Shiferaw Mitiku, PhD

(Assistant Professor)
Healthcare Information System
(Hospital Information System HIS)
a group of systems used to support
and enhance healthcare business
functions
 Clinical information Administrative
systems systems
Directly support patient Indirectly support
care patient care
 Nursing
Monitoring
Order entry
Laboratory
Radiology
Pharmacy
Other Ancillary Systems ( Physician Practice, Ambulatory,
Long-term, Home-care )
 Supports the use and documentation of nursing
activities and provides tools for managing the
delivery of nursing care:
view/ update vital data /patient condition
access to online drug info, procedure guidelines databases
provide quality patient care
 Improve access to information
Better documentation
Improve quality of care
Improve productivity and communications
Tracking capability
Enhanced regulatory compliance
Monitor patient vitals and other findings, or
automatically feeding the input into a clinical
information system.

Immediately alert the caregivers abnormal

findings, real-time patient conditions
 Direct entry of orders for medications and
treatments by the physician, nurse practitioner,
physical therapist, or other providers

Transmitted online orders to the appropriate areas

(pharmacy, laboratory, radiology, social services and
others )
 Improve the quality of care and reduce medication
errors
Eliminates transcription error
Expedites treatment
Encourages more accurate, complete orders
 Alert providers when new or stat tests results are back or
values are critical
Send results to clinical system for view
Accept input from bedside devices
Generate labels for specimen collection
Use rules to order additional tests when indicated
Address issues such as turnaround time, duplicate testing,
errors
 Allows direct order entry or accepts orders from other systems
Provide scheduling of diagnostic tests
Generate client instructions
Permit transcription of results
Provide picture archiving and transmission of images and tracking
of film
Generate charges once procedures are done
 Provide checks in order and administration process
using evidence-based guidelines

Reduce errors when used with bar code technology

Use lab results, allergy, and interaction information

from clinical systems

Track medication use, costs, and billing information

 May include:
In pharmacy dispensing systems (robots)
Unit-based dispensing cabinets in care areas
Barcode and RFID Medication Administration
 Use barcode on the unit-dose medication package and
patient bracelet to ensure right patient, right drug, right
dose, right time, right route

Use radio frequency identification (RFID) tags on

medication package
 Provide a longitudinal prescription record
Check formulary compliance and reimbursement

Provide alerts about drug interactions

Generate reminders to order home meds for the

discharged client

Eliminate phone authorization for refills

 Capture of demographic and insurance data,
scheduling, billing, outcome tracking, and report
capability

May connect to hospital electronic patient

records or maintain separate patient records
 Client Registration
Financial
Payroll and Human Resource
Risk management
Quality assurance
Contract management
Materials management
Scheduling
Other Administrative Systems
 Admission/discharge/transfer (ADT) systems
Collect and store demographic and insurance data that are
verified and updated at the time of each visit

Critical to operations to ensure correct patient identification

and reimbursement for charges
 Charge for service and receive reimbursement

Access patient demographic data and insurance

information from registration system

 Enhance ability to identify potential risks and
develop appropriate strategies
Track back to the point of origin to address
specific liabilities
 Provide visibility and control to negotiate better
contracts with the third parties (vendors,
suppliers)
Ensure contractual obligations, compliances,
deliveries
 Schedule client appointments and facilities/resources
Dates and times, Department, Room, Staff, Equipment,
Insurance approval and charging information
 Use organizations historical data of to facilitate
decision making and overall efficiency.

What-if analysis, scenario analysis, case-based

analysis to select of viable options
 Able the location, abstraction, comparison of patient
information in many format came from many sources,
stored in many places

Real-time information

Network database
Thank You