission information, and care
• HIS is a computer system structured to manage all the plans along with applicable nursing notes
records of health care providers to make available ▪ Crucial information is kept and can be retrieved when
information and reports useful to health care personnel in needed
doing their job more efficiently. ▪ useful in designing patients’ care plan
• introduced in 1960s and has evolved since then to cope
with the changes and demands of modern times
• back then, HIS were used for billing and inventory
• today, it is integrated with other financial, scientific, and
administrative programs
• Modern HIS

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 MTY1106 | LEC Hospital Information System
Physician Information Systems
▪ PIS are designed to improve the practice of physicians
▪ increase efficiency
▪ cut costs
▪ delivery high quality patient care
▪ EMRs and EHRs are some programs where HIS is
deployed and extensively used
▪ most systems offer support 24/7 to facilitate easier usage
of the system by health care professionals
Radiology Information Systems
▪ RIS are capable of providing billing services and
appointment scheduling aside from reporting and
database storage
▪ technological advances have made the practice of
radiology more complicated such that more and more
hospitals turn to RIS to address the commercial concerns
of their radiology departments
Pharmacy Information Systems
▪ PIS help monitor the utilization of medicines in health
institutions
▪ the system also handles information on medication-related
complications and drug allergies of patients
▪ provides information to identify drug interactions which
helps in administering the appropriate drugs by
considering the physiological conditions of the patient
(EMR Education Center, 2013)
SELECTING A HOSPITAL INFORMATION SYSTEM
The following are the aspects needed to be considered in
selecting an HIS (EMR Education Center, 2013)
Total Cost of Package
▪ HIS is available for all sizes and budgets
▪ low cost of ownership
▪ hospitals with smaller budget:
– providers may reduce upfront and maintenance fees
by using a design that requires fewer servers and
hardware
➢ cut upfront acquisition costs
➢ reduce maintenance in the long run
Web-Based System
▪ user friendly features
▪ must be available on the internet
– means that authorized personnel can access the
information anywhere and anytime
▪ allows data sharing between hospitals
▪ provide information when health care provider needed it
the most
FP DE JESUS | 2021
▪ healthcare facilities in different geographic locations can
share relevant data quickly if they use an internet based
HIS
▪ hospital with updated patient history in its system
– can facilitate access to information from other health
facilities upon request
Implementation and Support
▪ during deployment or upgrade of the HIS, it is imperative
that vendor provides ample training and assistance to
the users of the systems
▪ consider vendors offering 24/7 support through
telephone or web services
▪ request for staff training
HIMS Developed for Specific Hospitals
Patient Registration
HIS Providers in the Philippines
BizBox
o BizBox, Inc. was founded 25 years ago
o very first hospital project was completed in 1994
o the goal is to
– improve work efficiency in health care institutions
through software systems
– produce advanced solutions for better patient care
KCCI Medsys
o Kaiser-dela Cruz Consulting, Inc. specializes in:
✓ application development for hospitals,
✓ industrial clinics, and
✓ medical-related educational institutions in the
Philippines
o its products: Visual MEDSYS (for hospitals), MEDSCHO
(for schools), provide integrated, comprehensive, and
proven solutions for efficient health care practices
Comlogik
o Comlogik Business Systems, Inc. is a Philippine-based
software development company
o established in 1999, with a vision to be a global technology
company
o Comlogik led the way in developing innovative applications
like online hospital services (access anywhere, anytime)
– patients can access billings and examination reports
– administrators can access reports
– doctors can access patients’ records
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 MTY1106 | LEC Hospital Information System

HIS FUNCTIONS
HELP DESK, SCHEDULING, PATIENT REGISTRATION
Help Desk
▪ becomes more efficient through the HIS because the
manual retrieval of information is no longer needed
▪ clients are provided with information and guidelines
associated with a company’s or institution’s products and
services without any hassle
Discharge
▪ through HIS, instructions that accompany a patient’s
discharge or transfer are more efficiently provided
▪ these instructions may include discharge planning which
details services needed to be administered after the
hospital stay to ensure the full recovery of the patient

Scheduling
▪ managers and employees:
– can access work schedules from anywhere they are
– effectively discuss their scheduling preferences
through the HIS
▪ Employee scheduling software helps save time and
makes employee scheduling less difficult

