Transcript: Impact on Healthcare According to the Journal of Nursing Administration 2014 potential efficiency savings, on inpatient nursing time alone, at 90% adoption of the electronic medical records have been estimated to save an annual $13.7 billion. Privacy Staff Electronic Medical Records Time By Valerrie Coleman Electronic Medical Records Health Information Technology Barriers to Adoption Multidisciplinary Team Barriers To Adoption Interoperability Employees think that they don’t have enough time to learn the new technology. This can be fixed by employers setting out time to train employees on the new technology before the implementation of the technology is made within the organization. Also assuring the employees that there will be time for training will help cut down on the negative talk about how the system will affect the organization. According to Partners Healthcare 2014 electronic medical records give more than one facility the ability to look at a patients chart. These electronic medical records help eliminate illegible handwriting and give more room for information to be stored. The first thing to consider when implementing health information technology is staffing. The staff should maximize quality and safety when using the health information technology system. When considering staffing don’t just focus on reducing staff, focus on retraining staff to realize the importance of the implementation of the health information technology and electronic medical records. (Jennifer Goldsack 2014) Three Things To Consider There are a lot of standards that have to be met in order to meet the privacy policies of HIPAA. Information will have to be able to be shared between facilities without falling into the wrong hands. This means that when information is sent between facilities it will have to be directly sent to the person who the information is meant for. Health care has been trying to get access to a paperless system for the last 20 years. It is hard for management to figure out how this system is going to impact the healthcare system and the staffing of healthcare. It will be difficult at first to determine staffing once we go to a paperless system. According to Health IT Terms 2009 it is the application of information processing involving both computer hardware and software that deals with the storage, retrieval, sharing, and use of healthcare information, data, and knowledge for communication and decision making. Priorities The Impact on Healthcare 5 Barriers To Adoption of Health Information Technology (Crystal Summers 2014) Health Information Technology Interoperability is the extent to which systems and devices can exchange data, and interpret that shared data. (HIMSS 2014) This means that both systems must be able to exchange information but that they also must be able to understand the information that is being exchanged. In the healthcare system there is a lack of interoperability. The best way to solve this problem is by having one integrated system. All of these barriers will have an effect on how quickly health information technology will be implemented. It is important that when thinking about the decision to implement this new technology that there will be barriers but there are ways to work around the barriers and make it work for the better of the organization and for the better of the patients. There are pros and cons with every new technology but each organization needs to make sure that the pros outweigh the cons and that the cons are something that they will be able to deal with. Research on the new technology will be the best way to decide if this new implementation of the technology is right for the organization. Impact on Healthcare Staffing Cost What is Health Information Technology? According to the National Alliance for Health Information Technology it is the electronic record of health-related information on an individual that is created, gathered, managed, and consulted by licensed clinicians and staff from a single organization who are involved in the individual’s health and care. References Health Information Technology The third thing to consider when implementing health information technology is optimizing the function of the multidisciplinary team. With the implementation of the health information technology it brings complications to the multidisciplinary team. The efficiency of the new implementations may be affected by the way that the doctors and clinicians are acting. (Jennifer Goldsack 2014) Implementing Health Information Technology This is one of the most challenging barriers to overcome because there is only one way to solve this problem. A lot of the medical staff will be to slow to understand and accept the new technology. Change is one of the hardest things that an organization has to learn to overcome. Training opportunities need to be put in place when the adoption of health information technology done. More patient care time will need to be considered since it
