Informatics
THE ROLE OF INFORMATICS AND TECHNOLOGY IN IMPROVING CLIENT CARE
INTRODUCTION
Presenter: M. Shackelford MSN, RN
INFORMATICS
Definition: The combination of nursing science with information and communication technologies in the delivery of nursing care.
Modern Practice: Most communication and documentation in nursing is now electronic.
REGULATION
**Key Regulations:
HIPAA (Health Insurance Portability and Accountability Act)
ARRA (American Recovery and Reinvestment Act)
USE OF INFORMATICS IN IMPROVING CLIENT CARE
Core Benefits:
Assess and document client information without leaving the client’s side.
Access, compare, and analyze local, national, and global health data through a single access point.
Improve the overall quality of health care delivery.
Strengthen the relationship between nurses and clients.
IMPACT OF COMPUTER TECHNOLOGY ON NURSING PRACTICE
Introduction to EHRs (Electronic Health Records):
Promote standardization and accuracy in client data management.
Provide prompts for nurses, offering insights and directing them to priority interventions.
Increase knowledge regarding medications and promote safety during administration.
Facilitate better identification of clients and high-risk medications.
Inform nurses about specific assessment needs and instruct on safe disposal practices.
Enhance job performance by integrating electronic reminders for required assessments, interventions, and administration practices.
Enable the use of procedural checklists to perform complex nursing skills accurately.
INFORMATION MANAGEMENT SYSTEMS
Description:
Composed of computer software, hardware, and telecommunication networks.
EHRs support client care and improve health outcomes by streamlining data processes.
ELECTRONIC HEALTH RECORDS (EHRs)
Concept: A digital record of health information throughout an individual's lifetime.
Components of EHRs:
Personal demographics including name, age, and contact information.
Allergies and lifestyle choices.
Immunizations and medications.
Laboratory reports and assessments.
Consultations by health care professionals.
Functionality: Process, store, transmit, and access information to support client care.
Data Utilization: EHRs create a database of similar clients to measure and enhance the quality of care and include systems for:
Computer order entry.
Decision support tools.
Communication between health care team members and clients.
CARE COORDINATION
Importance:
Utilization of interprofessional care coordination documents.
Availability of data electronically to any member of the health care team.
Ensures prompt, accurate, and effective communication and coordination of client data.
Helps identify needs, services, and treatment options.
Supports efficient follow-up in a timely manner.
INFORMATION SECURITY
Key Regulations:
HIPAA: Sets guidelines for managing and sharing protected health information.
HIMSS: Health Care Information and Management Systems Society provides guidelines for sharing information through electronic interfaces.
HITECH: Health Information Technology for Economic and Clinical Health Act encourages health care facilities to adopt HIMSS guidelines.
TELEHEALTH
Definition: The delivery of quality health care through technology.
Balance in Care: Acknowledgment that telehealth must be balanced with hands-on care.
Capabilities: Telehealth can transmit physical, audio, and visual data to inform care plans.
INFORMATION LITERACY
Importance of Education:
Educate clients on identifying credible resources for health information.
Provide access to various resource options that clients may not have on their own.
USE OF SOCIAL NETWORKS AND MEDIA
Guidelines:
Familiarize with facility policies regarding the use of social media.
Prohibit taking or sharing photographs or videos of clients without consent.
Maintain professional boundaries in online interactions with clients.
Avoid posting any offensive remarks about clients, employers, or coworkers.
WRAPPING UP
Conclusion:
Reinforcement of the integration of nursing science with information and communication technologies for improved nursing care delivery.
Recognition of Nursing Informatics as a vital tool in the health care setting.
Emphasizing the importance of protecting health information when utilizing informatics.