Assignment: Wolters Kluwer Health

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Assignment: Wolters Kluwer Health

Assignment: Wolters Kluwer Health

Chapter 1:

Introduction to Nursing
Informatics: Managing Healthcare Information

Dr. Bridget A. Leonard DNP

NUR 2120- Nursing Informatics

January 10, 2018

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  • Use of information technology in healthcare.
  • Focus on information management, not computers.
  • Information management is a part of nursing.
  • Historically: recording and keeping information on paper chart.
  • Today: well-designed information systems.
  • Two roles: informatics specialist; clinician who must use health information technology.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Strategic Plan for Health Information Technology

  • Inform clinical practice with use of electronic health records (EHR).
  • Interconnect clinicians so that they can exchange health information using advanced and secure electronic communication.
  • Personalize care with consumer-based health records and better information for consumers.
  • Improve public health through advanced biosurveillance methods and streamlining the collection of data for quality measurement and research.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Health Informatics

  • Umbrella term: capture, retrieval, storage, presentation sharing, and use of biomedical information, data, and knowledge for providing care, solving problems, and making decisions
  • Purpose: improve use of healthcare data, information, and knowledge in supporting patient care, research, and education
  • Focus: subject and information, not the tool (computer)
  • Subspecialties (e.g., nursing informatics)

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Nursing Informatics

  • Subspecialty of nursing recognized by the ANA
  • Focus: information management related to nursing
  • Acquisition, manipulation, storage, presentation, and use of information
  • Goals: user-friendly data input; information presented that is timely and useful for clinical nurse
  • Definition difficult; initial definitions with technology focus; continually evolving definitions
  • Current practice: capturing data at the point of care and presenting it to facilitate care of an individual patient
  • Considerations for secondary data; aggregated data

Copyright © 2016 Wolters Kluwer • All Rights Reserved


  • Is the following statement true or false?
  • Health informatics is a subspecialty under nursing informatics.

Copyright © 2016 Wolters Kluwer • All Rights Reserved


  • False
  • Rationale: Health informatics is the umbrella term under which nursing informatics is a subspecialty.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Driving Forces

  • National forces
  • Creation of ONC (Office of the National Coordinator for Health Information Technology)and groups to study standardizing terminology
  • IOM (Institute of Medicine) reports: informatics as a core competency for all healthcare professionals
  • Nursing forces
  • National Center for Nursing Research program goals
  • National Informatics Agenda for Education and Practice
  • AACN’s (American Assn of Critical-Care Nurses) list of core competencies
  • ANA (American Nurses Association)
  • Nursing shortage
  • TIGER (Technology Informatics Guiding Education Reform) initiative

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Driving Forces (cont.)

  • Other forces
  • Patient safety
  • Safety databases
  • Barcoding for medication administration
  • QSEN (Quality and Safety Education for Nurses)
  • Costs
  • Leapfrog Group

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Information Management Tool: Computers

  • First computerized information management task: numeric manipulation
  • Use of computers beginning in late 1950s and early 1960s to manage financial information; then a few computerized patient care applications
  • Early healthcare informatics systems
  • PROMIS (with POMR: Problem oriented medical record)- Patient Reported Outcomes Measurement Information Systems
  • Help Evaluation through Logical Processing (HELP) System
  • System progression
  • Initially process oriented; now introduction of data standards in terminology and protocols; aggregated data

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Benefits of Informatics: Healthcare in General

  • Improve patient outcomes:
  • Creating and using aggregated data, preventing errors, easing work conditions, and providing better documentation.
  • Buried data now usable: provide information about problems, show patterns
  • Improved communication among all healthcare providers
  • Easy, quick storage, and retrieval of healthcare records
  • Saving of time and money with computerization of tasks; easier method for recording charges (no lost charges)

Copyright © 2016 Wolters Kluwer • All Rights Reserved


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