Patient Registration
▪ HIS Patient Registration Form records the following:
✓ name
✓ age
✓ gender
✓ marital status
✓ other relevant information
▪ usually filled out during the patient’s visit or consultation
▪ if patient is unable to complete the form due to the need Discharge Procedures
for prompt medical attention, it can be filed out by a Transfer
relative or guardian ▪ “transfer” means movement (along with the discharge) of
an individual outside of the hospital premises at the
instruction of any authorized hospital personnel
▪ however, it does not encompass movement of an
individual who:
a) has been declared lifeless
b) leaves the facility without permission of any such
authorized person
(Louisiana State University, 1993)
▪ if transferred from ER, employees must fulfill the statutory
requirements for a proper switch
▪ with HIS, patient transfer details are easily accessed and
processed

Sample In-patient Registration Screen of Bizbox HIS

ADMISSION, DISCHARGE, AND TRANSFER

PROCEDURES
Admission
▪ an admissions counselor calls on a patient to gather
preliminary information before the patient is admitted to the
health facility
▪ additionally, physician may also schedule recurring
medical exams (lab tests or X-rays) before hospitalization
▪ other routine tests can also be carried out on the day of Sample Transfer Screenshots
admission
BILLING, CONTRACT MANAGEMENT,
AND PACKAGE DEAL DESIGNER
Billing
▪ billing statements shows all records pertaining to the
invoices, payments, and the current balance of a patient’s
account
▪ HIS is very useful for patients who require frequent health
care services because numerous invoices can be
combined, and a lump sum payment can be made
▪ it is good practice to generate the billing statement on a
regular basis so that the institution could keep track of its
collectibles
▪ HIS lists the outstanding balances of the patients
▪ overdue payments may be checked easily
▪ balances of patients who only have minimal transactions
are kept updated
Sample Admission Procedure

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 MTY1106 | LEC Hospital Information System
Sample Billing, Statement of Account (SOA)
Contract Management
▪ Goodrich (2013) defines contract management as:
– process of managing contract creation, execution,
and analysis to maximize the operational and financial
performance
▪ Organizations constantly encounter pressure to reduce
costs and improve company performance
▪ CM proves to be a very time-consuming element of
business, which facilitates the need for an effective and
automated contract management system
▪ When CM Strategy is successfully implemented,
organizations can expect to see the following:
✓ realization of expected business benefits and
financial returns
✓ cooperation and responsiveness of the supplier to
the organization’s needs
✓ no contract disputes or surprises
✓ satisfactory delivery of services to both parties
Package Deal Designer
▪ Posting diagnostic medical packages for in-patients, out-
patients, and emergencies requires the same process
▪ for emergencies, it is called “post-diagnostic package
deal”
▪ HIS helps in accessing information regarding package
deals without going through the hassle of paperwork
Sample Package Deal
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LABORATORY, RADIOLOGY, AND CARDIOLOGY
REPORTING
LABORATORY Reporting
o despite differences in presentation and form, all laboratory
reports must possess common elements as required by
institutional and company policies
o They may contain supplementary items not specifically
required, but which the laboratory chooses to report to aid
in the interpretation of results of medical testing
(American Association for Clinical Chemistry, 2017)
o For identification and filing purposes, some lab reports
display elements with administrative or clerical
information such as:
▪ Patient Name and Identification Number (or a
unique patient identifier and identification number)
▪ Name and Address of the laboratory location
(where the test was performed)
▪ Date (when report was printed)
▪ Test Report Date
▪ Name of Doctor or Legally Authorized Person
ordering the test/s
o Specimen and Test information, such as included
below, make a lab report more meaningful:
▪ Specimen Source (if applicable)
▪ Date and Time of Specimen Collection
▪ Laboratory Accession number
▪ Name of the test performed
▪ Test Results
▪ Critical Results
▪ Units of measurement (for quantitative results)
▪ Reference Intervals (or reference ranges)
▪ Interpretation of results
▪ Condition of specimen
▪ Deviations from test preparation procedures
▪ Medications, Health Supplements, etc. (taken by
patient)
RADIOLOGY Reporting
o According to University of Virginia (2013) a radiology
report is
– an official medical document that provides the details
of the requested radiology examination and the
procedure conducted by the radiologist
o A qualified physician authorized by the health care
institution interprets the report
o the main objective of the report is to address the queries
in the request
o findings in the report should consider both positive and
negative findings
o Important findings should be stated followed by
incidental findings
o The length of the report is dependent on the complexity
and cost of the examination
Basic Sections of a Radiology Report
– as enumerated in the American College of Radiology’s
guideline on communication
✓ administrative information
✓ patient identification
✓ clinical history
✓ imaging technique
✓ comparison
✓ observations
✓ summary or impression
✓ signature of the radiologist
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 MTY1106 | LEC Hospital Information System

