Health Information Technology & Nursing Informatics Jil Wright
Who’s the Geek? (That would be me.)Twitter: http://twitter.com/itjilLinkedIn: http://firstname.lastname@example.org.Jilwright.com
• This presentation is available to view any time online at: http://www.slideshare.net/itjil
Resources & References• For the best info on the web about health information technology and nursing informatics, visit www.himss.org. This presentation is largely based on Nursing Informatics 101 by: Melissa F. Barthold, MSN, RN, BC, CPHIMS, FHIMSS Tammy Duecker, RN Patty Guinn, BS, RN, CPHIMS Ruth MacCallum, BS, RN-BC Available here.
Can We Transform Nursing Practice through Informatics and Technology? http://youtu.be/w8_5G_BPB1s
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, KoreaHIMSS Nursing Informatics
Nursing informaticsintegrates:• Nursing science• Computer science• Information science• Communications
Nursing informaticssupports:• Patients• Nurses• Healthcare Providersin decision making in allroles and settings.Nursing Informatics: Scope and Standards of Practice. SilverSpring, MD: American Nurses Association; 2008.HIMSS Nursing Informatics
Transforming Nursing Education with Health IT Helen Connors PhD RN FAAN http://youtu.be/pFbFZt9ewvI
IT Systems• Reduce Error• Increase Safety• Increase Productivity• Better Organization• Better Communication• Can support evidence based practice at the point of care
IT Systems Assessment• Aid the Nursing Process• Communication & Evaluation Diagnosis Coordination• Manages all information related to the nursing Implementation Planning process and patient care• Better documentation
Better DocumentationProvides: • What care has been provided and what is outstanding • Outcomes of care provided and responses to the plan of care • Current patient status & assessments • Support decisions based on assessments to drive new plans of care
Examples of IT Systems• Clinical Information Systems• Clinical Documentation Systems• EMR/HER• Wireless• Point of Care Clinical Decision Support• Data Repositories• ICU Technology• Mobile Systems• RFID• Barcode Systems• Physician Order Portals• Care Planning Systems• Electronic Medication Administration Records• Staffing/Scheduling• Various applications and device support
What is RFID, you ask?• Radio-frequency identification (RFID) is a technology that uses radio waves to transfer data from an electronic tag, called a RFID tag , attached to an object, through a reader for the purpose of identifying and tracking the object.• The RFID tag includes a small RF transmitter and receiver.• RFID is superior and more efficient than manual system or use of bar code systems.•• A line of sight is not required to read a RFID tag, the tag can be read inside a case, carton, box or other container.• Unlike barcodes RFID tags can be read hundreds at a time.• More info: RFID Journal Healthcare (Thanks wikipedia!)
What is RFID, you ask?http://youtu.be/_CSwWGyctWw
Meaningful UseAmerican Medical Association Meaningful Use glossary & requirements• Requirements an eligible professional (EP) must meet to qualify for electronic health record (EHR) incentives under Medicare and Medicaid. For 2011–2012 (Stage 1), EPs must meet all 15 core requirements and select five activities from the menu set of 10.Document available here.
Meaningful Use• 1. Record Patient Demographics• 2. Record Chart Changes in vital signs• 3.Maintain active medication allergy list• 4. Maintain up to date problem list of current and active diagnosis• 5. Maintain active medication list• 6. Computerized physician order entry for medication orders• 7. Generate and transmit electronic prescriptions for non- controlled substances• 8. Implement drug / drug allergy interaction checks
Meaningful Use• 9. Record adult smoking status• 10. Provide clinical summaries for patients for each office visit• 11. On request, provide patients with an electronic copy of their health information• 12. Capability to electronically exchange clinical information among care providers and patient authorized entities• 13. Implement one clinical decision support rule relevant to specialty or high clinical priority with the ability to track compliance to that rule.• 14. Implement systems to protect privacy and security of patient data in EHR• 15. Report Clinical quality measures to CMS for Medicare or states for Medicaid
Meaningful Use Menu Set Must Meet 5 of 10• 1. Implement drug formulary checks• 2. Incorporate clinical lab test results in EHR• 3. Generate patient lists by specific conditions to use for quality improvement, reduction of disparities, research or outreach• 4. Use EHR to identify patient specific education resources and provide to patients if appropriate• 5. Perform medication reconciliation between care settings
Meaningful Use Menu Set Must Meet 5 of 10• 6. Provide summary of care for patients referred or transitioned to another provider or setting• 7. Submit electronic immunization data to immunization registries or immunization information systems• 8. Submit electronic syndromic surveillance data to public health agencies• 9. Send reminders to patients (per patient preference) for preventative and follow-up care• 10. Provide patients with timely electronic access to their health information (including lab results, problem lists, medication lists, medication allergies).