Transcript: HEALTH INFORMATION TECHNOLOGY Health Information Technology Jessica Diaz HSN/560 February 1, 2016 Beth Hale Computerized Physician Orders: An electronic process that permits health care providers to enter orders electronically and allows for managment of orders Benefits: Makes information available instantly Assures securtity of information Easily accessible Eliminates Illegible wrting Improves quality of care Reduces cost Increase adherance to evidence based practices Improves adhearance rates Reduces Medication Errors Benefits: Improves safety and efficiency Improves medication safety Imporves accuracy and efficiency Reduces Health Care Costs through the reduction of adverse drug events Eliminate Illegible Prescriptions Reduces Verbal Miscommunication Fast and more efficient filling time Patient and Physicians convenience Benefits: Improves Quality Care Improves Patient safety Reduces time to care delivery Improves order accuracy Improves communication among physician, nurses, phamacist and other clinicians. E-PRESCRIBING: A way for a prescriber to write and send prescriptions electronically to a pharmacy Electronic Health Records: digital version of a patients' paper chart
Transcript: New Hire Credentials Register all mobile devices All employees must review the TFSB Mobile Email Policy Mobile device must have PIN configure Remote Wiping of Mobile Devices: When a device is reported lost When employment termed & employee does not comply with removal requests Mobile Device Acknowledgment Form Includes: Internet / Intranet / Extranet-related systems / TFSB Computer & -Laptop equipment Software / Operating systems / storage media / network accounts or email Instant messaging systems / WWW browsing / FTP protocols THIS IS ALL THE PROPERTY OF THE FEDERAL SAVINGS BANK Prohibited Activities: Sharing of network credentials: Username / Password Unauthorized copying of copyrighted materials Unauthorized downloading of software to TFSB equipment Introduction of Malicious Software into the TFSB Network Viruses, Worms, Trojan Horses, email bombs Making fraudulent offers Pornography Providing information about or lists of TFSB Employees, customers or affiliates to non-TFSB parties Sending of Email for the purpose of harassment Use of the TFSB’s name in any unsolicited email Understanding Tools & Resources available Information Technology Desk Policies Mobile Email Network Acceptable Use Knowing Cyber Security Protocols Phishing vs Spear Phishing Consequences for Non-Compliance Malicious Links Information Technology Cisco Office Phone Guide: Be sure to sign in / sign out Conference Call forward Join 2 lines together Voice Mail All users must password protect voice mail upon recording their greeting Download and use Jabber https://secure.thefederalsavingsbank.com/ eFax Paperless environment Send / Receive faxes via Outlook See User Guide Single Sign-on System Phones - Phone/Fax Number Payroll - Paylocity General -OKTA -Network -Webmail Encompass Related -BPS -Credit Plus Resources Password Management Portal All employees must enroll https://pmhelp.thefederalsavingsbank.com/PM/ Mandatory network password change every 25 days The Portal is used to: Enroll Change Reset Unlock Phone & Fax Archie 2 Factor Authentication Work Place Security Acceptable Use Policy Live Stream Video Site Objectives Don’t make passwords too easy. Information is often easy to find on social media, making it easier for cybercriminals to hack your accounts. Pet or kids names Avoid using full words in your password. @ can replace the letter “A” and an exclamation point (!) can replace the letters “I” or “L”. Get creative. Phonetic replacements, such as “PH” instead of “F”. deliberate misspellings, such as “enjin” instead of “engine”. Never share your password. Don't tell anyone your passwords, and watch for attackers trying to trick you into revealing your passwords Best practices in password creation Departments > Information Technology https://tfsb.okta.com Password Management Portal Sending Securemail FAQs Cisco Setup Mobile Email OKTA Setup Live Stream Email on your mobile device
Transcript: E-Prescribing Technology has changed the world *allows patient convenience American Medical Association. (2013). HIPAA privacy and security toolkit: Helping your practice meet new compliance requirements. Retrieved from: http://www.nmms.org/sites/default/files/images/2013_9_10_hippa-toolkit.pdf A healthy and secure nation McGonigle, D. & Mastrian, K. (2015). Nursng science and the foundation of knowledge. In D. McGonigle & K. Mastrian (Eds.), Nursing informatics and the foundation of knowledge (pp. 5-14) Burlington, MA: Jones & Bartlett Learning McGonigle, D. & Mastrian, K. (2015). Introduction to information, information science, and information systems. In D. McGonigle & K. Mastrian (Eds.), Nursing informatics and the foundation of knowledge (pp. 20-26). Burlington, MA: Jones & Bartlett Learning Kaminski, J. (2015).Computer science and the foundation of knowledge model. In D. McGonigle & K. Mastrian (Eds.), Nursing informatics and the foundation of knowledge (pp. 36-52). Burlington, MA: Jones & Bartlett Learning McGonigle, D. & Mastrian, K. (2015). Introduction to cognitive science and cognitive informatics. D. McGonigle & K. Mastrian (Eds.), Nursing informatics and the foundation of knowledge (pp. 59-63). Burlington, MA: Jones & Bartlett Learning