Protocols and Evidence based Healthcare: information technology tools to support best practices in health care, information technology tools that inform and empower patients.
Quality Improvement Strategies: quality improvement tools, factors that help to create and sustain Healthcare Informatics as a new field. quality improvement cycle: PDCA (Plan, Do, Check, Act) Cycle.
m-Health: Engaging Patients at Every TouchpointCognizant
Today, people want fast, easy and secure access to their health records, from wherever they may be and from whatever device they choose. Electronic health records (EHR) can alleviate this issue, and encourage proactive, preventive care, all within a robust, integrated, interoperable, and inclusive health system that serves the best interests of patients, physician practices, hospitals, public health, and the population at large.
The area of Health Informatics is Revolutionizing Healthcare, is one that blends aspects of healthcare with computer science and information technology in order to manage and analyze data pertaining to healthcare.
7 Reasons Your Company Should Use A Digital Healthcare Solution.pptxMocDoc
Digital Healthcare Solution is one of the latest growing technology used by Healthcare Industries. So Here are the reasons why your company should use a Digital Healthcare
Does My Health Records Grooms Patient Or Medical Practice.pdfssuserbed838
My Health Records is very much in its beginning stage of benefiting people. Patients, providers, and physicians must look at it with a long-term view. Then it can critically become a tool in improving patient care.
Quality Improvement Strategies: quality improvement tools, factors that help to create and sustain Healthcare Informatics as a new field. quality improvement cycle: PDCA (Plan, Do, Check, Act) Cycle.
m-Health: Engaging Patients at Every TouchpointCognizant
Today, people want fast, easy and secure access to their health records, from wherever they may be and from whatever device they choose. Electronic health records (EHR) can alleviate this issue, and encourage proactive, preventive care, all within a robust, integrated, interoperable, and inclusive health system that serves the best interests of patients, physician practices, hospitals, public health, and the population at large.
The area of Health Informatics is Revolutionizing Healthcare, is one that blends aspects of healthcare with computer science and information technology in order to manage and analyze data pertaining to healthcare.
7 Reasons Your Company Should Use A Digital Healthcare Solution.pptxMocDoc
Digital Healthcare Solution is one of the latest growing technology used by Healthcare Industries. So Here are the reasons why your company should use a Digital Healthcare
Does My Health Records Grooms Patient Or Medical Practice.pdfssuserbed838
My Health Records is very much in its beginning stage of benefiting people. Patients, providers, and physicians must look at it with a long-term view. Then it can critically become a tool in improving patient care.
76 CHAPTER 4 Assessing Health and Health Behaviors Objecti.docxpriestmanmable
76
CHAPTER 4
Assessing Health and Health Behaviors
Objectives
this chapter will enable the reader to:
1. Describe the expected outcomes of a nursing health assessment.
2. Identify the components of a nursing health assessment conducted for an individual client.
3. Examine life span, language, and culturally appropriate nursing health assessment tools for children, adults, and older adults.
4. Compare the similarities and differences among the various approaches to assessing the family, mindful of cultural influences.
5. Evaluate the criteria for conducting a screening in the community.
6. Compare the similarities and differences among the various approaches to assessing
the community.
Athorough assessment of health and health behaviors is the foundation for tailoring a health promotion-prevention plan. Assessment provides the database for making clinical judgments about the client’s health strengths, health problems, nursing diagnoses, desired health or behavioral outcomes, as well as the interventions likely to be effective. This information also forms the nature of the client–nurse partnership such as the frequency of con- tact and the need for coordination with other health professionals. The portfolio of assessment measures depends on the characteristics of the client, including developmental stage and cul- tural orientation. The nurse assesses age, language, and cultural appropriateness of the various measures selected.
Cultural competence is the ability to communicate effectively with people of different cultures. Providing culturally competent care is the cornerstone of the nursing assessment. The nurse’s aware- ness of her own attitude toward cultural differences and her cultural worldview and characteristics
Chapter4 • AssessingHealthandHealthBehaviors 77
are critical to her understanding and knowledge of various cultures. Recognizing that diversity exists in all cultures based on educational level, socioeconomic status, religion, rural/urban residence, and individual and family characteristics will ensure a more successful encounter (The Office of Minority Health, 2013). An online cultural educational program, designed specifically for nurses and featur- ing videotaped case studies and interactive tools, is available.
The Enhanced National Standards for Culturally and Linguistically Appropriate Services, based on a definition of culture expanded to include geography, spirituality, language, race and ethnicity, and biology, provides a practical guide to culturally and linguistically sensitive care (The Office of Minority Health, 2013).
