1. Enterprise Healthcare IS Flashcards
what are the different types of digital health categories that occurred from 1970 - now
- siloed, standalone = modular systems
- semi-integrated e.g. EHR, PHR and PACS
- integrated = network EHR e.g. genomic, wearables
- personalised medicine = precision via integrated network EHR systems, AI, real-time analysis
what is the amount invested in the Australian Digital Economic Strategy
$1.2bn
where do 84% of australians go for their health information
online
what are some digital initiatives around NSW
- single state-wide medical record (SDPR)
- better virtual care
- online tracking of neonatal milestones
- access critical health services via the NSW Health app
what is SDPR
single digital patient record
what is virtual care
any interaction between patient/clinician, or clinician/clinician occurring remotely via the use of information technologies
what are the 3 types of care
type 1 = ambulatory & acute
type 2 = subacute & long-term
type 3 = home
what is ambulatory care
type 1
occurs in clinic/practice
outpatient - no overnights
single chart - only physician’s notes
what is acute care
type 1
inpatient - overnight/longer
new chart ever admission
charts are more comprehensive with physician’s orders, nurse’s notes, medical imaging
what is subacute care and long term
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
what is home care
type 3
offered in patient’s home through home health agency
charts can be at the hospital, at home, remotely synchronised
what are some basic requirements of a HIS
- 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
what are some issues with current IS
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
how can HIS solve some of the issues with current HC IS
- 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