Managing Hospital

Information Systems
Module 2
 Table of contents

01 Introduction to
HIS
Setting Strategic
Objectives 03
02 HIS
Modules
 01
Introduction
to HIS
 Introduction
Defining HIS
Massive, integrated systems that support
the comprehensive information of hospitals,
including patient, clinical, ancillary and
financial management.
 Overview
A fully integrated hospital management system caters for the clinical, administrative and
financial needs of a modern hospital.

It utilizes information technology to simplify the day to day tasks of running an efficient
hospital and at the same time provide management with the necessary information to
make strategic decisions.

Consists of a range of application modules that support the administrative, financial and
clinical information needs of today's modern hospital. Each module can be implemented
individually or be combined to form an integrated system to suit each hospital's needs.

Some HIS have taken one step further by incorporating Web Technology and making it
easy for users outside of the hospital to use the services of the hospital.
 Overview
To extend “IT based services” to the patient's bedside, it is possible to integrate
“handheld devices” with the HIS.

In the hospital, it eliminates the "record on paper and later transcribe" process of
nursing and clinical documentation.

Outside the hospital it is a cost-effective way of documenting home care where

telecommunications is not possible or too expensive.
Overview
 Benefits

Easy Data Access Improved Monitoring

Remote Access Information Integrity

Efficient & Accurate Admin Decision Support

Eliminate Errors Centralised Data

 HIS Applications
Patient Administration System

● Ability to define patient and data flow.

● Define multiple waiting list for multiple departments.
● Set up emergency triage categories, use of color code and define
maximum waiting times.
● Resource Management Tools for maximizing human resources and
equipment.
● Process / Episode Management - is the ability to manipulate and manage
patient records for billing and patient management purposes.
● HIS offers the hospital all the tools necessary to manage records and
ensure the integrity of the patient's physical and electronic records.
 HIS Applications
Clinical Information System

● CIS is the Heart of the HIS.

● Clinical Workbench enables doctors, nurses and other clinicians to
perform their tasks from a single intuitive interface.
● Integrated Care Pathways (ICP) can be set to define and manage clinical
pathways for more effective clinical patient care.
● Order communications to the Laboratories / Ancillary Services.
● All results and clinical notes enter a common Electronic Record of the
patient, enabling all Care Providers to get the complete information to
treat the patient.
 HIS Applications
Supporting System

● Pharmacy Information Systems

● Laboratory Information System
● Radiology Information System
● Picture Archiving Communication System
● Admission, Discharge & Transfer
● Diet Module, etc.
 02
HIS
Modules
 HIS Modules

Basic Modules Optional Modules

 Basic Modules
● Patient Registration and Appointment Scheduling Module
● Outpatient Management Module
● Patient Billing & Insurance Module
● Services Module
● User Manager Module
 Optional Modules
● Pharmacy Module
● Laboratory Information System
● Radiology Management Module
● Electronic Medical Record (EMR)
● Dietary Module
● Housekeeping Module
● Nursing Module
 Optional Modules
● Emergency Management
● Machine Maintenance
● CSSD
● Blood Bank
● Financial Accounting Module
● Fixed Asset Module
● Payroll Module
● MIS Dashboard
 eHospital Demo
https://www.youtube.com/watch?v=EnN6zQ0fbBk
 03
Setting Strategic
Objectives
 Overview
Strategic planning for an organization involves long-term policy decisions,
like location of a new plant, a new product, diversification etc.

Strategic planning is mostly influenced by -

● Decision of diversification i.e., expansion or integration of business
● Market dynamics, demand and supply
● Technological changes
● Competitive forces
● Various other threats, challenges and opportunities
 Strategic Objectives of IS
● Operational Excellence
● New Products, Services and Business Models
● Services and Business Models
● Customer and Supplier Intimacy
● Improved Decision-making
● Competitive Advantage, and Survival
Hospital IT Department Structure
 Principles of Systems Development
● Process of defining, designing, testing, and implementing a new
software application or program.

● Principles:
○ Get the system users involved
○ Use a problem-solving approach
○ Establish phases and activities
○ Document throughout the development
○ Establish standards
 Principles of Systems Development
● Principles:
○ Manage the process and projects
○ Justify systems as capital investments
○ Don’t be afraid to cancel or revise the scope
○ Divide and conquer
○ Design systems for growth and change
HIS Selection Procedure
 Data Security & Confidentiality

Confidentiality
A duty owed by one to
preserve the secrets of
Privacy another Security
One’s right to control Mechanisms put in place to
who has access to safeguard privacy and
information about ensure confidentiality is
oneself maintained
 Ownership
● Records are the property of the hospital but the information contained in them
belongs to the patient.

● All original documents and images are usually retained in the hospital.

● The contents (particularly personal information) should not be disclosed to a third

party without the patient’s consent.

● Adequate precautions are taken to restrict medical information to those directly

involved in patient care.
 Protected Health Information
● Refers to any individually identifiable information whether oral or recorded in any
form that is:
○ Created, or received by a stakeholder; and

○ Relates to past, present, or future physical or mental health conditions of an

individual; the provision of healthcare to the individual; or past, present, or
future payment for healthcare to an individual.
 Protected Health Information
● Sensitive personal information - subset of personal information.
○ Financial information such as bank account or credit card or debit card or other
payment instrument details
○ Physical, psychological and mental health condition

○ Sexual orientation

○ Medical records and history

○ Biometric information
 Governing Bodies
● Medical Council of India (MCI)

● Right to Information (RTI) Act

● Directorate General of Health Services (DGHS)

● Consumer Protection Act (CPA)

● Pre-Natal Diagnostic Techniques (PNDT) Act

● Indian IT Act

● EHR Standards Guidelines by GOI

● NDHM Guidelines
 References
● HIT Initiatives in pandemic -
https://www.slideshare.net/ARSHIShaikh13/hospital-information-syste
m-250244661?qid=0e79aaa8-9f54-4445-984c-0f548cb1a8c6&v=&b=&f
rom_search=11

● Strategic objectives of information systems -

https://www.tutorialspoint.com/management_information_system/bu
siness_objectives_of_mis.htm

● Hospital IT Department Structure -

https://healthcareitskills.com/hospital-it-department-structure/
 Thanks You can reach out to me at
docshirinsaini@gmail.com

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