Question

• Assignment Overview

  This assignment is intended to demonstrate your comprehension of the primary applications of health informatics in healthcare organizations as well as your familiarity with the various informatics applications such as electronic health records (EHR) and telemedicine.

  For this assignment, you will read a case study that examines issues concerned with data standardization in informatics. Based on the scenario described in the case study, you will create a presentation related to informatics education and training.

  Case Study

Read the following case study:

A small community hospital in the Midwest has used a homegrown information system for years. The system began in the early 1970s with a financial module. Over time, additional modules were added. A limited number of departments selected a commercial system and interfaces were used to integrate these into the overall functionality of the hospital information system. Except for physicians, most in-house clinical or care-related documentation is online. However, about 15% to 20% of this documentation is done by free text and is not effectively searchable. In addition, the screens, including the drop-down and default values, were built using terms selected by the in-house development team in consultation with clinical staff; thus there is no data dictionary or specific standard language. In the last few years, the hospital has purchased two outpatient clinics (obstetrics and mental health) and a number of local doctor practices. The clinics and doctors’ offices are now being converted to the hospital administrative systems. A few of the clinical applications that are tied directly to the administrative systems such as order entry and results reporting are also being installed.

A major change is being planned. A new chief information officer (CIO) was hired last year and she has appointed a chief medical information officer (CMIO) and a chief nursing information officer (CNIO). No other significant staff changes were made. With her team in place, one of the CIO’s first activities was to complete an inventory of all applications. Rather than continue to build, a decision was made to switch to a commercial vendor and the hospital selected a commercial system.

As a member of the clinical staff with informatics education, the CIO has requested that you develop a training and information presentation for the clinical staff that will:

• Identification of two or more issues with existing system

• Provide staff with appropriate “work-around” for using the existing system
• Provide an overview of two of the standard languages used within the new system including discipline or specialty, updating frequency, and available cross-maps
  • One standard language should pertain only to nursing
  • One standard language should be multidisciplinary.
• Obtain clinical staff input, using a five-question survey, of specific methods to support transition to the new system; questions should be open-ended.

Answer 1

Issues-1.there is no specific standard language.thats why communication between the patient and doctors,and other members of the hospital are hampered.

2.there needs to be open more outpatient department like medicine opd,surgery opd, immunization clinic,child health clinic and hire specilized doctor and hire specilized nurse like m.sc in med-surge, pediatric.those nurses are able to give quality care to the patient.

Staffing-1.doctors

2.nursing staff

3.shift incharge- to train the nurses and supervised their work in every shift.

4.night supervisor-supervise the work in night.

5.cnio

6.operation manager.

7.technician

8.information technology- to manage the information systems.

9.account manager- to manage the salary of every employee.

10.kichen incharge- to provide quality food to patient and every staff.

11.dietician- to provide proper nutritional advice to the patient.