This document discusses the history and applications of electronic health records (EHRs) and computer use in nursing. It addresses: 1) Early chapters covered computer hardware, software, and what constitutes a computer system. Informatics theory introduced clinical classifications and community health scales. 2) Administrative applications help address nurse shortages, patient safety, and today's healthcare environment. 3) Consumer use of informatics facilitates communication between patients and providers for consumer satisfaction. 4) Educational applications provide first-hand knowledge of innovative telehealth and data communication applications.

1. Computer and Nursing

2. Two interrelated
chapters address
software and
hardwaare.
What is computer
and/or “computer
system”

3.  Informatics theory :
- Clinical care
classification (CCC)
- community health
intensity scale rating
(CHIRS)
- ambulatory care

4.  Admistrative Applications
- shortage of nurses
- increase demand for patient safety
- need for IT and administrating today’s
health care environment

5.  Consumer Use of informatics
- the communication of
patients/consumers and health care
provider is discussed as mechanism for
facilitating consuer satisfaction.

6.  Educational applications
- first hand knowledge of this innotiative
application.
- telehealth and adress data
communication

27. ELECTRONIC
HEALTH RECORD
FROM A
HISTORICAL
PERSPECTIVE

28. WHAT IS ELECTRONIC
HEALTH RECORD?
• The Electronic Health Record (EHR) is a
longitudinal electronic record of patient healthinformation generated by one or
more encounters
in any care delivery setting.”
• Health Information Management Systems Society’s (HIMSS)
automates and streamlines the clinician's workflow.
has the ability to generate a complete record of aclinical patient encounter, as
well as supportingother care-related activities directly or indirectly viainterface

29. INTRODUCTION TO DAVIES
The Nicholas E. Davies EHR Recognition Program
recognizes healthcare provider organizations that successfully use EHR
systems to improve healthcare delivery
Objectives
-Promote the vision of EHR systems through concreteexamples;
-Understand and share documented value of EHRsystems;
-Provide visibility and recognition for high-impact EHRsystem; and
-Share successful EHR implementation strategies.

30. Computer-based Patient Record Institute (CPRI)
- non profit membership organization founded in 1992
- a unique organization representing all stakeholders
inhealthcare focusing on clinical applications
ofInformation Technology.
- initiate and coordinate activities to facilitate andpromote the
routine use of computer-based patientrecords (CPRs)
throughout healthcare.

31. Computerized Patient
Record
Electronic Medical
Record
Electronic Health Record

32. Four major areas of initial Criteria
• Management
• Functionality
• Technology
• Impact
-provided a framework through which
to view animplementation of computerized
records.