Assignment: Wolters Kluwer Health

Chapter 1:

Introduction to Nursing
Informatics: Managing Healthcare Information

Dr. Bridget A. Leonard DNP

NUR 2120- Nursing Informatics

January 10, 2018

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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.

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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

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Question

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

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Answer

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

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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

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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)

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Question