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.