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LESSON IV
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OVERVIEW OF HEALTH INFORMATICS

1.1 Definition of Vision,
Mission, Goals and
Objectives
1.2 Comparison of Vision
and Mission
1.3 Purpose and Inclusion
of Vision and Mission
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 Health Information Technology

The dawn of the information age has resulted into the generation of huge amounts
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routine data, particularly in healthcare, which can become perplexing to process and analyze.
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This is the challenge for health informatics – to make sense of large amounts of data while
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insuring the processes are valid and secure.
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1.1 Definition of Vision,
Mission, Goals and The transition from a manual to a more advanced health information system is an
Objectives
1.2overarching
Comparison of Visionissue that sits between providers of healthcare, managers, policy makers,
researchers, and patients alike. While there are benefits, there are also undeniable
and Mission
1.3 Purpose and Inclusion
disadvantages.
of Vision and Mission One innovation that manages health information for better service delivery is
health
Lesson 2 information technology.
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Lesson 5 Rouse (2016) defines Health Information Technology (HIT) as “the area
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of IT
Lesson 7 involving the design, development, creation, use, and maintenance of information systems
for the healthcare industry. Automated and interoperable healthcare information systems are
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expected
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patient
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 Health information technology vows to provide innovation to health care delivery
and connection among users and stakeholders in the e-health market. Systems such as
electronic health records, decision support systems and personal health records are promising
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and are becoming widely deployed worldwide (Kushniruk and Borycki, 2017).
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Lesson 1
1.1 Definition of Vision,
Mission, Goals and
Objectives
1.2 Comparison of Vision
and Mission
1.3 Purpose and Inclusion
of Vision and Mission
Lesson 2 Figure 4.1 Health Information Technology
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 Healthcare Software Systems

Rouse (2016) enumerates the following types of health information technology:

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An electronic health record (EHR) is also called an electronic medical
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record. It is one of the fundamental components of the heath IT infrastructure. EHR
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is the patient's official health record in digital form and the information is shared
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across multiple healthcare providers and agencies. The other key elements are the
1.1 Definition of Vision,
Mission, Goals and
Objectives personal health record (PHR) and the health information exchange (HIE). A PHR is a
1.2 Comparison of person's
Vision self-maintained health record while the HIE is the a health data
and Mission
clearinghouse which is comprised of healthcare organizations with interoperability
1.3 Purpose and Inclusion
of Vision and Mission
pact to share data among their health information technology systems.
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 The use and implementation of EHR systems have increased dramatically. Hospitals
and physicians using the government-certified EHR systems meet the meaningful use criteria
and are qualified to receive incentives. The said criteria is regulated under the Office of the
National
Emil Gatus Coordinator (ONC) for health IT which certifies approved IT technology use under the
federal Number
Student reimbursement program and Centers for Medicare & Medicaid Services (CMMS).
However,
Name meaningful use is changing due to the Medicare Access and Children’s Health
of School
Insurance
Lesson 1 Plan Reauthorization Act (MACRA) which is a law on value-based reimbursement
1.1 Definition of Vision,
system
Mission, Goalspassed
and by the US Congress in 2015.
Objectives
1.2 Comparison of Vision
and Mission There are two widely used types of health information technology, the picture
1.3archiving and communication systems (PACS)
Purpose and Inclusion and vendor neutral archives (VNA). These
of Vision and Mission
two help manage and store the patients’ medical images.
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PACS and VNAs integrate radiology into the main hospital workflow. Radiology used
to be
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and8 neurology are also among the large-scale producers of clinical images. VNAs can also be
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installed for the purpose of merging stored imaging data from various departments into a
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multi-facility
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 Health Information Ecosystem

The Healthcare Information and Management Systems Society (2017) defines a

health
Emil Gatusinteroperability ecosystem as a composition individuals, systems and processes that
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want to Number
share, exchange, and access all forms of health information, including discrete,
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narrative and multimedia. Individuals, patients, providers, hospitals/health systems, researchers,
payors, suppliers and systems are potential stakeholders within such an ecosystem. Each is
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1.1 Definition of Vision,
involved
Mission, in the creation, exchange and use of health information and/or data.
Goals and
Objectives
1.2 Comparison of Vision
and Mission An efficient health interoperability ecosystem provides an information infrastructure
1.3 Purpose and Inclusion
that and
of Vision uses technical standards, policies and protocols to enable seamless and secure capture,
Mission
discovery,
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 Health Informatics in the Cloud

The role of cloud technology is undeniably significant in our everyday lives.