McGonigle, D., Mastrian, K., & Farcus, N. (2015). Ethical applications of informatics. In D. McGonigle & K. Mastrian (Eds.), Nursing informatics and the foundation of knowledge (pp. 68-84). Burlington, MA: Jones & Bartlett Learning Research online health communities E-Prescribing Personal Health Records (PHRs) HIT The importance of informatic priniciples for nursing Ongoing learning *As of 2013, nearly six in ten hospitals had adopted at least a Basic EHR system. *As of 2014, hospital adoption of EHR systems has increased more than five-fold since 2008. *In addtion to growth in EHR adoption, hospital adoption of advanced funtionality has increased significantly. Hospital adoption of comprehensive EHR systems has increased more than eight-fold in past four years, as of 2014. Office of the National Coordinator for Heath Information Technology (2014, May). Adoption of electronic health record systems among U.S. non-federal acute care hospitals: 2008-2013. Retrieved from https:// www.healthit.gov/sites/default/files/oncdatabrief16.pdf References Health Information Technology *Individuals' electronic access to their medicals records increased significantly in 2014. The proportion of Americans offered online access to their medical records rose by more than a third between 2013 and 2014. *In 2014, over half of individuals who were offered access viewed their record at least once within the last year. Personal Health Records (PHRs) Meeting the needs of patients NSG 8801 April Randle Felicia Renales Kathleen Santiago E-Health Tools The Foundations of Knowledge Model Health Insurance Portability & Accountability Act The Path to Health Information Technology "an array of technologies to store, share, and analyze health information." E-Health Tools Penalties Usage of HIT Electronic Health Records (EHRs) *allows HCP to communicate directly with pharmacy Trends in Health Information Technology Components Familarize "electronic systems that store the individual's health information" knowledge workers *Individuals most commonly use online medical records for monitoring health. *In 2014, 8 in 10 individuals who accessed their medical record online considered the information useful. Health IT Trends in Health Information Technology Trends in HIT Svrakic, S., & Ovcina, A. (2011). Knowledge and practice of health managers in using information technology in health system. Journal of Health Sciences, 1(3). Retrieved from http://search.proquest.com/docview/1660371536?accountid=38769 *patient decides type of information *keeps track of info from HCP visits *also contains client priority aspects of life personal health tools Kowitlawakul, Y., Chan, S., Wang, L., & Wang, W. (2014). Exploring faculty perceptions towards electronic health records for nursing education. International Nursing Review, 61, 499-506. doi:10.1111/inr.12141 How is health information technology (HIT) impacting healthcare and nursing practice? 1 9 9 6 Trends in HIT The Foundation of Knowledge Model Health Information Technology Includes: Electronic Health Records (EHRs)
Transcript: EHR in Hospitals MULTIPLE BENEFITS Transformation of the Health Care System YOU TUBE VIDEO Physicians’ notes and orders could be processed much faster eliminating delay in care Errors due to handwriting can be reduced Potential to greatly impact the quality of service rendered and impro The benefit of EHR is that it is "one patient, one record." Prior to implementation of the EHR, multiple systems and paper processes were used. What we DO NOT want to do is have this fancy EHR system and continue doing something on paper. BENEFITS andGLITCHES What business problem in healthcare does this HIT solution solve? WHAT IS AN EHR? Electronic Health Record (EHR) is Electronic Health Record A Health Information Technology Solution HCAD 610 9080 Group 5 Hospitals Currently Using EPIC No more handwritten medical information, less delays, faster delivery of care. Comprehensive system and everything under the same roof. Covers everything from the most complicated to the simplest procedure Easier communication between hospitals and medical staff PROS Trace ER visits for drug seekers Access to images and reports E-signatures and lab/medication RX E-billing Ensures patient confidentiality Measure protection CONS Potential risk for loss of data and breach Some of the reasons why we should consider changing to EHR
Transcript: Improves Quality of care. Increases Patient Safety Improves accuracy of Medical Care Gives Patients direct access to medical records Provides at home capability and transparency Reduces the Amount of Paperwork Easy Sharing Reduces the amount of unnecessary test and procedures. Cost and Rationing of Care will decrease. Security Programs Computers Tablets Software (can be outsourced) Health Care Ethics Proper Equipment Pros & Cons Beneficence Autonomy Reduces Legal Issues Implementing HIT Cons Health IT (information technology) is the area of IT involving the design, development, creation, use and maintenance of information systems for the healthcare industry. Electronic Health Records Personal Health Records E-Prescribing Personal Health Tools Online Communities Expensive Implementation Physician resistance to Adjustment Technical Support Required Previous issues with Programs Safeguarding of Information (Hackers) What is HIT Careers In HIT Pros Trained and educated Programers that can provide continual technical backing. All medical staff must be willing and educated on HIT Health Information Technology Staff Support Forms of HIT 3 Steps to Success Technical Support
