Healthcare informatics

Healthcare informatics

Capabilities of various decision support

Computerized physician order entry

Allows entry of medical order and instructions for treatment of patient by a doctor

Medication reconciliation

Allows matching and verification of the current medications with the patient record or
medication order

Computerized prescribing

Helps to keep track of the kind of prescriptions of the medical practitioner

Clinical decision support

Helps clinicians to make decision based on the patient information input in the
computer by refereeing to the existing medical evidence

Benefits of the support system

Computerized physician order entry

Decrease delay in order completion as well as errors related to handwriting


It requires proper implementation and application

Resolving the challenge

Proper implementation

Training to medical practitioner on its use

Needs assessment

Area requiring assessment is health information

Functional needs


Manual guides

Training kit

Skills and knowledge on how to use the system to
share information

Staff concerns

Requisite skills to use the platform- Require
additional training

EHR comparison

HER affects privacy when information of the patient is not protected

The system should be protected with antivirus to avoid data loss

Physical security to deter thieves from carrying the machines

Using of passwords to restrain access by unauthorized persons

The system should meet the recommended standards

They should be authorized by the government to ascertain their

Project plan elements

The goals and the objectives

The project manager and team members

Financial requirement

Time for implementation

Project team

Team will be formed based on the kind of the project

The skills required among team members

The duration the project will take

Team members must be competent with requisite skills

Team members’ value

Team members must bring value to the entire team

Team leaders ensures that the team is united and with similar goals

Team members cooperate with each other to ensure the project

Practice benefits

Facilitate efficiency and accuracy in business function and
management of aspects of health care

Provide decision support to medical staffs hence enhance quality
and patient safety

Functional application

EHR that can be implemented:

Hospital: Clinical decision

Nursing home: Medication reconciliation

Dental office: Computerized prescribing

Justification on cost-benefit analysis

Allows assessment of the benefits of the system compared to the cost incurred

It is a decision strategy

Low cost vendor with high quality services is selected


A request for information aims to get more information about a particular issue

Request for proposal is a request for ideas and opinions about how something should be done


One of the above may be proffered based on the nature or stage of implementation.

Information is request for clarification and for improvement

Proposal is requested before implementation of the project


Both may b used because they help in successful completion of a project.

Ideas are required as well as information on the implementation of a project


Information include

The aim of the proposal

The benefit for the proposal

The kind of the project

The team to implement

Resources availability

Time allocated

Contact person

Information is key to success of the project

Contact person coordinate communication

Team members will be appointed to assume the role

Working relationship

Members will work with each other

Cordial relationship builds on trust and honest

Leadership will unite the members

Positive relationship with the stakeholders

Acute are applications

Computerized physician order entry

Medication reconciliation

Computerized prescribing

Clinical decision support

Acute are applications

Computerized physician order entry: Proper record management

Medication reconciliation: Decision-making

Computerized prescribing: Proper medical prescription

Clinical decision support: Clinical reporting quality management

Acute care human resources

Competent and qualified staffs to operate the systems

Introducing new technology

Introduction should be systematic and piecemeal

It allows the staffs to learn the new technology as they still use the old system

His reduces inconveniences incase of failure of the new system

Outpatient application

Medication reconciliation: Decision-making

Computerized prescribing: Proper medical prescription

Computerized physician order entry: Proper record management

Outpatient application use

Medication reconciliation: Decision-making

Computerized prescribing: Proper medical prescription

Computerized physician order entry: Proper record management

Outpatient human resources

Competent staffs to enhance the changes

Model comparisons

Consolidate/centralized mode data stored in a single warehouse

Decentralized model/federated/distributed model

Data is a the point of service

Members share communication with others.

Exchange benefits of health information exchanges

Ensures similarities in the information hence enhancing quality of care

Enhances efficiency

Exchange challenges

It is a complex and expensive to maintain

Failure in one system may hamper operation of the other system

Providing health records

Factors to consider

The security

The privacy- gets informed consent

The legality question complaisance to the law on
information disclosure


Examples of organizations include

John Hopkins

Mayo clinic

Qualities of personal health records

Should be accurate

Based on the evidence of the information provided

Should be authentic




2 month

Team formation

1 month

Commencing time



Timeline implementation

Timeline development




Based on the nature of the tasks

Project member roles

Team members play various roles

Ensure that the system is well implemented

Work closely with one another

Ensure that the workers are able to operate-training

Ensure that there is monitoring and evaluation

Ensure that resources are utilized well

Team manager role

Overseas the overall project

Provide guidance

Ensure the project runs smoothly

Solves conflicts

Work flow

EHR will improve on flow of work

Less staff will execute roles

Will enhance efficiency

The work load will also reduce

Challenges in implementing HER

Financial support

Lack of support

Adamant to change

Lack of people with information on their operation

Recommended solutions

Training of employees

Convincing the people to accept change

Implementing the project piecemeal

Using example of other organization with the system

Utilizing resources well

Organizational impact

Will improve service delivery

Makes the organization to be perceived positively

S improve the profitability of the organization through service efficiency

Enhance medical decision-making process

Inclusion of quality data in the system

Enhances strategic planning


Bredfeldt, C., Awad, E., Joseph, K., & Snyder, M. (2013).Training providers: beyond the basics of electronic health records. BMC Health
Services Research, 13(1):1-14.

Davidson, R., Fletcher, S., & Retchin S, et al. (1990). A nurse-initiated reminder system for the periodic health examination.
Implementation and evaluation. Arch Intern Med. 44:2167–70.

Francis, T. (2013). Electronic Health Records: Where we are and where we’re going. Physician Executive, 39(4): 82-84.

Friedman, D., Parrish, R., & Ross, D. (2013). Electronic Health Records and US Public Health: Current Realities and Future Promise.
American Journal of Public Health, 103(9): 1560-1567.

Healthcare IT news. (2014). Computerized physician order entry (CPOE). Retrieved from:

HIE answers. (2014). Health information exchange models. Retrieved from:

King, J., Paice, N., & Rangrej, J. et al. (2003). The effect of computerized physician order entry on medication errors and adverse drug
events in pediatric inpatients. Pediatrics,112:506–9

Lee, A. (2013). 5 Things to Know About Electronic Health Records, 42( ): 1-10.

Nancy, S., Charle, C., & Shobha, P. (2010). Chapter 47Patient Safety and Health Information Technology: Role of the Electronic Health
Record, patient Safety and Quality: An Evidence-Based Handbook for Nurses

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