APPLICATION OF

HEALTH INFORMATICS
Regucera, Kate Raphael
Villarin, Neil Triya
A. CLINICAL PRACTICE
1. ELECTRONIC HEALTH RECORD (HER)

- An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time,
patient-centered records that make information available instantly and securely to authorized users.
While an EHR does contain the medical and treatment histories of patients, an EHR system is built
to go beyond standard clinical data collected in a provider’s office and can be inclusive of a broader
view of a patient’s care. EHRs are a vital part of health IT and can:
o Contain a patient’s medical history, diagnoses, medications, treatment plans, immunization
dates, allergies, radiology images, and laboratory and test results
o Allow access to evidence-based tools that providers can use to make decisions about a patient’s
care
o Automate and streamline provider workflow
One of the key features of an EHR is that health information can be
created and managed by authorized providers in a digital format
capable of being shared with other providers across more than one
health care organization. EHRs are built to share information with
other health care providers and organizations – such as
laboratories, specialists, medical imaging facilities, pharmacies,
emergency facilities, and school and workplace clinics – so they
contain information from all clinicians involved in a patient’s care.
With EHRs, your organization can 
help build a healthier future for our nation
2. TELEMEDICINE

- Telemedicine uses electronic and telecommunication technology to

provide an exchange of medical information, despite a person and their
doctor not being in the same room.
It can be as simple as text messaging medical care to as advanced as
remotely controlled surgery.
Experts have used telemedicine in clinical settings for decades, with its first
 reference in a clinical setting recorded in medical literature in the late
1950–1960s.
 
Types
Telemedicine has several types, including:
 real-time video communication
 remote monitoring, which involves health data being reported, collected, and evaluated, such
as:
o blood pressures
o cardiac stats
o oxygen levels
o respiratory rates

 store-and-forward — storing and sharing medical information, such as:

o CAT scans
o MRIs
o X-rays
o photos, videos, and text-based patient data
Experts also telemedicine used differently in various fields of medicine, such as:
 Telestroke: Experts use telemedicine in emergency departments for neurologists to
communicate remotely with emergency doctors, reducing the need for in-house 
neurologists. This helps deal with the shortage of neurologists in many hospitals.
 Teleradiology: Practitioners send images and reports from in-person or telemedicine
exams to a remote radiologist, who then sends their report to the physician or another
healthcare professional.
 Telepsychiatry: Direct interaction between a person and a psychiatrist through
telephone or video conferencing.
Benefits of telemedicine
Telemedicine has several benefits for the people and the medical professionals involved.
Comfort and convenience
With telemedicine, people can access care in the comfort and privacy of their own
homes. This reduces the need to travel, arrange for child care, and leave work.
It cuts off waiting time and allows people to arrange their consultations around their busy
schedules.
A 2019 study found that telemedicine saves people and their families attending a
pediatric neurosurgery telemedicine clinic substantial:
 travel time
 cost
 time away from work
Increased access to care from a distance
Telemedicine helps make healthcare accessible, especially for people living in rural areas.
A 2020 study found that telemedicine provides some of the population access to care
without potential:
 stigma
 marginalization
 discrimination
Cost-effective option
Telemedicine consultations may be more affordable than in-person doctor visits and
admission to the emergency rooms.
A 2020 review found that there was a reduction in health costs by 56% and travel costs by
94% when doctors used telemedicine in the following settings:
 intensive care unit (ICU) rooms
 pediatrics
 dermatology
 radiology
Family support
Telemedicine allows family members and caregivers to join in the consultation, ask
questions, and provide information to contribute to their family member’s care.
Prevention of chronic diseases
A 2021 review found that telemedicine helps provide timely delivery of
preventive care to people with cardiovascular diseases. This helps prevent
acute events and the progression of these diseases.
Controls the transmission of illnesses
Scheduling appointments and creating more efficient clinic workflows lessen
people’s exposure to others who may be ill. It also helps prevent and slow
Trusted Source the transmission of COVID-19 and other viruses such as flu.
Contextualized assessments
Telemedicine helps healthcare professionals like occupational and physical
therapists observe a person in their natural environment. This allows them to
perform more thorough evaluations of the person’s abilities to move around
and interact with their environment.
3. E-HEALTH
-is the cost‐effective and secure use of information and
communication technologies (ICT) in support of health and
health‐related fields. It encompasses multiple interventions,
including telehealth, telemedicine, mobile health (mHealth),
electronic medical or health records (eMR/eHR), big data,
wearables, and even artificial intelligence. The role of eHealth
has been recognized as pivotal in attaining overarching health
priorities such as universal health coverage (UHC) and the
Sustainable Development Goals (SDGs).
WHO Western Pacific Regional Office is responsible for:
 Promoting and strengthening the use of ICT) in health development.
 Developing guidelines and assessment frameworks to help Member States select,
adopt, manage and evaluate eHealth solutions in order to aid good governance
and investment decisions.
 Providing guidance and technical support to Member States to integrate eHealth
solutions into their national eHealth strategies through a coordinated
multistakeholder and multisectoral approach.
 Monitoring and reporting on developments and trends in digital innovation for
public health to inform policy and practice in countries, and to report regularly on
the use of e-Health in the Region;
 Supporting multisectoral collaboration and coordination between different
organizations with a view to improving coordinated approaches for implementing
and scaling up cost‐effective e-Health solutions.
B. ADMINISTRATION
1. Clinical and Administrative Health Information System

