2. Overview of Bumrungrad’s Case
Previously Bumrungrad’s IT operations were handled by 4
UNIX based systems having several applications.
Hospital 2000 is an Information System (IS) that provided
right information to the right caregiver at right time.
They switched to new IS on December 17, 1999. While doing
so they faced implementation difficulties.
In 2002 , a Picture Archive Communication System (PACS)
was included.
Provided several benefits.
3. Topics for discussion
Electronic Medical records and their challenges
Introduction to EHR , difference between EMR and EHR.
Radiology Information System.
4. Electronic Medical Records (EMR)
An application environment composed of the clinical data
repository, clinical decision support, order
entry, computerized provider order entry, pharmacy, and
clinical documentation applications. This environment is
used by healthcare practitioners to document, monitor, and
manage health care delivery within a care delivery
organization or hospital. The data in the EMR is the legal
record of what happened to the patient during their
encounter at the organization and is owned by it.
5. Challenges
Excessive startup cost.
There is a substantial amount of learning that can be
obtained from these records. Thus the system must be user
friendly so that clinicians can easily retrieve and understand
relevant data.
Confidentiality.
System designs must consider how individually identifiable
medical information will be protected and also meet
regulatory requirements.
6. Electronic Health Records (EHR)
It is a record in digital format that is capable of being shared across
different health care settings, by being embedded in network-connected
enterprise-wide information systems. It include medical history, laboratory
test results, radiology images, personal stats like age and weight, and
billing information.
Electronic Medical Records Electronic Health Records
• The legal record of the hospitals. • Subset (i.e. CCR or CCD) of
•Owned by the hospitals. information from various hospitals
• These systems are being sold by where patient has had encounters.
enterprise vendors and installed by • Owned by patient or stakeholder.
hospitals, health systems, clinics, • Community, state, or regional
etc. emergence today (RHIOs) – or
• May have patient access to some nationwide in the future.
results info through a portal but is • Provides interactive patient access
not interactive. as well as the ability for the patient
• Does not contain other hospitals to append information.
encounter information. • Connected by NHIN.
7. Radiology Information System
It is a computerized database used by radiology departments
to store, manipulate and distribute patient radiological data
and imagery.
RIS is a tool to manage patient workflow and patient records.
It is necessary for an integrated solution.
PACS and RIS are almost always coupled.
8. Features Necessary
User access and patient consent.
Electronic and paper based.
Radiology Department workflow management.
Examination Details.
Reporting and report coding.
Film and image tracking.
