How is a CIS a better solution to collecting and storing data?
Clinical Information Systems are involved in various functions such as collection, manipulation, and storage of data which is significant in the delivery of substantial healthcare. According to Clinical Information Systems, (2006), some systems associated with the CISs such as the laboratory and ECG management are located in single areas while others such as the EMRs cover larger areas. These are involved in dealing with factors that surround providing clinical information. In comparison to the manual writing of data on paper charts, the CISs are computerized, and therefore store medical information regarding patients which include the medical history and patient charts among others. Moreover, due to computerization of this report, the data is readily available and can easily be edited.
Explain at least one way a CIS is adaptable and accessible compared to a paper system.
From experience I gained with the NextGen EHR system, I came to understand the reason why CIS is more significant compared to the paper system. The EHR system can be logged on by the medical staff such as the nurses, physicians and lab staff who can make adjustments to the information on the computer. This may be making notes, lab orders, prescribing medication, and making other changes. The system also allows other users to access information such as the patient history as long as they are logged in. The Institute of medicine has outlined the benefits of electronic medical records as follows: first, the system has programs which can alert, remind or suggest to the individual on performing various tasks. The system is convenient to use and can be accessed by legitimate stakeholders of the organization. Electronic medical records have brought about offering of better services to the patients at low costs (Clayton, 2005). Additionally, the system can be used to analyze the population database for clinical research while also giving the necessary measures, outcomes and epidemiological assessments. While using the paper system, the nurses have to update the paper record from time to time while making sure that the patient has the chart in every location.
What is the financial impact on an organization?
Some of the most expensive medical facilities to operate are hospitals and clinics. Jones, (2016) stated that “Medical equipment varies tremendously from hospital to hospital.” The equipment comprises reception desks, cubicles and laboratory machines which can be used by chemistry analyzers to run more than $213,000 for one machine in a laboratory ranging from mid to high volume level (Beckman Coulter, 2016). Mustapha, (2014) acknowledged that X-ray machines could run $125,000 without including the fact that pay role-plays a significant role and varies between big and small hospitals. Additionally, the cost is high for supplies such as aspirin pain-killers and scrubs, malpractice costs and the cost of building a new hospital (Jones, 2016).
The financial impact can be seen in various fields in the healthcare facilities such as in supplies, labor, and clinical efficiency. Moreover, the administrative efficiency is part of the financial impact because the clinical information systems can cause changes in this area which is related to the financial stability of the healthcare facility (Danielson, 2006). When it comes to the issue regarding supplies, the healthcare facility saves more income and time when they switch from the paper-based system to the computerized system since there is no paper wastage. According to Danielson, (2006) supply expenses are responsible for about 25-30% of the hospital spending. However, various suggestions show that the inventory management systems can be used to save up to 8-14% of the total. Additionally, this knowledge benefits financial and saving institutions since they can know whether these saving can be achieved (Danielson, 2006). Other practices which can help with the savings include the better management of the storage and retrieval of the inventory. When the labor issues are involved, some of the most important changes which can be made include staff mix which consists of the full time and part time employees, giving the staff overtime and also introducing changes in the staff ratios and productivity.
The CIS implementation includes aspects such as the billing and charge capture which belong to streamline processes of the administrative and clinical efficiencies. According to Danielson, (2006) clinical abilities refer to the significance of the system to the patients and also how the system affects the institution financially. Clinical capabilities can be converted to financial impact and some of the surrogate metrics which can be used to evaluate the process. They include: the length of stay (LOS), use of costly medication and ordering/reordering. First, the length of stay can be converted to make a financial difference during the implementation of CISs. Secondly, when the clinicians are provided with up to date information regarding tests which have been ordered, the information providers are less likely to reorder the test. Finally, Danielson, (2006) stated that due to the financial impacts which guide the clinicians to ask for formulated drugs, they could get critical financial savings which the CISs have enabled tracking of surrogate metrics which include preventive care measures and compliance rates among others.
References
Beckman Coulter, (2016, July). AU680 – Chemistry analyzers for mid- and high-volume laboratories. Retrieved 11th December 2017 from http://www.captodayonline.com/productguides/instruments/chemistry-mid-high-july-2016/beckman-coulter-au680-chemistry-mid-high-july-2016.html
Clayton, P. D. (2005). Obstacles to the Implementation and Acceptance of Electronic Medical Records Systems. Retrieved 11th December 2017 from https://www.ncbi.nlm.nih.gov/books/NBK22845/
Clinical Information Systems. (2006, August 06). Retrieved11th December 2017 from http://www.biohealthmatics.com/technologies/his/cis.aspx
Danielson, E. (2006). Evaluating the Impact of Implementing Clinical Information Systems. Retrieved 11th December 2017 from http//content.lib.utah.edu/utils/getfile/collection/etd1/id/1207/filename/19.pdf2.5.3 Financial Element
Jones, A. (2016, January 16). How much does it cost to run a hospital? Retrieved 11th December 2017 from https://www.quora.com/How-much-does-it-cost-to-run-a-hospital
Mustapha, T. (2014, July 2). GE Digital Radiography System Price Cost Guide. Retrieved 11th December 2017 from https:info.blockimaging.com/ge-digital-radiography-system-price-cost-guide