BME203 Sem 2

Question 1

What is HIS and CIS?

Answer 1

HIS: Hospital Information System

HIS is an integrated computer-based system to store and retrieve patient information , including demographic, appointment details, admission details (such as bed assigned, doctor-in-charge), billing information, laboratory report, radiology reports, etc organisedinto:
•Patient Management
•Departmental management
•Care delivery and clinical documentation
•Clinical decision support
•Financial and resource management

CIS: Clinical information System

CIS, sometimes already termed as a Patient Electronic Medical Records (EMR), stores and retrieve patient medical information, including
◦Diagnosis
◦Treatment/Procedures administered
◦Prescriptions
◦Laboratory results
◦Radiology results
◦etc.

Question 2

What are the differences between HIS and CIS?

Answer 2

HIS stores primarily administrative/operational information whilst CIS stores primarily clinical information.

Users of HIS are hospital operational staffs whilst CIS are mainly used by clinical staffs such as doctors.

Both do have overlaps (eg. Laboratory information) and can be implemented interchangeably.

Can be a single system or made up of a set of disparate systems that are integrated to communicate.

Collectively, HIS and CIS provides the complete view of a patient

Question 4

What are some problems with paper records?

Answer 4

◦Can be used by one person at a time
◦Illegible writing, subjected to interpretation errors
◦Inconsistent terminology usage
◦Unstructured data
◦Filing constrains – storing, retrieval and maintenance
◦Lack of information intelligence

Question 5

Impact of HIS/CIS to a Healthcare org?

Answer 5

1. Operations
   - improve tracking and auditing of treatment outcomes
   - elimination of transcribing errors
2. Logistics
   - improve management of patient flow
   - elimination of management of physical patient folders

3.After services
- Pro-active appointment reminder
- faster reply to patient queries

4. Marketing and Sales
   - Complete patient information in a single database allows proper tracking of patient complaint cases
5. Human Resources
   - reduce the need for administrative staff
   - ease of manage of knowledge
6. Procurement
   -Improved productivity from the administration of purchase orders and requisition
   - reduced errors from re-entry
7. Technology Development
   - improve seamless flow of information throughout organisation
   - Management of technology partner
8. Patient safety
   - Decision support systems
   - Standardized codes to minimise misinterpretations

Question 6

Computer-Based Patient Record (CPR) System