Description
ABSTRACT
Hospital information systems provide a common source of information about a patient’s health history. The system has to keep data in a secure place and controls who can reach the data in certain circumstances. These systems enhance the ability of health care professionals to coordinate care by providing a patient’s health information and visit history at the place and time that it is needed. Patient’s laboratory test information also includes visual results such as X-ray, which may be reachable by professionals. HIS provide internal and external communication among health care providers. Portable devices such as smartphones and tablet computers may be used at the bedside.
Hospital information systems are often composed of one or several software components with specialty-specific extensions, as well as of a large variety of sub-systems in medical specialties from a multi-vendor market.
TABLE OF CONTENTS
COVER PAGE
TITLE PAGE
APPROVAL PAGE
DEDICATION
ACKNOWELDGEMENT
ABSTRACT
CHAPTER ONE
1.0 INTRODUCTION
1.1 BACKGROUND OF THE PROJECT
- AIM OF THE STUDY
- OBJECTIVE OF THE STUDY
- SCOPE OF THE STUDY
- SIGNIFICANCE OF THE STUDY
- PURPOSE OF THE STUDY
- DEFINITION OF TERMS
- RESEARCH QUESTIONS
CHAPTER TWO
LITERATURE REVIEW
- OVERVIEW OF HEALTH INFORMATION MANAGEMENT
- IMPORTANCE OF INFORMATION MANAGEMENT IN HEALTHCARE
CHAPTER THREE
3.0 RESEARCH METHODOLOGY
- INTRODUCTION
- RESEACH DESIGN
- SAMPLE AND SAMPLING TECHNIQUE
- SURVEY INSTRUMENT
- DATA COLLECTION PROCEDURE
CHAPTER FOUR
4.1 RESULT ANALYSIS
4.2 DISCUSSION
CHAPTER FIVE
- CONCLUSION AND RECOMMENDATION
- REFERENCES
CHAPTER ONE
1.0 INTRODUCTION
1.1 BACKGROUND OF THE STUDY
Healthcare is an information-based science [4] and providers must have access to timely and accurate information to provide safe high-quality care [5]. According to the IOM, there have been steady efforts to improve quality in healthcare since the early 2000s [1]. The first report asserts that healthcare is not as safe as it should be and offers a substantial body of evidence pointing to medical errors as a leading cause of death and injury in the United States (U.S.). The second report focuses more broadly on how the healthcare delivery system can be redesigned to innovate and improve care [2]. Both reports suggest making effective use of information technologies as one of six necessary strategies for the redesign of healthcare systems [2, 3] and express concern over slow uptake of information technology in healthcare. Clearly, information management and health information technology (HIT) are fundamental to current and future healthcare delivery in Nigeria.
Modern healthcare makes wide use of information technology [16, 17]. Most stakeholders agree that information technology such as electronic health records (EHRs) and computerized provider order entry (CPOE) will be critical to transforming the healthcare industry [6]. According to the IOM, HIT must play a central role in the redesign of the healthcare system if a substantial improvement in quality is to be achieved over the coming decade. Given the complexity of modern medicine, it is inevitable that HIT will play an ever increasing role in improving healthcare quality [18]. The imperatives of improving documentation, reducing error, and empowering patients will continue to use of information technology in healthcare. There is plenty of evidence that clinical informatics applications can address these imperatives to enhance patient outcomes, reduced costs, and provide access to knowledge [19].
Hospitals in particular are characterized by the high capacity of information and clinical data produced, and a new category of HIS now dominates in modern hospitals [16]. These systems aim to support high-quality, efficient, patient-centered care [29] with integrated support for the administrative and management tasks needed to support such care [30]. HIS systems have been shown to decrease the cost of quality care and the accessibility time to patient records [24]. The relevance of ‘good’ HIS for high-quality of care is obvious. Further advances of technology in healthcare include the use of information and communication technology (ICT) to support robust communications in an increasingly complex healthcare environment. ICT originally contributed to timely and efficient transmission of patient data, and its focus is now shifting to improve clinical data quality by using online clinical data acquisition and processing [21].
Implementation of HIS systems has increased globally over the past 5 years, and higher-income countries are further in adoption and utilization of HIS systems compared to lower-income countries [22]. There are many competing HIS vendors each with their own products and different capabilities [29]. Most hospitals in higher-income countries are using comprehensive HIS, [30] while in other parts of the world hospital orders for medications, laboratory tests, and other services are still paper-based [26].
Therefore the aim of this study is to determine availability of core HIMS functions implemented in Federal medical center Asaba, Delta State Nigeria and their perceived importance on quality and patient safety.
1.1 AIM OF THE STUDY
For health system, an efficient and flexible Hospital information management system (HIMS) play a vital role in hospitals. Information management system specially designed to manage the clinical, administrative and financial aspects of a hospital. The main aim of this work is to analyze the importance of the subject matter using Federal Medical Center (FMC), Asaba as the case study.
1.2 OBJECTIVES OF THE STUDY
At the end of this work, students involves shall be able to conduct systematic reviews on relevance of health information management to healthcare services and the roles of health information management professionals.
1.3 SCOPE OF THE STUDY
Health records are essential for good healthcare. Their quality depends on accurate and prompt documentation of the care provided and regular analysis of content. Good quality healthcare data play a vital role in the planning, development and maintenance of optimal healthcare.
1.4 SIGNIFICANCE OF THE STUDY
This study help us to overcome the disadvantages and challenges of paper-based records poses a such as the need for large storage area and difficulties in retrieval of records and there have been advocacy for computerized systems, paper-based system is legally more acceptable as documentary evidence as it is difficult to tamper with the records without detection.
- RESEARCH QUESTION
At the end of this work, this thesis will be able to give answers to these questions such as:
- What is the importance of health information management?
- Why is an information management system important in healthcare?
- What is the purpose of health information management systems?
1.6 DEFINITION OF TERMS
- Electronic Health Record (EHR):A digital version of a patient’s paper chart that can be created and used by multiple healthcare organizations.
- Electronic Medical Record (EMR):A digital version of a patient’s paper chart from one medical practice.
- Health Information Exchange (HIE):A network that allows a group of healthcare organizations and a patient to securely share medical information.
- Medical Application:An electronic program used primarily by medical professionals in the care of patients.
- Patient Portal:A PHR that is integrated with an EMR or EHR; also called a patient gateway.
CHAPTER FIVE
5.1 CONCLUSIONS
Our study corroborates previous work highlighting the perceived importance of HIT on quality and patient safety. After revision and tailoring to the specifics of other international settings, the expanded list of items in this study could be used elsewhere to increase awareness and to survey availability of HIS functions in other national healthcare systems. We believe that our survey is an important first step to understand the system-wide availability of specific HIS functions across Federal medical center Asaba, and that similar surveys in other countries would yield valuable knowledge to guide policymakers and hospital leaders in many settings.
Our findings support the conclusion that HIS functions in Federal medical center Asaba generally not as available as quality managers would like. Policymakers, hospital leaders, and software developers all have a potential role to address future improvements. Some policy levers include financial incentives to adopt specific HIS functions; government involvement in certification of software; regulations to encourage or enforce usage of certified HIS; and inclusion of desired functions into accreditation manuals. Each of these policies may help integrate HIS functions to support quality and patient safety in Federal medical center Asaba. Finally, further investment in training programs will be needed across organizational levels, including clinical employees, HIT support staff, and hospital leaders and managers.
