PPN201 - Week 11 Digital Health

what is nursing informatics

practice and science of integrating nursing info/knowledge with tech to manage health info
- goal is to improve health of people

what is digital health

use of info and communication tech (ICTs) to empower nurses/assist canadian health care system
-pt centered, emphasizing the use of ICTs to help individual and their families track/manage their health

what is the privacy act?

Law that sets out privacy rights in interactions w the federal gov.

- how gov collects, uses, and discloses personal info

- applies to government bodies

what is the Personal Information protection and electronic documents act (PIPEDA)

Personal info can only be used for purposes for which it was collected

- if used for another purpose, consent must be obtained

- personal info protected by safeguards

- applies to organizations

what is Freedom of Information and protection of privacy act (FIPPA)

applies to the province of Ontario
Guarantees public access to gov info

what is the Personal Health Info protection act (PHIPA)

applies to province of Ontario

- Provides direction to all individuals who collect, use, disclose, and retain personal info/personal health info (PHI)

- under PHIPA a sub decision maker (SDM) can access PHI or Know who has access to PHI of pt

Ethical standards related to digital health tech

Privacy and Confidentiality
- data is sensitive, highly prvate and personal
- individuals control use/distribution of data
- professional duty
- have to respect unless conflicts w law
Principles - Need to know, anonymity, consent/implied consent

what is the International Classification for Nursing practice (ICNP)

from the international council of nurses
- terminology/dictionary of terms, that enables nurses to describe their practice in a systemic way
- benefits - safety and quality care, inrease nurse visibility

what is Canadian health outcomes for better information and care
(C-HOBIC)

Standardizing data pertaining to health outcomes
- Promotes consistency and allows info to be compared across practice
- common, structured terminology for use in patient assessment and in EHR documentation in acute care, complex continuing care, LTC and home care

what is SNOMED-CT

- Resource w comprehensive, scientifically validated clinical content
- enables consistent representatio of clinical content in EHR
- Mapped to other international standards
- >80 countries
- Critical for clinical documentation, supports the representation of detailed clinical info in an automatic way

what are clinical decision support tools (CDSS)

System tailored to support users on their decision making process
- doesnt MAKE decision, only provides info to support
- Before and after an event, provide feedback, access to knowledge
- reccomend default drug does, freq of admin, protocols, cost reduction, reminders

Challanges for implementation of CDSS

Digital literacy
Initial decrease in productivity
Adequate training
Systems usability
Prepartation of written processes

what are assistive technologies

Help individuals with disabilites as well as older adults w mobility, safety and their daily schedules
- Voice amplification, stuttering aids, artifical layrnx, communication boards, speech output software, symbol-making software, sppech generating devices

what are adaptive technologies

Systems ability to automatically adjust its properties to the user and the user situation
- interface should adjust to the user rather than the user having to adapt to the system
- e.g. electronic devices, training modules

Assistive technology (AT) and practice

- Potential to significantly impact on care delivery
- AT service users should be well informed to enable informed, joint decisions
- AT should be meaningful and involve caregivers/family
- Should be installed in a manner that optimizes the experience for all concerned

Types of Consumer Health Informatics systems (CHIS)

Wearable and personal devices
Websites
Virtual communities
Mobile health
Patient portals
Personal health records

Wearable and personal devices

commercial devices that monitor health and fitness activites such as HR, Cal, Diet, Steps, etc.
- e.g. apple watch, fitbit
- body monitoring

Websites

Google
Assessment - asking pt what online info and resources they have found, used, or may use = important part of nursing assessment
- Quality of info online, health education and reliabilty
- Social media; fake news/used to disseminate EI-practice

Vitrual communities

Offer Pt and their families an avenue for sharing information and experiences
- garner peer support, advocating w others for their health related needs
- Social media
- Online support networks - chronic diseases/cancer

Mobile health

Smartphone apps
text messages - covid vaccine reminders
Diabetes management
med adherence
smoking cessation
mental health
pregnancy

Patient portals

Platforms deisgned for pts that provide them w functionalities such as e-booking, e-visits, perscription renewal requests
- provides Access and Autonomy
- empowerment
- increase pt knowledge of their healt and suppor self-management
- e.g. myUHN, Lifelabs

Personal heatlh records

Electronic application through which individuals can access, manage and share their health info and that of others for whom they are authorized in a private, secure, and confidential enviroment