Technology and Informatics

Clinical Information System

A computer-based system that collects, stores, and manipulates data to allow health care providers to make informed decisions about patient care.

Informatics Definition (ex. of informatics in healthcare)

Use of info technology to improve quality of healthcare

- electronic health records (EHR)

- telemedicine

What year did ANA recognize informatics as a nursing specialty?

1992

What year was the American Reinvestment & Recovery Act established (ARRA)?

2009

What does the health informatics technology for economic & clinical health do?

- Expand HIPPA protections

- Penalties for noncompliance to HIPPA

- Broad apps to include healthcare providers

Data

Facts or stats for analysis

Information

Data that is interpreted & organized

Knowledge

The theoretical understanding of information

Wisdom

Use of knowledge to manage/solve patient problems

The informatics nurse

An RN w/ an interest or experience in an informatics field; also a superuser or informatics nurse specialist

The informatics nurse is also known as a _______ or a _____

superuser or informatics nurse specialist

Responsibilities of an informatics nurse

strategy development, implementation and maintenance evaluation of clinical systems requiring collaboration with multiple disciplines

System Userability Aspects

- Does the EHR achieve specified goals

- Is it readable

- Is color used to convey meaning to user

First informatics nurse

Florence

System Optimization

- Strategies to improve processes

- Maximize effective use

- Reduction of errors

- Improve clinical decision support

Standard Terminologies

- Standard responses from drop down menus instead of free text

- ex. cannot ambulate = non ambulatory

Interoperability

- System that exchanges EHR

- Patients/Families can see and receive info

Ways to stay secure and private

- Do not share password

- Do not reuse passwords

- Passwords b/w 8-15

- Multifactor authenticator

- Password Manager

What is a Blockchain

- Digital info (block) stored in public database (chain)

Why is blockchain good

- Optimizes data management

- Manages nurses credentialing/ed

- Safeguards clinical trials

Meaningful uses of EHR technology

- Improve quality, safety, reduce health disparities

- Improve care coordination

- Privacy and security of patient info

- Clinical outcomes

- Population health outcomes

- Enables robust research data

Ways to maintain security in EHR

- Do not share password

- Do not leave computer alone

- Follow protocols for correcting errors

- Do not create, change, or delete errors

- Do not leave patient info on a monitor

- Do not use email for patient info

Private patient info includes

- Name, address, phone, SSN

- Diagnosis, assessments/treatments

- Past medical history

Health info may be found in:

- Patient medical records

- Phone calls, voicemail, fax

- Email

- Conversations among staff

When was HIPPA established?

1996

What does HIPPA entail?

- Patient's continuous health insurance (portability)

- Protects patient's privacy of health info

- Simplify health admin processes by standardizing info

Patient rights included in HIPPA

- See/copy their records

- Update records

- Get/restrict disclosures

- Choose how to receive info

Permitted disclosure of patient health info includes

- Public health activities

- Infection control

- Track disease outbreaks

Law enforcement & Judicial proceedings include

- Medical records necessary to an investigation

- Identify victims of crime/disasters

- Reporting of abuse

Permitted disclosure of deceased persons health info includes

- Coroners, funeral directors, and medical examiners

- Organ donation

- Potential crime

Emerging areas in informatics include

- Patient portals

benefits

Patient portals include

- Web based patient engagement tool

- Link to telehealth services

- Remote monitoring

- Access health info

- Schedule appts, pay, review labels, receive screening reminders

Benefits of emerging areas in informatics

- Improved health outcomes

- Chronic condition management

- Timely care

- Patient retention

Areas of healthcare analytics

- Drives clinical information

- Population

- Admin

- Financial

Emerging areas in informatics

- Data visualizations

- Predictive analytics

- Big data

Telehealth activities include

- Videoconferencing

- Long distance imaging review

- Wireless communication

- Continuing ed

- Training

Benefits of healthcare

- Convenience

- Increased access

- Better patient engagement

- Reduction of stigma

Telecare examples

- Fitness apps

- Exercise tracking tools

- Digital med reminders

- Early warning/detection technologies

System usability

The effectiveness and efficiency in which a user may complete a task

System optimization

The process of upgrading and improving a system to improve efficiency, reduce costs, and increase productivity

Standard terminologies

Common language, classification or responses designed to be shared for clear, accurate documentation

Interperability

Exchange of data that is understandable and meaningful

Blockchain

The process of recording data and information on a decentralized platform to increase security

What is the concept of technology and informatics

Informatics is the use of information technology to improve the quality, efficiency, and/or delivery of healthcare

Examples of technology and informatics

- Electronic Health Records (EHR)

- Telemedicine

- Telehealth

12 Steps of the System Development Lifecycle (SDLC)

NUMONIC: A Dangerous Utensil Fit In Prisoner's Underwear To Injure Many Employees

Analyze and plan

Design and build

Unit testing

Function testing

Integration testing

Performance Testing

User acceptance testing

Train

Implement

Maintain

Evaluate

Active learning

What are the aspects of the analyzing and planning step

4 P's:

- PURPOSE: What's the purpose of this new tech

- PROBLEMS: What problems will be solved

- PEOPLE: Will it improve overall usability

- PROGRESS doc: Will it streamline documentation

What are the aspects of the design and build step

Does the look of it lead to good work flow

- Screen display look

- Layout

- Support work flow

- Support the effectiveness of new technology

- Can standard terminology be used

What are the aspects of the unit testing step

Is the info correct and is the placement of it good

- Do screens contain correct info

- Was anything left out

- Is everything in the right place on the screen

What are the aspects of the function testing step

Can scripts work on this system

- Done after unit testing complete

- Uses test scripts to validate the system is working as designed

What are the aspects of the integration testing step

Use script to test of ALL aspects help workflow

- Uses test script to validate that system works as designed for entire workflow that integrates multiple components of the system

What are the aspects of the performance testing step

Does it work while multiple employees use it

- Ensures proper functioning of the system with the right volume of end users

What are the aspects of the user acceptance test step

Nurses test it

Final baes where the nurse tests the EHR to ensure working design

What are the aspects of the train step

Education

- Key element to implementation

- New EHR: classroom ed

- New modules: web based training

What are the aspects of the implement step

- All test phases complete

- End users are educated

- Support resources available

What are the aspects of the maintain step

Update to keep going

- Complete ongoing updates

- Monthly maintenance

What are the aspects of the evaluate step?

Is it helping?

- Is EHR system helping to realize errors

- Is the system decreasing errors

- Is it improving overall health