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Nursing informatics innovations being developed at the Travancore Medical College, Kollam.

Nursing informatics innovations being developed at the Travancore Medical College, Kollam.

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    Nursinginformatics 120411210917-phpapp01 Nursinginformatics 120411210917-phpapp01 Presentation Transcript

    • Nursing Informatics Dr.T.V.Rao MD Dr.T.V.Rao MD 1
    • Nursing Profession has Transformed Dr.T.V.Rao MD 2
    • Information technology• Any technology which processes and communicates data, includes: – computers, voice, data and image sensing and communications devices, graphics devices, multi-media storage, etc. – pen, paper, telephones and fax machines Dr.T.V.Rao MD 3
    • Dr.T.V.Rao MD 4
    • Dr.T.V.Rao MD 5
    • Health (Medical) InformaticsSimplistic definition:• Medical informatics is the application of computers, communications and information technology and systems to all fields of medicine - medical care, medical education and medical research. MF Collen, MEDINFO 80, Tokyo Dr.T.V.Rao MD 6
    • Definitions• 1989—Graves and Corcoran defined Nursing Informatics as – “Computer science, information science, and nursing science combined to assist in the management and processing of nursing data, information and knowledge to support the practice of nursing and the delivery of nursing care.” Dr.T.V.Rao MD 7
    • Nursing Informatics Defined• Nursing informatics is the integration of nursing, its information, and information management with information processing and communication technology, to support the health of people world wide.• International Medical Informatics Association – Nursing Informatics Special Interest Group (IMIA-NI),adopted August 1998, Seoul, Korea Dr.T.V.Rao MD 8
    • New Definition - ANA• “Nursing Informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate date, information, and knowledge in nursing practice. ANA (2001). 17 Dr.T.V.Rao MD 9
    • How it all began….• Late 1960’s first computer systems were implemented in hospitals• Computer nurses began to appear in hospitals – Excellent clinicians – Technically curious and willing to try new things Dr.T.V.Rao MD 10
    • Nursing Informatics:• Nursing informatics can be applied to model the human processing of data, information, and knowledge within a computer system in order to automate the processing of nursing data to information and the transformation of nursing information to nursing knowledge. Dr.T.V.Rao MD 11
    • Informatics Nurse Specialist1. Improving patient safety, particularly in drugdelivery and clinical records are maintinedcorrectly.2. Improve workflow, with a display ofinformation and processes that appear in theorder in accordance with the activities of nurses.3. Improving the implementation of the newsystem, involving nursing staff in the design it.4. Improve the effectiveness of the system. Dr.T.V.Rao MD 12
    • Who Should Become a Nurse Informaticist?• You do not have to be a computer expert to consider a career as a nurse informaticist. Everyone must start somewhere. If you see the computer as a problem-solving tool instead of an inconvenience, then you are a prime candidate to be a nurse informaticist (Bridges, 2007). Dr.T.V.Rao MD 13
    • Nurse Informaticist? Works with WWW support • In education, the nurse informaticist works with online, hybrid, and web supported courses. This may include putting courses up on the internet and assisting faculty with determining what should go on the web support sites. Dr.T.V.Rao MD 14
    • Need for Nursing Informatics:• "In the current Information Age, the doubling of knowledge every five years ? and the increased specialization of knowledge make it imperative that nurses have access to the latest scientific information to assist in the delivery of high quality care," (Hudgings, 1992,). Dr.T.V.Rao MD 15
    • Nursing Informatics:• Information systems used in health care include the people, structures, processes, and manual as well as automated tools that collect, store, interpret, transform, and report practice and management information. Dr.T.V.Rao MD 16
    • Knowledge is exploding and Patients are demanding Dr.T.V.Rao MD 17
    • The Benefits of Nursing Informatics • In the practice of professional nursing • In the delivery of patient care in the healthcare continuum Dr.T.V.Rao MD 18
    • Nursing Process• Communicate & coordinates care with ALL other clinical disciplines• – Coordinate discharge planning, education & teaching, transition of care• – Manages ALL information related to the nursing process and patient Dr.T.V.Rao MD 19
    • Automation of Documentation• Why automate documentation – not only for nursing but for all of patient care?• Up-to-date, accurate information of each step of the Nursing Process is the Power behind safe, high quality patient- centered care! Dr.T.V.Rao MD 20
    • What Does a Nurse Informaticist Do?• Nurse informaticists, also known as nurse informatics specialists, are specially trained to help manage, interpret and communicate the vital medical data and information that flows into and out of doctors offices, hospitals, clinics and other health care facility computer systems. Nurse informaticists are skilled in three primary areas: computer science, information technology and nursing science Dr.T.V.Rao MD 21
    • What Does a Nurse Informaticist Do?• They may also make recommendations as to how to improve the processes and uses of computer programs in order to improve patient outcomes. For this reason, many nurse informaticists work as consultants. Dr.T.V.Rao MD 22
    • What Does a Nurse Informaticists Do?• Nurse informaticists work in an administrative capacity, and contribute to decision-making on medical information technology. Some nurse informaticists educate nurses on how to effectively enter medical information into a computer system, as well as train nurses how to use new technology. Dr.T.V.Rao MD 23
    • Information/Database Management• Understand database architecture—how data is stored and accessed• Nursing structure – Nomenclature/vocabulary – Taxonomies and Coding Schemes • ICD-P, CPT – Nursing Minimum Data Sets • NIC,NOC, NANDA, Dr.T.V.Rao MD 24
