case study

Case study

If you’ve ever filled out a patient profile or medical history form for a family physician you’ve

had a good introduction to the complexities of medical record keeping. Such forms typically

consist of several pages including dozens of questions about not only your own medical

history but also your parents’, siblings, and entire family tree’s. As your life progresses and

you experience the typical medical complications, your medical history becomes larger and

more complex. Some of this information is added to your medical records by physicians;

other information depends on your own recollections. If you switch doctors, you face the

danger of having to start over form scratch.

Keeping up with patient records, along with continuously changing medical knowledge, is a

considerable challenge for hospitals and the healthcare industry. This information

management challenge has sparked the creation of a new area of specialized research

known as medical informatics. The Department of Medical Informatics at Columbia

University defines medical informatics as the scientific field that deals with the storage,

retrieval, sharing, and optimal use of biomedical information, data, and knowledge for problem solving and decision making. In short, medical informatics deals with information

systems for the medical community.

GE Medical Systems is an $8 billion global leader in medical imaging, healthcare services,

and information technology, and it is a pioneer in the medical informatics industry. It is

working on several fronts to provide solutions to the complexities of medical record keeping.

The Indiana Heart Hospital in Indianapolis has partnered with GE Medical Systems to build

the nation’s first all digital cardiac hospital. At this new paperless facility, doctors and nurses

are able to access patient records and other medical information inside or outside the

hospital from a Pocket PC or similar wireless, handheld computer. The new sCase study

If you’ve ever filled out a patient profile or medical history form for a family physician you’ve

had a good introduction to the complexities of medical record keeping. Such forms typically

consist of several pages including dozens of questions about not only your own medical

history but also your parents’, siblings, and entire family tree’s. As your life progresses and

you experience the typical medical complications, your medical history becomes larger and

more complex. Some of this information is added to your medical records by physicians;

other information depends on your own recollections. If you switch doctors, you face the

danger of having to start over form scratch.

Keeping up with patient records, along with continuously changing medical knowledge, is a

considerable challenge for hospitals and the healthcare industry. This information

management challenge has sparked the creation of a new area of specialized research

known as medical informatics. The Department of Medical Informatics at Columbia

University defines medical informatics as the scientific field that deals with the storage,

retrieval, sharing, and optimal use of biomedical information, data, and knowledge for problem solving and decision making. In short, medical informatics deals with information

systems for the medical community.

GE Medical Systems is an $8 billion global leader in medical imaging, healthcare services,

and information technology, and it is a pioneer in the medical informatics industry. It is

working on several fronts to provide solutions to the complexities of medical record keeping.

The Indiana Heart Hospital in Indianapolis has partnered with GE Medical Systems to build

the nation’s first all digital cardiac hospital. At this new paperless facility, doctors and nurses

are able to access patient records and other medical information inside or outside the

hospital from a Pocket PC or similar wireless, handheld computer. The new system does

away with the need for nursing stations and medical records file rooms. This all-digital

hospital has the highest degree of technology infusion and diffusion – all for efficiency and

accuracy.

The system that GE has installed, the Centricity Information System, is an enterprisewide

clinical information system that integrates patient information–including images, diagnostic

readings, and medical history—from every area of the hospital into a single electronic record

that can span a patient’s entire lifetime. Bringing this variety of information into one easily

accessible, centralized system will save healthcare professionals valuable time. Current

healthcare trends, including nursing shortages, make the all-digital concept crucial,’’ David

Veillette, – boomers means we have to find more efficient ways to take care of three times

as many Patients, with staffing levels that will be decreasing”, he said. “The only way to do

that is with information technology.” With electronic records, hospital personnel won't have to

struggle to read someone else’s handwriting because data will be entered with a keyboard.

Also, doctors and nurses won’t have to search for paper files—reducing the possibility of

errors, according to hospital officials. GE Medical Systems has an operations staff at the

hospital to maintain the system and provide support to the medical staff.

GE Medical Systems has a vision of a massive healthcare network that can be accessed by

any subscribing healthcare provider, where a patient’s medical experience can be merged

into a single electronic record that spans care given throughout the healthcare network. This

practice echoes a common information management strategy used in all industries: digitize

centralize, and deliver. Digitize all data and information so that it can be stored electronically,

store it centrally so that all information is accessed through one system, and then create

easy access to that system. In most industries, creating effective and efficient information

systems saves the company money and helps it gain a competitive advantage. In the

healthcare industry, an effective and efficient information system saves lives.

Questions:

(a) How will the staffing of the Indiana Heart Hospital differ from that of a traditional

hospital?

(b) What type of privacy issues arise when developing a central healthcare network? What

types of medical information might some patients want to keep private? What policies

and procedures might be developed to safeguard private patient information?

 
Back
Top