Health Information Strategy for New Zealand Sharing personal health information
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The document outlines New Zealand's Health Information Strategy (HIS-NZ) which signals increased sharing of personal health information through 12 action zones rather than a single electronic health record. It discusses principles for information sharing including using key health event summaries to support integrated care while maintaining distributed electronic health records. The strategy will be overseen by an independent ministerial committee and emphasizes stakeholder engagement including improving consumer involvement.
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76 CHAPTER 4 Assessing Health and Health Behaviors Objecti.docx
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.
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- Singapore has a relatively affordable yet high quality healthcare system serving a population of 4.59 million people.
- Efforts are underway to address challenges of an aging population and rising costs through healthcare IT initiatives like the EMR Exchange (EMRX) system.
- The Ministry of Health aims to implement a national integrated EHR system by 2010 to improve care quality, safety and efficiency through clinical data sharing across providers.
Ayushman Bharat Digital Mission
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Health Information Strategy for New Zealand Sharing personal health information
- 1. Health Information Strategy for New Zealand Sharing personal health information
- 4. Action Zones Enabling Use Information Care Delivery, Funding, Planning, Policy & Research Views of Information AZ 7: Long Term Conditions Management AZ 10: Primary Care Information AZ9: Outpatients Information Transactional Informational Flows AZ 5: eLabs AZ 4: ePharmacy AZ 6: eDischarges AZ 8: eReferrals HISAC / Sector Agenda Setting & Governance National Local Sector Ownership Interoperability & Access AZ11: National Systems Access AZ 1: National Network AZ 12: Anchoring Framework Information Anchors AZ 3: HPI AZ 2: NHI
- 5. ICT in the New Zealand Health Sector Electronic Record Keeping incl. patients Health Network & Secure e-mail Access to Key Event Summaries ePharmacy eLabs Hospital Discharge Summaries National Network Strategy Primary Care Information Long Term Conditions Management National System Access Electronic Referrals National Outpatient Collection Health Network & Secure e-mail Health Network & Secure e-mail ePharmacy eLabs Hospital Discharge Summaries Chronic Care & Disease Manage Electronic Referrals Future A c c e s s t o Ke y E v e n t S u m m a r i e s Health Network & Secure e-mail Hospital Discharge Summaries Electronic Record Keeping incl. patients Long Term / Residential Care Community Primary Care Secondary Care National MoH / ACC Current
- 8. Health Information Hierarchy Community Population Individual National Views District / Regional Views Local Views Appropriate views / subsets of the information below. Relevant views of information above. Capture, use, and share information locally at the point of care. Standards Indicators Health Outcomes