Technology is having a significant impact on health care. The Electronic Health Record (EHR) promotes involvement of the client in developing a dynamic, tailored database. The EHR offers great promise to improve health and increase the client’s satisfaction with his care. Data aggregation, cross-continuum coordination, and clinical care plan management are critical com- ponents of the.
Electronic Health Records: purpose of electronic health records, popular electronic health record system, advantages of electronic records, challenges of electronic health records, the key players involved.
My Health Records Enhanced Patient Care Process.pdfssuserbed838
Hospital or clinical management must educate the importance of My Health Records to everyone on the employee list, and doctors must carry forward the same intent to the patient list.
Empowering Healthcare Transformation: Unleashing the Potential of Digital Sol...TEWMAGAZINE
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Implement a Direct-to-Patient Approach to Increase Patient Engagement and Ret...John Reites
Article by MM&M (Medical, Marketing & Media) on 25 Mar 2015 with John Reites discussing direct-to-patient approaches to conduct innovation research models that increase engagement and retention.
Weblink: http://www.mmm-online.com/pharmaceutical/implement-a-direct-to-patient-approach-to-increase-patient-engagement-and-retention/article/405443/
Healthcare is currently undergoing a transformational metamorphosis. A new era of patient care that is more effective, precise, and patient-centered has arrived because of technological advancements.
Pg2 Beginning in 1991, the IOM (which stands for the Institute o.docxrandymartin91030
Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR.
Note: EHR
The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book.
Institute of Medicine (IOM)
The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing:
Health information and data
This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it.
Result management
Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed.
· Reduced lag time allows for quicker recognition and treatment of medical problems.
· The automated display of previous test results makes it possible to reduce redundant and additional testing.
· Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up.
· Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient
Order management
Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders.
· CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions.
· The use of CPOE, in conjunction with an EHR, also improves clinician productivity.
Decision Support
Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks.
· Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction.
Electronic communication and connectivity
Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans.
· Electronic co.
Data Security and Privacy:
Introduction to Data Security: Importance, common security threats.
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Introduction to Computer Fundamentals:
Overview of Computer Fundamentals: Definition, importance, and evolution of computers.
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76 CHAPTER 4 Assessing Health and Health Behaviors Objecti.docxpriestmanmable
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CHAPTER 4
Assessing Health and Health Behaviors
Objectives
this chapter will enable the reader to:
1. Describe the expected outcomes of a nursing health assessment.
2. Identify the components of a nursing health assessment conducted for an individual client.
3. Examine life span, language, and culturally appropriate nursing health assessment tools for children, adults, and older adults.
4. Compare the similarities and differences among the various approaches to assessing the family, mindful of cultural influences.
5. Evaluate the criteria for conducting a screening in the community.
6. Compare the similarities and differences among the various approaches to assessing
the community.
Athorough assessment of health and health behaviors is the foundation for tailoring a health promotion-prevention plan. Assessment provides the database for making clinical judgments about the client’s health strengths, health problems, nursing diagnoses, desired health or behavioral outcomes, as well as the interventions likely to be effective. This information also forms the nature of the client–nurse partnership such as the frequency of con- tact and the need for coordination with other health professionals. The portfolio of assessment measures depends on the characteristics of the client, including developmental stage and cul- tural orientation. The nurse assesses age, language, and cultural appropriateness of the various measures selected.
Cultural competence is the ability to communicate effectively with people of different cultures. Providing culturally competent care is the cornerstone of the nursing assessment. The nurse’s aware- ness of her own attitude toward cultural differences and her cultural worldview and characteristics
Chapter4 • AssessingHealthandHealthBehaviors 77
are critical to her understanding and knowledge of various cultures. Recognizing that diversity exists in all cultures based on educational level, socioeconomic status, religion, rural/urban residence, and individual and family characteristics will ensure a more successful encounter (The Office of Minority Health, 2013). An online cultural educational program, designed specifically for nurses and featur- ing videotaped case studies and interactive tools, is available.
The Enhanced National Standards for Culturally and Linguistically Appropriate Services, based on a definition of culture expanded to include geography, spirituality, language, race and ethnicity, and biology, provides a practical guide to culturally and linguistically sensitive care (The Office of Minority Health, 2013).
Technology is having a significant impact on health care. The Electronic Health Record (EHR) promotes involvement of the client in developing a dynamic, tailored database. The EHR offers great promise to improve health and increase the client’s satisfaction with his care. Data aggregation, cross-continuum coordination, and clinical care plan management are critical com- ponents of the.
