Introduction to Information Systems

in Healthcare Part I

Lynn M. Nagle, PhD, RN, FAAN National Institute on Nursing Informatics

Objectives:

•  To introduce some of the primary components of information and communications technology (ICT) in healthcare

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•  Mainframe computing •  Mini-computers - Servers (Unix, A/S 400, NT) •  Networks (Ethernet), Fibre, Twisted pair, Hubs,

Routers • Wide Area Network (WAN), Local Area Network (LAN)

•  Cloud computing •  Desktops, Tablets & Smartphones & assorted

Peripherals (Thin vs Fat client) •  Wireless – Radio Frequency Identification Devices

(RFID), infrared, barcodes, Optical Character Recognition (OCR), hashtags #

•  Telecom, Voice Over Internet Protocol (VoIP)

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Hardware

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Software

•  Operating Systems (O/S) - Novell, Windows, NT, Apple, O/S2, AIX, Linux § Schedule jobs, Security, Manage resources, user

access, utilization records •  Data transfer protocols - TCP/IP, HL7 •  Database tools e.g., ORACLE, SQL •  Report writers (Crystal Reports) •  Applications - MS Office, Clinical – Business

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Clinical Applications

Electronic record management § Computerized Provider Order Entry

(CPOE) § Clinical Documentation (e.g., eMaR,

Flowsheets) § Departmental Systems (e.g., lab, Rx,

DI) Clinical Intelligence

­  Analytics, Decision Support

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Business Applications Back office

§ Staff scheduling § Patient scheduling § Financials (General Ledger (GL), Accounts Receivable (AR)

§ Human Resources – Payroll Business Intelligence

§ Analytics, Utilization Management

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Encounter Registration

Labs

Pharmacy

Imaging PACS/RIS

HR/Payroll Employee/ Self Service

Transcription

Workload/ Case Costing

Order Entry/ Results Review Clinical Documentation

Chart Abstraction

Financials AR/AP/GL

CIHI Government/Funders 8

Key Learnings

§  Core functional components of hardware and software

§  Components of information management systems – clinical and business systems – in healthcare

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