HIM Systems and Stakeholders
HIM Systems and Stakeholders
HlthCare Deliv Hlth Informatic
Healthcare has changed dramatically, and it keeps on changing. Technological developments in healthcare continue to improve the quality of life. Technology has had a significant impact on different practices in healthcare professionals. "Future technological innovation is going to keep transforming healthcare, yet while technologies drive innovation, human factors will remain as one of the stable limitations of breakthrough" (Thimbleby, 2013). This paper will analyze the various efforts in technology, explain the internal and external changes, and identifying the health information management systems in use within the hospital and being able to analyze the different roles of key personnel and stakeholders.
Analyzing the Effects of Advances in Technology
There are many different effects of advances in technology on the healthcare environment. Electronic Health Records (EHRs) has been a significant change in the healthcare field as it replaces the paper format. The implementation of the EHRs has impacted a handful of roles in the medical field, such as nurses, medical assistants, to even medical coding professionals (Banova, 2019). Nurses and technicians are the ones who input the patient's data into a central digitized system. Medical billers and coders diagnostic codes as well as submit any claims to insurance companies. It helps the patients and makes it much easier for them to access their health records, but also ensures that any mistakes made are seen quicker. The benefits that the EHR has brought into healthcare is improved public health. Inputting data in a computerized system makes it less time-consuming then paper-based. It minimizes the risk of any mistakes from happening patient data and financial details. The EHRs also lower the cost of the outpatient by 3% (Banova, 2019).
The big data and the cloud, which is also sometimes intertwined with the electronic health records (EHRs), is referred to as an enormous amount of data that is collected, processed, and used for analytics (Banova, 2019).in healthcare, the collect and store a lot of data, and this is where the cloud comes into play. The cloud uses hardware and software to deliver service across the internet. It allows a lot of information to store at a very low cost, without any limitations or servers. The cloud storage also protects from loss of sensitive data, backup information, and recovery services.
Telemedicine, which is referre to as two-way video consultations, is used in several different fields, especially in a sector like cardiovascular healthcare. Telemonitoring technology can monitor many things, such as vital signs, symptoms, and blood levels from a remote location (Banova, 2019). With the implementation of these telemedicine means fewer patients in waiting rooms, access in rural areas will be improve as well as the efficient leading to saving will also improve. Another effect of advances in technology is mobile health, which is refer to as healthcare and medical information that is supported by mobile technology, which is another advance technology has to offer in healthcare. It allows practitioners to be able to have access to patient's EHRs, medical histories, write follow-ups emails, and being able to send prescriptions to the pharmacies. It cut down on the paper use as well as unnecessary time spent being on the phone.
External and Internal Changes to Health Informatics and the Challenges for Managers
The prediction for successful healthcare information systems (HIS) implementation is excellent, which is expected to increase legibility, decrease medical errors, shrink the cost, and boost the quality of healthcare. Healthcare information technology (HIT) implementers and promoters continue to espouse these benefits as opportunities for the transformation of the healthcare sector (Ngafeeson, 2014). Nevertheless, some challenges are issues arising from the very nature of healthcare information to the problems that deal with healthcare information technology as well as their users. With the healthcare information system changing and continues to evolve, it offers unique opportunities as well as challenges; they both are cut through technological, organizational, and human factors.
Healthcare information systems (HIS) are expected to save money and generate organizational profitability through efficiencies, cost-effectiveness, and safety of medical deliveries. HIS is likely to decrease expenses that are related to record-keeping as it meets the privacy regulation standards and improving workflows, practice management, and billing (Ngafeeson, 2014). It is also likely to permit automated sharing information with the provider, minimize office visits, and hospital admissions. It has been said that information technology (IT) in the healthcare systems leads to increased profitability and quality products as well as services. "The Institute of Medicine (IOM) study had reported that an estimate of 98,000 people died in the U.S. hospitals each year from medical errors alone" (Ngafeeson, 2014). It has been predicted that 50% of errors could be reduced over a five year period if existing technological know-how was implemented. With a list of solutions to these issues, the IOM unequivocally stated the use of health information technologies such as e-prescription is a key solution, which health information systems role in increasing legibility and medical error reduction and show to be a potential benefit.
In spite of the opportunities that the health information systems to radically transform healthcare and the healthcare sector, there are challenges as well. These challenges are based on the technology itself, the healthcare setting as well as, systems users and regulatory environments. There are a few barriers that are faced by healthcare information technology proponents such as, low adoption rates by doctors and hospitals due to cost, concerns of privacy, etc. In general, the challenges stem from the interaction of technical, human, and organizational factors affecting the adoption and use of the healthcare systems (Ngafeeson, 2014). Technical problems are from the lack of standardization of technology, the absence of well-developed healthcare information exchange, which can cause an issue and permit healthcare institutions in a given region to share any healthcare data freely. Being able to have the ability to have an interoperable health information exchange that can share information fast and seamlessly raises concerns on privacy as well as security of electronically transmitted data.
