DIVINE WORD COLLEGE of LEGAZPI

SCHOOL OF NURSING
Cor. Rizal & Bates Sts., Old Albay, Legazpi City
Tel Numbers: (052) 480-1239/820-4128

Title: WEEK 7- NURSING INFORMATICS LEADERSHIP

Name: PITA, CYREL R. Level: BSN 2-B Date: 03/ 16 / 2023

Discuss the Evolution of healthcare technology in the marketplace.

The market for healthcare services and technology is expanding quickly, which presents
opportunities, dangers, and structural issues for businesses operating in the area as well as
those involved in the larger healthcare value chain. Build versus Buy Early on, many
organizations elected to develop their own electronic health record software. The cost of
building was great and many organizations could not compete for the technical resources
required to develop home grown solutions. The commercial market began to flourish in
the middle of the 20th century with many of the early solution offerings focused on
financial and back office functions. Today, there are many categories of vendors. Vendor
Assessment Methodology Effectively assessing the vendor marketplace requires a data
driven methodology and approach that will guide the organization through a vendor
analysis process. Vendor Assessment Methodology: Guiding Principle: Manage the
Change; Communicate. The introduction will have an impact on users and selection
project is an opportunity to engage users and begin the process of introducing change.
Guiding Principle #1 is “Manage the Change; Communicate” It has been said that
successful implementation of technology begins with early end user engagement.
Strategy the first major step in the Vendor Assessment Methodology is “Strategy.”
Business Drivers (“Why are we doing this?”). Operational and IT Vision (“What are we
going to look like in the future?”). It is important for organizations making investments in
technology solutions to consider the long-term outlook and impact most organizations
will have a strategic plan which can provide some insight into the future direction of the
enterprise. Independence and Compliance (“Is the process fair and defensible?”). An
independent vendor analysis process would be free of bias and would result in an
objective decision for the organization. Guiding Principle # 2 – Maintain and Document
Objectivity. Some of the indicators of a fair and objective system selection process are:
All vendors respond to the same RFI/RFP format and Demonstrations are managed and
facilitated fairly and consistently. The Financial and Return-on-investment (“What are
the costs and benefits?”). The leadership team must provide some parameters around
anticipated solution costs and benefits. The Define phase of the Vendor Assessment
Methodology is intended to create the list of prospective vendors. The Conduct Market
Research and Understand Key Market Differentiators. Conducting a market scan of
potential vendors is an important first step of the Define phase. It is also recommended to
conduct a formal literature review and Vendors in the health information technology
market differentiate themselves across several dimensions, business, technical and
solution differentiators. Business differentiators are Privately held vs Public companies,
Software vs Services vs Hardware and Industry focus. Technical differentiators and
Development Model. The development model for software vendors, for example, may
involve open source software (OSS) or a proprietary, vendor-controlled approach.
Product Line Growth A vendor's overall strategy for building its product line is another
technical differentiator to consider. The Solution Delivery It is not unusual for vendors to
offer multiple delivery options and all should be considered by the team as appropriate.
Product evolution Understanding this historical perspective is important in developing an
appreciation of the vendor’s core competencies and a better understanding of how the
solution has evolved over time. Integration Some vendors provide a franchise model
where they purchase or acquire various legacy applications and attempt to integrate them
and sell them as a single solution offering and the Functionality Over time, competition
creates a leveling of functional differentiators.

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 DIVINE WORD COLLEGE of LEGAZPI

SCHOOL OF NURSING
Cor. Rizal & Bates Sts., Old Albay, Legazpi City
Tel Numbers: (052) 480-1239/820-4128

