The Technology Environment

Transcription

1 Chapter 2 The Technology Environment August 25, 2016 Donald E Kinser, PE, CPHIMS dkinser@ediltd.com GA HIMSS CPHIMS Coaching 1

2 You need to be able to: Define components of the healthcare IT environment Define the major types of software applications Describe the hardware and connectivity components GA HIMSS CPHIMS Coaching 2

3 The Big Picture Application Software acquires, processes, manages and outputs data and information Hardware devices, processors, memory and data storage that runs the software Network Connectivity- system that connects hardware and enables transmission of information GA HIMSS CPHIMS Coaching 3

4 Applications Environment Clinical Administrative Financial E-Health, E-Business, HIE Business Intelligence GA HIMSS CPHIMS Coaching 4

5 Figure 2-1 Application Technical Environment Clinical Administrative Financial Electronic Health Record Physician Practice Hospital/Facility PACS (Picture Archiving and Capture System) Department Systems Lab Radiology, Pharmacy, Dietary Care Setting Niche Systems Emergency Department, Operating Room, Oncology, Labor and Delivery Knowledge-Based Drug Interaction, Protocol Master Person Index Interface Scheduling Physician Practice, Hospital/Facility Managing and Tracking Rooms and Beds, Equipment, Medical Records, Supplies Business Intelligence End-user Analysis, Date Marts, Executive Dashboards Common Business Human Resources, Document Management, Facility Access, Integration Product Suite Single Sign on GA HIMSS CPHIMS Coaching 5 Provider Practice Management Patient Accounting Contract Management and Decision Support Payer Enrollment Claims Adjudication Care Management Common Financial Budgeting AR/AP General Ledger CPHIMS Review Guide, Page 21 HL7 Standard X12 Standard E-Health, E-Business/HIE Informational Searchable access to symptoms, disease information, medication information, interactive assessments, comparisons of provider organizations for quality and cost Interactive Portals Provider: Schedule appointments, view test results, e-visits Payer: Research and choose health plan, reorder medications, find a physician Personal Health Record Maintain an electronic record of their health history, medications, lab results, encounters and the like.

6 Key Application Trends Integration Master Patient Index (MPI) Interface Engines, Product Suites Single-Sign-on and context management Medical Devices Standards - HL7 (clinical) & X12 (admin claims) Vendor Application Delivery Products highly configurable, customizable Speedier implementation, Less customization Certification Privacy and Security HIPAA & other regulations Technical Controls encryption, firewalls, etc. Policy and training GA HIMSS CPHIMS Coaching 6

7 The Foundation! Technical Infrastructure and systems Must adequately and reliably run application portfolio Must reliably delivery information and functionality wherever needed Must secure and protect the information Must be fault tolerate and recoverable GA HIMSS CPHIMS Coaching 7

8 Where the Rubber Meets the Road End-User Devices Personal Computers thick/thin clients, POC Devices where, how many? Medical Devices Tracking Technology - RTLS Voice communications smartphones, etc. Audio and Video GA HIMSS CPHIMS Coaching 8

9 Can We Talk? Ubiquitous network connectivity as a utility LAN local area network WLAN wireless LAN, x WAN wide area network Converged voice, data and video Internet Remote access GA HIMSS CPHIMS Coaching 9

10 Are you who you say your are? And are you supposed to be here? Authentication and credentialing Access and security Single sign on and context managment GA HIMSS CPHIMS Coaching 10

11 The Engine that Drives IT Hardware and other systems Servers - physical and virtual Data Storage SAN, NAS, etc. Firewalls and security appliances Data Centers and technology distribution spaces GA HIMSS CPHIMS Coaching 11

12 We Do Healthcare, not IT! Outsourcing HIT is a highly sophisticated ecosystem Application Service Providers Remote Hosting The Cloud GA HIMSS CPHIMS Coaching 12

13 $#&% Happens! and you had better be ready Business Continuity and Disaster Recovery This is Life Critical Information! Must reduce time to recovery Tape backups oh the good ol days Cold Sites hours to days for recovery Hot Sites - minutes to recovery If you don t practice it, the plan is just words on paper GA HIMSS CPHIMS Coaching 13

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