Informatics “facilitates”, serve as a “framework”, “a discipline”, a “structure”….just as the bridge connects 2 separate entities and provides easier access to those that utilizes it, so also does informatics provide more efficient processes and long term, better pt. outcome. It’s crossing over to new horizons through technology, discovering new things and allowing more quality time with patients!
Accessing patient records has gone from hours of manual charting to utilizing computers, tablets and electronic media devices to provide more proficient work. Some advances in informatics has been our Roads, bridges, airports, land line phones – cordless phones – mobile phones, pneumatic tubing system, satellites, cable, utilities (electric, water, sewage)
90’s everything advanced in info technology…except healthcare!
The NIH defines Health informatics as……Although informatics has been used for many years now in many industries, the healthcare industry has been slow to acquire and require utilization of electronic data.
Most Health Management Info. System’s models within healthcare instituitions consists of a at least two main entities, utilizing an Electronic Health Record system that ties in the different departments. The Health Management Information System is usually broken up into two main categories: Clinical Information Systems & Administrative Information Systems. The Clinical Information Systems include: Nursing IS, Monitoring Systems for security purposes, Order Entry Systems, Lab, Radiology, Pharmacy & other ancillary systems. The admin. Info. Systems include: client registration systems, financial systems, Payroll & human resource systems, risk mgt. systems, quality assurance systems, contract management systems & scheduling systems.
OnMarch 23, 2010 the Patient Protection and Affordable Healthcare Act was signed into law. Although it is most known for requiring everyone to have health insurance and medical coverage, there were several areas that would require Healthcare institutions to convert from there standard manual charting system to a complete electronic medical records system.
As part of the Affordable Healthcare Act aka Obamacare, Physicians and healthcare instituitions could no longer prolong switching from manual charting but were now required to switch to Electronic Health Records. The goal is to prevent less patient errors, provide better communication between Doctors and nurses, better communication between networks providing care, such as hospitals, nursing homes, and other health care providers. Financial incentives have been put in place for those persons & institutions who comply by given timelines as well as penalties have also been put in place to strongly discourage noncompliance of converting to EMR systems. Although most major provisions were phased in by January 2014, there are several things that will be phasedin through 2020.
Several Electronic Medical Record systems have been developed (Cerner Mill, Mosaiq, Allscripts are a few examples) Some boast about the ability to interface with other systems already being utilized by instituitions & others claim to take the place of needing other systems but w/ the implementation of EMR more IT specialists have been needed & greater security systems are needed to prevent violation of HIPAA. HIPAA compliance is a priority with the use of more electronic records on portable devices.
One of the goals of Affordable Healthcare Act was to mandate EMR’s so that MD’s & med instituitions. Would be able to network efficiently with each other. This would allow them to go beyond just sharing information within their own facility but expand out to other medical providers & facilities / hospitals, tertiary care centers (Cancer Ctrs., Psych. Hosp.), PCP’s, cancer registries, and Home health agencies.
Once all instuitions on a local and statewide level have established an EMR system then it can mobilize from state to state to communicate Nationally. This will make communication amongst each other (from East to West, to North to South) much better. Our Nat’l pharmacies, the CDC, the Natl Institute of Health & Governmental institutions, such as the VA, Soc Sec Admin., DoD for military personnel that have previously isolated themselves or were rather complicated and difficult to deal with, will now be easier to transfer & receive information from.
So many changes so fast has sent many nurses and doctors into shock! But change is good! There was a comfort level in doing things the same way for so long but as most are discovering, once you get through the initial training, implementation and hiccups of utilizing Informatics within healthcare instit & offices, many will see that it is a much more proficient way of doing things. There was a time when only a few people were privileged enough to own a mobile phone, they seemed complicated and many were apprehensive about whether they were worth the $ or trouble they seemed to be but now almost everyone has one. The possibilities are endless!
With EMR and a well developed informatics system, nurses, physicians and staff are able to do what most healthcare workers enjoy the most…spending that quality time getting to know and take care of the patients that are looking to us for hope, inspiration, healing and encouragement in what may be the toughest time of their life.
And happier patients make happier nurses!
References:Alemi, F. (2008).Integrated Information Systems: Introduction to Health Records. Retrieved from: http://gunston.gmu.edu/healthscience/740/ElectronicHealthRecordEHREMR.asp?E=0Lampert, J. (2014). Democratic Policy Committee. The Patient Protection and Affordable Care Act Implementation timeline. Retrieved from: http://www.dpc.senate.gov/healthreformbill/healthbill50.pdfHebda, T., & Czar, P. (2013). Handbook of informatics for nurses & healthcare professionals (5th ed.). Upper Saddle River, N.J: PearsonElectronic Records Mandate. (2014). Retrieved from: http://electronicmedicalrecordsmandate.org/electronic- medical-records-mandate/emr-mandate-2014-deadline
Infrastructure of an informatics department4
Tanya S. Brown
What is informatics?
• A bridge between technology and another
specific domain, system of people, processes and
• aka “Health Information System”
• “the interdisciplinary study of the
design, development, adoption and application
of IT based innovations in healthcare services
delivery, management and planning”
National Institute of Health, US National Library of Medicine, 2014