Nursing Informatics

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OBJECTIVES After studying this chapter, you will be able to: 1. Distinguish between the computer and informatics. 2. Define nursing informatics. 3. Describe some of the forces inside and outside healthcare that are driving a move toward a greater use of informatics. 4. Explain the need for all nurses to have basic skills in informatics. 5. Interpret the need for nurses to be computer fluent and information literate in today’s healthcare environment."

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"Aggregated data Computer fluency Computer literacy Data Deidentified data Electronic health record (EHR) Electronic Numerical Integrator and Computer (ENIAC) Evidence-based care Genomics Healthcare informatics Health information technology (HIT) Informatics Information literacy Information technology Interoperable Listserv Nursing informatics Office of the National Coordinator for Health Information Technology (ONC) Protocols Quality and Safety Education for Nurses (QSEN) Secondary data Technology Informatics Guiding Educational Reform (TIGER)"

Front 2

"Aggregated data Computer fluency Computer literacy Data Deidentified data Electronic health record (EHR) Electronic Numerical Integrator and Computer (ENIAC) Evidence-based care Genomics Healthcare informatics Health information technology (HIT) Informatics Information literacy Information technology Interoperable Listserv Nursing informatics Office of the National Coordinator for Health Information Technology (ONC) Protocols Quality and Safety Education for Nurses (QSEN)

Back 2

Secondary data Technology Informatics Guiding Educational Reform (TIGER)"

Front 3

CLOUD COMPUTING Cloud computing refers to the ability to access software and file storage on remote computers using the Internet. Many of the cloud computing office applications and file storage resources provide the ability to share files and folders with others. Examples of cloud computing software include office applications such as word processing and spreadsheets, note-taking, and"

Back 3

CLOUD COMPUTING Cloud computing refers to the ability to access software and file storage on remote computers using the Internet. Many of the cloud computing office applications and file storage resources provide the ability to share files and folders with others. Examples of cloud computing software include office applications such as word processing and spreadsheets, note-taking, and"

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Chapter 11

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SUMMARY Once technically savvy students and nurses learn how to use a handheld computer, the small mobile device becomes an essential clinical tool just as valuable as their stethoscope and patient care devices. Handheld computers allow nurses to discover essential knowledge in the palms of their hands. Synchronization software makes it very easy to update the handheld computer from the PC with calendar appointments, contact name, e-mail, phone numbers, and addresses. Users can store digital eBook nursing references to use in the classroom and clinical practice. Handheld computers with access to the Internet provide real-time access to e-mail, news, and other essential information resources. Handheld computers provide added value to nurses in all settings. Nursing students should be expected to use handheld computers in the classroom and the clinical setting. Development of proficient technical skills improves time management and work efficiency. Knowledge gained from up-to-date information improves decision making and patient care outcomes and prevents unnecessary errors. The handheld computer, designed to integrate with clinical information systems, has the potential to improve accuracy of documentation and shorten the time between the delivery of care and documentation in the electronic medical record. Future uses of handheld computers in the nursing are limited only by our imaginations. REFERENCES Amazon.

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Chapter 12:

Informatics Benefits for the Consumer

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The Promise of the Internet in Healthcare

•Requires that all healthcare records be integrated

•Issues: privacy, security and confidentiality and the development of a national network of healthcare records

•National Health Information Network (NHIN): an electronic birth-to-death healthcare record that also provides consumer access

•Requires each healthcare provider to

–Use electronic patient care records

–Have records accessible to those designated by the patient

–Allow patients to access their healthcare records

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Electronic Records

•Electronic medical record (EMR)

–Created by the healthcare provider or agency

–Owned and managed by institution or agency that created them

•Electronic health record (EHR)

–An interoperable healthcare record that can contain data from multiple EMRs and the personal health record (PHR)

–Patient portals

Back 6

Question

•Is the following statement true or false?

•Electronic health records and electronic patient records refer to the same thing.

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Electronic Records

•Electronic medical record (EMR)

–Created by the healthcare provider or agency

–Owned and managed by institution or agency that created them

•Electronic health record (EHR)

–An interoperable healthcare record that can contain data from multiple EMRs and the personal health record (PHR)

–Patient portals

Back 7

Question

•Is the following statement true or false?

•Electronic health records and electronic patient records refer to the same thing.

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Answer

•False

•Rationale: Although some may consider these terms to be the same, electronic patient records are created by the healthcare agency or provider and owned by that entity. An electronic health record is one that contains information and is available from any location.

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Electronic Records (cont.)

•Historic perspectives

–Consumer empowerment

•Initial legal case 1905

•Schloendorff v. Society of the New York Hospital 1914

•Patient’s Bill of Rights 1973

Front 9

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Electronic Records (cont.)

•Personal health record (PHR)

–Client access to healthcare information

–Possible client data entry

–Impact of HIPAA

–Can be certified and meet national interoperability standards

Back 9

Electronic Records (cont.)

•Personal health record (PHR) (cont.)

•Three main formats

–Provider reluctance and responsibility

–Unique patient identifier (UPI)

–Data

•Privacy and security

•Standards

•Presentation

–Consumers

–Costs

Front 10

Electronic Records (cont.)

•Personal health record (PHR) (cont.)

•Three main formats

–Provider reluctance and responsibility

–Unique patient identifier (UPI)

–Data

•Privacy and security

•Standards

•Presentation

–Consumers

–Costs

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Electronic Records (cont.)

•Personal health record (PHR) (cont.)

–Benefits:

•Enhanced collaborative care

•Better management of one’s disease treatment

•More personalized; higher quality of care with improved communication

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Electronic Records (cont.)

•Personal health record (PHR) (cont.)

–Barriers:

•Provider reluctance and responsibility

•Need for unique patient identifier

•Data security

•Lack of data standardization and presentation

•Required change in patient thinking to that of healthcare consumer with responsibility for active participation

•Financing

Back 11

Electronic Records (cont.)

•Smart cards: created by providers for patients’ use (like a credit card with an embedded computer chip); require password and PIN

–Security as the biggest concern

–Can be designed to ensure adherence to the HIPAA

–Can be programmed to be locked in case of loss

Front 12

Is the following statement true or false?

•There are five main formats for personal health records (PHRs)

Back 12

Answer

•False

•Rationale: Currently there are three main formats for the personal health records: software applications, web based, and hybrid.

Front 13

Is the following statement true or false?

•There are five main formats for personal health records (PHRs)

Back 13

Answer

•False

•Rationale: Currently there are three main formats for the personal health records: software applications, web based, and hybrid.

Front 14

Question

•Is the following statement true or false?

•The major concern associated with smart card use is security.

Back 14

rue

•Rationale: The biggest concern with smart cards is security. However, the intelligence embedded in the card, as well as its processing capability and the use of standards-based cryptography, can be designed to comply with the privacy requirements of HIPAA.