Hospital and Health Information Systems – Current Perspectives

Summary

Objective

To celebrate over 30 years of health information systems’ (HIS) evolution by bringing together pioneers in the field, members of the next generation of leaders, and government officials from several developing nations in Africa to discuss the past, present, and future of HISs.

Methods

Participants gathered in Le Franschhoek, South Africa for a 2 ½ day working conference consisting of scientific presentations followed by several concurrent breakout sessions. A small writing group prepared draft statements representing their positions on various topics of discussion which were circulated and revised by the entire group.

Results

Many new tools, techniques and technologies were described and discussed in great detail. Interestingly, all of the key themes identified in the first HIS meeting held over 30 years ago are still of vital importance today: Patient Centered design, Clinical User Support, Real-time Education, Human-computer Factors and Measuring Clinical User Performance, Meaningful use.

Conclusions

As we continue to work to develop next-generation HISs, we must remember the lessons of the past as we strive to develop the solutions for tomorrow.

Keywords

Hospital information system - medical informatics; nursing informatics - public health informatics - computers

• References

• 1 Shannon RH. editor. Hospital Information Systems: An international perspective on problems and prospects. North Holland: 1980
• 2 Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. National Academy Press; Washington, D.C: 2001
• 3 Stead W, Linn H. Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions. National Academies Press; Washington, D.C: 2009
• 4 Kandelwal A. Building foundation Service Oriented Architecture. Service Oriented Architecture can leverage granular services to create complex services and business processes, Healthc Inform 2011; Feb; 28 (02) 73-5.
• 5 Koufi V, Malamateniou F, Vassilacopoulos G, Papakonstantinou D. Healthcare system evolution towards SOA: a security perspective. , Stud. Health Technol Inform 2010; 160 (Pt 2): 874-8.
• 6 Yang TH, Sun YS, Lai F. A Scalable Healthcare Information System Based on a Service-oriented Architecture. J Med Syst. 2009 Sep 24. [Epub ahead of print]
• 7 Shabo A. Meaningful use of pharmacogenomics in health records: semantics should be made explicit. Pharmacogenomics 2010; 11 (01) 81-7.
• 8 Amarasingham R, Platinga L, Diener-West M, Gaskin DJ, Powe NR. Clinical Information Technologies and Inpatient Outcomes. Arch Intern Med 2009; 169 (02) 108-14 (http://archinte.ama-assn.org/cgi/content/full/169/2/108)
• 9 Economic Impact of Interoperable Electronic Health Records and ePrescription in Europe (01-2008/02- 2009). http://www.ehr-impact.eu/
• 10 Marin HF. Nursing Informatics:Advances and trends to improve health care quality. Int J Med Inform 2007; 76 (02) 267-9.
• 11 Marin HF, Lorenzi NM. International Initiatives in Nursing Informatics. In: Weaver CA, Delaney CW, Weber P, Carr RL. editors. Nursing and Informatics for the 21st Century - An International Look at Practice, Education. second edition.. HIMSS, 2010: 45-51.
• 12 Marin HF. The frontiers for nursing and health care informatics. Int J Med Inform 2005; 74: 695-704.
• 13 Kuhn KA, Giuse DA, Talmon J. The Heidelberg Conference: Setting an agenda for the IMIA working group on Health Information Systems. Int J Med Inform 2003; 69 (2-3): 77-82.
• 14 Ammenwerth E, Brender J, Nykänen P, Prokosch H-U, Rigby M, Talmon J. Visions and strategies to improve evaluation of health information systems. Reflections and lessons based on the HIS-EVAL workshop in Innsbruck, Int J Med Inform 2004; 73 (06) 479-91.
• 15 Talmon JL, Ammenwerth E, Brender J, de Keizer N, Nykänen P, Rigby M. STARE-HI—Statement on reporting of evaluation studies in Health Informatics. Int J Med Inform 2009; 78 (01) 1-9 Also available at http://www.imia-medinfo.org/ new2/Stare-HI_as_published.pdf
