Healthcare Information Systems: A Look at the Past, Present, and Future
Healthcare information systems are integral to hospital operations and clinical care for patients. In the 1960s healthcare was driven by Medicare and Medicaid and HIT developed shared hospital accounting systems. In the 1970s communication between departments and individual transactional systems became important. DRGs drove healthcare in the 1980s and HIT needed to find ways to pull both clinical and financial data in order for reimbursements. The 1990s saw competition and consolidation drive technology to create IDN-like integration. In the 2000s outcomes-based reimbursement became the drive behind developing real-time clinical decision support. For the future, ACOs and value-based purchasing means that CIOs will need to implement data warehouses and analytics application to provide the insights to drive performance improvement necessary for hospital survival.