INTRO-HI-HIM (1) المحاضرة الاولى

8/2/2019 INTRO-HI-HIM (1)

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Bakheet Aldosari, Ph.D.

Health 305Health Information Management

E-mail: [email protected]


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Introduction toHealth Informatics &

Information Management


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Healthcare Informatics Defined

Informatics: the science of informationmanagement

Variety of automation techniques that usecomputers to manage data and information insupport of decision making

Healthcare informatics: information scienceconcerned with all aspects of health-related dataand information


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What is Health Informatics

Health Informatics is Health informatics is the science that underlies the fusion ofhealth care, information technology, and businessadministration,

Guides its integration into all aspects of the patient health

experience, including clinical care, nursing, pharmacy andpublic health.

Focus on the implementation and optimization of theinformation systems that support clinical practice,

Creates the infrastructure that connects and enables the flowof critical information to and from each of the stakeholders ina patients care.


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The Difference Between HealthInformatics and HIM Health Informatics is the study of the

Structure, Dynamics, Design, Implementation andMaintenance

of information systems used to support processingof health data into information suitable for decisionmaking

the people, technology, and organizational factorsthat are applied to those systems


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Status of HI in Saudi Arabia National strategies for adoption and use of EHR

Kingdom-wide

Shift to Electronic (Medical or Health) Records

ICD-10 implementations

Medical Insurance Companies Public Health Informatics

Consumers Informatics

Summits and Conventions, i.e. Saudi E-Health, ArabHealth, E-HIM, etc

Associations, i.e. SAHI

Academic Programs


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Challenges To HI Professionals Shortage in HI Professionals Underestimating the value of HI / HIM

Professionals comparing to other IT or Healthrelated specialties.

NO Associate Degree, i.e. Coding and HIT

Undergraduate Degree, i.e. HIM


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The Difference Between HealthInformatics and HIM Health information management is the science of

managing patient health information and medicalrecords (Paper based or Electronic).

Health Information Management HIM FOCUS ON the Dissemination, Communication,

Presentation, Utilization, Transmission and Privacy.. ofDATA & INFORMATION and its use

HIM IS CONCERNED WITH the Collection,Organization, Validation, Analysis, Storage and Maintenance..of DATA

The Goal of HIM is Quality information = Quality Healthcare


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Functions of Health Records


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Early History of the Profession

Hospital standardization

American College of Surgeons

1918

Raise standards of surgery by establishing hospital standards

Importance of a complete and accurate record of care

Organization of the Association of Records Librarians

Formed in 1928

Recognized allied health discipline

Approval of first education curriculum in 1932

Board of Registration established in 1933


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Why do we keep health records?

Purposes of the health recordPrimary purposes

To support patient care delivery

To provide patient care management

To provide information to run the organization (patient caresupport)

To determine and validate payment and reimbursement forcare and services provided

To assist individuals in management of their own health


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Why do we keep health records?(continued)

Purposes of the health record

Secondary purposes:

To support education To comply with regulations

To conduct clinical and other research

To monitor public health and homeland security

Business purposes


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Who uses the health record?

Two categories of users:

Individual users: Individuals who need to use the

health record to perform their jobsInstitutional users: Organizations who need the

information in the health record to perform various

analyses


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Who uses the health record? (continued)

Individual users

Patient care providers

Consumers

Patient care management and support

Patient care reimbursement

Others


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Individual users

Patient care providers

Consumers

Patient care management and support

Patient care reimbursement

Others


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Institutional users

Healthcare delivery organizations

Management and review of care organizationsReimbursement of care organizations

Research organizations

Schools

Accreditation and licensing agencies

Policy makers


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What is the main function of the healthrecord?

Storage of Information

Attributes of the storage function

Accessibility Quality

Security

Flexibility

Connectivity

Efficiency


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What is meant by accessibility?

Accessibility means that users must be able to: Get information easily

When they need it In a format that is appropriate


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What does quality mean in a health record?

Quality attributes that every health record must have: Data must be:

Accurate

Accessible Comprehensive

Defined appropriately

Consistent

Defined

Defined at the appropriate level (granular)

Precise

Relevant

Timely


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What does security mean in a healthrecord?

Security

Protects privacy of individuals and confidentiality of

health records Privacy -- Right of individuals to control access to their

health information

Confidentiality -- Expectation that personal information is

kept private


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What conditions must be met so that a healthrecord can fill its purposes?

Accessibility

Flexibility

Connectivity

Efficiency


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Strengths of the paper based record:

Ease of use.

Portable.

Does not need to downtime. Flexible in recording data.

Ease of browsing and scanning.


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Weakness of the paper based record:

Problems with content:

Missing data.

Spelling. Errors.

Follow up directions.

Problems with format.

Problem with access, availability, and retrieval.


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Weakness of the paper based record:(Continue)

Problems with outpatient clinics record.

Problems with storage.

Miss files. Lost of charts.

Large space area for the MR.

Separate patient record data such as X-ray reports and

films.


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Benefits of the EHR:

Can improve Healthcare delivery:

Better data access.

Faster data retrieval. High quality data.

Support medical and non-medical decision-making.

Enhance quality assurance.


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Benefits of the CPR: (Continue)

Can enhance out-come researches program.

Can increase healthcare organization efficiency.

Reducing cost and achieves quality of healthcare. Improve staff productivity.


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Benefits of the CPR: (Continue)

Can moderate the cost of healthcare.

Reduce redundant tests and services.

Manage billing and payment system.


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Good Luck to You All,,,,

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INTRO-HI-HIM (1) المحاضرة الاولى