An integrated clinical computer system: implications for a medical information services department

Area of Science:

• Health Information Management
• Computer-Based Patient Records
• Healthcare Informatics

Background:

• The transition to electronic health records (EHRs) has resulted in hybrid records, combining paper and electronic data.
• This mixed-media environment poses significant challenges for healthcare organizations in managing patient information.

Purpose of the Study:

• To describe strategies for managing information services during the evolution to computer-based patient records.
• To provide practical solutions for health information managers dealing with hybrid records.

Main Methods:

• Case study approach detailing William Beaumont Hospital's management of mixed-media records.
• Identification of key operational areas requiring specific procedures for hybrid record management.

Main Results:

• Development of practical solutions for downtime procedures, report distribution, and information release.
• Implementation of audit procedures to ensure the confidentiality of hybrid health records.

Conclusions:

• Effective management of hybrid records is crucial during the transition to fully electronic systems.
• Proactive planning and standardized procedures are essential for health information managers to maintain data integrity and confidentiality.