Health care informatics

technology
Hanadi masarwa
Zeinab ghaben

1
 Health information technology(HIT):
Is information technology applied to health and health care.
It supports health information management across computerized
systems and the secure exchange of the health information
between consumers, providers, payers and quality monitors.

2
 Importance of information and
clinical technology
The explosion of information and technology has brought the heath
care delivery system into a new area.
Allowed health care to expand into new areas and to improve others.
Information and technology have affected clinical practice,
communication, structure of organizations, consumers, workforce
issue, quality care issues and outcomes, costs and reimbursement,
and ethical and legal concerns.
American Nursing Association (ANA) has important conference
"using innovative technology to enhance patient care delivery”.
This conference focused on the following 7 issues that reflect the broad
impact of technology in the health care environment.

3
This conference focused on the following 7 issues that reflect the broad
impact of technology in the health care environment.
 Improve patient safety and quality.
 Improve operational efficiency and effectiveness in interprofessional
practice.
 Improve medication use processes to decrease errors.
 Improve health technologies that empower patients and enhance patient care.
 Create future care environments that improve efficiencies, clinical outcomes,
and the healing experience.
 Improve practice environments through simulation.
 Improve workforce productivity through automation.

4
Since ANA conference:
Information technology has greatly expanded in all sectors include health
care.
Information technology IT might be seen as a possible method for helping to
cope with the shortage such as utilizing more effective documentation
methods.
Technology may be one of these factors:
 Clinical information system can be one of those immediate actions that can
help nurses feel more confident about the care.
 Preventing medical errors.
 Streamlining work flow and communications.
 Reducing redundant data entry.
 Positive effect on overall job satisfaction.
 Providing significant influence on retaining our invaluable nursing resources.

5
ANA published “standards for nursing informatics, which is a nursing
specially that integrates nursing science, computer science, information
science to manage and communicate data, knowledge, wisdom in nursing
practice”.
First on these standards Includes:
 Administration, leadership, and management.
 Analysis.
 Compliance and integrity management.
 Consultation.
 Coordination, facilitation, and integration.
 Develop of informatics solutions.
 Educational and professional development.
 Policy development and advocacy.
 Telehealth and telenursing.
 Research and evaluation.
6
The Institute Of Medicine (IOM) reports about the health care
system recognize the critical role that IT will have in the future.
IT in the health care professions core competencies, this
competency described as:
 Utilize informatics to communicate.
 Manage knowledge.
 Mitigate error.
 Support decision making using information technology.

7
Every health care professional should meet:
 Employ word processing, presentation, and data analysis software.
 Search, retrieve, manage and make decisions using electronic data from
internal information databases and external online database and the
internet.
 Communicate using email, instant messaging, listservs and file
transfers.
 Understand security protections such as access control, data security,
and data encryption.
 Enhance education and access to reliable health information for patient.

8
 Technology and caring
There are many positive aspects of information technology.
Important for health care providers to consider the total impact of
technology on practice and organizations.
Emotional intelligence leadership, has become more important in
organizations with staff members tuning in more to their emotions and
reactions.
Technology may interfere with this process. Talking through “machines”
limits real observations and emotional connections.
Advancement of technologies is not going away so it is important to use
effectively.

9
Patients need providers who are connected to them, understand the
emotional side of health care and use the power of the human
interaction.
The goal should not be throw out or ignore information technology
but rather to be aware of potential problems and build in methods
to maintain personnel connection with patient.

10
 Informatics: terminology and
standardized language
The knowledge and skills needed to use basic computer applications
and computer technology is a required competency today.
Standardized language is a collection of terms with definitions for use
in informational systems databases.
Standardized language is necessary for documentation in electronic
health records.
Nursing had persisted in doing this with the emphasis on the North
America Nursing Diagnosis Association (NANDA), Nursing Intervention
Classification (NIC), Nursing Outcome Classification (NOC).
Terminology system focus on nursing diagnosis, interventions, and
outcomes.

11
Department of Health and Human Services (DDHS), develop a
common language across health disciplines “on a core set of
competencies that includes:
 Patient centered care.
 Interprofessional teams.
 Evidence based practice.
 Quality improvement.
 Informatics.

12
 Information technology: Critical
issues
Information explodes and staff members try to cope with it and
want information to be helpful to them, several issue become
important include:
 Privacy and confidentiality.
 Nursing informatics specialty.
 Nursing administration and informatics.

13
 Nursing informatics specialty.
There is a nursing specialty that focuses on IT Nursing informatics (NI)
That is a specialty that inter-grates nursing science, computer science,
and information science to manage and communicate data, information,
knowledge, and wisdom in nursing practice.
NI supports consumers, patient, nurses, and other providers in their
decision making in all roles and setting.
The goal of NI is to improve the health of population, communication,
families and individuals by optimizing information management and
communication.
Important for all nurses to understand the importance of data
collection and data analysis.

