Health Information Management: Integrating Information Technology ...

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STRATEGY, IMPLEMENTATION AND EVALUATION 147 Figure 8.5 One integrated patient agenda. Three to five year Master Plan for care, care facilitation and integrated planning The final step in formulating the ambitions for information management for the segments care, care facilitation and integrated planning, consists of identifying the main projects needed to put in place the information system functions that will materialize the stated ambitions. In this step, a shift is made from being descriptive and generic, to becoming very practical. Projects are identified aimed at implementing specific functionalities. These functionalities are part of modules of information systems that the health care organization already has in place, or will have to acquire. A three to five year Master Plan, therefore, is very organization specific. It depends on the actual situation of the organization’s information systems infrastructure, and the specific priorities for that health care organization. A danger to be prevented here is that in starting to realize parts of these system functionalities, the overall ambition is lost from view because of practical hurdles. No currently existing PCIS has all the functionalities available to fully support all the ambitions laid out above. At least several different information system modules will have to be linked to cover the full breadth of work processes involved. The resulting incomplete support of what should have been a seamlessly integrated work process makes it easy to fall into the trap of perfecting individual functions instead of improving the total work process. A good example is the ambition to implement integrated patient planning. As no off-the-shelf solution for integrated patient planning exists, it is easier to implement and perfect separate planning systems, for example, outpatient planning and radiology department planning. The common result is that the patient needs to make two visits to the hospital, where one could have been sufficient.
148 DEVELOPING THE INFORMATION STRATEGY CASE STUDY Southern Medical’s Master Plan Outline for care, care facilitation and integrated planning This outline will serve as a guide for adding the desired functionalities and ultimately arriving at the stated ambitions: Care process This aims at the role of the care provider. The systems involved are PCIS modules, various specialist workstations, regional EPR. Core functions include: orders, results, findings, standardized care paths. Over the next five years, we will take the following steps: ■ introducing and utilizing PCIS modules: – complete availability of all relevant findings; – complete availability of orders, results and medication history; – computerized physician order entry; ■ ■ ■ ■ carrying out pilots: protocol based work processes and care pathways; introducing medical outcomes registration; introducing specific medical specialist workstations; carrying out pilots: access to PCIS for regional partners, regional integrated patient planning. Care facilitation Should aim at the role of provider of care support activities. This role has as its most important aspects: ■ ■ the acceptance (or initiation) of examination requests, the subsequent planning and monitoring of the progress, and finally making the results available. Also dealing with the care-supporting activities administratively; the support of the specific work process of the execution of the examination requests, or alternatively the comprehensive computerization of the execution. The information systems involved are: Radiology, Laboratory, Pathology, PACS, Medication, etc. Functions include: orders, planning, results reporting, work flow management, management information reporting, etc. A particular aspect for this segment is the digitized availability of images and analogue signals (a Picture Archiving and Communication System (PACS)). This accords with our efforts to make all patient information available. Supplementary to the argument for improved
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Health Information Management In al
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Health Information Management Integ
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Contents List of illustrations vii
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Illustrations FIGURES 3.1 Medicatio
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Contributors Marc Berg is a physici
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Series preface In almost all Wester
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Acknowledgements I would like to th
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Chapter 1 Introduction In all Weste
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INTRODUCTION 3 touch upon the deplo
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INTRODUCTION 5 can draw upon to mai
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INTRODUCTION 7 Physician Order Entr
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Part I Starting points Understandin
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WAITING FOR GODOT 11 KEY TERMS ■
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WAITING FOR GODOT 13 Netherlands an
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WAITING FOR GODOT 15 facts to show
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WAITING FOR GODOT 17 (Lewinski-Corw
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WAITING FOR GODOT 19 In most cases,
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WAITING FOR GODOT 21 (Anonymous 191
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WAITING FOR GODOT 23 Because of the
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WAITING FOR GODOT 25 they simply sa
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WAITING FOR GODOT 27 expected. Stil
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WAITING FOR GODOT 29 organize their
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WAITING FOR GODOT 31 performance in
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WAITING FOR GODOT 33 different HIS
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WAITING FOR GODOT 35 CONCLUSION: TH
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WAITING FOR GODOT 37 assumption tha
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WAITING FOR GODOT 39 Anonymous (191
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WAITING FOR GODOT 41 Berg, M. (1997
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Chapter 3 Health care work and pati
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HEALTH CARE WORK AND INFORMATION SY
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THE CONTEXTUAL NATURE OF INFORMATIO
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Chapter 5 Meeting the challenge Int
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STARTING POINTS 81 ‘gender, race,
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STARTING POINTS 83 Now, imagine an
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STARTING POINTS 85 organization,
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STARTING POINTS 87 Figure 5.2 Incre
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STARTING POINTS 89 already overflow
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STARTING POINTS 91 responsibilities
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STARTING POINTS 93 answer the quest
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STARTING POINTS 95 Kohn, L.T., J.M.
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Page 180 and 181: Chapter 9 Implementing information
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STRATEGY, IMPLEMENTATION AND EVALUA
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Index accumulation 53-4, 61, 73-4,
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INDEX 223 contingent and emergent c
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INDEX 225 satisfaction 176 patient
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INDEX 227 support 164 technology de
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