Discuss the new era of healthcare reform and the challenges to staffing and credentialing.
Pressure and objectives for providing high quality healthcare are changing as a result of
the current healthcare reform era. It is a good moment for creative care delivery through
telehealth because of the rise in the desire to effectively satisfy patient care needs and to
accommodate the constantly expanding sophistication and modernization of information
and communication technologies (ICT). The New Era of Healthcare and the Challenge of
Staffing. Moving from Volume to Value For the last 50 years, the healthcare industry
adhered to a fee-for-service model. The focus is moving towards a value-based model
that relies heavily on metrics tied to high quality outcomes. Technology such as the EHR
can play a significant role in ensuring patients receive quality care. The average portion
of a health system’s operating budget devoted to human resources or labor is 54.2
percent. From Site Based to the Continuum of Care Focus Historically, our healthcare
system has been organized around a single site of care. Tracking a patient’s progress
before or after that single site visit was very difficult before EHRs, the ability to follow a
patient was difficult workforce management is needed to ensure consistency of care it
makes perfect business sense to invest in the technology that will enable complete
integration of care needs and staffing. A coordinated workforce plan allows for
scheduling across all units without this coordination, the risk for patients increases
implementing solid staffing practices across entire organizations is critical at the root of
every staffing best practice is the need for accurate, timely information. When staffing
decisions are based on solid data, patient care needs, and staffing skill sets, patient
outcomes improve and labor costs are controlled staffing is a complex, dynamic and
continuous process. The Implementing Coordinated Care Through Intra-Professional
Teams Across the Continuum. The traditional model of staffing has been to assign nurses
without consideration of the complete care team Staffing and caring for patients in silos is
not as effective as an integrated workforce management strategy across the continuum of
care. The WMS entails managing all employee information in a single, fully integrated
suite of solutions. Utilizing Data and Best Practices Based on Evidence to Create Better
Outcomes. The Moving to User-centered Staffing Nurse retention directly affects the
hospital’s bottom line. The Nurses put a great stake in being able to treat all of their
patients safely so when nurses aren’t matched correctly with their patients, they can
quickly become dissatisfied with their jobs when hospitals have accurate staffing, nurse
burnout can drop significantly. Staff turnover is costly Technology that empowers nurses
to control their own work/life balance is critical organizations can create a sense of
balance for their most critical group of employees. It requires the use of technology to
provide data and evidence for decisions an electronic employee record is needed to do
effective staffing. Integrated Workforce Management System Requirement for Nursing
Integration across the continuum the WMS should follow caregivers throughout their
tenure with their health system employer. The Employee-related information from
throughout the enterprise can be used to manage this strategy makes it possible to
increase information accuracy and efficiency Integrating employee information into a
seamless data flow makes it possible to improve human resource utilization.
Communication between dispirit systems is critical to evolve the WMS increasing use of
data will only increase the need for sharing it among software systems. The Centered on
the needs of patients Staffing and scheduling activities should be focused solely on
creating a safe and healing healthcare experience for the patient in order to do this, it is
critical that we leverage acuity data and match it with competency data from the WMS.
Provides actionable information about the caregiver to create safe and fulfilling work
access to employee related data is important for several reasons. Real-time information
regarding: Active licensure Certifications Knowing a nurse’s preferences for what type of
patient they are best suited to care for when this type of information is available for
consideration, a better patient match can happen.

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 DIVINE WORD COLLEGE of LEGAZPI

SCHOOL OF NURSING
Cor. Rizal & Bates Sts., Old Albay, Legazpi City
Tel Numbers: (052) 480-1239/820-4128

The history and type of hours worked is also important the process of staffing and
scheduling must be based on national scope and standards when considered as a whole,
all of these elements equate to a better working experience. When this information is
stored in separate systems, scheduling managers are at a distinct disadvantage a dynamic
system is the key to workforce optimization integrated with quality and financial
measures and outcomes. It’s critical that systems be leveraged that utilize information to
support the idea that staffing assignments should provide better outcomes for patients the
financial realities of healthcare can be balanced with high quality patient care financial
outcomes can be improved with proactive information about the most efficient way to
staff. Over and understaffing can create unwanted financial outcomes Integrated staffing
systems can provide information about the financial cost of a staffing decision with a
strong clinical-financial connection, productivity measures are more accurate overtime
and excessive use of contingent labor can be avoided. Discrepancies between budget and
actual staffing numbers and labor costs are explained organizations can make solid
staffing decisions that optimize patient care. The Clinical leaders are able to align their
goals Systems that can guide the staffing process based on evidence Robust analytical
capabilities there are opportunities for the WMS to proactively provide outcomes rather
than simply pointing out inefficiencies, technology should provide the information
necessary to improve efficiencies it is expensive to deploy more resources than necessary
and becomes a quality issue if the right resources are not in place.

Identify challenges for nursing informatics in the future.

