38467751 Information Technology in Health Care

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Information Technology in Health Care

Introduction
This term paper would discuss how Information technology (IT) has the potential to improve the quality, safety, and efficiency of health care. Later present trends in IT Healthcare would be discussed. Case Study would be followed by conclusion.

Information Technology in Healthcare
In general, IT allows health care providers to collect, store, retrieve, and transfer information electronically. However, more specific discussion of IT in health care is challenging due to the lack of precise definitions, the volume of applications, and a rapid pace of change in technology. In general, the various IT applications fall into three categories: • Administrative and financial systems that facilitate billing, accounting, & administrative tasks. • Clinical systems that facilitate or provide input into the care process. • Infrastructure that supports both the administrative and clinical application

Current status of Health Information Technology
The degree of IT use varies by health care setting: Pharmacies are generally advanced users, while other settings such as physician offices or nursing homes are further behind. The kind of technology used also varies by setting. For example, in home health, the use of technology that allows patients to monitor their own vital signs from their home and communicate results to the agency could increase the ability to address a problem before a patient requires acute care. In both home health and nursing home settings, use of handheld computers to complete documentation and capture patient assessment information can increase efficiency and provide more information to care givers. IT and the Internet have also had a significant impact on consumers. Numerous websites have made health information more available to patients, thereby strengthening their role in care decisions. The Internet also helps consumers choose providers by allowing insurers and others (including Medicare) to post information on providers including, in some instances, comparative quality information.

IT Application In Healthcare- Present & Emerging Trends
• Electronic health record (EHR): EHRs were originally envisioned as an electronic file cabinet for patient data from various sources (eventually integrating text, voice, images, handwritten notes, etc.). Now they are generally viewed as part of an automated order-entry and patient-tracking system providing real-time access to patient data, as well as a continuous longitudinal record of their care.

• Computerized provider order entry (CPOE): CPOE in its basic form is typically a medication ordering and fulfillment system. More advanced CPOE will also include lab orders, radiology studies, procedures, discharges, transfers, and referrals. • Clinical decision support system (CDSS): CDSS provides physicians and nurses with real-time diagnostic and treatment recommendations. The term covers a variety of technologies ranging from simple alerts and prescription drug interaction warnings to full clinical pathways and protocols. CDSS may be used as part of CPOE and EHR.

• Picture archiving and communications system (PACS): This technology captures and integrates diagnostic and radiological images from various devices. Bar coding: Bar coding in a health care environment is similar to bar-code scanning in other environments: An optical scanner is used to electronically capture information encoded on a product. Initially, it will be used for medication (for example, matching drugs to patients by using bar codes on both the medications and patients’ arm bracelets), but other applications may be pursued, such as medical devices, lab, and radiology. • Radio frequency identification (RFID): This technology tracks patients throughout the hospital, and links lab and medication tracking through a wireless communications system. It is neither mature nor widely available, but may be an alternative to bar coding. • Automated dispensing machines (ADMs): This technology distributes medication doses. • Electronic materials management (EMM): Healthcare organizations use EMM to track and manage inventory of medical supplies, pharmaceuticals, and other materials. This technology is similar to enterprise resource planning systems used outside of health care. • Interoperability: This concept refers to electronic communication among organizations so that the data in one IT system can be incorporated into another. Discussions of interoperability focus on development of standards for content and messaging, among other areas, and development of adequate security and privacy safeguards.

Case Study Improve Patient & Physician Satisfaction
Through Streamlined IT Operations The Perot Systems team helped SJHS create a technology strategy that supports and enhances patient care and clinical satisfaction. Key milestones included: • Implementation of wireless solutions for ER, physician office, and clinical care mobility.

• Utilization of thin client technologies to create a highly available clinical workstation environment. • Implementation and leveraging of a high-speed Storage Area Network (SAN) and tape backup technologies. • Implementation of a high-speed, redundant wide-area network. • Establishment of business partner relationships with key technology and software providers. • Roll out of a large-scale Care Redesign program. • Quick implementation of a Picture Archiving and Communications System (PACS). The Results IT service quality was one of the highest priorities during the initial phase of Perot Systems’ relationship with SJHS. We enabled SJHS to significantly improve service levels, increase IS accountability, and instill a proactive culture. Through a sound strategic plan, as well as clinical and technology solutions specific to SJHS' environment, SJHS has achieved the following results: • Improved IT service delivery • Enhanced subject matter expertise and the retention of hospital employees • Improved support processes associated with patient care delivery

Conclusion
World is shrinking day by day with advancement of technology. Customers' expectations are also increasing and companies are prone to more and more uncertain environment. We can see from the above analysis that Information Technology has got a crucial role in health sector and how IT developments have presented firms with unprecedented opportunities to gain competitive advantage. So IT investment is the pre-requisite thing for each firm in order to sustain in the market. However clear vision, strong planning and technical insight into the Internet's capabilities would be necessary to ensure that firms maximize the Internet's potential for better healthcare and ultimately improved competitiveness. Internet technology, World Wide Web, electronic commerce etc. will change the way a company is required to do business.

References
1. Case Study- www.perotsystem.com/healthcare 2. www.google.co.in 3. Medpac’s A Report To Congress: New Approaches In Medicare, June2009.

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