...Decisions in Health Care In this paper the role of technology in decision making is presented and systems and informatics theories are discussed followed by the DIK Model, and the role of expert system in nursing care and medicine. Furthermore, the use of decision aids and decision support systems are presented in correlation with the uses of technology for patient and client management, and the paper is concluded with an analysis of the effect of technology on health care and health status. Medical technology has major effects on health care decision making at the patient-physician interaction, community-health care institution, and the society-national government levels. Informatics and the development of what are known as tele-health/telemedicine have a variety of innovative uses to facilitate the decisions of health care professionals across the world. Some of these innovative uses are the ability to provide remote consultations among professionals outside of their facility, the ability to diagnosis and assess various disease states, the ability to access patients, and their medical histories, and the ability to prescribe medications and therapies. Many health care organizations are working to implement or upgrade their information systems. Hospitals are hiring information technology specialists to set up Intranets designed for the sharing of information among health care professionals, and is using public networks in the distribution of health-related information...
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...In the ever-changing world of the “world-wide web,” healthcare is in the forefront of innovative computerized management systems and the provision of excellence in quality care is dually the journey and goal to enhance patient safety. Before venturing out this journey, it is of importance to understand the ‘why’ and the “how” and “what” will come naturally in succession. The patient is the “why” clinical information transformation is the push for all care providers within the four walls of a hospital, and private and satellite physician offices. Patient safety is the shared vision why pioneers of Health Information Technology (HIT) created computerized systems such as Electronic Health Record to meet the demands of healthcare today and tomorrow. As an example, Cerner Corporation and Dell Corporation- two big giants in the IT industry- are in a continuum to enhance their products and services. In addition, these products, services, and “solutions” are the “platform” that shell the delivery of safe patient outcomes and equip multi-disciplinary clinicians to guide and drive this patient-centered care; best practice and evidenced-care medicine is now the expected and standard of care for what is right for the patient. Furthermore, the present millennial generation drives or is driven by the “cloud’ world and the product is fast and smart, safe and secure, information gathering and sharing that is access anytime and anywhere. For example, a mobile device- IPhone- allows...
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...Nurse Informatics Shannon S Goff Western Governors University Nursing Assignment The technology necessary to meet the federally mandated requirements which will affect the merged healthcare organizations. Electronic health records with satellite facilities supported by remote technology. Electronic health records emerged as one of the most relevant topics in health care; EHRs are central in the strategy of federal government to transform health care providing in the U.S. (Henricks, 2011). Federal actions are promoting EHR in order to guarantee important implications for nursing practices. The technology implies also payment penalties for those providers who do not manage to meet the requirements of EHRs use. EHR technology has to be certified according to technical and functional criteria that are set forth by the government. The using of EHR technology is significantly important for laboratories (Henricks, 2011) since the certification criteria of EHR have to be related directly to laboratory testing or laboratory management. Federal government identified the goals for improving healthcare and EHRs are central for these goals. EHRs with satellite facilities aims at the following points, it should: * improve safety, efficiency, and quality of public healthcare and reduce people's health disparities; * engage the patients and their families in healthcare services; * improve healthcare coordination; * improve public health and population in general; ...
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...would seem that there are obvious reasons for the incorporation of health informatics to justify apparent flaws in the government programs such as Medicaid, TRICARE and Federal Employees Health Benefits Program are three legislative policies which impede its progress. With most disciplines there exists certain parameters which provide the basic focus for which the disciplines fashion themselves around. In all there are seven elements in the public health sector; http://www.cdc.gov/mmwr/preview/mmwrhtml/su6103a5.htm, and in this scope exist, planning and systems design, data collection, data management and collation analysis, interpretation, dissemination, and finally the application to public health programs. Like most new technologies; robust changes to processes can be delivered, but are met with opposition. Health information technology can defeat a lot of the lethargic processes comprised in healthcare management, but arguably by some as the use of terms such as unintended consequences can slow growth to the field and prospects of health information exchange http://www.amia.org/amia2012/panels. It is believed that while the Electronic Health Record would be composed and stored within secured database systems that there is huge risk which exist; patient privacy, as mandated by the Health Insurance and Portability and Accountability Act (HIPPA). The opposition that some have towards health informatics are that we do not know how to regulate the content and the management...
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...Analysis of the Clinical Informatics Job Description Ann Miller American Sentinel University Analysis of the Clinical Informatics Job Description What is an Informatics Nurse, an Nurse Informaticist? When people ask me what job that I do and I reply “Informatics”, they get an interesting look on their face. The look is of concern and of that is not what a nurse does. The public is not educated in what this position’s importance really is and that is too bad. What is a typical day like for an informatics nurse like myself? That question is easy. There are no typical days! I can honestly say that this is what I like about my job position. Some days I am going to staff meetings where I am educating on a new process to a page from the floor that a provider needs my help. I have many computer classes to teach for staff, nursing students, providers, and soon 80 or so high school students who will be joining us for the next seven months to learn patient basic care and documentation. In my spare time- I do get some from time to time, I have many projects that I am working on to optimize the electronic medical record. The projects can be getting rid of any paper processes that remain and doing whatever it takes to get them all electronic from the development of provider order sets (Powerplans), to nursing processes, and education. You cannot forget about the education. Education has to come in many formats, including group settings (staff meetings), one-on-one, on-line...
