MTY1106 LEC: HEALTH INFORMATION SYSTEM
MODULE 9: HOSPITAL INFORMATION SYSTEM
2nd Semester | SY 2021-2022
LECTURER: Mr. Theo Segismundo
TOPIC
SUBTOPIC
SUB-SUBTOPIC
HOSPITAL INFORMATION SYSTEM
Ø Health care- vital role in a society and people
expect efficiency from health care providers
and health institutions which face the
challenge of handling the numerous patients
that seek their services
Ø Proper management of clinical and
operational records- necessary.
Ø Today- manual recording à hospital
information system (HIS) = in maintaining
the different records of the institution.
Ø Computer system structured to manage all
the records health care providers to make
available information and reports useful to
health care personnel in doing their job more
efficiently.
Ø Introduced in the 1960s and has evolved
since then to cope with the changes and
demands of the modern times.
Ø Past- features of HIS were used mainly for
billing and inventory.
Ø Today's system is also integrated with other
financial, scientific, and administrative
programs.
Ø Modern HIS- applications built to address the
needs of the various departments of health
facilities
Ø There are hospitals with as many 200
disparate systems integrated into their HIS.
Ø HIS à efficiency in accessing reliable patient
information with just a few clicks.
Ø Advancements and new developments will
be rendered useless if the system is not user-
friendly and training is inadequate.
Ø Delivers high quality patient care and better
management of financial records
Ø Needs to be affordable, scalable, and
centered on the needs of patients and
medical personnel, and adaptable to rapid
technological changes.
TRANSCRIBED BY: NINA RICCI O. DELA PAZ
Ø Effective HIS- provides enhanced integrity of
facts, minimization of transcription error and
duplication of records, and shorter
turnaround times for reports.
Ø HIS- links computers that are capable of
quickly optimizing operations and delivering
quality service.
Ø Gather, process, retrieve patient information,
and provide hospital stakeholders with
relevant information through reports for
better decision-making.
Ø Guarantees delivery of information required
by the health care personnel because of the
optimized core library.
Ø Customized to consider the particular needs
of the departments and centralize them into
the system.
Ø Provide the requirements in detail to the HIS
provider during the initial stages of scoping
so that its needs will be met and accurately
provided.
o For example, the institution could ask
that the solution be based on RDBMS
(relational database management
system) or ask for a multilingual
interface for better handling of
information (EMR Education Center,
2013).
HIS FOR DIFFERENT DEPARTMENTS
1. Nursing Information Systems
o Enhance patient care by providing
nurses with accurate information to
assist them
o Carries out numerous functions
including the handling of personnel
schedules, accurate patient charting,
better clinical data integration
o Agenda packages- enhance the
management of the workforce by
helping managers handle overtimes
and absences.
§ Obtain cost-effective staffing
and show staffing levels.
 o Patient charting applications- better
analysis of critical signs.
o Nurses could check admission
information, and care plans along
with applicable nursing notes.
o Crucial information is kept and can
retrieved when needed.
o Designing the patients' care plan
since the medical information
integration function allows nurses to
collect and examine retrieved
medical records.
2. Physician Information Systems
o Improve the practice of physicians.
o Electronic medical records (EMRs)
and electronic health records (EHRs)
o Most systems offer support 24/7 to
facilitate easier usage
3. Radiology Information Systems
o Providing billing services and
appointment scheduling aside from
reporting and database storage.
o Technological advances àpractice
of radiology more complicated à
more and more hospitals turn to RIS
to address the commercial concerns
4. Pharmacy Information Systems
o Monitor the utilization of medicines in
health institutions.
o Handles information on medication-
related complications and drug
allergies of patients.
o Provides information to identify drug
interactions à administering the
appropriate drugs (EMR Education
Center, 2013).
SELECTING HIS
The following are the aspects needed to be
considered in selecting an HIS (EMR Education
Center, 2013):
1. Total cost of package
o HIS is available for all sizes and
budgets.
o Hospitals with smaller budgets,
providers may reduce upfront and
maintenance fees by using a design
that requires fewer servers and
hardwares.
2. Web-based system
o The system is available on the
internet à authorized personnel can
access the information anywhere and
anytime.
o Allows data sharing between
hospitals.
o A hospital with updated patient
history in its system can facilitate
access to information from other
health facilities upon request.
3. Implementation and support
o During the deployment or upgrade of
the HIS, it is imperative that the
vendor provides ample training and
assistance to the users of the system.
o Consider vendors Offer 24/7 support
through telephone or web services.
HIS IN THE PH
BIZBOX
Ø Founded 25 years ago.
Ø First hospital project was completed in 1994.
Ø Goal: improve work efficiency in health care
institutions through software systems, and
produce advanced solutions for better
patient care.
