Handbook of Informatics for Nurses and Healthcare Professionals Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights.

Slides:



Advertisements
Similar presentations
Meaningful Use and Health Information Exchange
Advertisements

Computers in Health Care Hospital Information Systems.
CHAPTER © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 2 The Use of Health Information Technology in Physician Practices.
INTRO TO MEDICAL INFORMATICS: TUTORIAL
What IMPACT Means to Physicians November 2014 Physician Champion: William Bradshaw, MD, FACS.
HEALTH INFORMATION TECHNOLOGY OVERVIEW Amy Cooper, MPHFebruary 28, 2013.
NURSING INFORMATICS Dr. Ali M. Hadianfard Faculty member of AJUMS
Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Pearson's Comprehensive Medical Assisting: Administrative.
Informatics And The New Healthcare System Information Technology Will Provide the Platform for Quality Improvement in Healthcare for the 21 st Century.
Personal Digital Assistants: Revolutionizing Medical Care Lauren McKenna and Dallas Warren ORF/PSY 322- H/M Interactions May 5 th, 2005.
2 The Use of Health Information Technology in Physician Practices.
The Role of Information Technology For A Private Medical Practice Noel Chua Rosalinda Raymundo.
Chapter 5. Describe the purpose, use, key attributes, and functions of major types of clinical information systems used in health care. Define the key.
Lecture 1 Healthcare Information Systems (Ch. 6)
PrimeSUITE’s Practice Management and Electronic Health Record Software
Chapter 4. Describe the history and evolution of health care information systems from the 1960s to the present. Identify the major advances in information.
Group 9 Heather Cason Kevin Cooper Daron Gilmore Jason Lee Murtaza Qureshi Josh Wallace.
Chapter 2 Electronic Health Records
Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved. McGraw-Hill Chapter 5 Personal Health Records Electronic Health Records for Allied.
ELECTRONIC HEALTH RECORD
Meaningful Use Measures. Reporting Time Periods Reporting Period for 1 st year of MU (Stage 1) 90 consecutive days within the calendar year Reporting.
Computers in Health Care Objective 1
© 2009 by The McGraw-Hill Companies, Inc. All rights reserved. McGraw-Hill Career Education Computers in the Medical Office Chapter 2: Information Technology.
Current and Emerging Use of Clinical Information Systems
Decision Support for Quality Improvement
The Use of Health Information Technology in Physician Practices
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. The Pharmacy Technician: Foundations and Practices.
 Definitions  Goals of automation in pharmacy  Advantages/disadvantages of automation  Application of automation to the medication use process  Clinical.
Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright ©2009 by Pearson Education, Inc. Upper Saddle.
Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved. McGraw-Hill Chapter 4 Electronic Health Records in the Hospital Electronic Health.
Affordable Healthcare IT Solutions. MU RX Compliance with Meaningful Use Stage 2.
1 Visioning the 21 st Century Health System Kenneth I. Shine, MD National Health Information Infrastructure 2003: Developing a National Action Agenda for.
UNIT 5 SEMINAR.  According to your text, in an acute care setting, an electronic health record integrates electronic data from multiple clinical systems.
Chapter 6 – Data Handling and EPR. Electronic Health Record Systems: Government Initiatives and Public/Private Partnerships EHR is systematic collection.
Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved. McGraw-Hill Chapter 7 Introduction to Practice Partner Electronic Health Records.
IT Application in Health Care
Handbook of Informatics for Nurses and Healthcare Professionals Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights.
THE ROLE OF TECHNOLOGY IN THE MEDICATION-USE PROCESS
Health Management Information Systems
Handbook of Informatics for Nurses and Healthcare Professionals Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights.
Handbook of Informatics for Nurses and Healthcare Professionals Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights.
Component 3-Terminology in Healthcare and Public Health Settings Unit 15-Overview/ Introduction to the EHR This material was developed by The University.
Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved. McGraw-Hill Chapter 3 Electronic Health Records in the Physician Office Electronic.
Broadband & Healthcare Jason Crosby Strategic Healthcare Partners.
Terminology in Health Care and Public Health Settings Unit 15 Overview / Introduction to the EHR.
Chapter 19 Manager of Information Systems. Defining Informatics Process of using cognitive skills and computers to manage information.
Unit 4 Seminar MO 250 Medical Records Management: Electronic Health Records.
Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved. McGraw-Hill Chapter 5 Personal Health Records Electronic Health Records for Allied.
Informatics Technologies for Patient Safety Presented by Moira Jean Healey.
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare.
Both refer to a group of systems used within the hospital or enterprise that support and enhance health care.
ADMINISTRATIVE AND CLINICAL HEALTH INFORMATION. Information System - can be define as the use of computer hardware and software to process data into information.
Management Information System In Healthcare
NURSING INFORMATICS Chapter 6
ADMINISTRATIVE AND CLINICAL HEALTH INFORMATION SYSTEM
Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved. McGraw-Hill/Irwin Chapter 3 Electronic Health Records in the Physician Office.
ADMINISTRATIVE AND CLINICAL HEALTH INFORMATION SYSTEM BY JOSE BARRIGA JR., RN.
E-Prescriptions Krishi. E-Prescriptions Overview One major contributor to PAEs is patient medication errors, and the implementation of e-prescription.
Handbook of Informatics for Nurses and Healthcare Professionals Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights.
Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright ©2009 by Pearson Education, Inc. Upper Saddle.
Component 6 - Health Management Information Systems Unit 2-1b - Hardware and Software Supporting Health Information Systems.
© 2016 Chapter 6 Data Management Health Information Management Technology: An Applied Approach.
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare.
Handbook of Informatics for Nurses and Healthcare Professionals Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights.
1 Accredited Southern Group. 2 Accredited Southern Group Quality of Life Group 6: 5 years Strategic Objectives Internal Process Objectives:  Excellence.
Computers in Health Care Objective 1
Managing Clinical Information: EHR Terms and Architecture
Special Topics in Vendor-Specific Systems
Health Care Information Systems
COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE)
Presentation transcript:

