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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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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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Who uses the health record? (continued)
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,,,,