MMI 403 Introduction to Medical Informatics
Key Artifacts:
Syllabus
Individual Homework-Standardized Coding
Group Project-Implementation of Patient Hospital Information on Mobile Technology
Syllabus
Individual Homework-Standardized Coding
Group Project-Implementation of Patient Hospital Information on Mobile Technology
MMI 405 Healthcare Information Technology Integration, Interoperability and Standards
Key Artifacts:
Syllabus
Information Architecture
Group Project-Continuum of Care: Laboratory Integration
Syllabus
Information Architecture
Group Project-Continuum of Care: Laboratory Integration
Reflection
Learning Goals:
· Recognize how medical data including clinical, administrative and financial data is used in healthcare applications
· The nature of medical knowledge and decision-making and the role of decision support systems, knowledge based systems and artificial intelligence methods
· Identify how current and emerging information delivery methods including mobile networks, web-based databases and decision support systems can be used to enhance patient outcomes
· Current informatics software and systems used for clinical and professional support
· Integration between research, clinical data and theory in improving patient outcomes
As a nurse case manager, I know how important medical data is and how it is used in my line of work but our discussions in class and in Blackboard just put it all in perspective for me. Medical data not only provides a detailed information about a patient, it also supports communication between providers (encouraging specialists to enter their consult in our electronic medical record system so it is accessible to primary care physicians and other healthcare staff), identify patients who are at risk for developing specific diseases (through our disease management program), record interventions (i.e., sending patient to rehabilitation therapy several times in the past with no significant improvement), identify trends (increase of inpatient admissions during the flu season or increase of ER usage after 5 p.m.), provide legal documentation to show that proper care was afforded to the patient (my nurse instructor used to say “If you did not document it, you did not do it.”) and support clinical research. Medical data is also used to identify services or treatments that has the most claims generated (cancer treatment, ER services), and determine length of stay and types of admission in a rolling 12-month period. For my individual homework, I did my research on CPT codes and learned that it helps standardize descriptions of medical, surgical and diagnostic procedures so there is a better communication between providers, other ancillary providers and payors. I use CPT codes for patient procedures all the time and did not even realize that the AMA requires users to pay an annual licensing fee. I thought the CPT codes were mostly for the benefit of the payors but my research helped me understand that it actually serves as a communication tool between providers.
I had trouble associating knowledge based system with my work but then I realized I actually see it all the time. When a patient walks in to the ER with chest pain, the physician orders a battery of tests (cardiac enzymes, EKG) to determine if it’s cardiac in nature. Once that is ruled out, the physician then looks at other factors that might be causing the chest pain (stress, musculoskeletal). It does not matter which ER the patient shows up. The standard response when a patient comes in complaining of chest pain is to first rule out that it is cardiac-related and once that is out of the picture, start looking at other conditions that could cause it. When one of our providers requests a non-conventional treatment for a patient, I always request for related articles that would support their recommendations. Because most patients have access to the Internet, they have access to medical information at their fingertips. Unfortunately, some of these sites have questionable information. Referring the patients to reliable Internet sites would reduce the risk of misinformation. Using guidelines such as the Milliman Care Guidelines which is updated on a yearly basis, helps determine how many days a patient is authorized to stay in the hospital. Artificial intelligence, by using algorithms, could determine patients who have the potential of requiring extensive medical care in the future. One of the programs available is the D2HawkeyeReporting, which filters patient information based on what parameters are set by the end-user.
For my group project, I worked with Lynne Carveth, Janet Petrowsky, Noreen Phelan and Linda Vind in implementing a hand-held mobile technology which allows nurses to document at the point of care. We conducted a research to find out which mobile device would be cost-effective, has ease of use and with reasonable asking price. We came up with a business proposal to have the organization invest on Palm T/X. This device would allow nurses to chart without having to be at the nursing station thereby giving them more time to spend with their patients. This project made me realize that an informaticists does much more than just implementing EMR systems. I have never been involved in a business proposal at work but this exercise gave me a feel of it. In order to come up with the business proposal, we had to consider what the problem is, conduct our research and present our recommendations to the board. My previous classes helped me understand what the task at hand is. CIS 313 gave me the foundation of what devices would work well with our nurses in the hospital, how data is transmitted and what type of data media is available out there. CIS 317 helped in deciding how to manage and organize our data, design an application so nurses are able to chart at bedside. MMI 405 required us to ensure that our recommended device would not only be in compliance with HL7 standards but HIPAA standards as well. In addition MMI 405 also reminded us to identify our stakeholders and to state what our business needs were. Without the knowledge I have acquired in the four classes I took, none of these would have made sense to me.
There are numerous EMR systems available in the market right now but what I am most familiar with are the ones we have at work which is CareConnection (McKesson), CareNet, and MIDAS. For our referrals, we have our home grown Electronic Referral Management Application or ERMA. Our claims use IDX. I did not realize my organization works with other products as well until we discussed Allscripts and Citrix. These systems allow the organization to be efficient in areas relating to the clinical, administrative and financial side of the healthcare business.
