1. Enterprise Healthcare IS

Question 1

what are the different types of digital health categories that occurred from 1970 - now

Answer 1

1. siloed, standalone = modular systems
2. semi-integrated e.g. EHR, PHR and PACS
3. integrated = network EHR e.g. genomic, wearables
4. personalised medicine = precision via integrated network EHR systems, AI, real-time analysis

Question 2

what is the amount invested in the Australian Digital Economic Strategy

Answer 2

$1.2bn

Question 3

where do 84% of australians go for their health information

Answer 3

online

Question 4

what are some digital initiatives around NSW

Answer 4

• single state-wide medical record (SDPR)
• better virtual care
• online tracking of neonatal milestones
• access critical health services via the NSW Health app

Question 5

what is SDPR

Answer 5

single digital patient record

Question 6

what is virtual care

Answer 6

any interaction between patient/clinician, or clinician/clinician occurring remotely via the use of information technologies

Question 7

what are the 3 types of care

Answer 7

type 1 = ambulatory & acute
type 2 = subacute & long-term
type 3 = home

Question 8

what is ambulatory care

Answer 8

type 1
occurs in clinic/practice
outpatient - no overnights
single chart - only physician’s notes

Question 9

what is acute care

Answer 9

type 1
inpatient - overnight/longer
new chart ever admission
charts are more comprehensive with physician’s orders, nurse’s notes, medical imaging

Question 10

what is subacute care and long term

Answer 10

type 2
inpatient at less intense level
services are for patients with less frequent and intense nursing care needs
charts over long period of time
nursing homes, residential care etc.

long term = > 30 days

Question 11

what is home care

Answer 11

type 3
offered in patient’s home through home health agency
charts can be at the hospital, at home, remotely synchronised

Question 12

what are some basic requirements of a HIS

Answer 12

• provide functions to every aspect of the org e.g. HR, procurement
• high speed high volume computations
• quick and efficient data processing
• inter/intra hospital communication (different departments, patient transfers)
• store huge amounts of info
• allow quick and efficient retrieval of accurate info

Question 13

what are some issues with current IS

Answer 13

storage:
- data is stored in many ways and many locs
- some records are on paper, some are on floppy disks
- inaccessible behind institution firewalls
- no dq testing, inaccurate info

fragmentation
- miscommunication and errors
- no reconciliation or duplicate testing
- no rec of medication lists and interaction flagging
- reduced timeliness of care

education
- it’s difficult to educate clinicians to constant changes because they are already extremely busy and under pressure to deliver good care

Question 14

how can HIS solve some of the issues with current HC IS

Answer 14

• provide the right data at the right time
• help support clinical decision making e.g. medication conflict
• provide evidence based guidelines for clinical decision making
• provide patient info & education
• help with documentation
• better communication between clinicians intra & inter
• bridge health disparity gap through long distance patient care
• reduce cost of care
• patient monitoring e.g. dialysis app to track patient sentiment in NLHD