III.

Health Care delivery System y y y Universal coverage for medically necessary health care services providing their health. Health Canada s responsibilities for health care are setting and administering principles for health care system and delivering health care services to groups Initiative in areas such as: health human resources planning, adoption of new technologies and primary health care delivery.

PRIMARY HEALTH CARE: y y y y y y y The foundation of the health care system through a doctor, nurse, and other health care team through phone or computer based services. To prevent problems and ensure better management. Patient could be referred for specialize care at a hospital or long term facility in the community. It is operated by the board of trustees, voluntary org. Or municipalities. Health care services are provided in home or community. Specialize care for people who are partially incapacitated. Services- provides continuity of care and comprehensive care

Top 10 Causes of Mortality and Morbidity. IV. National Health Policy y y y y It enables all Canadians to achieve the best possible state of health and to do this within the constraints imposed by a changing social economic and political climate. Policies were reflected in the mandate of the commission on the future of health care in Canada Ensures the long term sustainability of the universally accessible, publicly funded system offering quality services. For the balance between prevention and health maintenance and for care and treatment.

V. Health Programs in Canada y y y Canada Health Infostructure Partnership Program (CHIPP) It supports collaboration, innovation and renewal in health care delivery by the use of telehealth and EHR. Health Infostructure Support Program (HISP) To test and assess the use of new information technology and application in health field. Knowledge Development and Exchange Applied Research Initiative (KDEARI) Test and evaluate innovate ways to deliver health care system

VI. Issues y y y y Lack of adequate educational programmes in info management techniques and strategies for nurses Nursing is under represented decision making related to health info system and EHR In Canada The attention of the senior nurses were directed to the technology rather than its content. Absence of a national system for the collection, storage and retrieval of data elements it is evident that many valuable info is being lost

Canadian Initiative Directed of at the Development of Nursing Components of health info: y y y y y Client status Nursing Integrity Primary nurse identifier Nursing intervention Client outcome

Implications of the Nursing Components of Health Info y y y It demonstrate the effectiveness of Nursing Care Nurse researchers needs a data base of essential data to facilitate the identification of trend to assess variables in multiple level. To influence health policy in decision making

Conclusion: y y Nursing data elements must be collected, stored and retrieved from a national health info data base Provide nurses with data required to build info, professional prepared to response to the health needs.

VIII. EHR y y y A secure and private record with health key history and care with the health system. It is publicly funded and administered by provinces, comprehensive, portable and accessible. Physicians fee for service 8 to 10 provinces Accountable for health services: 1. Hospitals 2. Regions 3. Physicians 4. Provinces

Nursing Informatics in Canada y y y y y Highlight the importance of developing the nursing data components. Nurses became proficient in utilizing and adapting complex technology. Nurses are the largest group of health care providers, the use of informatics became imperative It contributed in all aspects of Canadian society Most hospitals had at least a rudimentary information system, nurses required to safer common data such as admission profiles and basic requirements.

Projects: y Development of a national consensus, competencies and educational strategies and priorities

First phase of the project: y y Development of a discussion paper The collection of feedback an key issues

Nursing Minimum Data set y y y Centralized national health data system planned by Canadian Institute of health information. Health care data collected in Canada include Medical diagnoses and interventions NMDS considered it imperative reflects the part of the permanent health record.

CIHI the Canadian Institute for Health Information y This plays a crucial and unique role in Canadian Health Information System

Role of CIHI: y Sets National standards for financial, statistical and clinical data

Health information technology y y Collecting, processing and maintaining health database and registries It has a plan called Strategic plan for health info management in British Columbia - it is the guidelines for holistic assessment and processing information. That is based on four domains of people, environmental health system and processes.

COAH Canada health Informatics Association y y y Leading organization It promotes understating and effective utilization of information Helps nurses become more computer literate and aware in potential of technology to support nursing documentation decisions and professionalism

CNIA new group Mission: y The voice for nursing informatics in Canada.

Nurse One E- Nursing Strategy y To guide the development of ICT initiatives in nursing to improve nursing practice and client outcomes.

Patient Nurse Ratio y y No national stuffing standards 1:4, 1:10

Patient Physician Ratio y y 66,289 doctors 1 physician is to 50 patients

VIII Trends in Nursing Informatics Future direction: y y All nurses play an active role in identifying information needs of clients Health information should be on national and international