The Challenges for Nursing Informatics in the Future Create awareness that the
healthcare worker is the keystone for excellence in outcomes without effective staffing,
the elegant work of the EHR becomes wasted an effective, integrated electronic staffing
and scheduling system is achieved when information from the WMS integrates with
information contained in the patient’s medical record Staffing and scheduling is a body of
knowledge not readily available to the clinical nurse and to nursing informatics
practitioners who do not have the background in management Learning staffing
operations is usually an “on the job” training experience without that knowledge, it is
difficult for the nursing informaticist to understand and advocate for integrated electronic
staffing systems. Elevate the Needs of the Caregiver to Insure Support for the Individual
as a Professional Whole Collectively, all of the information on the WMS is necessary to
provide the best staffing there is increasing evidence available about the Impact of nurse
fatigue Post-traumatic syndrome Compassion fatigue. Burnout Expand the Focus of
Nursing Informatics to Include the Electronic Health Record and Develop Workforce
Systems that are Robust and Real-Time WMS continues to grow and evolve the
implication is that schools of nursing, and Informatics departments in healthcare
organizations must accept the challenge to do for our workforce what we have done for
the patient.

Define concepts of eHealthcare, telehealth, and mHealth.

Historical Context of eHealth Telemedicine the rudimentary roots of telemedicine extend
back to ancient times Long-distance communication evolved Telehealth in the past,
trends in telehealth applications were grouped according to the various media with the
convergence of these technologies, newer technologies merge across these media despite
these newer technologies, voice applications remain a mainstay of telehealth applications.
The Concept of eHealth is an emerging field of medical informatics in a broader sense,

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 DIVINE WORD COLLEGE of LEGAZPI

SCHOOL OF NURSING
Cor. Rizal & Bates Sts., Old Albay, Legazpi City
Tel Numbers: (052) 480-1239/820-4128

the term characterizes a number of things eHealth represents optimism technologies.

Patients can also post their comments and advice to virtual communities.

The World Health Organization identified that that the health sector must now integrate
technology into its way of doing business eHealth opens doors for new types of
relationships. The Concept of Telehealth the American Telemedicine Association (ATA)
uses the terms telemedicine and telehealth interchangeably “Telemedicine is the use of
information exchanged from one site to another via electronic communications to
improve patients’ health status.” Telehealth is often used to encompass a broader
definition of remote healthcare that does not always involve clinical services telehealth
can be considered another component of the eHealth concept teleconferencing and digital
networking systems are now merging variations in the definitions of telemedicine and
telehealth exist. There is agreement that telemedicine is “the delivery of personal and
non-personal health services and education as well as a means for safeguarding the living
environment via information and communication technology.” The Concept of mHealth
another component of eHealth is mobile-health mHealth typically refers to the use of a
wireless communication device mHealth is viewed as the new generation of telemedicine
the healthcare model itself is including all stakeholders it is crucial to note that these
changes will be global in distribution as mHealth continues to progress, nursing care will
need to evolve eHealth Applications Overview. Telehealth has both clinical and
nonclinical uses Nonclinical applications include professional education Clinical uses
include diagnostics these two categories are somewhat blurred as patients and providers
exchange e-mail Clinical applications for telemedicine can be provided at another
location. Telehealth applications can be specialized moving care out the physician-centric
perspective into the 21st century model of healthcare that will see more consumer
empowerment Impact of the Web Today, 85% of American adults (ages 18 and older) are
using the Web A 2010 Pew Internet and American Life Project study indicates only 72%
of adults living with chronic disease are likely to access the Web. These findings are in
line with trends in public health and technology adoption Chronic disease is typically
associated with living in a lower-income household while Internet use is associated with
living in a higher-income household people living with chronic disease are
disproportionately offline those who are online have additional support Two online
activities that are common among people living with chronic diseases are blogging and
online health discussions having a chronic disease significantly increases the likelihood
that the user will use the Web to read and share information “Nuggets” of information are
discovered via these online discussion groups; individuals in the groups connect and they
“just keep going.” Consumer Engagement the National eHealth Collaborative developed
the Patient Engagement Framework to assist healthcare organizations the framework
includes five phases. Personal health records (PHR) are maintained by the patient the
PHR facilitates patient access to information about his/her health and healthcare
experiences use of a PHR encourages patients to track care encounters and collect
relevant health information to share in care management. Google Health is a Web-based
personal health record Managing health conditions and accessing resources Electronic
resources are being used increasingly to learn about and manage health conditions Health
seeking behaviors of adults with chronic conditions are notably different from those of
adults in general. Internet users living with one or more conditions are more likely than
other online adults to gather information online about medical problems, treatments, and
drugs those with chronic conditions are more likely to fact check information found on
the internet with their clinicians transforming the Practice of Healthcare Wearable and
Portable Monitoring Systems Remote patient monitoring is maturing, with a number of
applications available the Vital Jacket utilizes microelectronics in a wearable T-shirt that
continuously monitors electrocardiogram waves. Body Media is a wearable monitoring
system that focuses on weight loss, health, and fitness. The Health Buddy System is a
remote monitoring platform that provides a daily interface between care coordinators and
patients with chronic illnesses.

