Construction and implementation of an information system for case management in cancer special hospital

Abstract

Objective To establish and implement an information system for case management based on the Jiahe Electronic Patient Record System, Hospital Information System (HIS), Laboratory Information System (LIS) and Picture Archiving and Communication Systems (PACS). Methods Relying on the hospital information system resources, an information system for case management was developed by nursing department and information department according to the clinical characteristics of cancer patients and the needs of the completely informative case management. Case managers were put in charge of the system in clinical practice. Results The information system for case management was established which provides the whole-process including taking the case, diagnosis, treatment, follow-up and closing the case. The study consisted of 3 901 patients in case management, in which 2 396 cases closed, 2 744 cases received multi-disciplinary team discuss from January to December 2018. The planning treatments implementation rate was 96.85% (3 756/3 878) and the timely follow-up rate was 95.60% (4 501/4 708) through the implementation of case management. Conclusion The information system for case management can realize the whole-process management from taking case stage until the end of follow-up, provide a convenient and practical information management for post duty of the case manager, and also a quantitative basis for the supervision of the quality of the case management. Key words: Case management; Information systems; Nursing care; Establishment