    • Computer Technology• Understanding of the actual technology Networks –Personal computers –Portable devices –Operating systems –Software Dr.T.V.Rao MD 25
    • Exam Focus Areas• System Analysis and Design• System Implementation and Support• System Testing and Evaluation• Human Factors• Computer Technology• Information/Database Management• Professional Practice/Trends and Issues• Theories Dr.T.V.Rao MD 26
    • Automation of Documentation• Why automate documentation – not only for nursing but for all of patient care?• Up-to-date, accurate information of each step of the Nursing Process is the Power behind safe, high quality patient- centered care Dr.T.V.Rao MD 27
    • The Value of Nurse Informaticists• Support nursing work processes using• technology• – Design systems to match clinical workflows• Telehealth• Home health• Ambulatory care• Long-term care• Acute care – all specialties• Outpatient settings• Software development• Redesign work flows Dr.T.V.Rao MD 28
    • The Value of Nurse Informaticists• Increase the accuracy and completeness• of nursing documentation• • Improve the nurse’s workflow• – Eliminate redundant documentation• • Automate the collection and reuse of nursing data• • Facilitate analysis of clinical data• – JCAHO indicators, Core Measures, federal or state• mandated data and facility specific data Dr.T.V.Rao MD 29
    • The Benefits of Nurse Informaticists• Nurse Informaticists promote and facilitate Access to resourcesand references fornurses and the entireinterdisciplinary teamin both clinical andadministrative settingsChange Dr.T.V.Rao MD 30
    • The Benefits of Nurse Informaticists• Benefits for nurses and the interdisciplinary team:• Support for their mission to deliver high quality, evidence-based care Support for better service by facilitating true interdisciplinary care• Promotes improvement in key relationships with• physicians• peers• interdisciplinary care team members• patients• families Dr.T.V.Rao MD 31
    • The Benefits of Nurse Informaticists • Benefits in the administrative setting • Support for cost savings and productivity goals • Facilitate change management Dr.T.V.Rao MD 32
    • What Does the Nurse Informaticist Do?• The role of the nurse informaticist is partially dependent on the place of employment. In acute and long term care, the role is to be a liaison between the IT department and nursing. This nurse assists in choosing the appropriate system for electronic health records and then works with the nursing staff to use the system in providing patient care. Dr.T.V.Rao MD 33
    • Nurses Influencing Change curriculum• Taught since 2005 to 4th Year Nursing Students• The use of information and communication technologies has become a strong thread woven through out this course, with the premise that the “media” is a powerful force in both preventing and initiating social change
    • The Many Roles of a Nurse Informaticist• Vendors• Acute care - Hospital Systems• Consultant• Education/Research• Long-term care• Ambulatory• Home care Dr.T.V.Rao MD 35
    • The Many Roles of aNurse Informaticist • Hospital Systems Analyst – Support/Implement Systems Directors/Managers of Nursing Informatics Project Managers CIO (Chief Information Officer) Dr.T.V.Rao MD 36
    • The changing role of Nursing• Software Implementation• Software/System Solution Selection• Process Improvement• Project Management Dr.T.V.Rao MD 37
    • The Many Roles of aNurse Informaticist • Other - Education/Research • Compilation/Analysis of Data Public Policy Government HealthCare IT initiative Insurance organizations Dr.T.V.Rao MD 38
    • Patients are keen to know more about their Problem Are we well Equipped Dr.T.V.Rao MD 39
    • Online Journal of Nursing Informatics• The Online Journal of Nursing Informatics (OJNI) is a free, international, professional, refereed publication that focuses on nursing informatics in all practice settings. OJNI is committed to addressing the theoretical and practical aspects of nursing informatics as it relates to the art of nursing. CINAHL indexes the journal. Dr.T.V.Rao MD 40
    • Professional Organizations • The Alliance for NursingInformatics is a collaboration of over 25 organizations,representing a unified voice for nursing informatics. Join one today! www.allianceni.org Dr.T.V.Rao MD 41
    • Point to Consider.....“What narrative will capture the imaginations,feelings, intellect and will of political decision-makers and the broader public and inspire them toaction?” (World Health Organizations Commissionon the Social Determinants of Health, 2005, p. 44).This is a critical point for nursing educators toconsider in the context of education students toengage in social justice and societal change
    • What are objectives of Nursing• 1Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression• 2)Nurses should be full partners, with physicians and other healthcare professionals in the redesigning of health care in the United States• 3)Effective workforce planning and policy making require better data collection and an improved information infrastructure Dr.T.V.Rao MD 43
    • Nursing Informatics - Goals• The goal of Nursing Informatics is to improve the health of populations, communities, families, and individuals by optimizing information management and communication. This includes the use of technology in the direct provision of care, in establishing effective administrative systems, in managing and delivering education experiences, in supporting life-long learning, and in supporting nursing research.• Scope of Standards of Nursing Informatics Practice - American Nurses Association 200 Dr.T.V.Rao MD 44
    • Nursing Informatics becomes Nursing• Take the challenge! Learn all you can about nursing informatics, ask questions, and offer your ideas. Nursing informatics will continue to grow and be an integral partner in nursing practice everywhere! Dr.T.V.Rao MD 45
    • WEB Resources• Alliance for Nursing Informatics• http://www.allianceni.org• American Nurses Association• http://www.nursingworld.org• American Nurses Credentialing Center• http://www.nursecredentialing.org/• CPHIMS http://himss.org/ASP/certificationHome.asp• HIMSS Nursing Informatics Community• http://www.himss.org/ni Dr.T.V.Rao MD 46
    • Empower with Digital Revolution Thank Q Dr.T.V.Rao MD 47