scholarly journals The significance of information standards for development of integrated health information system

2006 ◽  
Vol 14 (1-2) ◽  
pp. 64-66 ◽  
Author(s):  
Ljerka Luic ◽  
Dubravka Striber-Devaja

Information systems play a significant role in helping to improve health outcomes and decision-making at the point of care, as well as in the planning and funding of care. There is no doubt that new technologies, especially information and communication technologies, could dramatically contribute to achieve better results in our activities in general. The healthcare sector, one of the largest sectors of society accounting, is very complex with many different application requirements. There are also a number of different types of actors that need to communicate for various healthcare purposes (patients/citizens, healthcare professionals and organizations providing health care cervices, payment bodies, pharmaceutical industry, the national governments). Standardization is the first and the most important step in building an Integral Healthcare Information System. However, standardization has been recognized in most of the countries as an important tool to achieve some of the general goals in healthcare systems. The relationship between the participants locally, regionally and nationally requires that information is shared for planning, funding and treatment purposes. Health information standards are instrumental for the operation of healthcare organizations, the planning and management of the health sector, for electronic business transactions and the development of a national system of electronic health records as well. It is necessary to make relevant decisions on adoption of specific health information standards, to adjust them to local conditions as necessary, define in sufficient details methods the manner of their introduction and implementation. The successful implementation of each National Health Information Systems Strategy is heavily dependent upon the implementation of information standards.

Author(s):  
Andrea Claudi ◽  
Paolo Sernani ◽  
Aldo Franco Dragoni

One of the key challenges in the healthcare sector is to adapt Health Information Systems to requirements coming from changing societies. In recent years, governments and international healthcare organizations defined a series of requirements for new generation Health Information Systems: they have to preserve past investments on legacy systems, but must also integrate new technologies, include the patient among their users, and ensure that clinical information are available at all times, even in places far from where information are physically stored. This paper proposes a multi agent-oriented architecture for Health Information Systems, which uses international standards for communication and management of clinical documents. The architecture tries to effectively model a generic healthcare organization, and aims at being easily extensible and adaptable to the particularities of specific healthcare systems. The authors present two experimental scenarios to test the proposed multi-agent health information system. In the first, they show how to model a specific use case, a radiology workflow, using agents and well-known standards; in the second one the authors demonstrate how a mobile application can use the services provided by the agents to support the medical staff in an emergency situation.


2017 ◽  
Vol 5 (1) ◽  
pp. 122
Author(s):  
Assist. Prof. Dr. Demokaan DEMİREL

The distinctive quality of the new social structure is that information becomes the only factor of production. In today's organizations, public administrators are directly responsible for applying information to administrative processes. In addition to his managerial responsibilities, a knowledge based organization requires every employee to take responsibility for achieving efficiency. This has increased the importance of information systems in the decision-making process. Information systems consist of computer and communication technology, data base management and model management and include activity processing system, management information system, decision support systems, senior management information system, expert systems and office automation systems. Information systems in the health sector aim at the management and provision of preventive and curative health services. The use of information systems in healthcare has the benefits of increasing service quality, shortening treatment processes, maximizing efficiency of the time, labour and medical devices. The use of information systems for clinical decision making and reducing medical errors in the healthcare industry dates back to the 1960s. Clinical information systems involve processing, storing and re-accessing information that supports patient care in a hospital. Clinical information systems are systems that are directly or indirectly related to patient care. These systems include electronic health/patient records, clinical decision support systems, nurse information systems, patient tracking systems, tele-medicine, case mix and smart card applications. Diagnosis-treatment systems are information-based systems used in the diagnosis and treatment of diseases. It consists of laboratory information systems, picture archiving and communication system, pharmacy information system, radiology information system, nuclear medicine information system. This study aims to evaluate the effectiveness of health information system applications in Turkey. The first part of the study focuses on the concept of information systems and the types of information systems in organization structures. In the second part, clinical information systems and applications for diagnosis-treatment systems in Turkey are examined. Finally, the study evaluates applications in the health sector qualitatively from the new organizational structure, which is formed by information systems.


2011 ◽  
pp. 1994-2011
Author(s):  
Daniel Carbone

The aim of this chapter is to bridge the gap between what is known about IS theory and the specifics characteristics of health to develop an evidence based health information systems theory. An initial background first sets the significance for the need to have a solid information systems theory in health and then argues that neither the information systems literature nor the health sector have been able to provide any satisfactory pathway to facilitate the adoption of information systems in health settings. The chapter further continues by reviewing the common pathway to develop information systems theory and the knowledge foundations used in the process, and then proceeds to highlight how this theory was developed. Subsequently, the building blocks (constructs, premises, supporting evidence and conclusions) that underpins the constructs and a brief explanation of the relationships between them is included. A discussion and limitation section is then followed by a conclusion.


