Describe a situation in which a person acted as a leader. Explain how you concluded that the person was a leader.
November 6, 2019
How should Martha explain to Richard the skills the nurse must possess and implement in order to manage healthcare information using informatics?
November 6, 2019

Managing Healthcare Information

Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins

Chapter 1:

Introduction to Nursing
Informatics: Managing Healthcare Information

Dr. Bridget A. Leonard DNP

NUR 2120- Nursing Informatics

January 10, 2018

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Informatics

  • Use of information technology in healthcare.
  • Focus on information management, not computers.
  • Information management is a part of nursing.
  • Historically: recording and keeping information on paper chart.
  • Today: well-designed information systems.
  • Two roles: informatics specialist; clinician who must use health information technology.

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Strategic Plan for Health Information Technology

  • Inform clinical practice with use of electronic health records (EHR).
  • Interconnect clinicians so that they can exchange health information using advanced and secure electronic communication.
  • Personalize care with consumer-based health records and better information for consumers.
  • Improve public health through advanced biosurveillance methods and streamlining the collection of data for quality measurement and research.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Health Informatics

  • Umbrella term: capture, retrieval, storage, presentation sharing, and use of biomedical information, data, and knowledge for providing care, solving problems, and making decisions
  • Purpose: improve use of healthcare data, information, and knowledge in supporting patient care, research, and education
  • Focus: subject and information, not the tool (computer)
  • Subspecialties (e.g., nursing informatics)

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Nursing Informatics

  • Subspecialty of nursing recognized by the ANA
  • Focus: information management related to nursing
  • Acquisition, manipulation, storage, presentation, and use of information
  • Goals: user-friendly data input; information presented that is timely and useful for clinical nurse
  • Definition difficult; initial definitions with technology focus; continually evolving definitions
  • Current practice: capturing data at the point of care and presenting it to facilitate care of an individual patient
  • Considerations for secondary data; aggregated data

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Question

  • Is the following statement true or false?
  • Health informatics is a subspecialty under nursing informatics.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Answer

  • False
  • Rationale: Health informatics is the umbrella term under which nursing informatics is a subspecialty.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Driving Forces

  • National forces
  • Creation of ONC (Office of the National Coordinator for Health Information Technology)and groups to study standardizing terminology
  • IOM (Institute of Medicine) reports: informatics as a core competency for all healthcare professionals
  • Nursing forces
  • National Center for Nursing Research program goals
  • National Informatics Agenda for Education and Practice
  • AACN’s (American Assn of Critical-Care Nurses) list of core competencies
  • ANA (American Nurses Association)
  • Nursing shortage
  • TIGER (Technology Informatics Guiding Education Reform) initiative

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Driving Forces (cont.)

  • Other forces
  • Patient safety
  • Safety databases
  • Barcoding for medication administration
  • QSEN (Quality and Safety Education for Nurses)
  • Costs
  • Leapfrog Group

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Information Management Tool: Computers

  • First computerized information management task: numeric manipulation
  • Use of computers beginning in late 1950s and early 1960s to manage financial information; then a few computerized patient care applications
  • Early healthcare informatics systems
  • PROMIS (with POMR: Problem oriented medical record)- Patient Reported Outcomes Measurement Information Systems
  • Help Evaluation through Logical Processing (HELP) System
  • System progression
  • Initially process oriented; now introduction of data standards in terminology and protocols; aggregated data

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Benefits of Informatics: Healthcare in General

  • Improve patient outcomes:
  • Creating and using aggregated data, preventing errors, easing work conditions, and providing better documentation.
  • Buried data now usable: provide information about problems, show patterns
  • Improved communication among all healthcare providers
  • Easy, quick storage, and retrieval of healthcare records
  • Saving of time and money with computerization of tasks; easier method for recording charges (no lost charges)

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Question

  • Is the following statement true or false?
  • Health informatics today is process oriented.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Answer

  • False
  • Rationale: Historically, health informatics was process oriented, but today, it focuses on data standards in areas such as terminology and protocols.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Benefits of Informatics: Nursing

  • Enhances practice and allows nursing science to develop
  • Improves documentation; decreases time spent on documentation
  • Uses data for quality control and research due to complete documentation
  • Builds evidence-based nursing knowledge
  • Five components to provide evidence-based care
  • Formulate an answerable question
  • Find the best available evidence
  • Appraise the evidence
  • Implement the evidence
  • Evaluate the Outcome

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Competencies

  • Four levels of informatics competencies
  • Beginning nurse has basic information management and computer technology skills.
  • Experienced nurse is highly skilled at using information management and computer technology to support major area of practice.
  • Nursing informatics specialist is able to meet information needs of practicing nurses by integrating and applying information, computer, and nursing science.
  • Informatics innovator conducts informatics research and generates informatics theory.

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Competencies (cont.)

  • Computer fluency
  • Graphical interfaces
  • Application programs (word processing, spreadsheets, databases, presentation programs)
  • Information literacy
  • Ability to know when information is needed and how to locate, evaluate, and use it effectively
  • Critical thinking and problem solving
  • Part of foundation for evidence-based practice

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