The grand challenge in the late 1970s and 1980s was how to ‘Supply’, information for business operations. There were inadequate storage and processing capacity. The clinical information system was more centralized and less flexible. Lack of integration and difficulty in obtaining important information were the major barriers. It was less efficient and was highly expensive. In 1980s, clinical information system was mostly used to integrate clinical and financial systems. There was a need of accurate models of clinical process, data integration and utilization of national standards
The challenges to clinical information system slowly started evolving in the decade following 1970s and 1980s. However, …show more content…
Other driving factors include the introduction of variety of computer languages that have lowered the operating cost and have greater processing capacity. The database management system is slowly getting powerful and more user-friendly. Non-technical people with basic computer skills are able to operate computers. The Agency for Healthcare Research and Quality (AHRQ) along with other federal agencies and private organizations are involved in research works/grants which support clinical information systems. However, new challenges are constantly arising with some of the existing ones.
The grand challenges to-date include:
Adoption and Accessibility: There is a considerable adoption of Clinical Information system. However, these systems are not fully utilized to their potential as patient information is yet to be made available in accessible formats. The adoption of IT in healthcare is slower than any other industry. Resistance by clinician and other health professionals still play a grand challenge to-date.
Integration and Need-oriented: Integrating to the workflows and interoperability is difficult. They are sometimes unable to meet the needs of healthcare professionals and the