Transcript: FINANCIAL SAVINGS MEANINGFUL USE PROGRAMS OFFERING FINANCIAL INCENTIVES Health Information Technology for Economic and Clinical Health Act (HITECH) February 2000: HITECH signed into law and promotes the adoption and meaningful use of health IT 2011: HITECH stipulates healthcare providers will be offered financial incentives for demonstrating meaningful use of electronic health records Post-HITECH 62% of physicians reported financial incentives as a major influence to adopt HIT compared to 23% physicians who planned to adopt prior to the HITECH Act HITECH makes an estimated $14-27 billion in incentive payments to use health IT effectively and in a meaningful way 2014: Percent of professionals and hospitals receiving incentive payments up to $2 million or more 75% of eligible professionals 92 % of eligible hospitals HEALTH INFORMATION TECHNOLOGY VIDEO SUMMARY HEALTH INFORMATION TECHNOLOGY ADOPTION LACK OF INTEROPERABILITY HIGH COST Why HIE is important for adoption of Health IT? Provides efficient and effective quality of care Provide effective chronic care management Shift burden of filling out unnecessary paperwork to allow more time for treatment discussions To securely track and share patient medical history STATISTICS: 2008: 4 in 10 hospitals shared information electronically with physicians or hospitals with other providers 2013: 51% increase with more than 6 in 10 hospitals electronically exchanging patient information with other providers HEALTH INFORMATION TECHNOLOGY BARRIERS STATISTIC: 2007: more than half of 10,258 U.S. participants expressed privacy concerns regarding medical records and information CONCERNS THAT RAISE QUESTIONS: Is information access secured? Is the privacy of patient protected? Is the patient's information being used for marketing purposes? Is there concern for identity theft? RESULTS: LEAD TO "PRIVACY PROTECTIVE BEHAVIORS" Patients will withhold information due to lack of trust in health systems to provide right protection as result mistrusted relationships with physicians can put the patient at serious risk BETTER OUTCOMES!! Health Information Technology National Institute of Standards and Technology www.youtube.com/watch?v=0MfJ3VmoqE QUALITY, EFFICIENCY, & SAFETY CONCLUSION IMPROVE QUALITY, EFFICIENCY & SAFETY BY: By reducing medical errors Providing safe and effective medication management Using checklist, alerts and information exchange By reducing number of duplicated diagnostic test Faster and more reliable access to patient information STATISTICS: CPOE systems have a medication error reduction percentage of 55% - 83% 2009: The percent of health IT systems capable of using checklist, alerts, and prompts about potential drug interaction problems jumped from 38% to 83% It is known that the United States has been slow to embrace health IT. However, health IT has many potential drivers as well as many significant barriers. In order to close the gap of adopting health IT, adoption of health IT needs to be more widespread. More research can help determine if adopting health IT can ultimately benefit or hinder health organization. Overall, health IT is constantly changing how health organization use technology and will continue to be an important aspect in promoting the health and prosperity of people. Higher quality of care Faster and more reliable access to complete medical information Improve communication and coordination with patient of previous medical history HEALTH INFORMATION TECHNOLOGY DRIVERS FINANCIAL INCENTIVES BARRIERS: Significant problems with content, structure, completeness, detail, taxonomy, and definition of various vocabulary No universal standard for medical terminology No commonality in the language Office of National Coordinator for Health IT reported: 2013: FOR OFFICE BASED PHYSICIANS 14% shared data with outside providers 39% shared information with outside providers 42% of hospitals shared clinical data with outside systems HEALTH INFORMATION EXCHANGE WHY THE HIGH COST OF IMPLEMENTING? Depending on the type of technology, the initial and ongoing maintenance is extremely costly Maintenance expenses include: Hardware and software replacement, operational expenditures for software licensing, hosting, and technical support STATISTICS: For an average five physician practice, the cost of implementing health IT estimated $162,000 during the first 60 days of launch For an average five physician practice, estimated maintenance expenses amounted to $85,000 for the first year RAND CORPORATION STUDY ON FINANCIAL SAVING: At 90% adoption, potential savings from both inpatient and outpatient cost could average more than $77 billion annually Largest saving come from reduced hospital stays, reduced nurse administrative time, and more efficient drug utilization PATIENTS SAVE MONEY TOO! Health IT helps reduce the number of repeated test done on the patient which is also safer for the patient RESULTS OF EFFICIENT & EFFECTIVE CARE MEDICARE EHR INCENTIVE PROGRAM: Receive up