--Health Informatics created two main categories such as clinical and administrative
information systems to meet the needs of one or more department within the health care
organization. For the clinical information system, it is set to meet the needs in improving
patient care. Therefore, the clinical information system (CIS) categories provide nurses
information systems (NIS) that support the way nurses documents the care that given to the
patients. However, to improve the delivery of nursing care, the healthcare organization must
adopt a computer system that can successfully incorporate tools that will benefit nursing.
These features benefit the nurse for a better way to manage and patient data without using
a paper chart. Correspondingly, Meditech provides a worklist too. So, nurses that use this
system can also follow, keep track, and document to maintaining a record of information of the
patient under their care (Medical Information Technology, Inc, 2017).
C. EDUCATION

1. E-learning
• Nursing informatics has led to new eLearning technology in nursing. 
• Virtual reality, augmented reality, and wearable devices are new means of
learning and training used in nursing. 
• These technologies can increase the educational environment, as well as
increase patient outcomes by better trained staff, and patients. 
Virtual Reality
With virtual reality, staff can be at various locations worldwide and can still be surrounded in
an engaging and educational environment.  With this type of learning, staff have greater
motivation to learn.   
As a nursing educator, numerous challenges are faced in integrating simulation training of
each organization into the overall clinical education aspect. Challenges include reliability
measures and gauging staffs’ progress, align outcomes with competencies, and implement
current technology. 
With the advancement and availability of healthcare simulation programs, virtual reality
provides a single integrated system with a full spectrum of options for mid-to large-size
organizations. From audio-visual hardware and software to management, evaluation, and
mobile device access, this type of technology enables evaluators to devote their full
simulation efforts to achieve positive results and outcomes.   
Staff are not focused only on pages of text and illustrations but will have a chance to
experience the reality itself.   
It is thought that with virtual reality, more areas such as training, education, and improved
rates of skill competencies will be noted among healthcare organizations. 
Augmented Reality
Augmented reality is also an area of technology in nursing.  It allows for more interest in learning, is
easier to understand.  
For example, an online instructor who may be teaching anatomy could offer an online virtual tour of the
body and the different organ systems.   
It provides a computer-generated image on a user’s view of the real world and provides real world
sensory input like video, graphics, and sound.  Some effective uses among staff in an organization using
augmented reality include: 
 Training of staff – augmented reality allows tablet-based simulations of different patient scenarios
which allows staff to better connect with patients and handle daily work situations requiring a
combination of social, technical, and team skills. 
 Medical education – supervisors can educate nursing staff on basic anatomy and specific concepts
to learn about new therapies and drugs.  There are many apps that can be uses on a staff member’s
phone to access textbook images and overlay digital information on human body structures to help
staff learn more effectively.  Its goal is to replace bulky paper manuals, books, and charts within an
organization. 
 Helping the visually impaired — augmented reality can enhance the visual appearance of everyday
objects and people by using 3D recognition software.  An organization that works with patients/clients
with visual impairments can benefit immensely from this type of technology as it helps those with
serious visual impairments to recognize familiar faces, find lost items, and navigate their environment
in an easier manner.
Wearable Devices
Nursing informatics isn’t just for staff, but also to assist patients and giving them autonomy over their own
care.
Wearable devices are referred to as smart electronic devices that can be worn on the body and can act as