Ø Among the top IT companies in the health
care industry.
Ø Certified Microsoft Gold Partner, received the
Independent Software Vendor (ISV) of the
Year Aw
Ø Fully integrated systems such as electronic
health records (EHR) and document
management (DMS) that will streamline
tasks and help provide better health services
(BizBox, 2017).
KCCI MEDSYS
Ø Kaiser-dela Cruz Consulting, Inc.
Ø Specializes in application development for
hospitals, industrial clinics, and medical-
related educational institutions
Ø Visual MEDSVO for hospitals and
MEDSCHO for schools- provide integrated,
comprehensive, and proven solutions for
efficient health care practices.
 COMLOGIK
Ø Comlogik Business Systems, Inc.
Ø Philippine-based software development
company that was established in 1999,
Ø Vision: to be a global technology company.
Ø Led the way in developing innovative
applications like online hospital services in
which patients can access their billings and
examination results, while administrators can
access reports and doctors can access
patients' records anywhere and anytime.
HIS FUNCTIONS
HELP DESK, SCHEDULING, PATIENT
REGISTRATION
HELP DESK
Ø More efficient through the HIS because the
manual retrieval of information is no longer
needed.
Ø Clients are provided with information and
guidelines associated with a company’s or
institution's products and services without
any hassle.
SCHEDULING
Ø Managers and employees can access work
schedules from anywhere they are and
effectively discuss their scheduling
preferences through the HIS.
Ø Employee scheduling software- save time
and makes employee scheduling less
difficult.
PATIENT REGISTRATION
Ø Records the name, age, gender, marital
status, and other relevant information
regarding the patient.
o Used for record keeping and account
management purposes.
Ø Filled out during the patient's visit or
consultation
o Filled out by a relative or guardian if
patient is unable
ADMISSION, DISCHARGE, AND TRANSFER
PROCEDURES
ADMISSION
Ø Before a patient is admitted to a health
facility, an admissions counselor will call him
or her to gather preliminary information, offer
vital information concerning the hospital stay,
and answer questions
Ø Physician may also schedule recurring
medical exams, such as laboratory tests or
X-rays, before hospitalization.
Ø Other routine tests can also be carried out on
the day of admission
DISCHARGE
Ø Instructions that accompany a patient’s
discharge are more efficiently provided
Ø Instructions may include discharge planning
which details services needed to be
administered after the hospital stay to ensure
the full recovery of patient.
TRANSFER
Ø "Transfer"- movement (along with the
discharge) of an individual outside the
hospital.
Ø Does not encompass movement of an
individual who
(a) has been declared lifeless
(b) leaves the facility w/out the permission of
any such authorized person (Louisiana State
University, 1993)
Ø Patient is transferred from the emergency
room à employees must fulfill statutory
requirement à proper switch.
Ø Patient transfer details are easily accessed
and processed.
BILLING, CONTRACT MANAGEMENT, AND
PACKAGE DEAL DESIGNER
BILLING
Ø Billing statements- show all of a patient's
account
Ø Useful for patients who require frequent
health care services because numerous
invoices can be combined and a lump sum
payment can be made.
Ø Good practice to generate the billing
statement on a regular basis so that the
institution could keep track of its collectibles.
Ø Lists the standing balances of the patients.
Ø Overdue payments may be checked easily.
Ø balances of patients who only have minimal
transactions are kept updated
CONTRACT MANAGEMENT
Ø Goodrich (2013)- process of managing
contract creation execution, and analysis to
maximize the operational and financial
performance of an organization while
reducing financial risk.
Ø Organizations constantly encounter pressure
to reduce costs and improve company
performance.
Ø Time-consuming element of business, which
facilitates the need for an effective and
automated contract management system.
Ø When a contract management strategy is
successfully implemented, organizations can
expect to see the following:
o Realization of expected business
benefits and financial returns
o Cooperation and responsiveness of
the supplier to the organization's
needs
o No contract disputes or surprises
o Satisfactory delivery of services to
both parties
PACKAGE DEAL DESIGNER
Ø Posting diagnostic medical packages for in-
patients, out-patients, and emergencies
requires the same process; the difference is
that
o Emergencies- post-diagnostic
package deal.
Ø HIS helps in accessing information regarding
package deals without going through the
hassle of paperwork.
LABORATORY, RADIOLOGY, AND
CARDIOLOGY REPORTING
LABORATORY REPORTING
Ø All laboratory reports must possess common
elements as required by institutional and
company policies.
Ø 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).