Based on our group project, had it really gone through the board of directors for approval, I believe we were able to integrate our research along with the clinical data and theory that is available to improve the care delivered to our patients (nurses are spending more time with the patients instead of the nursing stations) thereby improving outcomes (abnormal results are immediately entered in the system allowing physicians to access it and order the appropriate treatment in a timely fashion).
· Recognize how medical data including clinical, administrative and financial data is used in healthcare applications
· The nature of medical knowledge and decision-making and the role of decision support systems, knowledge based systems and artificial intelligence methods
· Identify how current and emerging information delivery methods including mobile networks, web-based databases and decision support systems can be used to enhance patient outcomes
· Current informatics software and systems used for clinical and professional support
· Integration between research, clinical data and theory in improving patient outcomes
As a nurse case manager, I know how important medical data is and how it is used in my line of work but our discussions in class and in Blackboard just put it all in perspective for me. Medical data not only provides a detailed information about a patient, it also supports communication between providers (encouraging specialists to enter their consult in our electronic medical record system so it is accessible to primary care physicians and other healthcare staff), identify patients who are at risk for developing specific diseases (through our disease management program), record interventions (i.e., sending patient to rehabilitation therapy several times in the past with no significant improvement), identify trends (increase of inpatient admissions during the flu season or increase of ER usage after 5 p.m.), provide legal documentation to show that proper care was afforded to the patient (my nurse instructor used to say “If you did not document it, you did not do it.”) and support clinical research. Medical data is also used to identify services or treatments that has the most claims generated (cancer treatment, ER services), and determine length of stay and types of admission in a rolling 12-month period. For my individual homework, I did my research on CPT codes and learned that it helps standardize descriptions of medical, surgical and diagnostic procedures so there is a better communication between providers, other ancillary providers and payors. I use CPT codes for patient procedures all the time and did not even realize that the AMA requires users to pay an annual licensing fee. I thought the CPT codes were mostly for the benefit of the payors but my research helped me understand that it actually serves as a communication tool between providers.
I had trouble associating knowledge based system with my work but then I realized I actually see it all the time. When a patient walks in to the ER with chest pain, the physician orders a battery of tests (cardiac enzymes, EKG) to determine if it’s cardiac in nature. Once that is ruled out, the physician then looks at other factors that might be causing the chest pain (stress, musculoskeletal). It does not matter which ER the patient shows up. The standard response when a patient comes in complaining of chest pain is to first rule out that it is cardiac-related and once that is out of the picture, start looking at other conditions that could cause it. When one of our providers requests a non-conventional treatment for a patient, I always request for related articles that would support their recommendations. Because most patients have access to the Internet, they have access to medical information at their fingertips. Unfortunately, some of these sites have questionable information. Referring the patients to reliable Internet sites would reduce the risk of misinformation. Using guidelines such as the Milliman Care Guidelines which is updated on a yearly basis, helps determine how many days a patient is authorized to stay in the hospital. Artificial intelligence, by using algorithms, could determine patients who have the potential of requiring extensive medical care in the future. One of the programs available is the D2HawkeyeReporting, which filters patient information based on what parameters are set by the end-user.
For my group project, I worked with Lynne Carveth, Janet Petrowsky, Noreen Phelan and Linda Vind in implementing a hand-held mobile technology which allows nurses to document at the point of care. We conducted a research to find out which mobile device would be cost-effective, has ease of use and with reasonable asking price. We came up with a business proposal to have the organization invest on Palm T/X. This device would allow nurses to chart without having to be at the nursing station thereby giving them more time to spend with their patients. This project made me realize that an informaticists does much more than just implementing EMR systems. I have never been involved in a business proposal at work but this exercise gave me a feel of it. In order to come up with the business proposal, we had to consider what the problem is, conduct our research and present our recommendations to the board. My previous classes helped me understand what the task at hand is. CIS 313 gave me the foundation of what devices would work well with our nurses in the hospital, how data is transmitted and what type of data media is available out there. CIS 317 helped in deciding how to manage and organize our data, design an application so nurses are able to chart at bedside. MMI 405 required us to ensure that our recommended device would not only be in compliance with HL7 standards but HIPAA standards as well. In addition MMI 405 also reminded us to identify our stakeholders and to state what our business needs were. Without the knowledge I have acquired in the four classes I took, none of these would have made sense to me.
There are numerous EMR systems available in the market right now but what I am most familiar with are the ones we have at work which is CareConnection (McKesson), CareNet, and MIDAS. For our referrals, we have our home grown Electronic Referral Management Application or ERMA. Our claims use IDX. I did not realize my organization works with other products as well until we discussed Allscripts and Citrix. These systems allow the organization to be efficient in areas relating to the clinical, administrative and financial side of the healthcare business.
Based on our group project, had it really gone through the board of directors for approval, I believe we were able to integrate our research along with the clinical data and theory that is available to improve the care delivered to our patients (nurses are spending more time with the patients instead of the nursing stations) thereby improving outcomes (abnormal results are immediately entered in the system allowing physicians to access it and order the appropriate treatment in a timely fashion).
