Improper data and non-availability of medical informationÂ often results in extraordinary hardship for many serving exserviceÂ personnel, whose records get lost, and who are unableÂ to get their benefits processed in a timely fashion.
We need a different approach in the healthcare domain. TheÂ problem is that a modern information system does not exist in allÂ hospitals. Many sections of the industry uses ICD 10, which hasÂ 10,000 terms. HL 7 already uses a Reference Information ModelÂ (RIM), which includes ICD 10, SONMED (Systematised NomenclatureÂ in Medicine) and has every clinical term included in it.
The Department of Defence (DOD) is working with theÂ Department of Veterans Affairs (VA) in USA to create a newÂ electronic-health record (EHR) system, which will have healthcareÂ information on veterans from the time they enter militaryÂ service. The Joint Virtual Lifetime Record will standardise theÂ way the agencies share electronic medical information. In ourÂ case we have to focus more on patient centricity than on institutionalÂ centricity. If we look at the IT budget, only 2 percentÂ is spent on Health IT. The Indian army is planning a hospitalÂ system that will have 30,000 beds and 4-5 million dependentÂ personnel. This is in line with what the US Veteran Society has.
GAO Report, US DOD – Department of Defence reports theÂ lack of an integrated system perpetuated the reliance on paper-Â based records, leading DOD to pursue a comprehensiveÂ electronic healthcare record. HL7 version 3.0 is a system thatÂ can deliver the solution to us. Itâs called the medical logicalÂ module (MLM) that can effectively work to integrate servicesÂ in an organisation. We need something in our country whichÂ gives us a certified EHR that we can use and the data will beÂ updated automatically
âIT is the FutureâÂ
EKO Health Management Consultants facilitates discountsÂ for patients who are in the uninsured or unsecuredÂ segments and who have diabetes or hyper tensionÂ or lie under the 50 plus age group.
Use of Hospital Management Software is becoming essentialÂ in hospitals, as it contributes to faster turnaround timesÂ and reduces paperwork. RFID, bar coders and even use ofÂ mobile phones for remote patient monitoring is a trend. All Â postings when done in software automatically adjusts central/Â sub stores accountability, reorders can be placed as appropriate,Â re-order levels can be set depending on usage trends andÂ high risk alerts can be popped up. Central monitoring systemÂ is conducive for better patient safety. Blood samples can beÂ quickly transported from vacuum chutes Â to lab for quick communicationÂ and transcription. No matter how sophisticatedÂ the technology is or how good the software is or it can storeÂ your information till eternity, if it reduces the productivity, it is a complete failure.
The computer canÂ store standard nursingÂ care plans in a formatÂ determined by the institution,Â to be used byÂ nurses as the basis for developing individualised client care Â plan. Nursesâ notes can be entered quickly by choosing statements,Â appropriate for a particular client from multiple preprogrammedÂ choices. Computer is a useful tool in EducationÂ because it allows an individual self paced learning. ComputedÂ Assisted Instruction (CAI) is a method of Â eaching that involvesÂ interaction between the learner and the computer.
The technology cannot replace the human element nor undermineÂ the values that define nursing. On the contrary, I haveÂ come to believe that informatics and technologies would in factÂ secure the future of the profession. It would hardly be a timeÂ when IT use would not be considered as an effort and will beÂ part of routine.