1. Enterprise Healthcare IS Flashcards

1
Q

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

A
  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
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2
Q

what is the amount invested in the Australian Digital Economic Strategy

A

$1.2bn

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3
Q

where do 84% of australians go for their health information

A

online

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4
Q

what are some digital initiatives around NSW

A
  • single state-wide medical record (SDPR)
  • better virtual care
  • online tracking of neonatal milestones
  • access critical health services via the NSW Health app
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5
Q

what is SDPR

A

single digital patient record

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6
Q

what is virtual care

A

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

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7
Q

what are the 3 types of care

A

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

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8
Q

what is ambulatory care

A

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

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9
Q

what is acute care

A

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

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10
Q

what is subacute care and long term

A

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

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11
Q

what is home care

A

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

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12
Q

what are some basic requirements of a HIS

A
  • 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
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13
Q

what are some issues with current IS

A

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

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14
Q

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

A
  • 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
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15
Q
A
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