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My Health Records Enhanced Patient Care Process.pdfssuserbed838
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Empowering Healthcare Transformation: Unleashing the Potential of Digital Sol...TEWMAGAZINE
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Implement a Direct-to-Patient Approach to Increase Patient Engagement and Ret...John Reites
Article by MM&M (Medical, Marketing & Media) on 25 Mar 2015 with John Reites discussing direct-to-patient approaches to conduct innovation research models that increase engagement and retention.
Weblink: http://www.mmm-online.com/pharmaceutical/implement-a-direct-to-patient-approach-to-increase-patient-engagement-and-retention/article/405443/
Healthcare is currently undergoing a transformational metamorphosis. A new era of patient care that is more effective, precise, and patient-centered has arrived because of technological advancements.
Pg2 Beginning in 1991, the IOM (which stands for the Institute o.docxrandymartin91030
Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR.
Note: EHR
The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book.
Institute of Medicine (IOM)
The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing:
Health information and data
This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it.
Result management
Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed.
· Reduced lag time allows for quicker recognition and treatment of medical problems.
· The automated display of previous test results makes it possible to reduce redundant and additional testing.
· Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up.
· Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient
Order management
Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders.
· CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions.
· The use of CPOE, in conjunction with an EHR, also improves clinician productivity.
Decision Support
Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks.
· Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction.
Electronic communication and connectivity
Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans.
· Electronic co.
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2. Module 4:
Chapter 3
DESIGNAND EVALUATION
OF INFORMATION
SYSTEMSAND SERVICES
QUALITY IMPROVEMENT
STRATEGIES
PROTOCOLSAND
EVIDENCE BASED
HEALTHCARE
3. Module
Content
Design and Evaluation of Information Systems and Services:
principles of designing information systems, strategies for
Information system evaluation, Information Systems
Effectiveness Measures.
Quality Improvement Strategies: quality improvement tools,
factors that help to create and sustain Healthcare Informatics as a
new field. quality improvement cycle: PDCA (Plan, Do, Check,Act)
Cycle.
Protocols and Evidence based Healthcare: information
technology tools to support best practices in health care,
information technology tools that inform and empower patients.
5. Introduction:
EBM
Medical decisions and actions should be based on the best
available evidence.
Clearly, information technology has the potential to improve
decision making through online medical resources, electronic
clinical practice guidelines, electronic health records (EHRs) with
decision support, online literature searches, digital statistical
analysis and online continuing medical education (CME).
According to the Center for EvidenceBased Medicine, EBM can be
defined as: “the conscientious, explicit and judicious use of current
best evidence in making decisions about the care of individual
patient”.
Furthermore, the Institute of Medicine (IOM) states: “Patients
should receive care based on the best available scientific
knowledge. Care should not vary illogically from clinician to
clinician or from place to place
6. Importance of
EBM
Learning EBM is like climbing a mountain to gain a better view.
One might not make it to the top and find the perfect answer but
individuals will undoubtedly have a better vantage point than
those who choose to stay at sea level.
Reasons for studying EBM resources and tools include:
Current methods of keeping medically or educationally up-to-
date do not work
Translation of research into practice is often very slow
Lack of time and the volume of published material results in
information overload
The pharmaceutical industry bombards clinicians and
patients every day; often with misleading or biased
information
Much of what is considered the “standard of care” in every
day practice has yet to be challenged and could be wrong
7. Traditional
Methods for
Gaining
Medical
Knowledge
Continuing Medical Education (CME).TraditionalCME is desired by
many clinicians but the evidence shows it to be highly ineffective
and does not lead to changes in practice.
Clinical Practice Guidelines (CPGs). Unfortunately, just publishing
CPGs does not in and of itself change how medicine is practiced
and the quality of CPGs is often variable and inconsistent.
Expert Advice. Experts often approach a patient in a significantly
different way compared to primary care clinicians because they
deal with a highly selective patient population. Patients are often
referred to specialists because they are not doing well and have
failed treatment. For that reason, expert opinion needs to be
evaluated with the knowledge that their recommendations may
not be relevant to a primary care population. Expert opinion
therefore should complement and not replace EBM.
Reading. It is clear that most clinicians are unable to keep up with
medical journals published in their specialty. Most clinicians can
only devote a few hours each week to reading.
8. Evidence
Based Health
Informatics
(EBHI)
EBHI is not a separate field, it represents the application of EBM
tools to the field of health informatics.
While the quality of health informatics research has improved in
the past decade, the overall report card for most studies is mixed,
regardless of which technology is being studied.