Many concerns with managers about the cost, return on investments, the interest and interest of external stakeholders, like the government. They observe the system from the standpoint of the surrounding socio-political and economic system with which the technology is supposed to be embedded (Ngafeeson, 2014). For example, technology is considered as a rational entity. When financial information is looked is perceived to have a role in the health information system (HIE), it's more likely that the information systems are viewed through an objective and rational model. Healthcare Information systems (HIS) direct and indirect cost still remains a problem. Due to high initial investments and the low perceived return on investments.
HIM Professionals Roles and Responsibilities
Health information management (HIM) is the practice of acquiring, analyzing, and protecting digital and traditional medical information vital to providing quality care (Health Information 101, n.d.). They are trained on the most recent information management technology applications as well as understanding the workflow in any healthcare provider organization such as large hospitals and private physician's practices. HIM professionals are vital to the day to day operations management of health information as well as electronic records (EHRs). Also, ensuring that the information of a patient and records are accurate, complete as well as protected. Health information management professionals (HIM) work in serval different places and have different titles as well as serve in bridge roles, connecting clinical, operation and administrative functions (Health Information 101, n.d.). They work on the classification of diseases and treatments, ensuring they are standardized for clinical, financial, and legal uses in healthcare. HIM professionals care for their patients by caring for their medical data. There are a few things that HIM professionals are responsible for which are, the quality, integrity, and protection of patients. Information, which can include the following, physical exam, lab results, clinical information such as nurse's notes, and many others.
Health information technology (HIT) refers to the framework used to manage health information and exchanging information in a digital format. HIT professionals mostly focus on the technical side of managing health information, working with software and hardware use managing and storing patient data. Usually, HIT professional backgrounds are from information technology and provides support for EHRs and other health information management professionals use to secure health information. With technology changing every day and advances, health information technology professions ensure that the electronic data Healthcare management (HIM) professionals manage, maintains, and exchange accurately and efficiently.
Health informatics (HI) is described as how health information is technically captured, transmitted, and utilized. It mostly focuses on information systems, informatics principles, and information technology, which applies to the continuum of healthcare delivery. Health informatics is an integrated discipline with different specialty domains that include management science, management engineering principles, healthcare delivery, and public health, patient safety, information science, and computer technology (Health Information 101, n.d.). Health informatics programs show individuality by proposing different options for practice and research focus. In informatics education, there is four significant focus research reflecting different disciplines such as medical/bio informatics-physicians- and research-based attracts medical students, nursing informatics-clinical-and research-based, attracts nursing students. Also, public health informatics-public health-and biosurveillance-based, attracts public health students and applied informatics-which addresses the flow of medical information in an electronic enlivenment and also covers process, policy, and technological attracts HIM, students.
Identifying HIM Systems Stakeholders
When it comes to determining the HIM systems stakeholders in healthcare, there are a few that play a significant role. These stakeholders are board members, chief executive officer, and chief medical information officer, quality officer, IT/information leadership, and so much more. Each stakeholder has a specific role that is significant when it comes to the HIM systems. Some of the HIM systems stakeholders and their roles are as followed;
- Board Members/Board Chairs: are central to showing the way and supporting corporate officers engaging in clinical decision support (CDS) implementation and showing support to an organization’s CDS efforts with the public.
- Chief Executive Officer: It is essential to providing vision and support. Connecting well with the staff and considering feedback in his or her leadership role.
- Chief Medical Information Officer: bridges the gap among clinical and administrative considerations of implementation. As Chief Medical Information Officers, there responsible for choosing clinical champions, translating the administration's vision of a CDS to the clinicians.
- IT/Informatics Leadership: stakeholders that understand the limitations of the posed intervention and also plays a significant part in the implementation of CDS systems. Knowledge of the clinical information systems, the hardware, and the software may help understand the impact of the impact a new intervention can have on these systems and workflow. These roles also include Chief Information Officer as well as Directors of Information Systems.
Healthcare has changed dramatically, and it keeps on changing. Technological developments in healthcare continue to improve the quality of life. The health Information Management is the practice of acquiring, analyzing and protecting digital and traditional medical information vital to providing quality patient care. The Stakeholders are very important when it comes to any organization and benefits in different ways as well as help in the organization operations. With the opportunity that technology has to offer there are still areas that are challenging. Each stakeholder in the health information management and health information plays a role with functions too successfully operate an organization.
Banova, B. (2019, June 3). The impact of technology on healthcare. Retrieved from https://www.aimseducation.edu/blog/the-impact-of-technology-on-healthcare/
Health Information, 101. (n.d.). Retrieved from https://www.ahima.org/careers/healthinfo
Ngafeeson, M. N. (2014). Healthcare Information Systems Opportunities and Challenges. Retrieved from https://commons.nmu.edu/cgi/viewcontent.cgi?article=1012&context=facwork_bookchapters
Thimbleby, H. (2013). Technology and the future of healthcare. Journal of public health research, 2(3), e28. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147743/