Handbook of Informatics for Nurses and Healthcare Professionals Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Chapter 5 Health Care Information Systems

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Information System Use of computer hardware and software to process data into information Healthcare information system (and hospital information system)—a group of systems used to support and enhance health care

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Types of Information Systems Clinical information systems (CISs) –Directly support care –Individual systems may be stand alone –Goal: data exchange among systems Administrative systems –Indirectly support patient care –Individual systems may stand alone –Goal: data exchange among systems

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Clinical Information Systems (CISs) Nursing Multidisciplinary Monitoring Laboratory Pharmacy Radiology Emergency department Physician practice management systems Longterm Homecare

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Administrative Systems Client management (registration) Financial Payroll Human resources Quality assurance Contract management Risk management systems Materials management

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Nursing Information System (NIS) Supports the use and documentation of nursing activities and provides tools for managing the delivery of nursing care –Access to online databases

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Nursing Information System Advantages Improved access to information Better documentation Improved quality of care Improved productivity and communications Tracking capability Enhanced regulatory compliance

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Despite advantages information systems that are used by all clinicians are seen more commonly NIS Status

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Documentation Nursing process—based on traditional documents with nursing diagnosis as organizing framework, may use standardized nursing languages Critical pathway—often used for multidisciplinary documentation, may incorporate physician orders Flowsheets, charting by exception

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Standardized Nursing Languages Provide a common language for all nurses in all locations Important to the development of the electronic health record Measure nursing’s contributions Contribute to the body of nursing knowledge

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Clinical Information Systems Support provider order entry, results retrieval, documentation, evidence-based practice, and decision support across distributed locations and by different disciplines

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Monitoring Comprised of devices that monitor temperature, pulse, respirations, blood pressures, oxygen saturation, or other measures automatically feeding the input into a clinical information system Alarms notify caregivers of readings that are outside the range of “normal”

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Order Entry Systems Orders entered into the computer are transmitted to the appropriate areas such as the pharmacy, laboratory, radiology, social service Direct entry of orders by the physician, nurse practitioner, physical therapist, or other provider is preferred (CPOE)

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar CPOE Computerized provider order entry Initiative by the Institute of Medicine and Leapfrog Group to improve the quality of care and reduce medication errors –Eliminates transcription error –Expedites treatment –Encourages more accurate, complete orders

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Laboratory Information Systems ↓ Turnaround time, duplicate testing, errors Can –Alert providers when new or stat tests results are back or values are critical –Send results to clinical system for view –Accept input from bedside devices –Generate labels for specimen collection –Use rules to order additional tests when indicated

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Radiology Allows direct order entry or accepts orders from other systems Provides scheduling of diagnostic tests Generates client instructions Permits transcription of results Provides picture archiving and transmission of images and tracking of film Generates charges once procedures done

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Pharmacy Information Systems Provide checks in order and administration process using evidence-based guidelines ↓ Errors when used with bar code technology Use lab results, allergy, and interaction information from clinical systems Track medication use, costs, billing information

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Pharmacy May include more than one system –In pharmacy dispensing systems (robots) –Unit-based dispensing cabinets in care areas –Barcode and RFID Medication Administration E-prescribing –Process that allows the physician to enter a prescription which is then electronically sent to the pharmacy from computers, PDAs

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Barcode and RFID Medication Administration Quality initiative identified by the Leapfrog Group and the Veterans Administration’s National Center for Patient Safety Uses barcode on the unit-dose medication package and patient bracelet to ensure right patient, right drug, right dose, right time, right route

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar E-prescribing Benefits Provides a longitudinal prescription record Checks formulary compliance and reimbursement Provides alerts about drug interactions Generates reminders to order home meds for the discharged client Eliminates phone authorization for refills

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Physician Practice Management Systems Features include capture of demographic and insurance data, scheduling, billing, outcome tracking, and report capability May, or may not, connect to hospital electronic patient records or maintain separate patient records

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Home Healthcare May communicate with hospital systems to exchange data Support demands for excessive documentation Improve payment for services because it is easier and quicker to fin information needed for billing

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Longterm Healthcare Systems Slow to come to this area Needed for the improved quality of care and efficiency Critical to business survival Integration with other systems needed to best serve patients Can include all features seen in other clinical information systems

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Decision Support and Expert Systems …aid in and strengthen the selection of viable options using the information of an organization to facilitate decision-making and overall efficiency Decision support software organizes information to fit new environments

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Registration Systems Admission/discharge/transfer(ADT) systems Collect and store demographic and insurance data that are verified and updated at the time of each visit Critical to operations to ensure correct patient identification and reimbursement for charges

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Impact of Mobile Computing Allows access to data at the point of care to facilitate treatment decisions –Test results –Evidence-based practice guidelines Facilitates documentation at the point of care for improved accuracy

Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Handbook of Informatics for Nurses and Healthcare Professionals, Fourth Edition Toni Lee Hebda and Patricia Czar Future Directions The adoption and refine of healthcare information systems will continue driven by demands for safety, quality, efficiency, and retention of the workforce