Care Internet Access System

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02 Nov 2017

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Before Hospital Information System (HIS) or better known as the Health Information System was created and before the technology began to be used widely, health center and hospital use manual way to store patient information, the proposed treatment and medication lists that have been taken earlier by the patient. Hospital staffs face problems in terms of the time to find the stored patient records manually and cause treatment method recommended by the doctor also not efficient as the present age. Thus, it is, according to ACG Infotech Limited, with the help of technology and HIS, designed to improve the quality and management of clinical care and hospital health care management in the areas of clinical process analysis. What is more important is to enhance better patient care, cost control and safety. (Amanda, L. W.)

A health information system (HIS) is actually a management information system that stores and displays the data associated with the delivery of healthcare services. It includes computer systems and software that contains clinical guidelines, medical terminology dictionary, and various interface diagnostic devices and other clinical information databases and business, such as imaging laboratory, pharmacy and diagnostic. It can also be used as a public health and medical research purposes. (Diane, C.)

There are 4 types of Health Information System

Subject-based system

This system is an electronic medical record (EMR) or electronic health records (EHR), traditional sport electronic patient chart paper. EHR is a points-based system that stores information by name or medical record number. It can also display the information in the name of the doctor. For example, doctors can view the list of recent appointments of his patients and earlier. Master Patient Index (MPI)-based systems are also subject. It lists all the patients been treated in a hospital or clinic. MPI system function as a basic database for all system related to other patients, both clinical and administrative, such as patient scheduling, medical records, billing, claims processing and support business decisions.

Task-based systems

This system is for the convenience of staff such as laboratory, diagnostic imaging and medication management (pharmacy) system to record their assignments to electronic. Health record system is driven by the MPI system.

Care Internet Access System

The system provides facilities to providers and patients to access health information. Patients can see all the test results and their medical records via the internet portal system. Consequently, this system allows patients to interact with doctors and nurses. It also allows the doctor can monitor the patient remotely monitor patients with chronic diseases such as heart disease, diabetes and organ transplants.

Healthcare Services Administration

This type of system stakeholders in managing daily operations, such as appointment scheduling and billing insurance carriers or patients for services diberikandengan extract information from clinical systems. For example, an increase in the number of patients with a diagnosis of adult onset diabetes (diabetes type II) may indicate the need for diabetes education services improved. (Diane, C.)

Hospital University of Sharjah

Hospital University of Sharjah in the United States Emirated inaugurated in June 2011 by His Highness Sheikh Bin Mohammed Al Qassimi Dr.Sultan, King Sharjah, Member of the Supreme Council, and the hospital was from his vision to provide the people of the United Arab Emirates in general and Sharjah in particular with access to health care services exceptional world class.

The hospital is equipped with 210 beds, 40 outpatient specialty clinics, 11 ICU beds, 6 CCU beds, 10 neonatal ICU beds, 9 Day Care Unit beds, 6 Operation Theatres, Labour Ward, 28 bed emergency room, and pharmacy providing medicines to patients at all hours, day and night. (Our Exellence, University Hospital Sharjah. 2011)

The great thing about this hospital is its Hospital Information System (HIS) is the first hospital in the UAE has achieved the prestigious Rank 6 and joins the very select group of global world-class hospitals that have successfully deployed a high level of healthcare information technology, which significantly reduces costs, improve the quality of care and enhance safety.

The hospital has chosen InterSystems TrakCare product from Cambridge, Massachusetts. InterSystems Corporation established in 1978 is a privately held software company provides a key platform for connected healthcare, and innovative products are widely used in other industries that require the highest performance and reliability of software. (Company Profile. InterSystem Corporation. 2012)

InterSystems TrakCare Capabilities.

TrakCare Foundation CIS (Clinical Information System)

All functions are built on the Electronic Patient Record (EPR) and enable the capture, display, and analysis of patient-centric information, facilitating better patient care. CIS TrakCare Foundation delivers the core functionality needed for clinical patient management

Therefore, doctors can immediately access the complete medical history of all patients from a single screen. Diagnosis and treatment can be carried out more quickly and far more accurate.

TrakCare Foundation PAS (Patient Administration System)

PAS TrakCare Foundation automate workflow associated with the patient, outpatient, and emergency patient population to ensure that the requirements of institutional administration and health care organizations are met. PAS Foundation built to withstand the same with large or small patient load. The system includes a patient and out-patient module along with extensive capabilities for waiting lists, medical records management, and coding. Each module will help in meeting the unique requirements of registering and managing a specific patient population.

Administrative staffs are provided with the tools to capture data, and coordinate and manage patient encounters across the continuum of care in a smart, efficient, and automatic.

When installed with other TrakCare modules, PAS Foundation fully united. Consolidation means information relating to the pre-assessment, clinic attendance, the presence of an emergency, the last entry, and services provided as part of these events are available for viewing on the EPR patients.

TrakCare Departmental and Add-Ons

A number of TrakCare departmental and add-on modules are available, in addition to Foundation CIS and Foundation PAS. The entire TrakCare cores are available as optional add-ons, but a few of this can be implemented as stand-alone modules.

Table 1: TrakCare Departmental and Add-on Modules

Polyclinic

The TrakCare Polyclinic gives scheduling of healthcare professionals and ancillary clinic locations efficiently. The coordination and management of daily planning and activity can be based on a centralized or decentralized booking environment.

All TrakCare modules is fully unified with polyclinic functionality. All the information like pre-assessment, clinic attendances, emergency attendances, past admissions, and services provided can be viewed in the patient’s EPR. The patient’s demographic details are linked with their clinical and billing processes. It is allows the patient cases for a real time clinical and billing management.

Emergency Management

The TrakCare Emergency Management module handles the triaging and treatment of patients and is designed to perform the registration, movement, and capture of care interventions during emergency attendances. Like all other TrakCare modules, Emergency Management is built with the EPR at its center. When installed with other TrakCare modules, Emergency Management is fully unified so that information related to pre-assessments, clinic attendances, past emergency attendances, and past admissions is available for viewing in the EPR. 

Operation Theater

The advantage for the system, the healthcare staf can knew the whereabouts of theater patients as they traveled from pre-op to post-op. With having the ability to automatically assign the surgeon’s preferences for a specified operation, including assisting staff, order items, and even preferred music, simply by entering the surgeon’s name against a surgical booking. (Trackcare Capabilities)

Conclusion:

With Hospital Information System (HIS) applied in all hospitals in the world, a lot of the interest earned by the hospital management, particularly as:

Improve Patient Care

HIS can improve the quality of patient care by improving the timeliness and accuracy of records and information management. HIS provides quick access to patient records and other administrative information to those who need it and also set the standard for patient care.

Improve Cost Control

Increased standardization of hospital management information system improves control costs by increasing efficiency and productivity. Personnel costs and inventory levels can be reduced by avoiding duplication and repetition of work. HIS also can help eliminate confusion and delays caused by incomplete records or missing. The system provides a management tool for decision making. Data can be collected and categorized so that staff can analyze the information in the list of patients, bed occupancy rates and statistics categorized by a doctor.

Security Enhancement

Hospital Management Information System is a secured database administration and patient information that can be easily accessed only by those connected without compromising the security of the information involved. For example, pathology, radiology and administrative offices each have access to patient information pieces necessary to complete their job functions without allowing access to information that is not specifically related to that function.



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