HEALTH INFORMATION
TECHNOLOGY IN HOSPITAL
Health informatics work involves the various
resources, devices, and methods needed to optimize
the collection, storage, retrieval and use of
information in the health and biomedical fields.
Health information technology in hospitals: current issues and future trends
Current issue: Slow progress in implementation of HIT in hospital
1 STRATEGIC CONTEXT
Implementation based on needs setting common
interoperability
UK as the reference. UK hospital is a large organizations that
are part of a larger central management system -- NHS.
NHS wales, NHS England, NHS Scotland NHS Northern Ireland.
Apart of the system using 'top-down' implementation model;
Apart of the system using centralized procurement of
standardized technology system.
Use of incentives for use and for motivating individual users
and healthcare organizations to adopt and implement systems
2
ORGANIZATION APPROACH
Environment in hospital is complicated (radical organizations
changes). Careful preparation and planning of organizational
change. New "off-the-shelf" technology are introduced, hospital
staff need time to adjust to new job environment. Therefore, it is
important for not overestimate early gains and realize that are
difficult to measure.
Formal evaluation is important for identifying benefits,
monitoring and identifying areas for improvement
TECHNICAL
3
CHARACTERISTICS
After the investigation in implementation of HIT. The main
challenges include poor usability, poor performance and poor
functionality. Lack of HIE and interoperability within and across
organizations and marginalization of patients and caregivers.
These also hinder the implementation of technological progress.
4 SOCIAL CONSEQUENCES
System implementation may have various unintended and
undesired consequences. Among these are social in nature, with
various potential adverse effects of clinical workflow and
collaborative work. Meaningful and ongoing evaluation is
particularly important to promote more clinically relevant
technologies and ensure continued user engagement.
Opportunities and challenges ahead
LARGER SCALE ON
1
INTERFACING AND HIE
Many of the benefits of HIE rely on information sharing,
whether across devices and equipment or across healthcare
facilities. Therefore, an important development that is likely to
receive increasing attention is HIE, an electronic exchange of
health-related information.
On a small scale, more consistent use of standards will pave
the way for HIE to use “smart” devices that respond to
electronic signals. Also, in hospitals that are part of a larger
HIE system, there will be more use of robots and the full use of
robots can reduce the occurrence of errors.
In some local health communities, the beginnings of seamless
integration can already be seen. It uses electronic data
interchange to conduct healthcare transactions between
hospitals, community care facilities and other healthcare
organizations.
PATIENTS AS THE NEW
USERS (PATIENT-CENTRIC
2
ARCHITECTURES)
Although there are countless HIT users with problems
nowadays, the problem will only get more complex in the
future. Patients will gradually increase their own control of
records and while patient control can facilitate participation in
care, the impact on the working practices of health care
professionals can be substantial. Still, there are some
successful examples.
OpenNotes
Blue Button
INNOVATIVE SECONDARY
3
USES OF DATA
Currently, some benefits are uncovered by analyzing data
within an organization, but the future may be characterized by
aggregating data in ways that transcend organizational
boundaries. In addition, key challenges include the ongoing
debate around patient confidentiality and consent, and the
ability to meaningfully analyze available data. Again, this exists
in some international examples of large-scale routine
secondary use that transcend organizational boundaries. And
these have delivered significant organizational benefits.