Author(s):  
Malgorzata Kisilowska

This chapter presents the model of a wide health information system, designed in accordance with information science theories and requirements. The model, based on modern ICT solutions, reflects the idea of information processes (collection, indexing, transfer) as seen in an information science perspective. It concentrates on optimal answering information needs of different categories of patrons, including adaptation of information-retrieval tools to their competencies. The author discusses different types of information indispensable in healthcare practice, analyzes methods of knowledge representation in health information system, proposes methodology of surveying information needs of health professionals, and describes challenges of linguistic tools used in information systems. The author hopes that such a model will emphasis the need of cooperation among ICT, health, and information professionals in designing information structures and processes.


2011 ◽  
pp. 1103-1111
Author(s):  
Kristiina Häyrinen

A Standish Group (1994) study showed that only 16% of all information technology projects come in on time and within budget. The situation is not better concerning health information systems. Many health information system implementations are less than completely successful (Berg, 2001; Giuse & Kuhn, 2003; Lorenzi & Riley, 2003). In this article, the health information system means “a system, whether automated or manual, that comprises people, machines and /or methods organized to collect, process, transmit, and disseminate” data that represent user information in healthcare (Kuhn & Giuse, 2001, pp. 275). What is successful implementation and whose success is measured? Successes can be measured in many ways. Delone and McLean have been finding out the success factors of management information system which are also applicable to health information system. The success factors are: system qualities, e.g., the ease of use or time savings, information quality, e.g., completeness or data accuracy, usage, e.g., the frequency of use or the number of entries, user satisfaction, e.g., user-friendliness or overall satisfaction, individual impact, e.g., changed work practices or direct benefits and organizational impact, e.g., communication and collaboration or impact on patient care. Furthermore, user involvement during system development, implementation and organizational culture have been identified as possible factors measuring the success. However, the need for further research to determine which attributes are the most useful ones in measuring success has also been revealed. (van der Meijden, Tange, Troost & Hashman, 2003). The different phases in implementation process are, in general, user needs and requirements analysis (specification), system design, initial system implementation and testing (Ahmad, Teater, Bentley, Kuehn, Kumar, Thomas & Me-khjian, 2002; Schuster, Hall, Couse, Swayngim & Kohatsu, 2003; Souther, 2001). The system requirements analysis includes workflow analysis, and the initial system implementation includes the technical installation of the information system, integration of the information system to other information systems and users’ training. Project management is an important factor in every phase of the implementation project. The purpose of this article is to highlight the health information system implementation process from end-user perspective. Which factors are crucial in the implementation process from the point of view of the end-users? How does project management contribute to the implementation process, what is the role of the end-user in system designing and how does training effect the information system implementation?


2021 ◽  
Vol 7 (1) ◽  
pp. 1-4
Author(s):  
Teungku Nih Farisni ◽  

Health Information System is an integrated system that used to manage data and public information. Babahrot Health Center, has problems in the field of health information system and the health center of integrated recording and reporting system especially the system toddler health information


Respati ◽  
2017 ◽  
Vol 9 (27) ◽  
Author(s):  
Mostafa Abobaker ◽  
Selo Sulistyo ◽  
Adhistya Erna Permanasari

The health care system in Libya in recent years does not change significantly, less developed and modernized. This problem is further exacerbated by the revolution that occurred in Libya. The revolution that occurred in 2011 has caused the health care system into collapse. In this study conducted a review for the development of health information systems in Libya by using OpenMRS Framework.At the stage of gathering information using questionnaires concluded that the majority of respondents (about 95.35%) wanted the development of a new system that can resolve the main problems that occurred in Libya, the health information system ineffective and inefficient in which this system has led to wastage of time and increased operating costs. Based on analysis of system vulnerabilities using PIECES method could also be concluded that the current system is not used effectively and efficiently. In this study is also presented on how to implement OpenMRS.Based on the results of the discussion it can be concluded that OpenMRS is a solution that can be taken for the development of a health information system that is fast, low cost, and is an open source application that only requires a little setting in the system of patient management and care. OpenMRS can be implemented to support the health services of a small clinic to the health services with enterprise scale. Therefore, OpenMRS could be the answer to the development of health information systems in various countries around the world, including Libya.


2020 ◽  
Vol 6 (2) ◽  
pp. 20-26
Author(s):  
Ahrorjon A. Abdumanonov ◽  
◽  
Ruslan E. Aliyev ◽  
Muhammajan K. Karabayev ◽  
Vokhidjon G. Hoshimov ◽  
...  

