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Clinical information systems: 25-year history and the future
O G Kennedy1, G M Davis, S Heda
1Kennedy Group, Inc. Chicago, IL 60610.
Journal of the Society for Health Systems
|January 1, 1992
Summary
Clinical information systems (CIS) lag behind healthcare needs due to a historical focus on financial data. Future CIS must prioritize clinical data to aid patient care and quality monitoring.
Area of Science:
- Health Informatics
- Information Systems
- Healthcare Management
Background:
- Clinical information systems (CIS) have not kept pace with the increasing demand for clinical data.
- The historical focus of the healthcare industry on financial information processing has limited CIS advancement.
- Growing pressure exists to utilize clinical data for patient care and quality indicator monitoring.
Purpose of the Study:
- To summarize the historical development of clinical information systems.
- To identify and discuss key challenges and considerations for future clinical information systems.
Main Methods:
- Literature review of the history and evolution of clinical information systems.
- Analysis of current trends and pressures influencing the development of healthcare IT.
- Identification of critical issues for future CIS design and implementation.
Main Results:
- Past CIS development was largely driven by financial, not clinical, needs.
- There is a significant and increasing need for CIS to support direct patient care.
- The establishment and monitoring of quality of care indicators are key drivers for advanced CIS.
Conclusions:
- Future clinical information systems require a paradigm shift towards prioritizing clinical data.
- Addressing the identified key issues is crucial for the successful evolution of CIS.
- Enhanced CIS are essential for improving patient care delivery and healthcare quality.