14
What does an informatics nurse do?
 Methods and technologies of information handling in nursing.
 Development, support , and evaluation of application ,and process.
 Theory formulation, design, development, marketing, selection, testing,
implementation, evaluation and enhancement of IT for nursing care.

15
 Nursing administration and
informatics.
All levels of nursing administration need to play a major role in all
aspects of IT within a health care organization.
The American Association of Nurse Executives (AONE) states, “
Technology is recognized as a key lever within the system of health
care delivery”.
It has the unique capacity to either reduce or increase workload
demand.
Creating appropriate balance and impact is a critical role for leadership.

16
 Technology: implications on health
care delivery
Technology is more than just IT. It also includes technology that can be
applied in clinical care, education and research.
Telehealth
Is the use of telecommunications equipment and communications
networks for transferring health care information between participants
at different locations.
This technology offers opportunities to provide care when face to face
interaction is impossible.
Telehealth applies telecommunication and computer technologies to
the broad spectrum of public health and medicine.
It provides many opportunities for consumer health informatics.

17
Critical criteria for telehealth nursing practice include:
 Using protocols, algorithms, or guidelines to systematically assess and
address patient needs.
 Prioritizing the urgency of patient needs.
 Developing a collaborative plan of care with the patient and his/her
support systems. The plan of care may include: wellness promotion.
Prevention education, advice for care counseling, disease state
management, and care coordination.
 Evaluating outcomes of practice and care.

18
 Implications for clinical practice
Clinical applications of new technology.
 Automated medication administration:
With increasing data including that medication errors are an important
factor in patient complication and deaths. “point-of-service bar coding
during medication administration helps caregivers ensure medication
safety through of the “five rights” have been met: the right patient,
medication, time, dose and route.
 Unit dose systems:
This system provides individual prepackages doses. This improves
patient care by allowing the nurse to safely identify dose and medication
without using multiple dose systems. This medication is prepared in
single doses for the patient.
19
 Point-of-care clinical documentation system:
This system brings documentation to the patient where care is provided
thus reducing error and increasing timely documentation and is directly
.connected to patient–centered care
 Professional order entry system(POES):
This type of system is often found in health care organizations today.
Physicians and other health care professionals enter their orders into
.the computer rather than on hard copy of the medical record
 Electronic medical record (EMR) :
Documenting in a paperless system has many advantages for example:
.decreased time ,reduced transcription, storage, copying, and labor costs

20
 “smart” administration pump:
This technology offers a method to administer fluids and medications and
at the same time monitor the patient at the bedside for errors.
 Pharmacy system:
This system provides computerized pharmacy orders, checking, and
dispensing, as will as online documentation.
 Remote telemetry monitoring
This technology allows nurses to receive pages or provides a page alarm
that notifies the nurse of the patient identification, heart rate, and a
readout of rhythm.
 Medical e-mail:
Physicians are using e-mail more and more to communicate with their
patients.

21
 Handheld communications systems:
There is more and more software for handheld devices such as personal
digital assistants that allow staff to get information quickly when they
need it.
 Internet prescriptions:
A patient can now go on the internet and obtain prescribed drugs. There
are great safety and legal risks with this practice.
 Home health and IT:
What is happening in this health care setting? Web based programs for
patient monitoring and interactive video-based programs are expanding.
Congestive heart disease, diabetes, and coronary disease are the three
conditions that have been focused on when these services have been
developed.

22
 Implications for nursing education

Information technology and telehealth certainly have implications for

nursing education. student expect greater use of IT as they use it more
in their personal lives.
IPod, PDAs, Internet tools such as Facebook and Myspace, and mobile
telephones can provide instant information and can also be very
interactive.
These methods can be used to increase student-faculty communication
and have the potential to provide different methods for student-faculty
supervision in the clinical area.

23
 Implications for patient education
E-health is now commonplace in many health care organization.
Consumers use the internet to find health information, store personal
health information, communicate with health care provides, and in many
others ways.
The patient –oriented materials that could help nurses in the
management of care include:
 Preoperative instruction.
 Patient education guides for common problem (for example, diabetes,
cardiac, and so on ).
 Description of postoperative experience.
 Description of admission process.
 Description of discharge process.
24
 Description of charge planning and role of patient.
 Family visiting guidelines.
 Patient right.
 Intensive care guideline for family member.
 helping your child with hospitalization.
 Hospital diets.
 Helping your child cope with a parent/grandparent in the hospital.
 Appropriate flowers and plants to send to ensure safety.
 Reimbursement issue and procedures.
 Talking with you doctors.
 Talking with your nurse.
 Who is who ?finding your way around our staff.
 Patient satisfaction and patient advocacy.
25
Thank you

26