Nursing informatics

1. SELECTING HEALTH
CARE INFORMATION
SYSTEM
By / MahmoudShaqria
‫شقريه‬ ‫محمد‬ ‫محمود‬

2. OUTLINES
-Definition life cycle related to health care
information system.
Purpose of health care information system need
assessment.
Importance of using the mission statement in
determining the organizational information needs.
Role Nursing play in selection of health care
information system.

3. OF HEALTH CARE INF SYS:Life Cycle
The process for the selection and
implementation of an information.
Ongoing process of developing and
maintaining an information system

4. Life Cycle

5. Healthcare Information
System
Healthcare Information System (Hospital
Information System HIS)—a group of systems
used to support and enhance healthcare
business functions.
It is a mechanism for the collection,
processing, analysis and transmission of
information required for organizing and
operating health services, and also for
research and training

6. Purpose Of health Care Information
System need assessment
1- prepare the nursing staff for automation.
2-provide nurses with a basic understanding
.of computer system
3-inform staff of benefits expected.
4-define the roles and responsibilities of nursing personal
during and after implementation.

7. Purpose Of health Care Information
System need assessment
5-orient staff to the use of the system.
6-the health information needs assessment aimed to:-
Document current system and resources for managing health
information
-Identify the needs for strengthing these system
-Describe the experience of network with transferring and sharing
information
-Document and analyze issues related to the use of family planning
and reproductive health information
-Propose a plan to strengthen access to and use of health information

8. 1. It determines the company’s direction
Smart business owners use this statement to remind their
teams why their company exists because this is what makes
the company successful. The mission statement serves as a
“North Star” that keeps everyone clear on the direction of the
organization.
2. It focuses the company’s future
Many people refer to this as the “vision” which is different than
the mission. The vision is about a preferred future. Where will
you be in 1 year? 3 years? 5 years? The mission tells us what
we’re doing today that will then take us where we want to go in
the future.

9. 3. It provides a template for decision-making
A clear mission sets important boundaries which
enable business owners to delegate both responsibility
and authority. Mission is to the company what a
compass is to an explorer, a map to a tourist, a rudder
to a ship, a template to a machinist.

10. 4. It forms the basis for alignment
When a new employee is hired, it’s critical that the new hire know what the company
does and where the company is going. The mission statement forms the basis for
alignment not only with the owner, but the entire team and organization. Your team
which leads to better effectiveness and efficiency.
5. It welcomes helpful change
Many people are resistant to change because it causes us to feel insecure and
sometimes out of control. However, if the mission is clear, then team members are
more likely to see the value of the change and how it helps the organization
accomplish the mission.

11. 6. It shapes strategy
Every business and business owner needs a strategy. But strategies must not be
created in a vacuum. Instead of looking at what’s new or what competitors are doing
and trying to copy them, wise business owners create the most effective strategies
possible to accomplish the mission their company is set out to accomplish.
7. It facilitates evaluation and improvement
It has been said that “What you measure will be your mission.” If you have a clear,
written statement of mission you will know exactly what to measure and how to
measure it.

12. Nursing Role in selection of health
care information system
A-Registration
1. Automatically utilize outpatient and emergency room data for
inpatient registration .
2. Automatically utilize patient information from a
.previous visit recorded in the system
3. Allow in the admission,discharge,transfer (ADT) system for the
following fields:
patient name, patient address, phone, birthdate, sex,
marital status, religion, financial state, etc.
4. Provide the ability to add and delete beds and medical service
units.

13.  B-Medical records
1. Contain the following data elements: patient name, medical record
number, date of birth, address, phone number, admit and discharge
dates, physicians
2. Identify the location of any record at any given time.
3. Track the incomplete record and amount of time.
4. Provide built in edits for Medicare code, sex-specific information, etc.
5. Maintain multiple diagnosis and procedure data, per patient, for each
outpatient encounter
(emergency, outpatient surgery, outpatient department visits)

14. Nursing Role in selection of health
care information system
C-Order entry
1. Provide on-line ordering and results reporting
2. Provide on-line real time patient-centered scheduling
3. Access patient information on the system using patient name, patient location, and patient
number
4. Access status of tests, procedures offered
5. Change/cancel patient orders with audit trail
6. Record the time an order is received and completed, as weIl as who completes the
order
7. List all orders not yet completed, available at each nursing unit
8. Produce standard reports, including
•Occupancy summaries Pending discharges
•Admissions by physician Vacant bed census
•Transfer lists Scheduled preadmissions number

15. Continue
D-Nursing management
I. Provide a library of nursing care plans to which care items
can be added, deleted, or otherwise made more specific
2. Allow users to enter free text into the nursing care plan
3. Give worksheets for day-to-day and shift-to-shift planning
of individual patient care
4. Schedule nursing staff at the unit level and centrally
5. Report in terms of specific nursing care hours per day and
per shift
6. Store, update, and print nursing policies and procedures

16. Continue
E-Utilization review
I. Identify on a daily basis those patients who have met hospital-defined
criteria for concurrent admission review
2. Allow on-line completion of utilization review worksheet including discharge
date,
length of stay, number of reviews, physician referrals, denials, diagnosis, and
disposition of patient
3. Allow editing of utilization review data for accuracy and completeness
F-Quality assurance
I. Set up defined criteria to which a patient treatment can be compared
2. Generate a list of exceptions when patient data fall outside the established
range
3. Log incident reports including patient information, type of incident, place.

17. Thank you..