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Health Information Technology

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Mary GIvens

on 16 October 2015

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Transcript of Health Information Technology

Attune Innovation Infinite. (n.d). Key components of health information technology infrastructure. Retrieved September 14, 2015 from

http://attunelive.com/blog/key-components-of-health-information-technology-infrastructure/

Dykes, P. C., & Collins, S. A. (2013). Building linkages between nursing care and improved patient outcomes: The role of health information technology. Online Journal

of issues In nursing, 18(3), 1-17 17p. doi:10.3912/OJIN.Vol18No03Man04

Gialenella, K. M., Mastrian, K., & McGonigle, D. (2015). Legislative aspects of nursing informatics: HITECH and HIPAA. In D. McGonigle, & K. G. Mastrian (Eds.), Nursing

informatics and the foundation of knowledge (3rd ed., p. 149). Burlington, MA: Jones & Bartlett Learning.

Hammel-Jones, D., McGonigle, D. & Mastrian, K. (2015). Nursing informatics: Improving workflow and meaningful use. In D. McGonigle, & K. G. Mastrian (Eds.), Nursing

informatics and the foundation of knowledge (3rd ed., p. 230). Burlington, MA: Jones & Bartlett Learning.

IBM (2015). 704 Data Processing System. IBM Archives. Retrieved from http://www- 03.ibm.com/ibm/history/exhibits/mainframe/mainframe_PP704.html

Mastrian, K., McGonigle, D., & Farcus, N. (2015). Ethical applications of informatics. In D. McGonigle, & K. G. Mastrian (Eds.), Nursing

informatics and the foundation of knowledge (3rd ed., p. 73-74). Burlington, MA: Jones & Bartlett Learning.

McKinney, H. E., DeSantis, S., McGonigle, D., & Mastrian, K. (2015). Nursing informatics and nursing education. In D. McGonigle, & K. G. Mastrian (Eds.), Nursing informatics

and the foundation of knowledge (3rd ed., p. 355). Burlington, MA: Jones & Bartlett Learning.

Piscotti, R. J., Kalisch, B., & Gracey-Thomas, A. (2015). Impact of healthcare information technology on nursing practice. Journal of nursing scholarship, 47, 287-293. doi:

10.1111/jnu.12138.

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Health Information Technology

HIT provides the ability to efficiently exchange health information electronically between health care providers and patients.
Expanding the Scope
of Health Information Technology
Trending
Now

Electronic Health Records
Mobile Access
Video Conferencing
Unified Communications
Privacy and Security
HIT Components
Health Information Technology
Future Impact
Healthcare advances
Healthcare delivery
Technology
Ethnicity
Societal changes
Health Information Technology
A way of applying information technology to healthcare.
Impact on Nursing Practice
Impact on Healthcare
Health Information Technology Implications for Nursing Practice
Implementation of Nationwide Electronic Health Record System
Nursing Practice
Nursing Informatics
Nursing Practice Benefits from Implementation of Electronic Health Records
Improves delivery of nursing care
Improves quality of nursing care
Makes more efficient and timely nursing decisions
Avoids errors that can harm patients
Promotes health & wellness of patients served
Maintains patient privacy, confidentiality & security
Also referred to as
Health information technology is the combined use and application of nursing data and technology to obtain positive patient outcomes and continually work on improving health care efficiency (Dykes & Collins, 2013).
EMR
PHR
EHR
Software
Hardware
Upgrades
Packaged Solutions
Integrated Technologies
Intellectual Properties
Importance of
Informatics Principles
for Nursing

Electronic Medical Record (EMR)

(Definition): A digital patient medical record that houses the patient's medical information, prescriptions, medical history, laboratory results, diagnostic test results, and notes related to patient checkups and/or exams.

EMR replaces the paper medical record.

EMR's have the ability to enhance patient care, track data, monitor patient parameters, and simplify scheduling for routine monitoring of lab studies and/or patient exams.


Electronic Health Record (EHR)

(Definition): A digital medical record that assists with maintaining health information within any medical or healthcare organization.

The EHR can be shared across multiple healthcare organizations in various locations.

It can serve as a digital solution to maintaining records and connecting to the entire medical services.

The data stored in the EHR may be shared with other medical professionals, hospitals, pharmacies, insurance companies, and laboratories.
References

Intellectual properties of HIT include ideas, inventions, or processes created to work intelligently within the computerized systems to best enable networking among computer programs.

The intellectual properties shared through networking allow data to be entered, stored, shared, and retrieved by healthcare providers and other authorized users to improve patient care and patient safety.
Software and hardware components that are packaged together and sold to organizations or consumers to help them:
Simplify processes
Strengthen functioning between systems or departments
Augment the proficiency of the information system

These are created with the intention to accelerate automation and performance of electronic devices or information systems.
Included in software are computer instructions, data, or anything that can be electronically stored.

System Software
: Operating system of the computer and other software components to make the computer function.

