OVERVIEW OF INFORMATION SYSTEM Flashcards
Health care information system started in the U.S and not in the PH
true
Health care drivers in 1960
Medicare and Medicaid
2 Separate government-run programs in the US
○ Funded and operated by the different parts of
government
○ Primarilyservedifferentgroups
Health care drivers: Medicare and Medicaid
Medicare
(federal)
serves >65 or under 65 but with disability
No matter what the income may be
Medicaid
(state and federal)
Provides healthcare coverage for low income families
Best way for government to assist based on individual’s
health
Monetary assistance
Allows dual aligibility
1960’s health care drivers
IT Drivers:
Expensive mainframes and expensive
storage
Disadvantage of IT drivers in 1960s
The mainframes are so expensive and so large that
hospitals shared a mainframe
1960’s IT Driver result
Shared hospital accounting system
Healthcare Drivers in 1970s
Hospital-wide communications
Broaden admin system
Need to do a better job communicating between departments
1970s
IT Drivers of 1970s
Computers were small enough to be installed in a single department without environmental controls
As a result, departmental systems processing
proliferated
■ Unfortunately, transactional systems embedded in
individual departments are typically islands (isolate)
with themselves.
■ Less means of communication = seamless transition of the data
■ They have storage for different files, but internet and computer use is just starting to develop
■ Sending emails = already highly appreciated and
advanced
■ Improved terminals and connectivity
Result of 1970s
Expanded financial and administrative systems
Departmental systems proliferated
X-raymachines
For the first time, hospitals needed to pull significant information from clinical and financial systems in order to be reimbursed
1980s
Healthcare Drivers of 1980s
Diagnostic Related Groupings (DRGs)
How insurance companies determine how much to pay for a patient’s stay
■ Mostly utilized by health insurance companies that categorize hospitalization cost and determine how much to pay for a patient’s hospital stay, rather than paying the hospital for one spent caring for a hospitalized patient.
In the clinical set up, this will mostly be reflected by different packages can be conducted with a discount/smaller price compared to availing individual/ respective lab tests
Diagnostic Related Groupings (DRGs)
Insurance companies have a fixed amount to pay for a specific DRG
Diagnostic Related Groupings (DRGs)
IT Drivers in 1980s
○ Personal Computers
○ Widespread non-traditional applications/software ○ Cheaper storage
○ Networking
○ Independent software applications
■ Integration of applications for clinical and financial systems = there is means of communication system
Result of 1980s
Advancement in departmental imaging
■ Dati: actual Xray films and ECG tracings
○ Managed care financial and administrative systems
○ Integrated financial and clinical (limited system)
Decade of competition and consolidation drove healthcare
Increased the competitiveness of institution compared to other healthcare institutions
1990s
IT DRIVERs 1990s
Broaden distributed computers
Well-developed computer systems
○ Robust networks
○ Cheaper hardware and storage
○ Dial-up
Hospitals have access on broader and well developed computer system and robursed records
■ Computers, di man kasing ganda ng specs nowadays, still at this time, they are capable of integration to the computer system
Result of 1990s
■ Expanded clinical departmental solutions
■ Increased IDN (integrated delivery networks)-like
integration
● Integration of data and its reporting
○ Emergence of integrated EMR offerings
Healthcare Drivers in 1990s
integrated hospital provider and managed care offering
Healthcare Drivers of 2000s
Moreintegration
○ Beginnings of outcomes-based reimbursement
■ Need gumaling muna patient (provide service first) before the actual reimbursement
IT Drivers of 2000s
More of everything
Cloud-computing
Mobility
Result in 2000s
Emerging, broad-based clinical decision support
○ Broad operational departmental systems with EMR integration
○ Emerging data warehousing and analytic ssolutions
bedside applications to use at a commercial, real-
time the EHR (electronic health records)
IT DRIVERS OF 2000S
