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Information Technology in Health Care

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Information Technology in Health

Care
Introduction

This term paper would discuss how Information technology (IT) has the potential to
improve the quality, safety, and efficiency of health care. Later present trends in IT
Healthcare would be discussed. Case Study would be followed by conclusion.

Information Technology in Healthcare

In general, IT allows health care providers to collect, store, retrieve, and transfer
information electronically. However, more specific discussion of IT in health care is
challenging due to the lack of precise definitions, the volume of applications, and a rapid
pace of change in technology. In general, the various IT applications fall into three
categories:
• Administrative and financial systems that facilitate billing, accounting, & administrative
tasks.
• Clinical systems that facilitate or provide input into the care process.
• Infrastructure that supports both the administrative and clinical application

Current status of Health Information Technology

The degree of IT use varies by health care setting: Pharmacies are generally advanced
users, while other settings such as physician offices or nursing homes are further behind.
The kind of technology used also varies by setting. For example, in home health, the use
of technology that allows patients to monitor their own vital signs from their home and
communicate results to the agency could increase the ability to address a problem before
a patient requires acute care. In both home health and nursing home settings, use of
handheld computers to complete documentation and capture patient assessment
information can increase efficiency and provide more information to care givers. IT and
the Internet have also had a significant impact on consumers. Numerous websites have
made health information more available to patients, thereby strengthening their role in
care decisions. The Internet also helps consumers choose providers by allowing insurers
and others (including Medicare) to post information on providers including, in some
instances, comparative quality information.
IT Application In Healthcare- Present & Emerging Trends

• Electronic health record (EHR): EHRs were originally envisioned as an electronic


file cabinet for patient data from various sources (eventually integrating text, voice,
images, handwritten notes, etc.). Now they are generally viewed as part of an automated
order-entry and patient-tracking system providing real-time access to patient data, as well
as a continuous longitudinal record of their care.

• Computerized provider order entry (CPOE): CPOE in its basic form is typically a
medication ordering and fulfillment system. More advanced CPOE will also include lab
orders, radiology studies, procedures, discharges, transfers, and referrals.

• Clinical decision support system (CDSS): CDSS provides physicians and nurses with
real-time diagnostic and treatment recommendations. The term covers a variety of
technologies ranging from simple alerts and prescription drug interaction warnings to full
clinical pathways and protocols. CDSS may be used as part of CPOE and EHR.
• Picture archiving and communications system (PACS): This technology captures
and integrates diagnostic and radiological images from various devices.

Bar coding: Bar coding in a health care environment is similar to bar-code scanning in
other environments: An optical scanner is used to electronically capture information
encoded on a product. Initially, it will be used for medication (for example, matching
drugs to patients by using bar codes on both the medications and patients’ arm bracelets),
but other applications may be pursued, such as medical devices, lab, and radiology.

• Radio frequency identification (RFID): This technology tracks patients throughout


the hospital, and links lab and medication tracking through a wireless communications
system. It is neither mature nor widely available, but may be an alternative to bar coding.

• Automated dispensing machines (ADMs): This technology distributes medication


doses.

• Electronic materials management (EMM): Healthcare organizations use EMM to


track and manage inventory of medical supplies, pharmaceuticals, and other materials.
This technology is similar to enterprise resource planning systems used outside of health
care.

• Interoperability: This concept refers to electronic communication among organizations


so that the data in one IT system can be incorporated into another. Discussions of
interoperability focus on development of standards for content and messaging, among
other areas, and development of adequate security and privacy safeguards.

Case Study

Improve Patient & Physician Satisfaction


Through Streamlined IT Operations

The Perot Systems team helped SJHS create a technology strategy that supports and
enhances patient care and clinical satisfaction. Key milestones included:
• Implementation of wireless solutions for ER, physician office, and clinical care
mobility.
• Utilization of thin client technologies to create a highly available clinical workstation
environment.
• Implementation and leveraging of a high-speed Storage Area Network (SAN) and tape
backup technologies.
• Implementation of a high-speed, redundant wide-area network.
• Establishment of business partner relationships with key technology and software
providers.
• Roll out of a large-scale Care Redesign program.
• Quick implementation of a Picture Archiving and Communications System (PACS).

The Results

IT service quality was one of the highest priorities during the initial phase of Perot
Systems’ relationship with SJHS. We enabled SJHS to significantly improve service
levels, increase IS accountability, and instill a proactive culture.
Through a sound strategic plan, as well as clinical and technology solutions specific to
SJHS' environment, SJHS has achieved the following results:
• Improved IT service delivery
• Enhanced subject matter expertise and the retention of hospital employees
• Improved support processes associated with patient care delivery

Conclusion

World is shrinking day by day with advancement of technology. Customers' expectations


are also increasing and companies are prone to more and more uncertain environment.
We can see from the above analysis that Information Technology has got a crucial role in
health sector and how IT developments have presented firms with unprecedented
opportunities to gain competitive advantage. So IT investment is the pre-requisite thing
for each firm in order to sustain in the market. However clear vision, strong planning and
technical insight into the Internet's capabilities would be necessary to ensure that firms
maximize the Internet's potential for better healthcare and ultimately improved
competitiveness. Internet technology, World Wide Web, electronic commerce etc. will
change the way a company is required to do business.
References

1. Case Study- www.perotsystem.com/healthcare

2. www.google.co.in

3. Medpac’s A Report To Congress: New Approaches In Medicare, June2009.

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