NURSING INFORMATICS

FINALS By: MAE LOURDES C. BALIZA BSN 2A

APPLICATION OF A3 ELECTRONIC HEALTH

RECORD
HEALTH INFORMATICS
-​ Electronic Health Record is the
electronic version of the client
data found in the traditional
A1 Introduction paper record.
-​ EHR are defined as "a
DIFFERENCE BETWEEN NURSING longitudinal electronic record of
INFORMATICS AND HEALTH INFORMATICS patient health information
generated by one or more
●​ Nursing informatics - focus on patient encounter in any care delivery
care setting.
●​ Health Informatics - deals with
administration issues in the health care ROLE OF EHR
settings such as data security and issues -​ Represents patient's health history
around legal compliance. -​ Medium of Communication among
health care practitioners
A2 CLINICAL PRACTICE -​ Legal document for health care
-​ Source for clinical outcomes and health
services research
ELECTRONIC MEDICAL -​ Resource for practitioner education
RECORD -​ Alerts, reminders, improvement
-​ A physical collection of an individual's
healthcare information. It is used DATA COMPONENTS DOCUMENTED IN EHR
throughout history to document
-​ An should Electronic Health Record
-​ Patient's healthcare
contain important data such as:
-​ Signs and symptoms
-​ •Patient Profile and demographics
-​ Disease
-​ •Medical history
-​ Trends of Disease
-​ Includes information about allergies,
DOCUMENTERS OF THE MEDICAL RECORD illness, immunization, disorder and
-​ Individuals who are responsible for diseases
inputting information into the medical -​ Medicine taken compatibility and with
record Documenter its drug interaction
-​ Receptionist -​ Records of appointment
-​ Medical assistant -​ Admission nursing notes
-​ Physician (or other treating professionals) -​ Daily charting
-​ Medical biller -​ Physical assessment
-​ Present complaints (e.g. symptoms)
OWNERSHIP OF THE MEDICAL RECORD -​ Diagnoses, tests, procedure, treatment
-​ Property of the individual who created it -​ Nursing care plan
-​ Physician office own the physical record -​ Medication administration, progress
-​ Patient owns the medical information notes
May obtain a copy by signing a record -​ Laboratory data and radiology reports
release -​ Referral
-​ May be charged an administrative fee

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FINALS By: MAE LOURDES C. BALIZA BSN 2A

-​ Discharge history
ORDER ENTRY (CPOE)
-​ Billing records

COMPONENTS OF EHR -​ CPOE is a software that allow physician

-​ Clinical Decision Support System to enter order directly into the
(CDSS) computer rather than doing so on
-​ Computerized Physician Order paper.
Entry (CPOE) System -​ Example:
-​ Health Information Exchange -​ Drugs
(HIE) -​ Laboratory tests
-​ Radiology
PATIENT SAFETY WITH EHR -​ Physical therapy
-​ Researchers found that computerized
physician reminders increased the use BENEFITS OF CPOE
of influenza and pneumococcal ●​ Eliminate potentially dangerous
vaccinations from practically 0% to 35% medical errors caused by poor
and 50%, respectively for hospitalized penmanship of physicians.
patients. ●​ Eliminate errors caused by unclear
telephone orders
PREVENTION OF COMPLICATION WITH EHR ●​ It also makes the ordering process
-​ Wilson et al, found a significant more efficient because nursing and
association between computerized pharmacy staffs do not need to seek
reminders and pressure ulcer clarification or to solicit missing
prevention in hospitalized patients. information from illegible or
They found a 5% decrease in the incomplete orders.
development of pressure ulcers 6 ●​ Enhance patient's safety.
months after the implementation of
computerized reminders that targeted
hospital nurses.
A5 HEALTH INFORMATION
BEST USES OF PRACTICE WITH EHR EXCHANGE
-​ Meaningful Use criteria for each stage
2011-2012 Stage? Rossi and Every, found
their computerized reminder as part of -​ HIE is the process of sharing patient's
a CDSS have been linked to an 11.3% electronic health information between
increase in appropriate hypertension different organizations and can create
treatment in a primary care setting. many efficiencies in the delivery of
health care.
DECREASED COST OF CARE WITH EHR -​ Once health date are available
-​ Tierney et al found a 14.3% decrease in electronically to provider, HER facilitate
the number of diagnostic tests ordered the sharing of patient information
per visit and an 12.9% decrease in through HIE.
diagnostic test costs per visit when
using an HER with CDS and CPOE BENEFITS OF HEALTH INFORMATION
components. EXCHANGE
●​ Allows for the secure and
potentially real - time sharing of patient
A4 COMPUTERIZED PHYSICIAN
information.

