Transcript Introduction to Informatics and Health Information Technology

N222Y Health Information Technology
Module:
Improving Quality in Healthcare
and Patient Centered Care
Looking to the Future of Health IT
Computers and Technology
Impact on Healthcare
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Review- what is Health IT
What is Informatics? What is an informatics nurse?
IOM- Core Competencies
American Recovery and Reinvestment Act of 2009
Why should nurses care?
• Impact on bedside care
• What does the nurse need to know?
Healthcare Technology
A time of rapid change
• Electronic Health Record (EHR)
• Personal Health Record (PHR)
• Components of health
information systems:
▫ Clinical systems
▫ Administrative systems
▫ Computerized Provider Order
Entry
▫ Clinical Decision Support Systems
▫ Equipment
Clinical Information Systems
Improved quality and safety
Outcomes management
Evidence based practice
“The complexity of modern healthcare has now exceeded the
limitations of the unaided human mind.” Eddy, DM (1990)
Clinical Information Systems
The bedside chart and beyond
Support clinical outcomes and quality assurance
• Collect aggregate data
• Use coded terminology
• Clinical analytics
Built in clinical decision making support systems
Clinical pathways
CIS Quality Measures
Clinical Decision Support Systems:
A working definition has been
proposed by Dr. Robert Hayward
of the Centre for Health Evidence:
"Clinical Decision Support systems
link health observations with health
knowledge to influence health
choices by clinicians for improved
health care".
http://en.wikipedia.org/wiki/Clinical_decision_support_system
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Alerting
Interpretation
Assisting
Diagnosing
Managing
CIS Quality Measures
Clinical Pathways
• Interdisciplinary in focus- include
nursing, medicine, nutrition, physical
therapy, etc
• Guide care of patients with common
diagnosis
• Based on national care standards and
EBP
• Used for high volume, high cost
diagnoses and procedures
Examples:
• Patients with CHF
• Open heart surgery
patients
• Knee replacement
recovery
CIS Quality Measures
Clinical Outcomes Management
• Data driven- means collection of consistent data
▫ Core measure tracking
• Collects and facilitates the tracking of quality indicators
▫ NDNQI
• Changes to care can be integrated into the EHR
CIS Quality Measures
Evidence Based Practice
• Practice is embedded in CIS systems
▫ Prompts, required fields
▫ References accessible (hotlinks, etc)
• The “Learning Health Care System”
▫ IOM Report
▫ Patients Like Me
Health Information Technology
and Patient Centered Care
Patient Centered Care
IHI:
• Care that is truly patient-centered considers patients’
cultural traditions, their personal preferences and
values, their family situations, and their lifestyles.
• It makes the patient and their loved ones an integral part
of the care team who collaborate with health care
professionals in making clinical decisions.
• Patient-centered care puts responsibility for important
aspects of self-care and monitoring in patients’ hands —
along with the tools and support they need to carry out
that responsibility.
http://www.ihi.org/IHI/Topics/PatientCenteredCare/PatientCenteredCareGeneral/
Patient Centered Technology
• gives patients the ability to communicate effectively
and immediately with their providers
• provides patients access to information that is
important and useful for them, when they need it
• allows providers to look holistically at an individual
and treat them through the coordination of other
providers
Dimick, Chris. "First Steps to Patient-Centered Care: Meaningful Use Focuses
Industry on Baby Steps." Journal of AHIMA 82, no.2 (February 2011): 20-24.
Patient Centered Technologies
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Communication tools
Personal Health Records
Self management of health
Tools to find care, evaluate care and comparison
“shop”
• Personalized health
The Future Of Health Care
Technology
•Emerging Technologies
•Disruptive Technologies
•Big Data
•Mobile Health
The Future of Healthcare Technology
The Nurse Role
• Proficient user of technology
• Understands the purpose of the technology and its role in
healthcare and its effect on nursing workflow
• Uses it correctly, securely and ethically
• Uses it to improve patient outcomes and safety
• Familiar with the value of nursing data, how it’s captured
and analyzed
• Able to use resources for clinical decision making
• Understands the limitations and risks of healthcare
information technology
• Recognizes the need for nurse involvement in the
development of health IT systems