Hospital and Health Information Systems – Current Perspectives

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 1/2 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.

[1]  C. Longhurst,et al.  Decrease in Hospital-wide Mortality Rate After Implementation of a Commercially Sold Computerized Physician Order Entry System , 2010, Pediatrics.

[2]  Herbert S. Lin,et al.  Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions , 2009 .

[3]  N. Powe,et al.  Clinical Information Technologies and Inpatient Outcomes , 2009 .

[4]  Y. Han,et al.  Han YY, Carcillo JA, Venkataraman ST, Clark RS, Watson RS, Nguyen TC, Bayir H, Orr RA. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics , 2011 .

[5]  Steven H. Brown,et al.  Evaluation of the content coverage of SNOMED CT: ability of SNOMED clinical terms to represent clinical problem lists. , 2006, Mayo Clinic proceedings.

[6]  Steven L. Alter Viewing Systems as Services: A Fresh Approach in the IS Field , 2010, Commun. Assoc. Inf. Syst..

[7]  Y. Han,et al.  Unexpected Increased Mortality After Implementation of a Commercially Sold Computerized Physician Order Entry System , 2005, Pediatrics.

[8]  Nicolette de Keizer,et al.  Guideline for good evaluation practice in health informatics (GEP-HI) , 2011, Int. J. Medical Informatics.

[9]  Amnon Shabo (Shvo) Meaningful use of pharmacogenomics in health records: semantics should be made explicit. , 2010, Pharmacogenomics.

[10]  Heimar F. Marin New frontiers for nursing and health care informatics , 2005, Int. J. Medical Informatics.

[11]  Klaus A. Kuhn,et al.  The Heidelberg Conference: Setting an agenda for the IMIA working group on Health Information Systems , 2003, Int. J. Medical Informatics.

[12]  Feipei Lai,et al.  A Scalable Healthcare Information System Based on a Service-oriented Architecture , 2011, Journal of Medical Systems.

[13]  T. Greenhalgh,et al.  Adoption, non-adoption, and abandonment of a personal electronic health record: case study of HealthSpace , 2010, BMJ : British Medical Journal.

[14]  C. Anandan,et al.  The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview , 2011, PLoS medicine.

[15]  Paul G. Biondich,et al.  Experience Implementing Electronic Health Records in Three East African Countries , 2010, MedInfo.

[16]  Ryen W. White,et al.  Cyberchondria: Studies of the escalation of medical concerns in Web search , 2009, TOIS.

[17]  S. Trent Rosenbloom,et al.  eQuality for All: Extending Automated Quality Measurement of Free Text Clinical Narratives , 2008, AMIA.

[18]  Nicolette de Keizer,et al.  STARE-HI -Statement on Reporting of Evaluation Studies in Health Informatics , 2009, Yearbook of Medical Informatics.

[19]  C. Chronaki,et al.  eHealth Trends in Europe 2005-2007: A Population-Based Survey , 2008, Journal of medical Internet research.

[20]  A Winter The future of medical informatics. Some perspectives of intra- and inter-institutional information systems. , 2009, Methods of information in medicine.

[21]  Heimar F. Marin Nursing Informatics: Advances and trends to improve health care quality , 2007, Int. J. Medical Informatics.

[22]  Flora Malamateniou,et al.  Healthcare System Evolution towards SOA: A Security Perspective , 2010, MedInfo.

[23]  Charles E. Leonard,et al.  Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial. , 2010, Archives of internal medicine.

[24]  Dean F Sittig,et al.  A new sociotechnical model for studying health information technology in complex adaptive healthcare systems , 2010, Quality and Safety in Health Care.

[25]  Ajay Kandelwal Building foundation Service Oriented Architecture. Service Oriented Architecture can leverage granular services to create complex services and business processes. , 2011, Healthcare informatics : the business magazine for information and communication systems.

[26]  Hans-Ulrich Prokosch,et al.  Visions and strategies to improve evaluation of health information systems: Reflections and lessons based on the HIS-EVAL workshop in Innsbruck , 2004, Int. J. Medical Informatics.

[27]  Hervé Nabarette,et al.  Certification des sites dédiés à la santé en France , 2009 .

[28]  Werner Ceusters,et al.  Negative findings in electronic health records and biomedical ontologies: A realist approach , 2007, Int. J. Medical Informatics.