What informatics challenges to improve pt outcome?
-equipment failure** (IT error)
-Data errors or (Human errors)
-Security problems
-alarms/alerts
... [Show More] issues with in system
-Documentation takes too much time away from pt care.
What act recognizes patients need more power in own healthcare and access to information is KEY?
21st Century Cure's Act
2 Fundamental, ethical principals of health informatics and why is it important for nurses to know about these?
**privacy, security and confidentiality for pt information.
Integrity
Respect for peoples rights
-information privacy
-Uphold data integrity
Important for nurses because we are all involved with using healthcare technology and it is our job to help keep PHI safe and private.
How to ensure pt records are protected? HIPAA guidelines
LOGICAL=automatic sign off. Encryption. Antivirus. Passwords.
PHYSICAL =Locks. Limit access. Surveillance.
What are 2 main categories of Health Information System and example?
Clinical=Lab, monitor, vitals, radiology
Administrative=Admit, discharge, schedule, payroll
What is the structure that provides balance between privacy and access, comply with state, national, international ethical and legal requirements?
Governance structure
Describe how health data from various sources is used in decision making process?
Variety of options, able to see a full picture
ex: Vitals, labs, imagine help decide how to treat appropriately.
5 properties of BIG DATA
5 V's
Volume= amount
Velocity= how quick it moves
Variety= type
Veracity= quality and accuracy
Value= value data can provide
Health Information System (HIS)
System used to support and enhance pt care
Administration= Registration, payroll, schedule, risk management
Clinical=Lab, monitoring, imaging, ordering system, radiology, pharmacy
HL7 (Health Level 7)
Standard for exchange and interoperability of data between systems.
Data
Facts, figures, numbers, etc. gathered through observations.
data integrity
Collect, store, complete and current data
available for authorized users.
American Recovery and Reinvestment Act (ARRA)
2009
Help economy, create jobs
*Federal funding= Incentives for organization to use health information technology (HIT)
Meaningful Use and using EHR's
21st Century Cures Act
2016
Provide funding and promote research
Prevent and CURE serious illnesses
Develop medication and medical devices
Support mental health efforts
Improve interoperability and Health Info Exchange (HIE) - seamless access to EHR's
**Pt in charge of own health is KEY- better information technology needs addressed to help with this.
Health Information Technology for Economics and Clinical Health (HITECH) Act
2009
Dept of Health and Human Services (HHS) authority to get programs to improve healthcare Quality, Safety, and Efficiency.
-proposed Meaningful use
-Directs providers to adopt EHR and HIT and interoperability.
-Support HIPAA rules and regulations
-Improve exchange of information privacy
**Financial incentive and penalties
**Use of meaningful use and HIT to decrease health cost - improve health.
Health Literacy
-Person ability to learn, process, understand basic health information and services.
-Able to make health decisions
**Why is it important -So they can manage own health. If low literacy may take wrong dose of meds, delay treatments. Patient safety issues.
Gap Analysis
Compares actual performance with potential / desired performance.
GRADE
-Grading of Recommendations, Assessments, Development and Evaluations.
-Input from contributors for grading system.
-Bring forward ideas, approach to grade research evidence.
**Grades=High, moderate, low, very low
**Number of participants, risk of bias trials, heterogeneity, methodological quality of review.
Meaningful Use (MU)
ARRA including HITECH authorized incentive payments to adopt and use interoperable health information technology and EHR. To implement the incentive the CMS developed sets of Meaningful Use criteria. MU requires EHR's result in improved Quality, Safety, and Efficiency. Pt involved in own care. 3 stages.
MU stages
Promoting interoperability program consists of these stages.
1 - Data capture and share: w/hosp and providers
2- Advanced clinical processes: Standard term, transmit info by pt and pt view info online and message provider
3-Improve clinical outcomes: Enhanced use of EHR to improve care. (ex: scripts. Clinical qualitative measure)
MU requirement by CMS
-Basic entry of clinical info
-Standard terminology
-Use of several software apps
-Entry of clinical orders with safety measures
Health Insurance Portability and Accountability Act (HIPAA)
-1996 AKA Kennedy Kassebaum Bill
-Protect automatic client records (protected health information-PHI)
-All electronic transactions include HIPAA compliant codes
**Signing in devices requires encryption
**Fines= $100-50,000 and 1 year jail [Show Less]