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Pangasinan State University

Bayambang Campus
Karl Vincent P. Caerlang

Ma. Berenice Glizzle M. Catabay


Implementing and Upgrading Clinical Information

Overview of CIS
What is a CIS?
CIS is an array or collection of applications and functionality; amalgamation of
systems, medical equipment, and technologies working together that are
committed or dedicated to collecting, storing, and manipulating healthcare data
and information and providing secure access to interdisciplinary clinicians
navigating the continuum of client care. Designed to collect patient data in real
time to enhance care by providing data at the clinicians fingertips and enabling
decision making where it needs to occur-at the bedside.
Some areas addressed by CIS are:
Clinical decision support: This provides users with the tools to acquire,
manipulate, apply and display appropriate information to aid in the making of
correct, timely and evidence- based clinical decisions.
Electronic medical records (EMR): this contains information about the patient,
from their personal details, such as their name, age, address and sex to details
of every aspect of care given by the hospital (from routine visits to major
Training and Research: Patient information can be made available to physicians
for the purpose of training and research. Data mining of the information stored in
databases could provide insights into disease states and how best to manage
What are some benefits of a CIS?
Ease of obtaining patient data at the point of care
Ability to search patient data easily
There is no concern with legibility of charting
Ability to analyze data easily
Enhanced patient safety
Who are the key players to a CIS?

Nurse managers
Support staff
Performance improvement analysts
After all, all of these people will have to use the system!
Who should be involved in picking a CIS?
Nurses HAVE to be involved in choosing a good CIS
It behooves nurses to be engaged in the acquisition, design, implementation,
and evaluation of CIS to assure the realization of benefits for clinical care and
Clinical Information Systems assists clinicians with data necessary for decisionmaking and problem solving. It must serve the organization and the patient in much the
same way an efficient health care delivery system involves all appropriate departments
in establishing health care delivery processes.
Major Clinical Information Systems Requirements for Nursing
1. To administer a nursing department
2. To assist the management of nursing practice
3. To assist nursing education
4. To support nursing research
Eight Phases of Clinical Information Systems Implementation
1. PLANNING - begins once an organization has determined that an existing need
or problem may be filled or solved by the development or implementation of a
Clinical Information System or application.
2. SYSTEM ANALYSIS - also known as fact finding phase, all data requirements
related to the problem defined in the project scope agreement are collected and
analyzed to gain a sound understanding of the current system, how it is used,
and what is needed from the new system.
3. SYSTEM DESIGN/ SYSTEM SELECTION - the design details of the systems
and the detailed plans for implementing the system are developed for both the
functional and the technical components of the system. Acceptance of the
system proposal by the steering committee heralds the beginning of the system
design phase.
5. TESTING - ensure that all data are processed correctly and the desired outputs
are generated. Testing verifies that the computer programs are written correctly
and ensures that when implemented in the production environment, the system
will function as planned.
6. TRAINING - it is essential to train the end users how to use the system properly.
A Clinical Information Systems will function only as well as its users understand
its operation and the operations streamline the work.

7. IMPLEMENTATION - organizes all the steps into a detailed plan describing the
series of events required to begin using the system or application in the
production or live environment and details the necessary computer and software
maintenance operations required to keep the system running.
8. EVALUATION - describes and assesses, in detail, the new systems
performance. Using the criteria established in planning and system design
phases, the evaluation process summaries the entire system, identifying both the
strengths and weaknesses of the implementation process. An evaluation study
often leads to system revisions and ultimately a better system.
Why a CIS?
The use of health information technology should lead to more efficient, safer,
and higher quality care If utilized correctly, the CIS makes our jobs easier!