Evolution of Health Care Information Systems Susan L. Stasher University of Phoenix Health Information Systems HCS/533 Eric Rios April 03, 2011

Most nursing homes have not used clinical information systems but recently are gaining quality evaluations and outcomes from the use of the EHR. the employee compliance with certifications and licenses requirements. clinical.´ An information system is the collection and integration of various pieces of hardware and software and the human resources that meet the data collection.PPS (Packets Per Second the measurement of activity in a local area network (LAN)). Information Technology Systems for Long Term Facilities 20 Years Ago Assisted living for elders in long term care facilities has come a long ways over the years since its beginning when elders lived in alehouses sometimes called the poorhouses or sanitariums. wheelchairs.EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS Evolution of Health Care Information Systems 2 Health care information systems (HCIS) for nursing homes have developed over the past 20 years to integrate quality care for elders.Another aspect of quality health care that has .) In the past Nursing homes have focus on making readjustments with equipment.Nursing homes have evolved to integrate information systems with different modules for finance. and report generation needs of an organization´ (Pan American Health Organization. such as MDS (maternal deprivation syndrome). and more recently information systems to accommodate quality health care and quality of life for elders. lifts. processing. marketing.. and tracking systems. such as the beds. 2000). n.d. the steady stream of regulatory changes. ³Over the years. storage. etc. and now HIPAA (Health Insurance Portability & Accountability Act of 1996) has served as a catalyst for LTC technology by motivating providers to invest in technology to automate the processes required for compliance´ (Spence. Several events and technological advantages have developed over recent years to influence HCIS for nursing homes and long term care facilities for elders. bathing.

EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS been realized over the years in the LTC for elders is the use of occupational. Integrated systems are best suited for LTC facilities because the benefits of IT are achieved only through making other operations more efficient. More recently knowledge of quality health care for elders has recognized the needed for better use of information systems in the nursing homes to bring about a more holistic adaptation of quality health care and outcome for elders. discharges.2008) . 2009).Insurance.. and allow more rigorous analysis of outcomes´ (Alexander. increase accessibility of evidencebased protocols specific for nursing home residents. and outcome of residents¶ quality of health. and physical therapy. Over the past facilities have gone from written 3 documentation and charting to the use of computers for maintaining resident data on admissions.³Potential uses of IT in nursing homes include the use of clinical decision support mechanisms at the point of care to make the most appropriate treatment options available for providers. speech. The systems used were not integrated to include administrative. and health care information.and clinical data needed for the necessary documentation. financial. evaluations. and Medicare all require specific information for the reimbursement of payments for services that LTC facilities must be able to supply. analysis. MCO¶s. profiles. enhance data collection. The use of vendors has helped many LTC facilities with IT proper response to billing but the responsibility and consequences fall on the facility when a mistake occurs (Oatway. Latest Improvements in Information Technology Systems for Long Term Facilities In more recent years LTC facilities have been organizing to incorporate combined facilities for the full potential gained from the integration of IT because many private owned LTC facilities find it less affordable.

2010). studies show that the nursing home is an important aspect of quality care for the improvement of health care because the results in convergence of IT design and practice. sets the stage for a fundamental shift in health care practice to require health care organizations to establish. 2010). and safety of medical care delivery described as´ meaningful use´(Blumenthal&Tavenner. and better defined strategies for technology evaluation. The Health Information Technology for Economic and Clinical Health (HITECH) Act. quality. The EMR or EHR will incorporate modules for POC which is clinical data for the EMR or EHR system that integrates specialized technology that facilitates electronic tracking of . more effective IT leadership.EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS 4 Although clinical IT systems have not been used in nursing homes in the past. The purpose of the HITECH Act of ARRA is to lower health care spending and to improve efficiency. better management and rollout of information systems in these settings. Major Events in Information Technology Systems for LTC Facilities EHR (electronic health record) and POC (point of care) modules of clinical data for clinicaldecision support system (CDSS) that include frequenciesof alerts and their triggers. Meaningful use means that the EHR will be more effective if all health care organization have access to the system. system use. and outcome measurement. This integration allows healthcare providers to gain access to the information LTC professional¶sdocument from implementation of care and daily activities for better communication between care providers to determine the resident needs for health care improvement. The HITECH has ³authorized incentive payments through Medicare and Medicaid to clinicians and hospitals when they use EHRs privately and securely to achieve specified improvements in care delivery´ (Blumenthal & Tavenner. title XIII of the American Recovery and Reinvestment Act (ARRA)of 2009.

Information systems are a source of communication for the integration of all who are involved in the health care process.EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS resident care. hypertension etc. provides personal digital assistants for data entry. . Improvements in HCIS within the LTC environment over the past 20 years will bring better communication between residential care providers and medical care providers for an overall better quality of care for elders. diabetes. ³Triggers are identified and alerts become active when data collected by the nursing home staff at the point of care are combined with detailed data elements from resident assessment data into a relational database. The incorporation of the EHR with the advantage of PLO will give LTC facilities access to the best quality of care for residents and add to the quality of life for elders. POC modules are designed to monitor specific symptoms according to the disease or illness such as. and uses wireless remote technology to enable wider access to patient data and decision making. 2008). 5 congestive heart failure. Automated clinical alerts are programmed to calculate triggers for the symptoms that are potentially dangerous for the resident or that may lead to danger. Immediate access to this database through electronic information displays and system reports can be used to manage resident care activities more quickly and efficiently´ (Alexander.

(2000). Analysis of an integrated clinical decision support system in nursing home clinical information systems. (n. Blumenthal. Retrieved April 5. Retrieved from EBSCOhost. 32. (2009).org/doi/full/10.& Tavenner. Nursing Homes: Long Term Care Management. 52. Oatway..thefreelibrary. Comforting changes: In Their Lessons Learned in Data Collection.nejm. 2011 from 6 http://www. (cover story). 2011 from http://www.EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS References Alexander.ehealthstrategies. Retrieved from EBSCOhost.d. (August 5.). 54(5).1056/NEJMp1006114 Information technology: Is long-term care leading the way?. (2005). D. 15-20. 53. 49(1). Journal of Gerontological Nursing. (2008). C. M. 34(2). .com/Comforting+changes%3a+in+25+years%2c+long+term+care+eq uipment+has. Long-Term Living: For the Continuing Care Professional. Nursing Homes: Long Term Care Management. Retrieved April 4. 2010) The ³Meaningful Use´ Regulation for Electronic Health Records. G. Retrieved from EBSCOhost. Building Standard-Based Nursing Information Systems Retrieved April 3.-a0111851513 Szatala. Revising strategic planning for IT support. 58(6). Retrieved from EBSCOhost. D. 2011 from http://www. Pan American Health Organization (2000). T.. H.pdf Spence.

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