Gross M, Cassidy B
Top Health Inf Manage. 1992 Aug;13(1):1-10.
With the move to CPR, health information managers will be challenged to reengineer the ways they manage processes within the medical record department. A lot of age-old health information problems (i.e., missing documents, lost test results, and missing records) can be solved and productivity improved with imaging. The digitized records will allow simultaneous access to readily available, legible, and usable information for patient care, research, audits, and correspondence. However, the transition from a manual to computerized record presents many challenges. Health information managers will have to monitor the changeover carefully, anticipating the needs for new information and developing the necessary mechanisms to produce it, as well as implementing new technologies as they emerge. Conditions are right for an advance in health care information systems. Pressures and changes in structure in the health care industry require better management tools. Acceptance of HIS as a management tool is growing rapidly among the health care provider community. The technology to realize the CPR and advanced decision support systems is available. All the pieces are there--they just need to come together. As the health care organization's view of and need for information systems change, medical record professionals must draw on their knowledge and experience and make the transition from managers of record systems to managers of health care information systems.
随着向心肺复苏（CPR）的转变，健康信息管理人员将面临挑战，需要重新设计他们在病历部门管理流程的方式。许多由来已久的健康信息问题（如文件缺失、检查结果丢失和记录缺失）可以通过成像技术得到解决，并提高工作效率。数字化记录将允许同时获取用于患者护理、研究、审计和通信的随时可用、清晰可读且可用的信息。然而，从手动记录向计算机化记录的转变带来了许多挑战。健康信息管理人员必须仔细监控转换过程，预测对新信息的需求并开发生成新信息的必要机制，同时随着新技术的出现加以实施。医疗保健信息系统取得进展的条件已经成熟。医疗保健行业的压力和结构变化需要更好的管理工具。医疗保健提供者群体对将医院信息系统（HIS）作为管理工具的接受度正在迅速提高。实现心肺复苏和高级决策支持系统的技术已经具备。所有要素都已具备——它们只需要整合在一起。随着医疗保健组织对信息系统的看法和需求发生变化，病历专业人员必须利用他们的知识和经验，从记录系统管理者转变为医疗保健信息系统管理者。