Transcript: Health information technology American Recovery and Reinvestment Act (ARRA) Enacted in 2009 “Stimulus” law Designed to spark the economy Federal Health Information Technology for Economic and Clinical Health act of 2009 (HITECH). Medical professionals use HIT to communicate and store information for later use. HIT and electronic health (e-health) can change the future healthcare workforce. Studies on the use of HIT Assistance provided by the use of HIT Improvement in efficiency of care Emerging Trends in HIT Health care exchanges Transmission of health care data State, regional, community or hospital system Formal or informal Unique patient identifier Correctly connecting /matching patient with EHR Interoperability Captures data from disparate sources and pulls it together Impact of HIT on Healthcare and Nursing Practice Informatics principles for nursing To create a vision for the future of nursing that bridges the quality chasm with information technology, enabling nurses to use informatics in practice and education to provide safer, higher-quality patient care. Computer Science Valuable tool Acquisition of Data Supports EBP Cognitive Science Nursing science Information science Computer science Informatics + Nursing Effective and safe care Reduction of medical errors Improve problem-solving Quality of care Confidentiality, Security, and HIPAA Confidentiality of HIT need for access blocking access privacy vs confidentiality HIPAA Security Hardware and software issues and maintenance Tracking access and changes Data input Method of access Passwords ID badges Biometric data HIPAA implications Act of 1996 Protected Health information Employee training Challenges as a result of HIT National Health Network Long-term meaningful usefulnes Interooperability References Audet, A., Squires, D., & Doty, M.M. (2014). Where are we on the diffusion curve? Trends and drives of primary care physicians’ use on health information technology. .Health Services Research, 49(1), 347-360. Cipriano, P.F., Bowles, K., Dailey, M., Dykes, P., Lamb, G., & Naylor, M., (2013). The importance of health information technology in care coordination and transitional care. Nursing Outlook, 61, 475-489. Dowding, D. (2015). Using health information technology to support evidence-based Practice. Worldviews on Evidenced-Based Nursing, 12(3), 129-130. Gabriel, M.H., Jones, E.B., Samy, L. & King.J. (2014). Progress and challenges: implementation and use of health information technology among critical-access hospitals. Health Affairs, 33(7), 1262-1269. Graham-Jones, P., Jain, S.H., Friedman, C.P., Marcotte, L., & Blumenthal, D. (2012). The need to incorporate health information technology into physicians; education and professional development. Health Affairs 31(3), 481-487. Healthcare Information and Management Systems Society (himss). (http:// www.himss.org/content/files/HIMSS2009InformaticsNurseImpactSurvey.pdf) Leung, R.C. (2011). Health information technology and dynamic capabilities. Health Care Management, 37(1), 43-53. McCartney, P. R., & Drake, E. E. (2016). Perinatal and neonatal health information technology. Journal of Perinatal and Neonatal Nursing, 30, 209-213. doi: 10.1097/JPN.0000000000000184 McGonigle, D. & Mastrian, K.G. (2015). Nursing informatics and the foundation of knowledge. Burlington: Jones & Bartlett Learning. O’Malley, A.S. (2011). Tapping the unmet potential of health information technology. New England Journal of Medicine, 364(12), 1090-1091. Selck, F.W. & Decker, S.L. (2016). Health information technology adoption in the emergency department. Health Services Research, 51(1), 32-47. Thede, L. (2012). Informatics: Where is it? The Online Journal of Issues in Nursing, 17 (1). doi: 10.3912/OJIN.Vol17No1InfoCol01 Wasen, K. (2013). Emerging Health Technology. New York: Springer. Wiener, J. A., & Gilliland, A. T. (2011). Balancing between two goods: Health insurance portability and accountability act and ethical compliancy considerations for privacy-sensitive materials in health sciences archival and historical special collections. Journal of the Medical Library Association, 99, 15-22. doi: 10.3163/1536-5050.99.1.005 Weiner, J.P., Yeh, S., & Blumenthal, D. (2013). The impact of health information technology and e-health on the future demand for physician services. Health Affairs, 32(11), 1998- 2004. Avoid Disruption Security Breach Downtime Policies What is Health Information Technology (HIT) Key Purpose Health Information Technology Medical record improvement Ease in record maintainability Documentation improvement Improved readability Widely adopted in developed countries. Remote Delivery Healthcare Health care professional have remote access to patients. This change was possible secondary to healthcare information technology advancement. Patients living in remote areas have acesss to quality health care at a reasonable cost. Impact of HIT Connie Eadie, Jewell Parker, Renece Waller-Wise Impact of HIT Electronic Health
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