UCC2 Advanced Information Management & The Application of Technology

Nursing Informatics
The combination of Nursing Science, Information Science and Computer Science
Information
Data that can be processed using knowledge.
Information Must Be:
Accessible, Accurate, Timely, Complete, Cost Effective, Flexible, Reliable, Relevant, Simple, Verifiable and Secure
Disseminate
Sharing knowledge with others
Data
Raw facts that lacks meaning.
Knowledge Acquistion
The Act of Acquiring knowledge
Empiricism
Based on knowledge being derived from reason
Rationalism
An ethical position that contends that knowledge is derived from deductive reasoning and not from the senses
Core Business Systems
Enhances administrative task within healthcare.
Core Business Systems
Support the management of healthcare within an organization. Provides framework for reimbursement, support of best practices, Quality control and resource allocation
4 Core Business Systems
1. Admission, Discharge, Transfer
2.Financial
3. Acuity
4. Scheduling System
Informatics Nurse Specialist
An RN with formal, graduate education in the field of informatics or a related field and is considered a specialist in the field of nursing informatics.
Informatics Innovator
Process of making enhancements or improvements and creative, novel and inventive solutions in the informatics specialty.
Informatics Nurse
A nurse with specialized skills, knowledge and competencies in informatics. An RN with an interest or experience working in an informatics field. A generalist in the field of informatics in nursing.
Nursing Informatics
Conceptual framework underpinning the science and practice of nursing with the concepts of data, info, and knowledge wisdon
Ontological Approach
Theory that considers ontology development (domain analysis) and its mapping to object models (specification of infrastructure). Based on enumerating all concepts used in a domain and in providing their formal definitions according to suitable formalism (usually logic based)
Archetype
Broad or general, idealized model of an object or concept from which similar instances are derived, copied, patterned, or emulated. Original model after which other similar things are patterned. First form from which varieties arise or imitations are made.
Electronic Health Record
Improves Care
Control Cost
Improve Delivery
No need report
T.E.L.O.S
Technological
Economic
Legal
Operational
Schedule Feasibility
Interoperability
Ability of various systems and organizations to work together to exchange information
CPOE
Eliminating medical errors due to writing
Evidence Based Nursing
Nursing process in which nurses make clinical decisions using:

