Informatics Applications to Support Nursing Practice Introduction The purpose of this paper is to identify and describe two health information and communication technologies (HICTs) and how they aid nurses in supporting safe, quality care, facilitating continuity of care and care coordination, and partnering with patients and families to increase participation in health care. HICT involves electronic creation, storage, exchange, and analysis of health information to advance delivery of health care. Widespread use of HICT within the healthcare industry can achieve the following goals: improve healthcare quality and safety, reduce costs and health disparities, enhance clinical research, and ensure security of patient health information (McGonigle & Mastrian, 2015). Several examples of HICTs include: electronic medical record systems, electronic prescribing, consumer health applications, and telehealth (Agency for Healthcare Research and Quality [AHRQ], 2015). Integration of HICTs in healthcare settings is valuable for all clinicians, but most importantly nurses as they are primary caregivers. Nurses are the leading users of HICTs and are responsible for a large portion of patient safety and care coordination. The amount of care nurses provide directly affect mortality and morbidity, thus they use HICTs to support safe practice (Cipriano & Hamer, 2013). HICT is important for healthcare providers as it allows for enhanced management of patient care through secure sharing of
Health Information Exchange (HIE) supports both transferring and sharing of health related information that is usually stored in multiple organizations, while maintaining the context and integrity of the information being exchanged (HIE, 2014). The goal of health information exchange is to expedite access to and retrieve clinical data to provide safe efficient, effective, equitable, timelier patient-centered care (HIE, 2014). HIE “provides access and retrieval of patient information to authorized users in order to provide safe, efficient, effective, and timely patient care” (HIE, 2014).
HIE face a range of challenges as they try to get hundreds and even thousands of participants in sharing data. Getting data in front of doctors and other clinicians is one of the biggest challenges HIEs face. Ideally, it would be delivered directly to a providers' EMR system, so when a patient goes to an outside lab for blood tests, the results would show up in the electronic record at the doctor's office, and the doctor would be notified that the results are there. However, with limited EMR use across the country, HIEs have had to provide alternative delivery methods. HIE is considered to be one of the key components of the national health IT infrastructure being established by the HITECH Act. Policymakers and health care providers believe this health IT infrastructure will produce a number of benefits, many of which are directly related to HIE.
State wide HIEs- is run by the government of the particular states, or may be the (SDT) State’s Designated Entity. Regional/Community HIOs- is inter administrative and depends on a difference of funding sources but most are not for profit. Even though the significant use program that’s been fueling modernized HIE activity accomplished over the years, health information exchange efforts has been flowing for more than a decade. Subsequently burning through seed money some health information exchange have run out of funds. Persuasive medical management providers contribute advice with adversaries about their patients has been a hard bargain, as has the approach of hospitals and physicians compensating contributions fees to engage in and become economically supportive with these data backup training. The Meaning Use benchmark demanding more patients facts giving are developing people’s
"Health information technology can be used to study or improve care coordination and its patient-centeredness. More pointedly, HIT provides an opportunity to organize disparate data sources into one cohesive, patient-centered record" (Steichen & Gregg, 2015, p. 34). With its ability to rapidly share health care information such as care plans and discharge summaries, clinical staff can make more timely decisions. Families will also be prompted to be more involved in the patient care due to the availability of current information and resources. There is no doubt that health care is evolving, and technology is creating new ways for us to stay connected, which is essential for successful care coordination.