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 DIVINE WORD COLLEGE of LEGAZPI

SCHOOL OF NURSING
Cor. Rizal & Bates Sts., Old Albay, Legazpi City
Tel Numbers: (052) 480-1239/820-4128

Telenursing and Decision Support Tools is broadening the role of nurses in the chain of
healthcare delivery to consumers in remote regions or to homebound patients Home
health nursing via visual communication is a technique that provides accessible care Tele
triage is a component of telenursing Possibility of Virtual Worlds Web-based 3D virtual
worlds are currently being investigated as a potential tool these tools are also being used
as a new educational method for the healthcare professions the 3D worlds are created
online using a virtual persona, or avatar, which interacts with other avatars in the online
world Health Portals and Web 2.0 social networking sites such as Facebook, Twitter,
YouTube, and My Space are proliferating Hospital portals are being developed where
patients can make appointments, renew prescriptions, and review test results and their
medical records online. WebMD is a consumer portal that is a leader in providing online
health information Patients Like Me is a popular social networking site.

Explore applications of eHealth for healthcare, education, and research.

mHealth Applications the rapid and pervasive worldwide adoption of mobile cell phones
is going to drive tremendous growth in handheld healthcare over the next decade
Applications areas for mHealth include consumer education and others miHealth growth
has been around the world Impact of eHealth Applications Transforming the Way We
Learn Web-based educational programs are changing the way consumers and healthcare
providers learn. The role of the nurse as a patient and consumer educator in the digital
age is evolving as well Transforming Health Care Delivery Electronic data exchange
Advances in eHealth and the growing use of electronic health records have contributed to
the realities of health data exchange Payment reform through meaningful use Research
Opportunities. Much is written on how eHealth applications may help there is a need to
study symptom management and effectiveness of “distant” clinical assessments to
identify standardized best practices unique methodologic research issues and challenges
for nursing around the use of information and communication technologies (ICT) have
been identified another gap in current research is on the use of telehealth applications for
emergency and disaster preparedness and response. Transforming Emergency
Preparedness and Response during a disaster situation, the use of telehealth technology
would allow clinicians to provide healthcare services remotely Advanced wireless
electronic technologies are the quickest vehicles to communicate needs during emergency
situations eHealth Challenges and Issues. Innovations in eHealth do not come without
challenges and issues that healthcare professions must address as the transformation of
healthcare moves toward patient-centric models, the healthcare professionals must
resolve some key challenges and issues these issues concern on legal, ethical, and public
policy arenas Licensure. The lack of infrastructure for interstate licensure was a key
impediment to the growth of telehealth Ethical Issues the predominant ethical issues
concerning telehealth are privacy, confidentiality, and security definitions have been set
forth by the American Society for Testing and Materials Committee E31 on Healthcare
Informatics, Subcommittee E31.17. It is imperative that providers and healthcare systems
establish policies concerning privacy, confidentiality, and security as they create systems
to facilitate patient-centered care through the provision of eHealth Emerging Issues and
Challenges For all the possibilities it presents, eHealth does come with challenges,
including privacy concerns, equity across populations, and the need to define a new type
of relationship between the patient and healthcare provider disparities in healthcare and
access to care still persist and a true solution eludes us Regulation of mHealth
Applications a recent development regarding mHealth is rules by the United States Food
and Drug Administration to regulate a small segment of these applications.

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