Florence F. Odekunle
Spring Semester
BINF 7510
Home Work 1
Decision Support Systems
Decision support system (DSS) is gaining increased recognition in healthcare organizations. This is due to an increasing recognition that a stronger DSS is crucial to achieve a high quality of patients care and safety.1,2 DSS is a class of computerized information system that supports decision-making activities.2 It uses patient data to provide tailored patient assessments and evidence-based treatment recommendations for healthcare providers to consider.2,3 DSS can vary greatly in design and function, undergoing a constant evolution of their scope and application.4 My favorite DSS is Isabel; I preferred this DSS to other DSSs based on the following reasons:
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Isabel is able to extract pre-assigned data from an EMR - on a single click delivers diagnoses and knowledge to the EMR user so no data entry into Isabel required.
Unlike Isabel, both Iliad and QMR are not interfaced with electronic medical record systems.
Overall, Isabel is highly desirable for any health care institutions.
References
1) Bright TJ, Wong A, Dhurjati R, Bristow E, Bastian L, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med 2012;157(1):29-43.
2) Shortliffe, E.H., Cimino, J.J. Biomedical informatics: computer applications in health care and biomedicine. 4th edition. New York NY: Springer; 2014.
3) Wager, Karen A., Frances Wickham Lee, and John P. Glaser. Health Care Information Systems: A Practical Approach for Health Care Management. 2nd edition. San Francisco, CA: Jossey-Bass; 2009.
4) Kawamoto K., Del Fiol G., Lobach. D.F. & Jenders R. A (2010) Standards for Scalable Clinical Decision Support: Need, Current and Emerging Standards, Gaps, and Proposal for Progress 2010, 4,235-244.
5) Open Clinical accessed from
CPOE systems with clinical decision support systems can improve
Many healthcare organizations had to implement an electronic health records system (EHR) to meet certain guidelines set forth by the government. This was a technology that the clinic implemented years ago to meet the needs of the patient, the requirements of the insurance companies, lean processes, and government regulations. This software helped also look for opportunities to treat our patients better and track data for population health. HG Clinic is investing in a new billing system that will allow them to track patient data better and improved billing process. These are just examples of opportunities that the clinic implemented and are continuously evaluating their current software and equipment and looking for opportunities for
This will be achieved through rich qualitative input and international consensus-building that will complement coordinated efforts in academic medicine with an end goal of improving health provider wellbeing and patient outcomes. This tool will be refined through stakeholder engagement with key individuals and groups who will be involved throughout the process. Through undertaking a rigorous design and development process, we expect that the tool will be well-received and quickly transition the adoption phase given that we will be working with stakeholders throughout the process. This proposal focuses on the development of the evaluation tool and implementation tool. The tool will initially be deployed in clinical settings that have already been identified as having opportunities for improvement.
Sources Sayles, B. N., (2013), Health Information Management Technology: An Applied Approach. Chicago: American Health information management Association.
Enhanced IT that supports consumers, payers and providers via analytical tools and resources relieves financial and human capital burdens. Data collection and distribution empowers collaboration and coordination of care, regardless of where a patient receives treatment. End-to-end seamless integration connects facilitates faster registration, efficient referrals and consultations, results sharing and patient
Para. 2) The Omaha System remains statistically superior to other interface terminologies of the electronic health record. The efficacy of the Omaha system has been heavily researched and covers numerous types of patients in various types of settings. The authors, well credentialed and academic, thoroughly describe the Omaha system and its benefits for meaningful use achievement.
Intermountain Healthcare has encircled analytics to improve operations in order to achieve better health care outcomes and make a big difference in patients’ lives. though it is cumbersome challenging for the physicans and nurses but still they took it as challange in order to navigate it! though the use of computer programs are used in order to analyse the patient and examines the data which requires protocols for treatment.but later HELP was the first EHR system in united states which came into existence advantages : saving million bucks in procuring and also in its supply chain!
Our expertise in data standards, clinical terminology, documentation practices, and privacy regulations enables us to bridge the gap between technical requirements and clinical workflows. By including a HIM professional on the CPOE project team, we can ensure that the system is designed and implemented in a manner that aligns with best practices and regulatory requirements. Clinical Documentation Improvement (CDI) and Coding: Accurate and comprehensive clinical documentation is crucial for the success of the CPOE system. HIM
The CDSS inference engine will accept the patient history, signs, symptoms, and test results from the EMR in real-time, and present the closest case and solution to the physician. The CDSS will match up current symptoms and signs and will place proper alerts and suggestions from within the current EMR. The alerts, informational messages, and diagnosis are based on a sophisticated knowledge base database loaded with evidence-based medical cases designed to work within a wide range of EMR domains. The case-based method allows the addition of revised problem-solution cases, and conversely allows for the soft removal of obsolete problem-solution cases by flagging them as inactive or “forgotten”.
However, if no appropriate technique is developed to find great potential economic values from big healthcare data, these data might not only become meaningless but also requires a large amount of space to store and manage. Over the past two decades, the miraculous evolution of data mining technique has imposed a major impact on the revolution of human’s lifestyle by predicting behaviors and future trends on everything which can convert stored data into meaningful information. These techniques are well suitable for providing decision support in the healthcare setting. To speed up the diagnosis time and improve the diagnosis accuracy, a new system in healthcare industry should be workable to provide a much cheaper and faster way for diagnosis [1]. Clinical Decision Support System (CDSS), with various data mining techniques being applied to assist physicians in diagnosing patient diseases with similar symptoms, has received a great attention
The use of diagnostic tool classification systems in Knowledge-Based Practice can be beneficial in some ways. First, it can help standardize how knowledge is organized and accessed. This can make it easier for healthcare professionals to find the necessary information. Second, it can help to ensure that knowledge is used consistently and reliably. This is important for improving patient care and outcomes.
The hospital where I work switched from paper charts to HIS about 5 years ago. It was a difficult and intimidating transition for me and many other healthcare professionals, but with time and practice I understood its many benefits and I realized that this changed was for the best interest of the patients because “Information systems enable decision makers to examine trends and make informed choices during these times of healthcare reform” (Hebda & Czar, 2013). My experience with EPIC has been positive.
Nursing are on the edge of moving beyond the electronic health record to a dynamic clinically intelligent system that can provide the nurse and other professionals with useable evidence-based data at point of care (Nickitas,
Population Health Management means proactive application of strategies and interventions to defined cohorts of individuals across the continuum of healthcare delivery in an effort to maintain and/or improve the health of the individuals within the cohort at the lowest necessary cost. With the new era of healthcare, a good population management system in place is critical to a health system. Organizations will grow to become dependent on data and analayis in order to carry out actions or what not within the said system. Furthermore, with the advent of information technology and a well-designed population health tools, it can create substantial impact to the patient through electronic medical records and healthcare information exhancge,;
Introduction Nowadays, healthcare industry widely applies health information technologies (IT) in clinical care to cut back method inefficiencies, control growth of costs and improve the quality of care (1). Therefore, different computerized systems, software, and websites are designed for clinical decision-making aids, production of new knowledge, enhancing public health information, and raising the standard of health care. Although, health IT can promote the capability of diagnosis, treatments and have other potential benefits, additionally increases the healthcare complexity (2).