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...Health Informatics and Healthcare Introduction Health informatics as defined by Shi and Singh 2015, as the application of information science to improve efficiency, accuracy, reliability of healthcare service, and inclusion of healthcare delivery. Healthcare informatics is becoming more complex than any other time in recent memory, the foundation needed to bolster device utilization and interoperability is more expanded, and there is even a more extensive scope of utilization to consider. As the populace ages, there is added pressure to provide patient care choices at home and in the community, implying that medical devices are getting to be a piece of a much bigger ecosystem spreading over the steadily developing continuum. This paper will analyze health informatics and discuss its benefits, trends, current issues, the impact health informatics in healthcare settings, and the role of health managers and the future. An interview will be conducted with a health professional to get their point of view of how health informatics have impacted their workplace, with further discussion of human resources, careers and the future. History The U.S. National Library of Medicine defines health informatics as a collaborative effort of designing, developing, adopting, and applying IT-based ideas in healthcare services delivery, management and planning (Kramer, 2012). In 1949, Gustav Wager of Germany founded the first professional organization for...
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...History of Informatics Current health care system stresses the need for safer, cost-effective, quality care based on evidence of the best practices. The understanding current and evolving technology for the management and processing of health information helps the nursing and other health care profession assume active role in evaluating and improving the quality of care, cost containment, and other consumer benefits. Nursing practice and the push for patient safety According to Hebda & Czar (2009), the information and technology is essential to assist in organizing and process of data related to nursing, the information is used to the nursing practice and delivery of care. During 1998 the association of American college of nursing and employers recognized the need for information and technology skill for baccalaureate nursing students in their curriculum. The Technology Informatics Guiding Education Reform (TIGER) Initiative According to Schlak & Troseth, “The Technology Informatics Guiding Education Reform (TIGER) Informatics Competency Collaborative was formed to develop informatics recommendations for all practicing nurses and graduating nursing students” (2013, pp19).The TIGER Initiative established noteworthy backing from education‐focused professional organizations including the National League for Nursing (NLN) and the American Association of Colleges of Nursing (AACN). They both revised their curriculum to include information and technology and IT become a core curriculum...
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...In today's ever-evolving era of healthcare, informatics is the front runner and goes hand in hand with the changing times. Informatics is a science that combines computer science, basic sciences knowledge, and data turning it into information that can track health histories over time to determine the outcomes for the patient population. Nursing informatics is an integral part as nurses are the largest healthcare workers task force in the country. It can help by supporting patients, providers, and other consumers by helping in their decision making about the patients’ health. A single piece of data has very little significance but when these data are combined and collected over time to see a pattern or a graph it gives new meaning to treatment....
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...Introduction Nursing informatics (NI) is the discipline that incorporates nursing science with many data management and systems sciences to ascertain, describe, manage, and communicate data, information, knowledge, and wisdom in nursing practice. Nursing Informatics supports nurses, customers or patients, the Interprofessional healthcare team, and other stakeholders in their decision-making in each role and backgrounds to achieve anticipated results. This support is accomplished through the use of information structures, information methods, and information technology (Healthcare Information and Management Systems Society, 2017). Moreover, Informatics is becoming progressively extant in the nursing vocation due to fast-changing technologic innovations. Healthcare systems are integrating technology into everyday practice at a quick stride. One significant advancement in healthcare technology is an electronic medical record (EMR). “An EMR includes the...
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...In this first reflection and before reading any of the course materials, consider what comes to mind when you hear the term informatics. What is it? How does it work? What are your assumptions? At the end of the module, has any of your assumptions or concepts about informatics changed as a result of your learning? Explain. My initial thought about healthcare informatics has not changed; I think it is supported by what I have learned in this course over the last 10 weeks. I understood informatics as being a vital piece to assist in abstracting data from different systems in a healthcare setting. It is used to help improve the overall quality and enhance patient care. I have found that having a clinical informatics team established at the healthcare organization is key to providing and guiding healthcare leaders in creating a system that will be utilized efficiently and effectively. As technology progresses toward interoperability (better interfaces and access to information on one system); Providers will have more time for quality patient care experiences and ability to communicate with other providers effectively; Patients and Providers will have access to diagnostic tests results, medication, and a summary of the provider visit, including the history of the patient’s healthcare status; Patients and Providers will use technology for face-to-face visits and counseling, as well as the ability to monitor vital signs and respond to critical changes. Ultimately, all resulting in...
