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Heath Informatics

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Submitted By PEYTON2015
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Research one of the HIM software products at http://thehimmarketplace.com/
And design a screen or report that could be used for that product.

The Development of Hospital Information Systems:
A deeper look at What goes on

First, I would like to assessment the history of hospital information systems and how it has changed to the point where analytics is so important. When I have an opportunity to join the industry, which will be hopefully in 2016, I will see just so many of these changes that will occur, and I believe that a data warehouse, along with analytics tools, is a essential module of any CIO’s application portfolio. This might make more sense with some past viewpoints.
They need to review the trends in health information systems decade by decade. I’ll list the main influence that was driving healthcare, then the driver for the IT, and finally the resulting health information technology (HIT) innovation:
*1960s: The main healthcare drivers in this era were Medicare and Medicaid. The IT drivers were expensive mainframes and storage. Because computers and storage were so large and expensive, hospitals typically shared a mainframe. The principal applications arising in this environment were shared hospital accounting systems.
*1970s: One of the main healthcare drivers in this era was the need to do a better job communicating between departments (ADT, order communications, and results review) and the need for discrete departmental systems (e.g., clinical lab, pharmacy). Computers were now small enough to be installed in a single department without environmental controls. As a result, departmental systems boomed. Unfortunately, these transactional systems, surrounded in individual departments, were typically islets unto themselves.
*1980s: Healthcare drivers were deeply tied to DRGs and reimbursement. For the first time, hospitals needed to pull important information from both clinical and financial systems in order to be reimbursed. At the same time, personal computers and well-known, non-traditional software applications had entered the market, as had emerging networking solutions. The result was that hospitals began to mix applications so that financial and clinical systems could talk to each other in a limited way.
*1990s: In this decade, rivalry and merging drove healthcare, along with the need to mix hospitals, providers, and managed care. From an IT standpoint, hospitals now had access to wide-ranging, distributed computing systems and strong networks. And so they created integrated delivery network (IDN), like integration, including the push to integrate data and reporting.
*2000s: The main healthcare drivers were more mixing and the beginnings of outcomes-based reimbursement. They now had enough technology and bedside clinical applications installed to make a thoughtful run at commercial, real-time clinical decision support.

DECADE | HEALTHCARE DRIVERS | IT DRIVERS | RESULTING HIT | 1960s | *Medicare/Medicaid | *Expensive mainframes*Expensive storage | *Shared hospital accounting systems | 1970s | *Hospital-wide communications (ADT<OC<Bed CONTROL)*Broadened administrative systems*Departmental systems | *Smaller computers* Improved terminals and connectivity | *Expanded financial/administrative systems(PA,GA,HR,MM,OP/POB)*Results review*Selected clinical department automation(Lab ,MR,RX) | 1980s | *DRGs | *Networking*Personal Computers*Cheaper Storage*Independent Software | *Integrated financial and clinical systems*Managed care financial and administrative systems*Departmental imaging | 1990s | *Competition, consolidation*Integrated hospital, provider, and managed care | *Broaden distributed computers*Cheaper Hardware and storage | *Expanded clinical departmental solutions*Increased IDN-like integration*Emergence of integrated EMR offerings | 2000s | *More integration*Beginnings of outcomes-based reimbursement | *More of everything*Mobility*Emerging cloud computers | *Emerging, broad-based clinical decision support*Broad operational departmental systems with EMR integration*Emerging data warehousing and analytics solution |

In closing, for CIOs to retain their strategic value as Chief Information Officers, they must be actively involved in a plan that results in the apprehension and study of complete data. This enables the health system to become an organization that is constantly improving, developing, and learning.

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