Clinical and Administrative

Information Systems
in Healthcare Environments

Health Information Technology

For Nursing Curriculum
Northern Virginia Community College 2014
LEARNING OBJECTIVES
• Identify the major types of administrative and clinical information
systems used in healthcare.
• Discuss how administrative and clinical information systems are
different.
• Describe how clinical decision support systems can be used in
the clinical setting.
 HEALTHCARE INFORMATION SYSTEMS
Administrative Information Systems Clinical Information System

Contains: Contains:
• Primarily administrative • clinical or health-related
• Financial data information
Purpose: Purpose:
• General operations of organization • Assist providers in diagnosing,
• Support management functions treating, monitoring &
documenting patient care
 Administrative Information Systems

Patient Administration Systems

 Admission, Discharge, and Transfer Registration

 Scheduling

 Patient billing or accounts receivable

 Utilization management
 Administrative Information Systems

Financial Management Systems

 Accounts payable

 General ledger

 Personnel & Materials Management

 Payroll

 Staff Scheduling
Clinical Information Systems
 Electronic medical record (EMR)

 Nursing documentation

 Medication administration

 Computerized provider order entry (CPOE)

 Telemedicine
Roadmap to Clinical Decision Support (CDSS)

Source: Peter Durand, alphachimp.com.

 Clinical Decision Support Systems

 Tools or Algorithms
 Created by panels of experts
 Provides Evidence Based Treatment Options
 Embedded or accessible from Clinical Information Systems
 Remember output is only as good as input
In Closing . . .
“I have applied everywhere
for information, but in
scarcely an instance have I
been able to obtain hospital
records fit for any purposes
of comparison . . .If they
could be obtained . . . They
Source: Nightingale, F. (1863). Notes on hospitals. (3rd. Ed.).

could enable us . . . to
London: Longman, Green , Roberts, & Green. p. 176
Nightingale circa 1854
Source: http://en.wikipedia.org/wiki/Florence_Nightingale

improve the treatment and

management of the sick.”
REFERENCES
• Hebda, T. L., & Czar, P. (2012). Handbook of informatics for nurses &
healthcare professionals (5 edition.). Boston: Prentice Hall.
• Saba, V., & McCormick, K. (2005). Essentials of nursing informatics (4 ed.).
New York: McGraw-Hill Professional.
• www.healthit.gov
 This work is licensed under a Creative Commons Attribution 4.0 International License.
Exceptions: 1) Materials identified as copyrighted or derived from another source. 2) Materials
extracted from the Office of the National Coordinator (ONC) Health Information
Technology Workforce Curriculum, which carries a more limited CC-BY SA license.

Led by Bellevue College, the Health eWorkforce Consortium was formed to elevate Health
Information Technology workforce development locally and nationally and provide career
paths into this promising field for veterans and others. The nine-college consortium includes
Bellevue College, Bellingham Technical College, Clark College, Clover Park Technical College,
Northern Virginia Community College, Pierce College, Renton Technical College, Spokane
Community College, and Whatcom Community College. The Health Information and
Management Systems Society (HIMSS) is also a primary partner.

This workforce solution is 100% funded by an $11.7m grant awarded by the U.S. Department
of Labor's Employment and Training Administration. The solution was created by the grantee
and does not necessarily reflect the official position of the U.S. Department of Labor. The
Department of Labor makes no guarantees, warranties, or assurances of any kind, express or
implied, with respect to such information, including any information on linked sites and
including, but not limited to, accuracy of the information or its completeness, timeliness,
usefulness, adequacy, continued availability or ownership.