History and trends in clinical information systems in the United States

Nancy Staggers, Cheryl Bagley Thompson, Rita Snyder-Halpern

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Purpose: To provide a synopsis of issues about clinical information systems for nurses not schooled in nursing informatics. Organizing construct: The past, present, and future of clinical computing, including major factors resulting in the early hospital information systems (HIS) and decision support systems (DSS) in the United States, current advances and issues in managing clinical information, and future trends and issues. Methods: Literature review and analysis. Findings and Conclusions: The first HIS and DSS were used in the late 1960s and were focused on applications for acute care. The change from fee-for-service to managed care required a change in the design of clinical information systems toward more patient-centered systems that span the care continuum, such as the computer-based patient record (CPR). Current difficulties with CPR systems include lack of systems integration, data standardization, and implementation. Increased advances in information and technology integration and increased use of the Internet for health information will shape the future of clinical information systems.

Original languageEnglish (US)
Pages (from-to)75-81
Number of pages7
JournalJournal of Nursing Scholarship
Volume33
Issue number1
DOIs
StatePublished - Jan 1 2001

Fingerprint

Information Systems
Hospital Information Systems
History
Nursing Informatics
Systems Integration
Fee-for-Service Plans
Continuity of Patient Care
Managed Care Programs
Internet
Nurses
Technology
Health

Keywords

  • Computer-based patient records
  • DSS
  • HIS
  • Information systems
  • Nursing informatics

ASJC Scopus subject areas

  • Nursing(all)

Cite this

History and trends in clinical information systems in the United States. / Staggers, Nancy; Thompson, Cheryl Bagley; Snyder-Halpern, Rita.

In: Journal of Nursing Scholarship, Vol. 33, No. 1, 01.01.2001, p. 75-81.

Research output: Contribution to journalArticle

@article{f5011005df7a4974b6995bef9d027b06,
title = "History and trends in clinical information systems in the United States",
abstract = "Purpose: To provide a synopsis of issues about clinical information systems for nurses not schooled in nursing informatics. Organizing construct: The past, present, and future of clinical computing, including major factors resulting in the early hospital information systems (HIS) and decision support systems (DSS) in the United States, current advances and issues in managing clinical information, and future trends and issues. Methods: Literature review and analysis. Findings and Conclusions: The first HIS and DSS were used in the late 1960s and were focused on applications for acute care. The change from fee-for-service to managed care required a change in the design of clinical information systems toward more patient-centered systems that span the care continuum, such as the computer-based patient record (CPR). Current difficulties with CPR systems include lack of systems integration, data standardization, and implementation. Increased advances in information and technology integration and increased use of the Internet for health information will shape the future of clinical information systems.",
keywords = "Computer-based patient records, DSS, HIS, Information systems, Nursing informatics",
author = "Nancy Staggers and Thompson, {Cheryl Bagley} and Rita Snyder-Halpern",
year = "2001",
month = "1",
day = "1",
doi = "10.1111/j.1547-5069.2001.00075.x",
language = "English (US)",
volume = "33",
pages = "75--81",
journal = "Journal of Nursing Scholarship",
issn = "1527-6546",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - History and trends in clinical information systems in the United States

AU - Staggers, Nancy

AU - Thompson, Cheryl Bagley

AU - Snyder-Halpern, Rita

PY - 2001/1/1

Y1 - 2001/1/1

N2 - Purpose: To provide a synopsis of issues about clinical information systems for nurses not schooled in nursing informatics. Organizing construct: The past, present, and future of clinical computing, including major factors resulting in the early hospital information systems (HIS) and decision support systems (DSS) in the United States, current advances and issues in managing clinical information, and future trends and issues. Methods: Literature review and analysis. Findings and Conclusions: The first HIS and DSS were used in the late 1960s and were focused on applications for acute care. The change from fee-for-service to managed care required a change in the design of clinical information systems toward more patient-centered systems that span the care continuum, such as the computer-based patient record (CPR). Current difficulties with CPR systems include lack of systems integration, data standardization, and implementation. Increased advances in information and technology integration and increased use of the Internet for health information will shape the future of clinical information systems.

AB - Purpose: To provide a synopsis of issues about clinical information systems for nurses not schooled in nursing informatics. Organizing construct: The past, present, and future of clinical computing, including major factors resulting in the early hospital information systems (HIS) and decision support systems (DSS) in the United States, current advances and issues in managing clinical information, and future trends and issues. Methods: Literature review and analysis. Findings and Conclusions: The first HIS and DSS were used in the late 1960s and were focused on applications for acute care. The change from fee-for-service to managed care required a change in the design of clinical information systems toward more patient-centered systems that span the care continuum, such as the computer-based patient record (CPR). Current difficulties with CPR systems include lack of systems integration, data standardization, and implementation. Increased advances in information and technology integration and increased use of the Internet for health information will shape the future of clinical information systems.

KW - Computer-based patient records

KW - DSS

KW - HIS

KW - Information systems

KW - Nursing informatics

UR - http://www.scopus.com/inward/record.url?scp=0035229773&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035229773&partnerID=8YFLogxK

U2 - 10.1111/j.1547-5069.2001.00075.x

DO - 10.1111/j.1547-5069.2001.00075.x

M3 - Article

C2 - 11253588

AN - SCOPUS:0035229773

VL - 33

SP - 75

EP - 81

JO - Journal of Nursing Scholarship

JF - Journal of Nursing Scholarship

SN - 1527-6546

IS - 1

ER -