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...NURSING INFORMATICS LEADERSHIP Evaluation of Computerized Management Systems Kathryn Rawson Western Governors University Abstract This paper will demonstrate: A. How using computerized management systems could increase quality of care B. Why active nursing involvement in the planning, choice and implementation of the systems is important C. How handheld devices used by the nursing staff could be integrated into the management system for better quality care D. Security standards of data and patient confidentiality, including the need for data storage integrity and data backup and recovery and the Health Insurance Portability and Accountability Act (HIPPA) requirements impact the use of the systems E. How the new system can affect healthcare cost F. The benefits these new systems can offer to patient care and nursing care delivery with a recommendation and justification of the system the hospital should put in place In today’s modern healthcare environment it is important to provide a variety of technology based resources to nurses and other providers to ensure productivity and efficiency are maximized. This requires an effective understanding of available computerized management systems and what resources are available to ensure continued effective, efficient, quality care to patients. Keeping that perspective in mind while creating a technologically advanced environment in which to deliver that care is critical and of vital importance to...
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...Introduction Today, implementation of different types of healthcare information systems and technology has become significant for the delivery of cost-efficient and quality health care. With the help of different types of information systems in healthcare service organizations, they have become able to contribute in better health service management and delivery of quality healthcare (Blum, 2012). Use of different information systems also affirms the knowledge base necessitated for clinical and administrative decision making as discussed here in this paper. Description of different Categories of Information Systems Clinical: Information Produced: A clinical information system (CIS) is a compilation of a variety of information technology applications that allows for a central repository of information associated to patient care throughout distributed locations. This repository comprises the patient's history of sicknesses and his/her interactions with care providers by encryption of knowledge competent to assist clinicians determine about the patient's state, treatment options, and wellness activities (Sittig et. al., 2002). The repository also converts the position of decisions, actions ongoing for those decisions, and applicable information useful to perform those actions. As well, the database also produces information about the patient, including his/her genetic, environmental, and social...
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...Nursing Informatics: The integration of nursing, information, and technology. Collecting, processing, and managing data and information. Discuss how access to information is important to the delivery of nursing care, specifically how the EMR system will benefit nurses in their work with patients • Organization- All information is in one central location accessible from anywhere the EMR system is available. • Access- Quick access allows for quicker, more accurate care. Information can even be downloaded onto individual PDA's • Speed- Today's society is very fast-paced, EMR allows for more time invested in patient care • Consistency/Standardization- Patient care is more complete and accurate because all the information is together. They also make it easier for all doctors and nurses to find the information they need. • Decreased mistakes- EMR improve documentation. Smaller risk of mislaid filing/poor handling of paperwork. • Security- EMR systems secure records with backup files. Only authorized user may access records. *Increase the accuracy and precision of important patient data Discuss patient privacy and technology by doing the following: 1. Discuss how Personal Health Information (PHI) is more vulnerable to breaches in confidentiality • Any employee of a particular system will have some accessibility to records • Hackers hack the system to get PHI to use or sell • Disasters may damage computers with...
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...Healthcare Law and Informatics Stephanie Masella Southern New Hampshire University “Technology to compute information has roughly doubled every 14 months between 1986 and 2007” (Rundio & Wilson, 2010 ). Health IT has changed the ways of communication and documentation. Informatics in healthcare has helped to increase the efficiency of our healthcare system. By moving away from hand written medical records, information has become more organized, more manageable, and much more easily accessible. Advancements in technology have allowed organizations to become more productive and more cost effective. Informatics has helped organizations in reducing their staff needs, ultimately saving them money. As healthcare IT continues to advance, patient safety, quality of care, and costs will continue to improve, and privacy and security will continue to be the goal for all electronic information. The use of electronic health information to improve the quality of care requires the exchange of electronic health records, which increases the need for security and privacy. Because of this, it was essential to establish collaborative governance guiding health information technology infrastructure (Rundio & Wilson, 2010) . The Health IT Patient Safety Action and Surveillance Plan addresses the role of healthcare informatics within the U.S. Department of Health and Human Services promise to patient safety. The objective of the plan is to use healthcare informatics to make care safer...
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...Preparing for Organizational Change Hospital technology decision makers now confront a growing pipeline of information technology (IT) and major medical equipment that challenges traditional capital allocation processes. In a highly fragmented industry that is driven by coverage and reimbursement policies set by the Centers for Medicare and Medicaid Services (CMS) and private insurers, the cumulative impact of hospitals’ technology investment decisions shapes health care for decades. Hospitals are medical institutions with the goal of diagnosing, treating, and caring for patients with a wide variety of ailments and injuries. Because of this, it is necessary to have a broad range of equipment to be able to help more patients with greater speed and efficiency. There are many different types of hospital equipment, from simple and basic supplies to highly technical and sophisticated machines (Hyde, 2004). Hospitals are often accused of adopting technology too rapidly or haphazardly (Rothenberg, 2003). Conversely, health care as a whole is accused of adopting many beneficial technologies too slowly (including those that are hospital-based) and generally being slow to innovate (Cutler & McClellan, 2001). In fact, hospitals invested an estimated $26 billion in IT in 2004, and approximately 2 percent of operating budgets were allocated to all technology, including devices, imaging, and IT (Carpenter & Hessler, 2001). The purchase of new technology, including IT and major medical equipment...
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