10 E’sEfficiency = decrease in costsEnhancing Quality of Care = allowing comparisons between providersEvidence-based = proven by rigorous scientific evaluationEmpowerment of consumers/clients = making knowledge base of medicine and personal information availableEncouragement = a new relationship – true partnership btwn client and health care providerEducation = continued education for healthcare providers & health education for consumersEnabling = communication in standardized way between health care establishmentsExtending = scope of health care beyond conventional boundariesEthics = poses challenges/threats to ethical issues (online practice, informed consent, privacy and equity issues)Equity = equitability is a promise of e-health, but concern that e-health may deepen the “digital divide”
EHR ideasRemote access to EHR from home/office Access to multiple clinical information systemsCreation of virtual EHR by combining multiple information sources for seamless end product (to user) Use of application service providers for access to HERDirect client access to official versionClient Self-CareManage health history via online programsResearch details of diagnosisCARSCredibility = an authoritative sourceAccuracy = a source correct todayReasonableness = A source that engages the subject thoughtfully and reasonablySupport = A source that provides convincing evidence to the claims made (two other sources supporting info)
Last bullet found on http://my.clevelandclinic.org/nursing/informatics.aspx
Objectives<br />Define Nursing Informatics<br />Discuss how technological advances affect HIPAA<br />Define Clinical Information Systems <br />Define Electronic Health Records<br />
What is Nursing Informatics?<br />According to the ANA, Nursing Informatics is a “specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice”.<br />
Nursing Informatics was recognized as a nursing specialty in 1994<br />These Nurses:<br />Possess basic computer knowledge, and an extensive clinical background<br />Unique understanding of workflow<br />Able to apply practices to improve health care work environment<br />Have a clear understanding of regulations to provide safe nursing care<br />
Eligibility Requirements to sit for exam for Certification<br />Hold a current, active RN license within a state or territory of the United States or the professional,<br />legally recognized equivalent in another country<br />Have practiced the equivalent of two years full time as a registered nurse<br />Hold a baccalaureate or higher degree in nursing or a baccalaureate degree in a relevant field<br />Have completed 30 hours of continuing education in informatics within the last three years<br />Meet one of the following practice hour requirements:<br />Have a practiced minimum of 2,000 hours in informatics nursing within the last three years<br />Have practiced a minimum of 1,000 hours in informatics nursing in the last three years and<br /> completed a minimum of 12 semester hours of academic credit in informatics courses which<br /> are a part of a graduate level informatics nursing program<br />Have completed a graduate program in nursing informatics containing a minimum of 200 hours of faculty supervised practicum in informatics<br />
HIPAA and Technology<br />Influx of new technology is creating implications for the protection of privacy and security.<br />Simple precautions to secure client info:<br />Use data encryption<br />Use password when logging on, and a time-out to reactivate the password<br />If using PDA, disable the infrared ports<br />
What is a Clinical Information System (CIS)?<br /><ul><li>Collections of Information Technology Applications equaling a repository (database) of information for client care
Contains information about client – history of illness, interaction with providers, genetic, environmental and social data
Creates record of status of decisions, actions underway and information to assist in performing targeted actions</li></li></ul><li>What is an Electronic Record (EHR)?<br /><ul><li>Other common names – computerized patient record (CPR), electronic medical record (EMR) and the electronic patient record (EPR)
Access to reference materials</li></li></ul><li>Conclusion<br />Nursing Informatics Specialists bridge the gap between clinical care skills and technology<br />Adaptability is key as these nurses face many challenges daily and wear many hats<br />Nursing Informatics aligns with the future of health care – growth in the use of technology to ensure safety, positive outcomes, and positive patient satisfaction<br />
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