There are at least three reasons why published research studies in
health informatics have not been optimally evidence based:
Early Hype: The optimistic predictions regarding the impact of HIT
on healthcare quality, safety, proficiency and cost reduction is
pointed out. Many of these predictions were based on expert
opinions or modeling and not high quality research.
Methodological challenges. Early research studies frequently
suffered from internal validity (quality of study design and
execution) and external validity (whether results are generalizable to
other locations and patients) issues. Most studies reported on health
information technology (HIT) are observational and retrospective in
nature.
The failure to anticipate unintended consequences related to HIT
adoption.
9. Information
technology
tools to
support best
practices in
health care
Healthcare InformationTechnology (IT) tools help providers and
patients to manage vital health information.They also help improve
the quality of care and make healthcare more cost-effective for
providers and patients.
According to the Agency for Healthcare Research and Quality, health
IT enables providers to manage patient care more efficiently through
secure sharing and utilization of health information.The following
health IT tools making health information available anywhere on a 24-
hour basis.
1. Electronic Health Records
An electronic health record (EHR) system collects digital health
information for patients and the larger population. Other names used
for this tool include Electronic Medical Record (EMR) and Patient
Health Record (PHR). Simply put, it is a digital version of a patient’s
medical history.The primary health provider usually maintains the
EHR. A patient’s electronic health records may include administrative
and clinical data such as demographics, medications, allergies, and
medical insurance cover.
10. Information
technology
tools to
support best
practices in
health care
2. ReferralTrackers
A referral tracking system is a software tool that healthcare providers use to
monitor their patient referrals. It provides an effective communication
channel between two medical institutions. It also helps doctors and specialists
to maintain constant communication while taking care of a patient.
A referral tool enables physicians to solve many practical problems associated
with medical referrals. For instance:
Physicians can use it to know the exact time their patient sees a specialist and the
result of the appointment
It eliminates the need for faxing referral letters
It allows physicians to communicate with a specialist and decide if a patient’s visit
will be necessary and beneficial to the patient
Using this type of tool removes many operational inefficiencies associated
with patient referrals.
3. Patient Portals
The Medlineplus.gov website defines a patient portal as a website designed
for your personal healthcare. It is an online tool that enables patients to
monitor their visits to their healthcare provider, check test results, billing,
payments, and prescriptions. Some portals also allow patients to have live
interactions with their physicians and book new appointments.
11. Information
technology
tools to
support best
practices in
health care
4. Remote Patient Monitoring
Remote patient monitoring (RPM) uses tech tools to track and
respond to a continuous stream of patient data outside a hospital
or clinic.This type of telehealth is beneficial for monitoring
patients with chronic conditions like heart failure, diabetes, and
hypertension. Clinicians may use it to respond promptly with an
ambulance when a patient’s health data shows they are in dire
need of emergency care.
5. Computerized Provider Order Entry
Computerized provider order entry (CPOE) systems are supposed
to replace the traditional paper-based ordering system.They allow
clinicians to write, send, and manage various treatment
instructions such as laboratory tests, radiology orders, and
medication requests. All these are done through a CPOE system
rather than through fax, printed paper, or telephone.
12. Information
technology
tools that
inform and
empower
patients
The use of IT can lead to a fundamental redesign of home care
processes based on the use and integration of electronic
communication at all levels.
Many anticipate that IT platforms may lead to patient
empowerment and a transition from a passive role, in which the
patient is the recipient of care services, to an active role, in which
the patient is informed, has choices, and is involved in the
decision-making process.
Such a transition may be possible due to the active involvement of
patients in the management of their disease using home
monitoring devices and software, the access to information and
online communities, and the use of personal health records
maintained by patients themselves.
13. Information
technology
tools that
inform and
empower
patients
Information technology can be introduced in home care in a
multitude of ways.The following taxonomy captures the multiple
levels of IT function and functionality in the context of home care:
Active monitoring and management (requiring
end-user involvement and participation)
Telehealth applications for home-based disease
management (that link patients and their families to
their health care providers)
Web-based communities for home care patients (that
link patients and their families to health care providers,
peers, and the community)
Personal health records (that enable patients to create
and store their personal health information)
14. Information
technology
tools that
inform and
empower
patients
Information technology can be introduced in home care in a
multitude of ways.The following taxonomy captures the multiple
levels of IT function and functionality in the context of home care:
Passive monitoring and management (for which IT
implementation does not require training or
operation by the end-user)
Robotic applications (standalone artificial
intelligence applications that support home care
needs)
“Smart homes” (in which IT based on the use of
sensors becomes part of the residential
infrastructure)