In article questions of development of automated, integrated information systems and databases (DB), created by the authors to ensure that the information and intellectual support of organizations and management of clinical processes in a general hospital. Analyze the schema information and intellectual support for the main stages of activity of the doctor in the organization of clinical processes and proved the effectiveness of the transition to electronic document management and management of patient records. The techniques and steps in the process of designing a database of such systems. Presented data models based on relational principles and taking into account the peculiarities of information provision of medical care in a clinical hospital emergency medicine. Sanctified issues for creating a database implemented taking into account the specifics of health care regulations, standards and related problems of formalization and standardization of information, the problem of choice of database management systems (DBMS), including for medical applications, the issues of intellectualization of the database and the formation of a knowledge base. Showing crucial modeling domain – automation object articles in this case – the diagnostic and treatment process. The main requirements to the database integrated health information systems. Questions of formalization entered into the database of medical and other information, the solution of which the authors carried out through the creation of special electronic templates for all aspects of medical practice hospital. Being developed by leading medical specialists clinic, they do not only facilitate the design, but also remind us that we should find out, to ask to examine and help select the best tactics. This kind of technology is human-computer interaction – an element of the programming actions of the doctor. This option is the task of formalizing entered into the database of medical information used to provide a single standard of medical information, standardize the order of the information entered into the database. The results of the analysis of the effectiveness of the developed information system and performance of its database in the course of their use in the clinical setting. In particular, we studied the performance, response time and server load when working with different categories of users – doctors, nurses, administrators, and etc., which have shown the applicability of the developed health information system and its database to optimize the organization of clinical processes in the conditions of the experiment.


1970 ◽  
Vol 4 (1) ◽  
Author(s):  
Etika Emaliyawati ◽  
Ayu Prawesti ◽  
Iyus Yosep ◽  
Kusman Ibrahim

Jawa Barat merupakan wilayah rentan kejadian bencana. Kabupaten Ciamis merupakan daerah yang mempunyai tingkat kerawanan cukup tinggi terhadap kejadian bencana alam tanah longsor dan banjir berdasarkan pemetaan secara global 2012-2029. Namun demikian, penanganan bencana belum tertangani secara optimal. Penanganan korban pada kondisi bencana belum tertangani dengan baik karena minimnya koordinasi, data layanan kesehatan yang tidak memadai sehingga menyebabkan tidak tertanganinya korban akibat bencana. Penggunaan sistem informasi dalam penanganan bencana sangat diperlukan khususnya untuk aspek layanan kesehatan. Tujuan penelitian ini terbentuknya sistem informasi kesehatan khususnya dalam penanganan bencana di Kabupaten Ciamis untuk memudahkan dalam koordinasi penanganan korban dimulai dari lokasi bencana, evakuasi dan transportasi korban ke tempat layanan kesehatan yang sangat tergantung dari kondisi korban, sarana dan prasarana fasilitas kesehatan, logistik yang dibutuhkan, jarak dan waktu tempuh ke tempat layanan kesehatan, serta sumber daya manusia di tempat layanan kesehatan. Penelitian menggunakan metode riset terapan, menggunakan sistem informasi geografis (SIG) dengan perangkat lunak arcgis. Hasil penelitian ini yaitu terbentuknya prototipe sistem informasi kesehatan di Kabupaten Ciamis yang diberi nama “Sistem Informasi Bencana Padjadjaran (SIMBARAN)” berisi elemen kesehatan yang diperlukan selama bencana meliputi layanan kesehatan terdekat di sekitar kejadian, sumber daya manusia yang tersedia, saranan prasarana, penanggung jawab program dan sistem rujukan sehingga memudahkan dalam koordinasi penanganan korban yang nantinya diharapkan dapat menurunkan angka kematian korban akibat bencana ataupun kejadian kecelakaan lainnya. Direkomendasikan agar setiap kabupaten di wilayah Jawa Barat memiliki model Sistem Informasi Bencana karena wilayah Jawa Barat yang rentan terhadap kejadian bencana.Kata kunci: Aspek kesehatan, mitigasi, sistem informasi, “simbaran”. Disaster Mitigation Management use Information Technology in CiamisAbstractWest Java is one of region with susceptible disaster. Ciamis is an area that has a fairly high level of vulnerability to natural disasters as landslides and floods based mapping globally from 2012 to 2029. However, disaster management has not handled optimally. Handling of victims in the disaster condition is not handled properly due to lack of coordination, health services data is inadequate, causing no casualties from the disaster Settlement. Using of information systems in disaster management is indispensable, especially for health services aspects. The study purpose is establishment of health information systems, especially in disaster management in Ciamis to facilitate the coordination of the handling of victims starting from the disaster site, evacuation and transportation of victims to the health service that is highly depend on the condition of the victim, facilities and infrastructure of health facilities, logistics required, distance and time to the health service, and human resources in the health service. The research method applied research, using a geographic information system (GIS) software ArcGIS. The results of this study is the formation of a prototype health information system in Ciamis, named “Information System Disaster Padjadjaran (SIMBARAN)” contains the elements necessary health during disasters include the nearest health service in the vicinity of the incident, the human resources available, the proposition infrastructure, responsible program and a referral system to facilitate the coordination of the handling of victims who might be expected to decrease the death toll from the disaster or other accident scene. This study being recommended for each district in West Java has a Disaster Information System model because West Java region that is susceptible to disaster events.Keywords: Information systems, health aspects, mitigation, “simbaran”.


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