1. Best available research evidence
2. Clinical Expertise
3. Patient preference

Core Public Health Function
Assessing and monitoring the community
Knowledge
is the product of using and working with data and information
Benefits of EHR
* Increase delivery of guideline based care
* Surveillance & Monitor Disease
* Decrease Medication Errors
* Determine who qualifies for research
To be a Certified EHR, it must contain
*Drug Interactions *Drug Formula * Up to date problem list *active medication list *allergy list * vital signs * BMI *smoking status *growth chart
Intrusion detection device
Hardware and software that allow an organization to monitor who is using the network and what files that user has accessed
A patient’s blood pressure is an example of
Data
Learning how to apply computer science to nursing science is
Information
Example of Nursing Imformatics
“Patient’s BP dropped, decrease cardiac drip” this is using the data of the bp and the knowledge that the medication is causing the patient’s bp to drop to rapidly
3 Sciences of Nursing Informatics
NIC->Nursing,Information, Computer Science
Examples of Knowledge Acquistion
A new nurse watches a seasoned nurse do a procedure first, then the new nurse tries it. Acquisition is the learning or developing of a skill, habit or quality
Feed Back
Is the response to knowledge to ensure that the knowledge being generated, disseminated, acquired and processed is ACCURATE
Knowledge Processing
The ability to gain knowledge by thinking about the info that is learned and then understanding fully how to use and apply that info for good use
Knowledge Gereration
Is the origination of knowledge that is to be shared and eventually acquired
5 Specific Ways Knowledge is Developed
Acquisition
Dissemination
Generation
Processing
Feedback
Epistemology
Is the study of the nature and origin of knowledge. What is means to really KNOW
Ubiquity
Healthcare delivery, information and knowledge available everywhere and anywhere
Feasibility Study
Examines various points of the implementation project in order to decide whether the organization can afford to implement the program and do so in a timely way.
Waterfall Development Model
The development and implementation of info systems use various approaches. Each phase is rolled out individually.
Feasibility Indicators
TELOS=
Technologies
Economic
Legal
Operational
Schedule Feasibility
5 Steps of Implementing a new software program
Analysis
Design
Implementation
Evaluation
Maintenance
Proxy Server
Hardware security tool that prevents internet access
Patient Care Support System
Provides info to RN’s and MD’s about
*clinical documentation
*prescriptions
*labs
*radiology reports
Benefits of Oder Entry Systems
Decrease errors from poor penmanship
Decrease errors from interpreting #’s
Information is sent directly to Pharmacy or to the patient
Sharing information between systems
PACS, Pharmacy, Meditech, different systems use different software programs. It is essential for the systems to be able to talk with each other.
Static Approach
Educating with brochures, pamphlets, flyers, books and magazines
Knowledge Age
People want to know
Increase in information that feeds individuals
Immediate results and unlimited access to services
Clinical information system
Used for; drawing data, trends, statistics and reports used fro clinical or admin decision making, audits and process improvment
Human Computer Interaction
User must be early & continuous during interface & design
Design should be iterative, allowing for evaluation & correction
HIMSS
Healthcare
Information
Management
Systems
Soceity
Healthcare Information & Management Systems Soceity
Better health through information technology, globally lead endeavors optimizing health engagements & care outcomes through Information technology
Information Technology Revolution
Information cheap
More efficient & effective
Good Tools
Good Resources
Risk Assessment
Identify hazard
Exposure time
Dose of exposure
Risk Characterization;; ?Was it a high or low risk?
Examples of Core Public Health Function
Examine:
Demographics
Socioeconomic
Disease Prevalence
Disease Incidence
Websites you can refer to
US Department of Health & Human Services
American Nurses Association
*always have author and pub date
Interactive Approach
Using Multimedia for Educating
*websites*power points*games*sound clips
Information Technology
Use of hardware, software, services & supporting infrastructure to manage & deliver information using voice, data & video or the use of technologies from computing, electronics & telecommunications to process & distribute info in digital or other. Anything related to computing technology such as networking, hardware, software, the internet or the people who work with these technologies
Expert System
A type of decision support system that implements the knowledge of one or more human experts.
Decision Support System
Computer applications designed to facilitate human decision making processes. Usually DSS’s are rule-based, using a specified knowledge base and a set of rules to analyze data and information and provide recommendations typically through the use of knowledge base and rules to make recommendations to users.
Benefits of using Clinical Information Systems
Decrease Free text
Make reports from codes
Aggregate data
Performance Improvement
Graph Vitals
Helps clinical analytics
Helps Guidelines or best pratices
Clinical Information System
Technology based system applied at the point of care & designed to support the acquisition & processing of information capabilities.
Heuristic Evaluation
“discount usability eval” . Used to detect problems early in the design so it is cheaper and easier to fix
HONcode & Trust-e
Sites have been reviewed & are trustworthy
Collaboration Groups
Information technology
Clinical Specialty Areas
Support Services
Software Vendors
Stakeholders
They are very critical to success
Most responsibility for completing
Greatest Influence Overall design
Must impact by project
Collaborate overall budget & time frame
Picture Archiving & Communication System
PACS- Radiology, stand alone, diagnostic studies are stored on this system. Shared instantly.
Systemized Nomenclature of Medicine
SNOMED CT- Universal healthcare terminology & messaging structure. Enables terminology from one system to be mapped to concepts from another system.
ANA Recognized Terminology
NANDA- nursing diagnosis, definitions, classifications
NIC- Nursing Interventions Classifications
CCC-Clinical Care Classifications
Omaha System
NOC-Nursing Outcome Classifications
NMMDS- Nursing Management Minimum Data Set
ICNP- International classification for nursing pratice
HITECH
US. The health information technology for economic & clinical health. 01-2009 Bill was passed for electronic health records to be used.
Clinical Care Classification
Interrelated terminologies that cover:
Nursing diagnosis
Nursing Outcomes
Nursing Interventions
Nursing Actions
Accessibility
Easy to access the information & knowledge needed to deliver care or manage a health service.
Administrator’s Use Which Systems
Information Systems:
Analysis of the Budget
Risk Management
Quality Assurance
HR
Payroll
Patient Registration
Staff Scheduling
Communication
Cognitive Informatics
Understanding how information is processed in the mind & in the computer
Work Flow
Sequential Steps are dependent on one another, Task, Events and interactions
Gaming Simulation
Students to learn about task. Provides the nurse to self teach. Disadvantages is that the nurse can not become one like in the virtual world.