Currently, 83 percent of healthcare organizations are making use of cloud-based applications,
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and it is changing the landscape of the healthcare system and health informatics. However,
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both benefits
Name of Schooland threats exist, and this is discussed below (University of Illinois, 2014).
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1.1Advantages
Definition of Vision,of Cloud Technology
Mission, Goals and
1. Integrated and Efficient Patient Care
Objectives
1.2 Comparison of Vision
and Mission
1.3 PurposeCloud technology offers a single
and Inclusion access point for patient information which allows
of Vision and Mission
multiple doctors to review laboratory results or notes on patients. Physicians can spend more
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Lessontime
3 deciding and performing patient treatment instead of waiting for information from
Lessondifferent
4 departments.
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2. Better
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The accumulation of electronic health records will allow more meaningful data mining
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11 can better assess the health of the general public. More data can mean more
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Lessonopportunities
13 to identify trends in diseases and crises.
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 Disadvantages of Cloud Technology

1. Potential Risks to Personal Information

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strength of cloud technology is also the very same characteristic that makes it
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vulnerable to data breaches. The information contained within medical records may be
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subjected to theft or other violations of privacy and confidentiality. Fortunately, safeguards
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may be
1.1 Definition put in place to minimize such
of Vision, threats such as encryption, proper data disposal, and
other
Mission, Goals security
and features.
Objectives
1.2 Comparison of Vision
and2.Mission
Cloud Setup Seems Cumbersome
1.3 Purpose and Inclusion
The transition from a traditional to an automated system might be difficult for some
of Vision and Mission

members of health care organizations that may not be familiar with cloud technology. This
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Lessontechnology,
4 however, will be adopted by more institutions in the future. With proper
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Lessoneducation
6 and illustration of its function, hesitant practitioners may be able to see its
advantages.
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 Health Informatics in the Philippines

Health informatics had been loosely practiced in the Philippines since the 1980s.
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Practitioners
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machines used word processors to store patient information. Since then, significant milestones
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in health informatics have also occurred over the years, one of which is the Community Health
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1.1Information Tracking System (CHITS), a Linux, Apache, MySQL, PHP-based system released
Definition of Vision,
under
Mission, Goalsthe
and general public license (GPL). CHITS was named finalist at the Stockholm Challenge
Objectives
1.22006 andof Vision
Comparison one of top three e-government projects in the Philippines by the Asia Pacific
and Mission
1.3Economic Cooperation (APEC) Digital Opportunity Center (ADOC).
Purpose and Inclusion
of Vision and Mission
Lesson 2 CHITS is an electronic medical record (EMR) developed through the collaboration of
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the4 Information and Communication Technology community and health workers, primarily
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designed for use in Philippine health centers in disadvantaged areas. It is currently utilized in
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1117 government health facilities. What used to be manually done, patient’s records for four to
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five9 minutes, can now be executed within a couple of seconds. The implementation of CHITS
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has indeed resulted in higher efficiency rate among health workers since more time can be
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spent
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2012).
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 Despite the developments in health informatics in the Philippines, the nation still
suffers from various issues that hamper progress, one of these is the lack of interest in the field.
Health informatics is seen more as a novelty rather than as a profession. When professional and
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economic constraints come into play, priorities shift towards clinical responsibilities at the
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expense
Name of health informatics as a discipline.
of School
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Another issue is that many decision-makers do not use the benefits of information
1.1 Definition of Vision,
technology
Mission, Goals and in the health sector. The large initial expenditure for a health information system
Objectives
1.2remains
Comparisonanother
of Vision barrier to the integration of IT in Philippine healthcare (Marcelo, 2012).
and Mission
1.3 Purpose and Inclusion
of Vision and Mission
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 KEY POINTS TO REMEMBER:

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 Health information technology (HIT) involves the development and management of health
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Nameinformation
of School for improved health service delivery.
 1The electronic health record (EHR) is the central component of the HIT infrastructure.
Lesson
1.1 Definition of Vision,
Mission, Goals and
 Picture archiving and communication systems (PACS) and vendor neutral archives (VNAs)
Objectives
are two widely used types of HIT that help health care professionals store and manage
1.2 Comparison of Vision
and Mission
patients’
1.3 Purpose medical images.
and Inclusion
of Vision and Mission

 2An efficient health interoperability ecosystem provides an information infrastructure that

Lesson
Lesson 3
Lesson 4uses technical standards, policies, and protocols to enable seamless and secure capture,
Lesson 5
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discovery, exchange, and utilization of health information.
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 KEY POINTS TO REMEMBER:

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 The advantages of health informatics in the cloud are integrated and efficient patient care
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Nameand
of better
Schoolmanagement of data.
 1Despite the development, health informatics in the Philippines still suffers from various
Lesson
1.1 Definition of Vision,
Mission,issues
Goals andthat hamper progress, such as the lack of interest in the field. Another issue is that
Objectives
the benefits
1.2 Comparison of Vision of information technology do not seem apparent to many decision-makers in
the health sector.
and Mission
1.3 Purpose and Inclusion
of Vision and Mission
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 Emil Gatus
Student Number
Name of School
Lesson 1
1.1 Definition of Vision,
Please take the
Mission, Goals and
Objectives Learning Outcomes Assessment
1.2 Comparison of Vision
and Mission
1.3 Purpose and Inclusion
of Vision and Mission
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