Information-Sharing Culture
Promotes trust among employees of different departments within the same organization. While needing to be sensitive as to the
... [Show More] privacy, confidentiality, and security of particular information under his or her safeguard, it is important that nurses, physicians, and others be able to share certain types of information with fellow employees for the benefit of the entire organization.
Information-Functional Culture
Takes the traditional view that information is power and that giving up information means giving up the power of controlling others.
Information-Inquiring Culture
Makes transparent the core values, beliefs, and purpose of the organization and ensures that critical information about the due processes, procedures, and functioning of the organization is easily accessible for all employees throughout the organization. Employees are also encouraged and trained to actively monitor such information and to align their daily actions and behaviors with the trends and new leadership directions of the organization.
Information-Discovery Culture
Entails that the organization is able to share insights freely and encourages its employees to collaborate in offering new products and/or services that meet the needs of existing and new clients. Employees throughout the organization are also provided with a comprehensive view of how the organization functions and how it will support them in their attempt to deal with crises and radical changes and/or finding ways to achieve competitive advantages against its competitors.
Data/Information/Knowledge Component
Encompasses the specification of, organization on, and interrelationship among data, information, and knowledge elements required of integrated HMIS.
Hardware/Software/Network Component
This component involves configuring various hardware, software, user interface, and communication-enabling infrastructures, associated devices, and applications in such a way as to best achieve efficient and effective information services integration throughout while connecting individuals, groups, and organizations.
Process/Task/System Component
Exemplifies the routine and internalized driving engine for HMIS. Here, our focus should be on the cohesion to be achieved within established "local" processes, tasks, and applications.
In other words, existing administrative-based HMIS, such as financial information systems, human resources information systems, facility utilization and scheduling systems, materials management systems, facilities management systems, and office automation systems, as well as clinical-based HMIS applications such as EHR, CPOE, and CDSS, must be designed to collect relevant data and accumulate useful information for organizational task-processing and decision-making activities.
Integration/Interoperability Component
This requires not only an elaborate understanding of evolving technological innovations and changing needs in organizational task processes, but also knowledge of the market structure and changing characteristics of the healthcare services industry and how the different current systems should be designed to fit well with every other HMIS application to achieve an integrated, enterprisewide HMIS.
User/Administration/Management Component
Brings together and intelligently coordinates all of the other HMIS components. Based on a shared technological infrastructure, for example, various users are, in turn, empowered to perform designated tasks and activities that will support the overall business goals of the organization—that is, to serve their clients both inside and outside the organization in the most efficient, productive, and effective manner.
Health IT Vision
Entails the corporate alignment of IT goals and strategies with health organizational goals & strategies
Crafting a "vision"
often a long-drawn process to generate a set of shared aims among key organizational members
Strategic IT planning sessions
Needed to fine-tune the vision
Transition
•Switch from paper-based systems to electronic systems
•Security, privacy concerns
•Electronic Health Records (EHR)
•Computerized Physician Order Entry (CPOE)
•Clinical Decision Support Systems (CDSS)
Electronic Health Records (EHR)
•The health information of an individual patient that exists as part of a complete history.
•Designed to provide clinicians with a comprehensive picture of the patient's health status at any time
Replaced older terms
Computerized Patient Records (CPR)
Electronic Medical Records (EMR)
•Capture, using all available patient-provider encounters, both the historic and current records of a patient's health information
Computerized Physician Order Entry (CPOE)
•An automated order entry system that captures a physician's instructions regarding the care of their patients
•Often implemented as a component of the EHR
•must be able to communicate orders to other connected systems within the HER
•Can have additional uses, including providing necessary information, when combined with other workflow tools [Show Less]