Application Software
: The component that allows users to complete desired tasks.

Examples of application software include word, spreadsheet, presentation database managers, and media players.

(McGonigle & Mastrian, 2015)

Hardware
includes the physical or tangible parts of a computer that one can touch.

Components are necessary for performance or function of the computer.
Hardware components of the computer can be used to both enter data (keyboard) and view data (monitor).

Note that upgrades can be made to both software programs and/or hardware devices to
enhance
computer capabilities or performance.

Integrated technologies include various
software
and
hardware
technology components grouped together to make a structural computer system function.

A shared network of products or services, designed to support the creation, maintenance, access, and exchange of healthcare information between healthcare providers and patients (McGonigle & Mastrian, 2015).

HIT


HIT is important for patient
care outcomes.
HIT can:
Improve delivery of care.
Create a safer environment for patients (McGonigle & Mastrian, 2015).
Saves time because the nurse has access to patient data, test results, patient education, and medication data within seconds after entering the patient's electronic health record.
Increases nurses knowledge since evidence-based practice information is available for review without having to spend hours researching the topic.
Allows access to information that will assist the nurse in developing an understanding of the various cultures and patient populations across the lifespan.
Every nurse must incorporate informatics concepts into practice in order to be
safe
and
effective
caregivers.
Nursing Informatics Principles
Justice
: Treating the patient fairly.

Respect for Autonomy
: The patient's right to choose treatment and interventions for himself or herself.
Nonmaleficence
: Causing no harm to the patient.
Beneficence
: Performing actions that contribute to the welfare of the patient.
Confidentiality, Security, and HIPAA Implications of HIT
Challenges Resulting from HIT
A presentation by:
Elizabeth Ellis, Mary Givens, and Alexandria Kelley

Tele-medicine
Video Conferencing
Remote Patient Monitoring
Enhanced Home-based Services
Access to Disease Databases on Clinical Trials
Defined and used to enhance the foundation for ethical decision making
Provide guidance
Leave room for specific judgement
Ensure patient's safety
Respect patient's rights
Federal Health Insurance Portability and Accountability Act (HIPAA):
Established privacy/confidentiality and security standards for
electronic, paper, and oral information
Designed a means to protect an individual's identifiable health
information
Limits how covered entities use and disclose individual's identifiable health information
Gives individual's rights with respect to their protected health
information (PHI)
Imposes requirements for covered entities
Establishes civil penalties
The HIPAA privacy rule:
Affects every provider that electronically transmits healthcare information
Provides the consumer with the right to obtain their medical record and to learn when and where their medical record was disclosed
Creation of concerns:
Additional work for the provider and facilities
Potential for system shutdown resulting in no access to patient information.
Over-reliance on accuracy of EMR
Database corruption
Additional concerns related to privacy and security




Improve quality of care
Improve patient compliance to treatment plan
Improve communication and care coordination
Increase efficiency
Reduce cost
(Piscotti, Kalisch, & Gracey-Thomas, 2015)
A Global Undertaking
HIT
defined
IMPACT
HIT is also required to lawfully abide by the HIPAA Act.
Informatics principles:
Benefits of HIT
The future of HIT will be impacted related to changes in:
Goals of HIT's impact on healthcare:
Nursing Informatics
Evolved
Patient Health Record (PHR)

(Definition): A type of health record that allows the patient to maintain certain health data and information related to his or her care and well being.

The patient has the ability to have his or her personal health data in a secure, private, and confidential environment.

The patient has the ability to decide the type of information he or she inputs into their PHR.
PURPOSE
How?
A LOOK AT THE FUTURE
Wearable technology
Voice-activated communicators
Game and simulation technology
Virtual reality
Mobile devices
"In the future, computers will become more powerful yet more compact, which will contribute to the development of several technologic initiatives that are currently still in their infancy" (McGonigle & Mastrian, 2015, p. 53).
LOOKING AT THE PAST
HIT 2020
(Mastrian, McGonigle, & Farcus, 2015)
Information sharing has evolved over the years...
Pre-1800s: Consisted of very basic communication such as oral storytelling and artwork
1800s: Invention of the telephone
1900s-1950s: Very first computer for commercial use (IBM 704)
1963: First online medical journal collection from the National Library of Medicine
1970s: Use of relational databases
1980s: Advances in software development in health care such as Internist-1
1990s: Increased sophistication of computer technology along with more consumer friendly costs, invention of the internet, global networks, and international information systems
21st Century: Goal is to decrease human error and financial burden in health care by utilizing available electronic technology and remaining current on all technological advancements through invention and education.
(McGongile & Mastrian, 2015; IBM, 2015)
Health Information
Technology
what next?
Only time will tell!
Thank you for viewing our Prezi presentation. We have enjoyed exploring the timeline of health information technology, and we are optimistic of the future as we work towards becoming advanced nurse practitioners and ambassadors of technology.
Full transcript