2. D. Using e-Health in the Community
The main focus of eHealth in the community are health promotion and
health maintenance of individuals, families, and groups within the
community
“Community Halth Systems” connotes those computerized IT systems
specifically developed and designed for use by community health
agencies, local and state health departments, community programs,
and services. (Essentials of Nursing Informatics 4th edition p. 369)
3. Assist community health agencies in the decision-making processes for
the management of nursing facilities
Use to evaluate the impact of noninstitutional nursing services on
patients,families, and community health conditions
4. eHealth in the Community:
1. Universal Health Care and ICT
Implementation of “Kalusugan Pangkalahatan”
or Universal Health Care through ICT
Provide evidence for policy and program
development
Improvement of province-wide management
health system
5. 2. Electronic Medical Records
(EMRs) or Electronic Health
records (EHRs)
comprehensive patient records
that are stored and accessed
from a computer or server
community health centers have
the capacity to rapidly adapt
EMRs /EHRs because they
utelize a standard process
6. 3. Telemedicine
“the delivery of health care services, where distance
is a critical factor, by all health care professionals
using information and communications technologies
for echange of valid information for diagnosis,
treatment and prevention of disease and injuries,
research and evaluation, and for the continuing
education of health care providers, all in the interest
of advancing the health of individuals and their
communities”.
7. to provide better health services to geographically isolated and
disadvantaged areas (GIDA)
to support MDG
to disseminate information to citizens and providers through
telemedicine and mobile health
to bridge the gaps in the health referral
8. 4. eLearning
use of electronic tools to aid in teaching which can
be done synchronously or asynchronously
can be done with simple instructional videos and
interactive simulations
with eLearning community nurse can elicit
community interest by showing instructional videos
on measures to control a particular disease
educate fellow professionals and continuing
education can be availed
9. Areas of Community Health Systems:
1. Healthcare Programs
2. Agencies
3. Settings
They support health promotion and disease-preventive programs,
statistical information required by state/local health department
programs, funding informtion and grants
10. The Following are some of the typically used systems in the community health
systems:
1. Categorical systems
2. Screening Programs
3. Client registration systems
4. Management Information System (MIS)
5. Statistical reporting systems
6. Public Health Information Network
7. National Electronic Disease Surveillance System
8. Special purpose systems
9. School Health Systems
10. Home Health Information Systems
11. 1. Categorical systems
Categorical Program Systems are designed to support data processing and
tracking soecific programs such as cancer program, MCH immunization, or
Family planning .
Collect longitudinal data for specific disease that can be use for national
databases for tracking incidence and prevalence of disease conditions
Generally count, track, and identify the health status of registered clients
12. 2. Screening Programs
use to detect individuals afflected with specific disease or
predisposing health condition
results of the screening test are tracked so that data analysis can be
used to measure the effectiveness of the screening program
common application is tracking lead screening in high-risk pediatric
populaions
13. 3. Client Registration System
designed to identify state/loal residents/clients eligible for CHN services in
clinics and home
consist of an online communication network, with terminals located in each
of the local/district offices that are linked to a central computer facility used
to collect, store, and process all data.
the centralized registry can then be accessed from the local/district units
prior to providing services
14. 4. Management Inforamtion Systems (MIS)
focus on the management of statistical and operational needs of the
agency ad professionals
provides framework on collecting and reporting statistical as well as
financial data needed for the management of personal/client and
programs
data are used for he management of consumer care both clinically
and admnistratively, quality improvement and public accountability
15. 5. Statistical Reporting System
these are community health computer applications that have been
developed to collect and process statistical information primarily for
state/local health departments such as epidemiologic data and
immunization data
16. 6. Public Health Information Network
enable consistent exchange of response (during emergencies/disaster), health, and
disease tracking data between public health partners through defined data and
vocabulary standards
5 key components:
a. Detection and Monitoring
b. Analysis
c. Information Resources and Knowledge Management
c. Alerting and Communication
d. Response
17. 7. National Electronic Disease Surveillance System (NEDSS)
promote the use of data and information system standards to advance
the development of efficient and integrated surveillance systems at the
national and local level
Designed to:
a. Detect outbreaks rapidly and monitor the health of the nation
b. Facilitate the electronic transfer of appropriate information from
clinical health departments
c. Reduce provider burden in the provision of information
d. Enhance he timeliness and quality of inforamtion
18. 8. Special Purpose Systems
Developed to collect statistical data for administering a specific
program, regardless of what type of agency offers the program
Collect and summarize management data on services in clinics,
schools, and homes
Provide statistics needed to obtain funds from state or local units for
grants
19. 9. School Health Systems
Improved data collection and monitor and evaluate health of school
age students
Could be individual school base or district base allowing for collecting
data anout educaion district
Also include healthcare plans, student activity records, medication
logs, appointment scheduling, and referral/tracking
20. 10. Home Health Information Systems
Designed to support home healthcare, hospice, and private duty
programs and hospital based programs
Designed to collect and process data in order to prepare the
documents required by third party payer for he payment of home
haelthcare services