CARDIOLOGY Reporting
o contain important medical information based on the test
results of the patient which are against past medical
records
o faster writing of vascular reports by doctors
– access and retrieval of information are made more
convenient through computer systems
o using the CIS, vascular sonography reports are accurately
created with only a few clicks
o information on these reports could include ultrasonic
ultrasound and diagrams
o nowadays, physicians opt to provide automated reports
through the use of information systems
o medical staff can process lab reports for the approval of
the physician
Sample Hospital Management Form in Tally.ERP9
o this means that results are generated more efficiently
which translates to improved patient experience.

MATERIALS MANAGEMENT SYSTEM KEY POINT TO REMEMBER

Pharmacy, Main Stores, and Purchase
• Materials Management
– primarily concerned with planning, identifying,
purchasing, storing, receiving, and distributing
materials
– its purpose is to guarantee that the right and sufficient
materials are in the right location when needed
• the automation of an inventory or a materials management
system is necessary for a hectic health center to
streamline the hospital supply chain
• Computerized Stock Management Systems include
technologies for tracking inventories and devices used
each day in health care setting
– generally utilizes barcodes and RFID tags with
precise identification numbers assigned for each
inventory object to enable accurate tracking and
control
• Automatic Stock Management Systems also assist
health care institutions in figuring out whether
merchandise has been recalled or damaged and should
not be given to patients
– they enable isolation of drugs and devices that are
used regularly and forecasts capacity shortages
(Pontius, 2018)
✓ A hospital information system (HIS) is a fundamental
computer system that could manage all the information to
permit health care providers to do their jobs efficiently.
✓ HIS for different departments are nursing information
system (NIS), physician information system (PIS),
radiology information system (RIS), and pharmacy
information system (PIS).
✓ The following should be considered during the selection of
the HIS: total cost of the package, web-based system, and
implementation and support.
✓ The top 3 HIS Providers in the Philippines are Bizbox, Inc.,
KCCI Medsys, and Comlogik.
✓ The functions of HIS address the following concerns: help
desk, scheduling, patient registration, admissions,
discharge and transfer procedures, billing, contract
management, and package deals.
✓ Materials management is primarily concerned with the
planning, identifying, purchasing, storing, receiving and
distribution of materials. Its purpose is to guarantee that
the right and sufficient materials are in the right location
when needed.
✓ Management reporting systems help in capturing the data
sets that are needed for managers to run an effective
enterprise.

MANAGEMENT Reporting
References
o not limited to data retrieval
o it has become a platform for reporting and controlling Nuevo, J.J.M. (2019). Hospital Information System. Health Information
information valuable to the institution System for Medical Laboratory Science. C&E Publishing, Inc. pp. 89-102.
o recent technological advancements help management modules; synch class
reports provide non-monetary information
– enables the management to have an oversight of its
operations
o capture necessary data required by the management to
operate more efficiently
o data redundancy and data quality issues are minimized
o good management reporting system enhances capability
of an institution to be more responsive, efficient, and
effective in decision-making
– affects institution as a whole
o offer holistic view which highlights high value sources
o eradicates lack of visibility in reviewing the performance of
the institution (Kumar, 2017)

IN-BUILT TALLY INTERFACE

Tally.ERP9
▪ software that provides simplified solutions to operations in
health institutions such as registration, accounting,
inventory management, tax management, among others
▪ easy to learn
▪ can be implemented with minimum resources
▪ reportedly used by over 1,000,000 entities across the
globe

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