This document discusses health information technology and nursing informatics. It begins with an introduction by Jil Wright who identifies herself as a nursing informatics "geek". The document then provides resources for more information on health IT and nursing informatics. It discusses how nursing informatics integrates nursing science, computer science, and information science to support patients, nurses, and healthcare providers. Examples of clinical information systems and technologies that can help transform nursing practice are also provided, such as electronic medical records, wireless systems, and RFID technologies. Meaningful use requirements and examples of how health IT can improve documentation and the nursing process are summarized as well.

1. Health Information Technology &
Nursing Informatics
Jil Wright

2. Who’s the Geek?
(That would be me.)
Twitter: http://twitter.com/itjil
LinkedIn: http://www.linkedin.com/in/itjil
jil@wrightbrainedsolutions.com
www.Jilwright.com

3. • This presentation is available to view any time
online at:
http://www.slideshare.net/itjil

4. 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.

5. Can We Transform Nursing Practice through
Informatics and Technology?
http://youtu.be/w8_5G_BPB1s

6. 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
HIMSS Nursing Informatics

7. Nursing informatics
integrates:
• Nursing science
• Computer science
• Information science
• Communications

8. Nursing informatics
supports:
• Patients
• Nurses
• Healthcare Providers
in decision making in all
roles and settings.
Nursing Informatics: Scope and Standards of Practice. Silver
Spring, MD: American Nurses Association; 2008.
HIMSS Nursing Informatics

9. Transforming Nursing Education with Health IT
Helen Connors PhD RN FAAN
http://youtu.be/pFbFZt9ewvI

10. IT Systems
• Reduce Error
• Increase Safety
• Increase Productivity
• Better Organization
• Better Communication
• Can support evidence based practice at the
point of care

11. 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

12. Better Documentation
Provides:
• 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

13. 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

14. 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!)

15. What is RFID, you ask?
http://youtu.be/_CSwWGyctWw

16. Meaningful Use
American 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.

17. 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

18. 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

19. 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

20. 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).

22. Meaningful Use

24. • www.bluebuttondata.org

25. Cool Stuff
• 5 Innovative Technologies Changing Health
Care [VIDEOS]
• Mobile
• Telehealth