• 16 Nykänen P, Brender J, Talmon J, Nicolette de Keizer N, Rigby M, Beuscart-Zephir M-C. et al. Guidelines for good evaluation practices in health informatics (GEP-HI). Submitted for publication.
• 17 Han YY, Carcillo JA, Venkataraman ST, Clark RS, Watson RS, Nguyen TC. et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.Pediatrics. 2005; Dec; 116 (06) 1506-12.
• 18 Strom BL, Schinnar R, Aberra F, Bilker W, Hennessy S, Leonard CE. et al. Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial. Arch Intern Med 2010; Sep 27; 170 (17) 1578-83.
• 19 Longhurst CA, Parast L, Sandborg CI, Widen E, Sullivan J, Hahn JS. et al. Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system. Pediatrics 2010; Jul; 126 (01) 14-21 Epub 2010 May 3..
• 20 Brown SH, Speroff T, Fielstein EM, Bauer BA, Wahner-Roedler DL, Greevy R. et al. eQuality: Automatic assessment from narrative clinical reports. Mayo ClinProc 2006; 81 (11) 1472-81.
• 21 Brown SH, Elkin PL, Rosenbloom ST, Fielstein E, Speroff T. eQuality for all: Extending automated quality measurement of free text clinical narratives. AMIA AnnuSymp Proc 2008; Nov 6: 71-5.
• 22 Ceusters W, Elkin P, Smith B. Negative findings in electronic health records and biomedical ontologies: a realist approach. Int J Med Inform 2007; 326-33.
• 23 Elkin PL, Brown SH, Husser CS, Bauer BA, Wahner-Roedler D, Rosenbloom ST. et al. Evaluation of the content coverage of SNOMED CT: ability of SNOMED clinical terms to represent clinical problem lists. Mayo Clin Proc 2006; Jun; 81 (06) 741-8.
• 24 Winter A. The Future of Medical Informatics - Some Perspectives of Intra-and Inter-institutional Information Systems. Methods Inf Med 2009; 01: 62-5.
• 25 Black AD, Car J, Pagliari C, Anandan C, Cresswell K, Bokun T. et al. The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview. PLoS Med January 2011; 08 (01) e1000387.
• 26 Greenhalgh T, Hinder S, Stramer K, Bratan T, Russell J. Adoption, non-adoption, and abandonment of a personal electronic health record: case study of HealthSpace. BMJ 2010; 341: c5814 doi:10.1136/ bmj.c5814.
• 27 Alter S. Viewing Systems as Services: A Fresh Approach in the IS Field. CAIS 2010; 26 (11) 195-224.
• 28 The World Health Organization Resolution on eHealth Agenda item. 4.13. 24 January 2005; EB115.R20 available at: http://www.who.int/ healthacademy/media/en/eHealth_EB_Res-en.pdf
• 29 Were MC, Shen C, Tierney WM, Mamlin JJ, Biondich PG, Li X. et al. Evaluation of computer-generated reminders to improve CD4 laboratory monitoring in sub-Saharan Africa: a prospective comparative study. J Am Med Inform Assoc 2011; Mar 1; 18 (02) 150-5 Epub 2011 Jan 20..
• 30 Tierney WM, Achieng M, Baker E, Bell A, Biondich P, Braitstein P. et al. Tanzania-Uganda Openmrs Consortium. Experience implementing electronic health records in three East African countries. Stud Health Technol Inform 2010; 160 (Pt 1): 371-5.
• 31 Sittig DF, Singh H. A new sociotechnical model for studying health information technology in complex adaptive healthcare systems. QualSaf Health Care 2010; Oct; 19 Suppl (Suppl. 03) i68-74.
• 32 Pew Internet & American Life Project;2010. http://www.pewinternet.org/Reports/2011/HealthTopics/ Summary-of-Findings/Looking-for-health-information.aspx Accessed 21 March 2011
• 33 Kummervold PE, Chronaki CE, Lausen B. et al. eHealth Trends in Europe 2005-2007: A Population-Based Survey. J Med Internet Res 2008; 10 (04) e42 doi: 10.2196/jmir.1023.
• 34 White R, Horvitz E. Cyberchondria: Studies of the escalation of medical concerns in Web search ACM Transactions on Information Systems. Microsoft Research. 2009 doi: 101145/1629096.1629101
• 35 The Health On the Net Foundation. http://www.hon.ch/ Accessed 21 March 2011
• 36 Nabarette H, Romaneix F, Boyer C, Darmoni SJ, Rémy P-L, Caniard E. Certification des sites dédiés à la santé en France [Certification of health-related websites in France]. Presse Med 2009; Oct; 38 (10) 1476-83 French..