OVERVIEW OF INFORMATION SYSTEM

Question 1

Health care information system started in the U.S and not in the PH

Answer 1

true

Question 2

Health care drivers in 1960

Answer 2

Medicare and Medicaid

Question 3

2 Separate government-run programs in the US
○ Funded and operated by the different parts of
government
○ Primarilyservedifferentgroups

Answer 3

Health care drivers: Medicare and Medicaid

Question 4

Medicare

Answer 4

(federal)
serves >65 or under 65 but with disability

No matter what the income may be

Question 5

Medicaid

Answer 5

(state and federal)

Provides healthcare coverage for low income families

Question 6

Best way for government to assist based on individual’s

health

Answer 6

Monetary assistance

Question 7

Allows dual aligibility

Answer 7

1960’s health care drivers

Question 8

IT Drivers:

Answer 8

Expensive mainframes and expensive

storage

Question 9

Disadvantage of IT drivers in 1960s

Answer 9

The mainframes are so expensive and so large that

hospitals shared a mainframe

Question 10

1960’s IT Driver result

Answer 10

Shared hospital accounting system

Question 11

Healthcare Drivers in 1970s

Answer 11

Hospital-wide communications

Broaden admin system

Question 12

Need to do a better job communicating between departments

Answer 12

1970s

Question 13

IT Drivers of 1970s

Answer 13

Computers were small enough to be installed in a single department without environmental controls

As a result, departmental systems processing
proliferated
■ Unfortunately, transactional systems embedded in
individual departments are typically islands (isolate)
with themselves.
■ Less means of communication = seamless transition of the data
■ They have storage for different files, but internet and computer use is just starting to develop
■ Sending emails = already highly appreciated and
advanced
■ Improved terminals and connectivity

Question 14

Result of 1970s

Answer 14

Expanded financial and administrative systems

Departmental systems proliferated

X-raymachines

Question 15

For the first time, hospitals needed to pull significant information from clinical and financial systems in order to be reimbursed

Answer 15

1980s

Question 16

Healthcare Drivers of 1980s

Answer 16

Diagnostic Related Groupings (DRGs)

Question 17

How insurance companies determine how much to pay for a patient’s stay
■ Mostly utilized by health insurance companies that categorize hospitalization cost and determine how much to pay for a patient’s hospital stay, rather than paying the hospital for one spent caring for a hospitalized patient.

In the clinical set up, this will mostly be reflected by different packages can be conducted with a discount/smaller price compared to availing individual/ respective lab tests

Answer 17

Diagnostic Related Groupings (DRGs)

Question 18

Insurance companies have a fixed amount to pay for a specific DRG

Answer 18

Diagnostic Related Groupings (DRGs)

Question 19

IT Drivers in 1980s

Answer 19

○ Personal Computers
○ Widespread non-traditional applications/software ○ Cheaper storage
○ Networking
○ Independent software applications
■ Integration of applications for clinical and financial systems = there is means of communication system

Question 20

Result of 1980s

Answer 20

Advancement in departmental imaging
■ Dati: actual Xray films and ECG tracings
○ Managed care financial and administrative systems
○ Integrated financial and clinical (limited system)

Question 21

Decade of competition and consolidation drove healthcare

Increased the competitiveness of institution compared to other healthcare institutions

Answer 21

1990s

Question 22

IT DRIVERs 1990s

Answer 22

Broaden distributed computers
Well-developed computer systems
○ Robust networks
○ Cheaper hardware and storage
○ Dial-up
Hospitals have access on broader and well developed computer system and robursed records
■ Computers, di man kasing ganda ng specs nowadays, still at this time, they are capable of integration to the computer system

Question 23

Result of 1990s

Answer 23

■ Expanded clinical departmental solutions
■ Increased IDN (integrated delivery networks)-like
integration
● Integration of data and its reporting
○ Emergence of integrated EMR offerings

Question 24

Healthcare Drivers in 1990s

Answer 24

integrated hospital provider and managed care offering

Question 25

Healthcare Drivers of 2000s

Answer 25

Moreintegration
○ Beginnings of outcomes-based reimbursement
■ Need gumaling muna patient (provide service first) before the actual reimbursement

Question 26

IT Drivers of 2000s

Answer 26

More of everything
Cloud-computing
Mobility

Question 27

Result in 2000s

Answer 27

Emerging, broad-based clinical decision support
○ Broad operational departmental systems with EMR integration
○ Emerging data warehousing and analytic ssolutions

Question 28

bedside applications to use at a commercial, real-

time the EHR (electronic health records)

Answer 28

IT DRIVERS OF 2000S