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Capella University
MHA-FPX5062 Healthcare Delivery: New Environments in Health Informatics
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Components of a HIM System
A Health Information Management (HIM) system plays a central role in ensuring that accurate, secure, and timely information is available throughout healthcare organizations. The system facilitates clinical decision-making, administrative operations, billing, and patient care coordination. Understanding how each department uses health information technology (HIT) and assessing whether their needs are met helps to identify inefficiencies and areas requiring improvement (Deokar & Sarnikar, 2016).
The following table summarizes the departments at Independence Medical Center, their clinical and administrative IT needs, and whether those needs are being fulfilled effectively.
Departmental IT Needs and System Evaluation
| Departments | Clinical IT Needs | Administrative IT Needs | Needs Met or Not Met |
|---|---|---|---|
| Admissions/Intake | Collect and manage patient demographic and clinical information; share data across departments. | EHR, intake documentation tools, and patient information forms. | Mostly met. However, workflow inconsistencies exist as EHR functions are not fully aligned with interdepartmental communication. |
| Human Resources | Maintain records of staff training, certification, and health clearance. | Payroll, HR management systems, spreadsheets, and timekeeping applications. | Partially met. HR systems function effectively but operate separately from clinical databases, causing redundant data entry. |
| Nursing Services | Access to orders (lab, imaging, medication), patient scheduling, and discharge coordination. | EHR, CPOE, scheduling software, and supply request systems. | Mostly met. However, some staff express frustration due to workflow inefficiencies. |
| Imaging Department | Scanning and storing patient imaging data into medical records. | Radiology Information System (RIS) and Picture Archiving and Communication System (PACS). | Fully met. Integration between RIS and PACS ensures efficient storage and retrieval. |
| Billing Department | Process reimbursements and verify coding accuracy in medical documentation. | EHR and billing software. | Not met. Frequent errors require manual correction, consuming time and resources. |
| Clinical Laboratory | Manage lab orders, samples, and communicate results. | Laboratory Information System (LIS) and EHR connectivity. | Partially met. LIS performs effectively, but EHR fails to store lab results efficiently. |
| Facilities and Maintenance | Coordinate patient meals, transport, and environmental services. | Building management systems, EHR, hospital intranet, and inventory systems. | Met. The integration supports operational efficiency. |
| Rehabilitation and Therapy | Track and update patient progress and therapy sessions. | EHR system access. | Not met. Limited EHR access disrupts documentation consistency. |
| Medical Records Department | Manage access to patient records and ensure legal documentation accuracy. | EHR and records management tools. | Met. The system supports proper data handling and dissemination. |
| Emergency Services | Manage orders for diagnostic tests and coordinate patient transfers. | Clinical Decision Support (CDS), EHR, and Management Information System (MIS). | Partially met. CDS is outdated and not synchronized with current patient records. |
| Operating Room | Track surgical procedures and patient safety data. | EHR, CPOE, and scheduling systems. | Met. Systems are aligned and support efficient operations. |
| Intensive Care Unit (ICU) | Monitor patient vitals, order tests, and update problem lists. | EHR and central supply systems. | Partially met. Data updates lag, affecting timely decision-making. |
| Information Systems (IT Department) | Manage bandwidth, servers, and telemedicine functions. | EHR database and IT infrastructure. | Not met. Poor communication delays issue resolution and system upgrades. |
| Hospital Pharmacy | Track medication inventory and distribution, communicate availability to clinicians. | Pharmacy system, EHR, and medication management software. | Partially met. Systems function independently and lack full integration. |
| Behavioral Health Unit | Document therapy notes and patient progress. | EHR access and charting tools. | Not met. Frequent EHR accessibility issues hinder documentation. |
Summary of Findings
The primary objective of a comprehensive Health Information Management (HIM) system is to ensure that all relevant stakeholders—clinicians, administrators, and support staff—can access reliable and standardized health data. This integration enhances patient care quality, supports clinical decision-making, and facilitates financial and operational efficiency (Sherifi et al., 2021).
Based on the analysis of Independence Medical Center’s HIM infrastructure, several key insights were identified:
-
Lack of interoperability between departmental systems contributes to redundant data entry and delays in clinical workflows.
-
EHR accessibility issues in departments like Rehabilitation and Behavioral Health hinder real-time documentation.
-
Billing errors due to inadequate EHR validation increase administrative costs and delay reimbursement.
-
Outdated decision-support tools (e.g., CDS) prevent clinicians from having up-to-date information about patient conditions.
-
Communication gaps between IT and other departments exacerbate technical problems and reduce system efficiency.
To overcome these barriers, healthcare organizations must prioritize system interoperability and integration across all departments. As Walker et al. (2016) note, interoperability ensures seamless communication between clinical and administrative functions, enhancing both care quality and organizational efficiency. Furthermore, training staff on system use and data management practices is essential to maximize the benefits of HIT investments (Zeng, Reynolds, & Sharp, 2009).
Implementing a fully integrated and interoperable HIM system would streamline data sharing, reduce redundancy, and enhance real-time clinical decision-making. By aligning technology infrastructure with workflow requirements, Independence Medical Center can foster a safer, more efficient, and patient-centered environment.
References
Deokar, A. V., & Sarnikar, S. (2016). Understanding process change management in electronic health records implementations. Information Systems and e-Business Management, 14(4), 733–766. https://doi.org/10.1007/s10257-014-0250-7
HealthIT.gov. (2020). Health IT and health information exchange. https://www.healthit.gov/topic/health-it-and-health-information-exchange
Sherifi, D., Ndanga, M., Hunt, T. T., & Srinivasan, S. (2021). The symbiotic relationship between health information management and health informatics: Opportunities for growth and collaboration. Perspectives in Health Information Management, 18(4), 1c–11.
Vila Health. (n.d.). Health information technology needs analysis. https://media.capella.edu/CourseMedia/VilaHealth/MHA5064/HealthInformationTechnologyNeedsAnalysis/transcript.html
MHA FPX 5064 Assessment 1 Health Information Technology Needs Analysis
Wagner, K. A., Lee, F. W., & Glaser, J. P. (2017). Health care information systems: A practical approach for health care management (4th ed.). Jossey-Bass & Pfeiffer/Wiley.
Walker, D., Mora, A., Demosthenidy, M. M., Menachemi, N., & Diana, M. L. (2016). Meaningful use of EHRs among hospitals ineligible for incentives lags behind that of other hospitals, 2009–13. Health Affairs, 35(3), 495–501. https://doi.org/10.1377/hlthaff.2015.0924
Zeng, X., Reynolds, R., & Sharp, M. (2009). Redefining the roles of health information management professionals in health information technology. Perspectives in Health Information Management, 6, 1f–1f.
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