NUR 3563 CIS Presentation Shannon Simpson Southwest Baptist University

1. CLINICAL
INFORMATION SYSTEM
BY:
Shannon Simpson
Healthcare Informatics
NUR 3563

2. CIS Definition/overview
 Clinical Information System—is a
technology based system that is applied
at the point of care and is designed to
support the acquisition and process of
information as well as providing storage
and processing capabilities. It is a
collection of various information
technology applications that provides a
centralized repository of information
related to patient care across distributed
locations.(McGonigle, D & Mastrain, K).

3. The 8 components needed in
the CIS system
Schedule designe
Number of system
Type of application and budge
users
constraints
Department using Where software and How & where data
the systems data will reside will be backed up
Requiements for
system redundancy
(Thede, L & Sewell,
J).

4. Technological Competencies
 All users of computerized clinical
information system need to have
technological competencies. These
competencies, computer literacy and
keyboarding skill, should be
addressed long before a system is
implemented (Thede, L & Sewell, J).

5. Who are the key players?
Implementation should involve those who work w/ patients to
improve the interface, accuracy and security .
IT Department Physicians,
& Project Support Staff PCA’s &
Management Nurses
Essential in entering patient
information and HIPPA laws
to ensure privacy, reducing
errors in distribution of meds
to patient (book)
Ensures proper screening
and preventative measures
Essential skill of the nursing Provides timely response to
informatics specialist. patient needs
Refers to the management
of the project from start to
finish. (book)
Ensures accuracy and
Timely manner in which any eliminates the need for lost
problems are addressed charts (Thede, L & Sewell,
J).

6. Costs involved with
implementing a CIS system
Tier 1: (less than 100 bed facility) $1-$2
million spent on hardware, software and
implementation. $100,000 spent each
year on maintenance fees
Tier 2: (100-300 bed facility) $3-$10
million spent on hardware, software and
implementation. $200,000-$300,000
spent per year on maintenance.
Tier 3: (more than a 300 bed facility)
$10m-$1b spent on hardware, software,
and implementation. $1m spent each
year on maintenance. (Cotti & Swab)

7. SAFETY

8. Safety Con’t
 Storage of Data
◦ Should provide retrieval of data used in
long-range planning and research (Thede,
L & Sewell, J).
 Protection of the files
◦ Major software upgrades include new
virus protectors.
◦ Equipment and software upgrades to
ensure up-to-date software (Thede, L &
Sewell, J).

9. Safety Con’t
 Ways to protect your passwords
◦ Change your password often
◦ Use letters and numbers
◦ Never give your password out to anyone
 Ways to back up data
◦ DVD
◦ To a main Hub off site
◦ A zip drive
◦ Any other device that can be stored off
location site (Thede, L & Sewell, J).

10. HIS project requirements
refer to certain needs that
include:
Schedule, design, and budget constraints:
should be limited to only a number of uses in the
IT department or management department
The number of system
users: should be The departments that will use the system: should
limited only to those include those that only need access to the
with clearance and the system, such as IT department, nurses,
experience (training) to physicians etc…
use the software.
Requirements for system
The type redundancy (if one system The type and availability of system
of Where the software and data will fails, another system takes support that is available.: even the
application reside: The main hub should be over) best systems will have bugs &
located off campus and
issues, and system maintenance
monitored closely for security
is an ongoing process (Thede, L
breaches or viruses & Sewell, J).

11. Electronic MEDICAL Record
 Electronic medical records are records about
patient care that are kept on a computer rather
than on paper, the traditional medium for patient
histories. These records can include extensive
information about a patient's general health,
current and past illnesses and medical
conditions, diagnostic test results and treatments
and medications prescribed. Often, electronic
medical records also include an application for
prescribing and ordering medication (Heflin, C).
They are owned and managed by the institution
or provider that creates them, and are often
combined so that information from all member
agencies and providers is accessible by those
with the required authorization (Thede, L &
Sewell, J).

12. Electronic Health
Record
 The current record system, whether paper or
electronic, makes it difficult for individual to
have access to their healthcare records.
Additionally, it handicaps healthcare providers
by preventing them from having complete
information about a person.
 Under the HER model, one’s health
information will be available from any
location.
◦ This will make it easier for patients who visit
multiple providers
◦ Will also provide safer care in the advent of an
emergency (Thede, L & Sewell, J).

13. How often should it be
updated to meet EBP guidelines?
 EBP guidelines should be updated
frequently, as little as every 3 months
but no longer than 1 year, to ensure the
best standard of care is being delivered
to the patients.

14. Advantages of EMR
Advantages
Computerized records have several advantages over traditional
paper records:
1. The data tends to be more accurate. Electronic records
eliminate the possibility of mistakes as a result of misreading
a doctor's handwriting.
2. They're easily accessible to all care providers and to more
than one care provider at a time.
3. They're easy to store and take up less space than paper
records.
4. They're easily portable from one doctor's office to another.
5. Their use can lead to cost savings, since keeping
electronic records is more efficient than retaining paper
records (Heflin, C).

15. Disadvantages of EMR
Disadvantages of computerized records include the
following:
1. The possible incompatibility of computer
systems among various health care providers
can lead to difficulty in sharing the data.
2. Privacy and security can be an issue. If
someone hacks into a computer system,
thousands of patients' records can be
compromised. Also, some critics say the federal
government wants to use electronic records
systems to ration health care services.
3. Computer crashes make records inaccessible.
4. The cost of implementing an electronic records
system can be expensive (Heflin, C).

16. References
Ciotti, V. & Swab, J (2010). What to consider when
purchasing an EHR system. Healthcare financial
management, 64(5):38-41 Cinhal plus with Full
Text.
Heflin, C Definition of electronic medical record.
(n.d) retrieved 04/10/2012, from eHow Web Site:
http://www.ehow.com/about_5059193_definition-
electronic-medical-records.html
McGonigle, D & Mastrain, K (2009). Nursing
Informatics and the Foundation of Knowledge.
Jones and Bartlett Publishers. Pg 193.
Thede, L & Sewell, J (2010). Informatics and
Nursing. Philadelphia, PA 19106: Lippincott
Williams & Wilkins. Pg. 233-234, 329-340, 350,