versatile training tool to deliver training experiences anywhere.  They can take scenarios and simulations to
the next level.   
Why are wearables so powerful? 
 It’s personal – these devices are present in moments of a patient’s life when another technology may not
be present.  Many individuals take smartphones and wearable technology with them everywhere – even
the bathroom. 
 It assists with healthy habits.  Many of the diseases that impact patients the most are the result of
decisions made over a lifetime, such as diabetes, hypertension, high cholesterol, and heart disease. 
Wearable technology can be programmed to help both staff and patients to track their healthy decisions
and set achievable goals. 
 It provides an effective type of coaching that is important for habit forming, including meal plans, step
counting, carbohydrate counting, smoking cessation, and more.   
 It’s affordable for most individuals both inside and outside of the United States. 
 Providers are in favor – many providers have found wearable technology in healthcare helpful in
monitoring their patients. They utilize commercial and personal-grade wearables to monitor health
conditions and vitals, track medications, follow the recovery of post-op patients, and track sleep activity. 
Many clinicians are finding that wearable technology in healthcare has the most benefit when
applied to healthy lifestyle decisions aimed to prevent diseases. 
Since a nurse cannot be with a patient/client in a facility 24/7, the wearable devices will allow
providers to give their patients goals to work on. Patients can then program their goals into
their device and have reminders every day to increase compliance. 
Wearable technology in nursing can complement a physician’s care, but not replace it.  As
technology continues to advance, the possibilities of how wearable technology can be
integrated into healthcare practice are endless. 
 2. TELECONFERENCING
History and Definition of Teleconferencing
It all started about 54 years ago in the 1960's as a vision from American Telephone and Telegraph (AT &
T) through its Picture phone device the birth of teleconferencing.
At that time, travel was cheap and many people simply didn't understand that the Picture phone WOU1d
be a workplace changing technology.
It took 54 years and hundreds of millions of dollars spent on fuel consumption for the idea that grew out
picture phone to become a real world everyday application embraced by million worldwide.
 
History
A teleconference is a telephone or video meeting between participants in two or more locations.
Teleconferencing uses communications network technology to connect participant's voices. In many
cases, speaker telephones are used for conference calls among the participants. A two- way radio
system can also be used. In some areas, satellite enhancement of connections is desirable.
A teleconferencing can also be defined as a group communication through an electronic meeting.
Definition
Functions and Purposes of Using Teleconferencing
 Use a telecommunications channel  Link people at multiple locations  Interactive to provide two-
way communications  Dynamic to require users' active participation  Share news and information 
Make decisions  Coming to agreement
Functions:
 A teleconference is a useful way to communicate with people  remotely using a conferencing 
platform. Teleconferences can be helpful for hosting online meetings, town hall meetings, all-hands,
team building, and other virtual gatherings. Rather than meeting someone in person, a teleconference
provides a way to collaborate
Purpose:
 It allows Healthcare Service providers especially nurses to reach put people and serve more  It
Saves Time and Money  Video Conferencing Allows nurses to Render Personalized Services
3. WEBINAR

Nursing webinars are designed to inform nurses on a wide variety of pertinent topics through
convenient on-demand recordings. Ranging from meditation to healthcare reform these
courses will help keep these professionals prepared for whatever challenges they face.
RN webinar education is intended for nurses across all specialties who work in a variety of
care settings ranging across hospitals, home health, and community care settings:
 Registered Nurse
 Nurse Practitioners
 LPNs/LVNs
 Advanced Practice Nurses
 RN Case Managers
THANK YOU FOR LISTENING!!!