Health information technology is a familiar entity for most working nurses in the year of 2017. Many nurses, have lived through the transition from paper charting to online charting. This transition has not always been a progression of ease. Change is never easy. The process of paper charting with pen and paper and the use of paper medication administration records have been the routine process for many years. With the new onset of the electronic health record (EHR) many processes have become easier, safer, and more efficient while some tasks have become more complicated, confusing, and more time consuming. The goal of this paper is to describe the electronic health record system, expand on the essence
There are many different ways to explain HIE to someone that knows what is going on, but for someone who doesn’t know what it is, it can be challenging. They are may be many parts and information that
Digital technology has transformed our world. Smart phones, tablets and web based devices changed our daily lives and the way we communicate. Within digital healthcare infrastructure, creation of Electronic Health Records (EHR) transformed the way care is delivered and compensated. EHR is the digital version of a patients paper chart. EHRs are the real time, patient centered information available for authorized health care providers. Through EHR, health information can be created, managed and shared between providers. EHRs can share the information between providers and organization, so that they comprise information from all clinician involved in a patients care (Aziz & Alsharabasi, 2015). EHR includes many potential capabilities, but three
In 1990 Hartford Foundation funds, “Community Health Management Information Systems.” They gave grants to seven states and cities to develop those early prototype HIE’s. HIE focuses on quality assessments and cost reduction by streamlining patient eligibility information for billing. The problems of HIE are immature technology including slow internet connections and data integration. By the mid 1990’s Community Health
Health Information Exchange is the electronic movement of healthcare information amongst organizations according to the national standards. HIE as it is widely known, serves the purpose of providing a safe, timely, and efficient way of accessing or retrieving patient clinical data. Health Information Exchange allows for doctors, nurses, pharmacists, and other vital healthcare professionals to have appropriate access and securely share vital medical information regarding patient care. Health Information Exchange has been in efforts of developing for over 20 years in the United States. In 1990 the Community Health Management Information Systems (CHMIS) program was formed by the Hartford Foundation to foster a development of a centralized data repository in seven different geographically defined communities. Many of the communities struggled in securing a cost-effective technology with interoperable data sources and gaining political support. In the mid-1990s a similar initiative began known as the Community Health Information Networks (CHINs) with the intention of sharing data between providers in a more cost-effective manner. In 2004, the Agency for Healthcare Quality and Research Health Information Technology Portfolio was funded $166 million in grants and contracts to improve the quality and safety to support more patient-centered care. This was the beginning of the progress we have seen in HIE today. Health Information Exchange devolvement serves the purpose of improving
The HITECH act of 2009 brought about the revolution of health information technology (HIT) by providing billions of dollars to aid in implementation throughout the health care industry. HIT has allowed for improved patient-centered care secondary to improvement in communication channels, allowing for greater access of protected health information (PHI) for healthcare providers, which in turns, has improved the efficiency of patient care. Patient centered communication has been achieved through means of patient portals and electronic health records (EHR). EHR connects various disciplines and aids interdisciplinary communication. Furthermore, HIT such as telemedicine and clinical decision support systems allow for improve communication of health information between provider and patient, allowing for better patient care delivery (Finney et al., 2014).
The technology implemented by medical organizations is helping to facilitate collaboration and, in turn, continuity of care. In the modern health care setting, nurses play a pivotal role in serving as a liaison between the many disciplines required to deliver services to consumers. While initial technology investment can cost health care organizations considerably, health information technology (HIT) facilities consumer education, promotes coordinated care, and streamlines treatment processes.
Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.
The HIE has privacy and security concerns. There is a privacy rule that all employees and health care providers should abide by. If you see a medical record in view where patients or others can see it, cover the file, or turn it over. When speaking about patients, try to prevent others from overhearing the conversation. Conversations about patients should be held in a private area.
Health informatics is the bridging of computer science, information and the health care field. This interdisciplinary field can be applied to a range of medical fields such as nursing, biomedicine, medicine and subspecialties such as immunology (immunoinformatics). Informatics not only has roles to play in day-to-day areas of immunology such as data storage/retrieval, decision support, standards and electronic health care records but also in research and education such as data mining and simulation systems (Coiera, 2002). Informatics and more specifically, health informatics first started being used in in the late 1950s with the rise of computers (Ho, 2010). Technologies such as computers allowed practitioners and researches
information. The laws shielding privacy are certainly confusing; it is said that the HIPAA Privacy Rule would be measured the slightest shared denominator for the privacy regulations within that it would require obvious patient consents would only be for the use and disclosures of documents outside the purposes of treatments, payments, or even the functioning activities. The state by-laws are varied within the degrees in which private health info would be secure, in addition