UNIT 2C. IT nursing.ppt

Electronic Health Records and Information Technology by Madam Salida Learning outcomes At the end of the this session, the students should be able to: 1.State the purpose of health record and information technology. 2.Explain the advantages of health record and information technology. 3.Explain th...

Electronic Health Records and Information Technology by Madam Salida Learning outcomes At the end of the this session, the students should be able to: 1.State the purpose of health record and information technology. 2.Explain the advantages of health record and information technology. 3.Explain the disadvantages of health record and information technology.  Introduction: Electronic Health Records Electronic health records has helped streamline the process of healthcare to a large extent. Even though we’ve advanced a lot in terms of keeping and tracking electronic health records, it hasn’t been adopted enough yet. Con’t The kind of growth rate we expected to see with the adoption of electronic health records has not been seen yet. Large parts of the world where such electronic health records could change the way health records are kept and how it’s administered still have to see its adoption. Con’t Having the ability of keeping of a track record of one’s medical history is very important in fighting some of the most well-known and dangerous diseases. Overview Information systems facilitate the delivery of services at many levels. They support the activities of: planning, management and the performance of processes besides enabling the recording of information. Health Information System(HIS) An information system that facilitates the activities of a hospital takes into consideration: The functions of a health care facility The capability of information technology Con’t The HIS is envisaged as consisting of two broad systems i.e. 1.Patient Care Information System 2.Managerial Information System The information system that supports administrative, human resource, facility and hospitality management activities are placed arbitrarily under the Managerial Information System. Computer systems Collect, transmit, analyze & report patient related, employee related & process related information  Management application for computerized information systems (CIS) Nursing practice applications for CIS Management application Summary of patient classification data Projection of personal recruitment, hiring Scheduling needs Nursing resource use Supply use Budgeting planning& monitoring Payroll records Analysis of Nursing care Nursing practice application Nursing application Bedside monitoring :HR, BP, blood gases,ICP, CVP Computer controlled fluid, nutrient & drug infusions Computer generated medicine administration records Automated nursing care plans Automated nursing notes Automated monitoring of quality indicators Advantages of bedside computers Decreased time spent in documentation Increased accuracy in documenting care measures Greater accessibility of patient information Faster implementation of Dr’s orders Efficient retrieval of MR information More up to date patient care plans Computerized Information Systems (CIS)  Patient’s MR  Clinical lab test orders & reports  X ray orders & reports  Pharmacy orders & medication administration records  Nursing staffing & scheduling systems  Nursing care standards & quality monitoring systems  MIS: budgets, accounts. Census information  Supply inventory & ordering system  Computerized Gantt chart for implementing new in service system  Employee orientation, in service, & staffing development information  OBJECTIVES & FUNCTIONS OF PATIENT CARE INFORMATION SYSTEM  Being a system for facilitating operations, these set of sub-systems and applications are expected to utilize computerization and information technology optimally to realize desired objectives in the following areas: 1. Productivity 2. Effectiveness 3. Appropriateness 4. Efficiency 5. Quality 6. Safety 7. Privacy and confidentiality of information Con’t To achieve the above objectives, the computerized information system is required to provide the following functions: 1. Guide and enable the performance of Patient Care Processes 2. Facilitate communication between care providers through sharing of information 3. Enable automation of work processes through links within it, integration with other components of the hospital information system and interfacing with other computers, machines, printers and scanners Con’t 4.Provide clinical decision support at point of care 5.Gather, store and make available vital clinical information (individual and aggregated) for primary and secondary use 6.Maintain a permanent record of events and all activities of patient care (as the Electronic Medical Record and other documents based on medico-legal requirements) Con’t Improved research Speed up the research process by quick sharing of big data on servers.  It allows safe exchange of data between two parties and also transforms data into meaningful information to make valuable decision in future.  It helps medical professionals to get an advance image on the topic that improves the overall quality of care and helps in curing diseases faster. Disadvantage of computerized Information System(CIS) Difficult to maintain confidentiality Increased expectation of worker productivity Growing impatience with staff’s memory & decisional shortcomings Increased impersonality of employee interactions Segmentation of work force into computer:”masters” & computer “slaves” How do find the present information system(IS) that is used in the wards? Summary Discussion Discuss the following topics: 1.The types of Electronic Health record hospitals have now a days. 2.Discuss advantage and disadvantages of Electronic Health record in the hospitals.