Question

13. What do you perceive as the possible reason(s) that have led to MIS development occurring at a slower pace in the health service sector than in the business

14.  Imagine you are an IS consultant from the business sector and have been hired by the chief executive officer (CEO) of a small rural hospital to assist in the development of a HMIS. What could you say about the difference in environmental, organizational, and technological contexts between the two industrial sectors? How would your strategy be the same and how would it be different in comparison to planning and developing a MIS for a large health service organization versus a small one?

15. Define health information resource management (HIRM) and describe its purpose.

Answer 1

13> The management information system (MIS) is defined as the information system that provides management with information about financial and operational aspects of hospital management.

A hospital information system (HIS) is an element of health informatics that focuses mainly on the administrational needs of hospitals. ... Hospital information system is also known as hospital management software (HMS) or hospital management system.

In spite of the huge potential and opportunities that lie in HIS to radically transform healthcare and the healthcare sector, The adoption of IT in healthcare has been particularly slow and lagging behind that of major industries. There are some reasons for that which are given below

1. These challenges range from issues related to the technology itself, the healthcare setting, system users and the regulatory environment.

2.Users of information systems in health care, beside administration that can be met in every area of one society, are usually doctors and nurses. These nurses and doctors are unfamiliar with technology.

3. HMIS requires enormous startup cost, which unable to bear for some hospitals. This is particularly so, because of the high initial investments and the low perceived return on investments.

4.Technical challenges still arise from lack of standardization of technology, the absence of a well-developed healthcare information exchange (HIE) which will permit healthcare institutions in a given region to be able to freely share healthcare data.

5.The ability to have an interoperable health information exchange that can both share information quickly and seamlessly also raises concerns on privacy and security of electronically transmitted data.

6.Hackers may ultimately be able to penetrate despite of security precautions.

7. In case of power failure performance of the system may fall down.

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14> In business, management information systems (or information management systems) are tools used to support processes, operations, intelligence, and IT. MIS tools move data and manage information. The technology and tools used in MIS have evolved over time.

In the days where businesses recorded all transactions in a bound ledger, tallying and tracking what was going on took a lot of time and work. Using an MIS system can improve the performance of a company in many ways.

It minimises the operational time.  Beyond the need to stay competitive MIS is important

• Management can get an overview of their entire operation.
• Managers have the ability to get feedback about their performance.
• Organizations can maximize benefits from their investments by seeing what is working and what isn’t.
• Managers can compare results to planned performance by identifying strengths and weakness in both the plan and the performance.
• Companies can drive workflow improvements that result in better alignment of business processes to customer needs.

As like the other organization Heathcare also need MIS but in different perspectives

As healthcare companies continue to evolve with the changing technology landscape, and more information, like treatment data, patient information, and operations processes are stored within these systems, healthcare organizations face a need to gain visibility into this critical information anytime, anywhere.

MIS in healthcare enables data and information management related to clinical trials, financial and legal information, pharmaceutical details, physician credentials, and more, to be handled within one comprehensive system.

However, because much of this information is confidential these organizations must also be confident that their MIS is safeguarded.

Their main problem is how to integrate it into the existing organizational practice. In that respect they have difficulties documenting any effects as far as efficiency and effectiveness are concerned.

planning and developing a MIS for a large health service organisation and a small one are similar in the purpose of the MIS system that is

1. That infrastructure is responsible for collecting, managing and integrating the tremendous volume of clinical, financial and operational information generated daily by today's healthcare system.

2> They also enhancing the safety, effectiveness and efficiency of that system.

3> This MIS is an instrument which could be used to improve patient satisfaction with health services by tracking certain dimensions of service quality.

4> The objective of the HMIS would be to record information on health events and check the quality of services at different levels of health care.

But there are some problems in developing MIS in small helth care systems that the system be socially and culturally acceptable, and that communities are active participants in the development and implementation of the system. Also to operate these systems health care units need it educated people, to manage this is little bit difficult to small scale hospitals. Technology investment cost is also large enough.

15>Health information management (HIM) is information management applied to health and health care. It is the practice of acquiring, analyzing and protecting digital and traditional medical information vital to providing quality patient care. With the widespread computerization of health records, traditional (paper-based) records are being replaced with electronic health records (EHRs).

Purpose:-

To reduce expenses associated with record keeping (filing and retrieving paper medical records), meeting privacy regulations and accreditation standards;

To Improve workflows, practice management, and billing, including one-time electronic order entry and the elimination of transcription;

Automated sharing of information among providers and patients (avoiding duplicative tests);

Reduced office visits (to receive tests results) and hospital admissions (occasioned by missing information); and

Decreased risk of malpractice suits.

To keep More complete, more accurate, and better structured clinical data and documentation;

Automatic sorting and summarization of data so that relevant information is presented to the clinician in context-relevant displays when needed for decision making;

Direct access and instant updates to records as well as remote access to patients’ records at any time.

to minimises dangerous medical mistakes and improved clinical decisions through the use of structured data, decision support tools, predictive modeling, and disease management;

Continuous improvement in clinical decision making, by conducting more easily clinical trials and other studies, managing clinical knowledge, and disseminating more quickly research results to providers and patients, incorporating them rapidly into decision-support technology, and tracking resultant changes in patient outcomes