Ø Identification and filing purposes- some
laboratory reports display elements with
administrative or clerical information such as
the following:
o Patient name and identification
number or a unique patient identifier
and identification number
o Name and address of the laboratory
location where the test was
performed
o Date when report was printed
o Test report date
o Name of doctor or legally authorized
person ordering the test(s)
Ø Information about the specimen and the test
itself, such as those included below, are
other elements that make a laboratory report
more meaningful:
o Specimen source (if applicable) .
o Date and time of specimen collection
o Laboratory accession number
o Name of the test performed
o Test results
o Abnormal test results
o Critical results
o Units of measurement (for
quantitative results)
o Reference intervals (or reference
ranges)
o Interpretation of results
o Condition of specimen
o Deviations from test preparation
procedures
o Medications, health supplements,
etc. taken by the patient
RADIOLOGY REPORTING
Ø University of Virginia (2013)- official medical
document that provides the details of the
requested radiology examination and the
procedure conducted by the radiologist.
Ø Qualified physician authorized by the health
care institution interprets the report.
Ø Main objective: address the queries in the
request.
 Ø Findings- take into account both positive and
negative findings.
o Important findings should be stated
followed by incidental findings.
Ø Basic sections of a radiology report
enumerated in the American College of
Radiology's practice guideline on
communication must include administrative
information, patient identification, clinical
history, imaging technique, comparison,
observations, summary or impression, and
signature of the radiologist.
Ø Length of the report is dependent on the
complexity and cost of the examination.
CARDIOLOGY REPORTING
Ø Contain important medical information based
on the test results of the patient which are set
against past medical records.
Ø Doctors- write vascular reports much faster
since access and retrieval of information are
made more convenient through computer
systems.
Ø Cardiology information systems (CIS)-
vascular sonography reports are accurately
created with only a few clicks.
Ø Information: ultrasonic ultrasound and
diagrams.
Ø Nowadays, physicians opt to provide
automated reports through the use of
information systems.
Ø Medical staff can process laboratory reports
for the approval of the physician.
o Results are generated more
efficiently which translates to
improved patient experience.
MATERIALS MANAGEMENT SYSTEM-
PHARMACY, MAIN STORES, AND PURCHASE
Ø Materials management- primarily concerned
with planning, identifying, purchasing,
storing, receiving, and distributing materials.
Ø Guarantee that the right and sufficient
materials are in the right location when
needed.
Ø Automation of an inventory or a materials
management system is necessary for a
hectic health center to streamline the hospital
supply chain.
Ø Computerized stock management systems
include technologies for tracking inventories
and devices used each day
Ø Utilize barcodes and RFID tags with precise
identification numbers assigned for each
inventory object to enable accurate tracking
and control.
Ø Automatic stock management systems-
assist health care institutions in figuring out
whether merchandise has been recalled or
damaged and should not be given to
patients.
Ø Enable isolation of drugs and devices that
are used regularly and forecasts capacity
shortages (Pontius, 2018).
Ø Every health care institution has a materials
management department that is accountable
for receiving materials, retaining central
stock, and delivering supplies within the
institution
o Responsibility of the materials
management department ends.
Ø An inspection of a nursing unit, suite, or
exam floor will reveal a smaller, self-
managed inventory in supply closets, nurses'
stations, and individual rooms.
o Essential in maintaining supplies
conveniently available for use.
MANAGEMENT REPORTING
Ø Today- not limited to data retrieval.
Ø Platform for information valuable to the
institution.
Ø Recent technological advancements help
provide non-monetary information which
enables the management to hay
technological advancements help
operations.
o Pave the way for the emergen
reporting systems.
Ø Capture the necessary data required by
management to operate more efficiently.
Ø Data redundancy and data quality issues are
minimized.
Ø Employee headcount, customer account
information, funding, and overall
performance are some of the data that can
ugh the system.
Ø Good management reporting system Ø Management reporting systems help in
enhances the capability of an more capturing the data sets that are needed for
responsive, efficient, and effective in managers to run an effective enterprise.
decision-making which affects the
performance ion as a whole.
Ø Offer a single holistic view which highlights
high value sources back of visibility in
reviewing the performance of the institution
(Kumar, 2017).

IN-BUILT TALLY INTERFACE

Ø Tally.ERP9- software that provides simplified
solutions to operations in health institutions
such as in accounting, inventory
management, tax management, among
others.
Ø Easy to learn and can be implemented with
minimum resources.
Ø Used by over 1,000,000 entities across the
globe.

KEY POINTS
Ø 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
Ø HIS for different departments are nursing
information syst (NIS), radiology information
system (RIS), and pharmacy information
system (PIS).
Ø The following should be considered during
the selection of the HIS: total cost of the
package, web-based system, and
implementation and support.
Ø The top 3 HIS providers in the Philippines are
Bizbox, Inc., KCCI Medsys, and Comlogik.
Ø The functions of HIS address the following
concerns: help desk, scheduling, patient
registration, admissions, discharge and
transfer procedures, billing, contract
management, and package deals.
Ø 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.