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FINALS By: MAE LOURDES C. BALIZA BSN 2A

●​ HIE can reduce costly redundant tests -​ Lowers expired medication cost by 54%
●​ HIE facilities the exchange of this
information via EHRs, which can result
A6 ELECTRONIC MEDICATION
in much more cost - effective and
ADMINISTRATION RECORDS
higher - quality care.
-​ The EMAR alerts the nurse about the
TECHNOLOGIES INVOLVED IN EHR next close or cautions about the
-​ Picture archiving and communications medications.
system -​ Nurses take the cart near to the
-​ Bar coding patient, scan the medication and the
-​ Radio frequency identification patient wrist hand.
-​ Automated dispensing medicines
-​ Electronic medication administration BENEFITS
records -​ Improved access to the medical record
-​ Decreased time spent in
PICTURE ARCHIVING AND documentation
COMMUNICATION SYSTEM -​ Increased time for client care
-​ This technology captures and -​ Improved quality care
integrates diagnostic and radiological -​ Improved communication and
images from various devices, stores decreased potential for error
them and disseminate them to a
medical recors, clinical data repository
A7 MEDITECH ORIENTATION for
or other points of care Nursing

BAR CODING
-​ An optical scanner is used to TELEMEDICINE
electronically capture information -​ Telemedicine is use of
encoded on a product. Initially, it is telecommunication and information
used for medication. technologies in order to provide clinical
-​ It consists of bar code readers, a health care at a distance.
portable i computers with wireless -​ These technologies allow
connection. communications between patient and
-​ The nurse can verify patients as well as medical staff with both convenience as
drugs. well as transmission of medical
imaging and health informatics data
AUTOMATED DISPENSING MEDICINES from one side to another.
-​ Automated dispensing medicines are -​ It is also used to save lives in a critical
computerized drug storage devices care and emergency situation.
which allow medications to be stored
and dispensed near the point of care CORE PRINCIPLES OF TELEMEDICINE
while controlling and tracking drug -​ Is only a tool (like a stethoscope)
distribution. -​ Must be physician directed
-​ Must be integrated into established
BENEFITS clinical operations and routines
-​ Reduces pharmacy labor by 90% -​ Physician - patient relationships must
-​ Reduce technician labor by 72% be preserved.
-​ Lower drug inventory by 20%
-​ Cuts missing medications by 92% BARRIERS

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FINALS By: MAE LOURDES C. BALIZA BSN 2A

-​ Equipment costs support of the health and health -

-​ Connectivity costs related fields including healthcare,
-​ reimbursements health surveillanc and health
education, knowledge and research.
HOW IT WORKS -​ A new term used to describe the
-​ Video conference system combine use communication oed
-​ Camera each end electronic and Linformation
-​ TV screen/computers each end technology in the health sector.
-​ Various medical periphernalia -​ eHealth is a broad term and refers to
-​ Video connection the use of information and
communications technologies in
TELEMEDICINE SOLUTIONS BRINGING healthcare.
PATIENTS AND DOCTORS -​ eHealth covers a lot of territory, which
CLOSER is why digital health industry experts
-​ Distance learning often contest exactly what the term
-​ Medical education and the transfer of means - and to add to the confusion,
medical data it's also frequently used as asynonym
-​ Nursing homes for Health IT.
-​ Health care in the aftermath the
disasters APPLICATION OF E HEALTH
[Link]
TELE CONSULTATION 2. EMR (Electronic Medical
-​ A doctor of a paramedic or even a Record)
patient himself in remote area can 3. Health Informatics
have a consultation with a specialist 4. Mhealth
5. Evidence Based Medicine
BENEFITS OF TELEMEDICINE
-​ Early intervention CONCLUSION
-​ Avoids unnecessary intervention -eHealth is an informative and interactive
-​ Community based care method that both patients and health care
-​ Medical education and research professional can come together and share
-​ Cost saving information with others in the profession from
-​ Improved patient documentation around the world. Regardless of location,
-​ Increased range of care and education medical issue, health concern, etc. health care
physicians can discuss data as well as past.
LIMITATIONS TO SPREAD OF TELEMEDICINE
-​ Poor patient doctor relationship
-​ Patient acceptance
A9 ADMINISTRATION
-​ Fear of technology
-​ Low rates of utilization infrastructure
CLINICAL AND ADMINISTRATIVE HEAL
INFORMATION SYSTEM
A8 E - HEALTH
Healthcare information systems
-​ •The World Health Organization defines -​ i capture, store, manage, or transmit
e health as "the cost effective and information related to the health of
secure of information and individuals or the activities of an
communication technologies in

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FINALS By: MAE LOURDES C. BALIZA BSN 2A

organization that work within the

health sector. …
-​ Clinical and administrative systems for
managing patient details on an
administrative level

INFORMATION SYSTEM
-​ •Data •Processes People •Technology
That interact to collect process, store and
provide as output the information needed to
support the organization.

HEALTH INFORMATION SYSTEM

-​ Combination of vital and health
statistical data from multiple sources
used to derive information about the
health needs, health resources, use of
health services and outcomes of use by
the people in a defined region or
jurisdiction.

WHAT TO EXPECT AT A WEBINAR

-​ There are many different webinar
hosting providers, and each interface is
different.
-​ The most common is GO TO WEBINAR
-​ You will see the host's screen. May
include:
-​ Powerpoint presentation
-​ Live or recorded video
-​ Live web or software demonstrations
-​ Usually attendees microphones are
muted Chat box
-​ Can input questions (usually only the
host can see them, though they may
share them with the audience "Raise
Hand" - button. Click if you have a
question and host may unmute your
mic so that all attended can hear you.

WEBINAR
-​ You may be able to call in by phone to
hear the audio, though most people
just use their computer's audio system
-​ In addition to the host, there may be l
or more panelist
-​ •Typically scheduled for 1 hour usually
last longer

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