Electronic Health Record: 3.1 Application of Health Informatics in Clinical Practice

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3.

1 Application of Health Informatics in Clinical Practice capabilities which includes client management,
financial, payroll, human resources and quality
Electronic Health Record assurance system.
➔ Contains a systematic documentation of a client's ➔ Contains primarily administrative and financial data
health status and health care in a secured digital ➔ Used to support the management functions and
format. general operations of the health care organization
➔ A collection of rich data stored a database that that
possess capacity for customization that can be A. Patient Administration Systems
adapted to the needs of the patient, health care ● Admission, Discharge, and Transfer Registration -
provider and health care organization which can system is used to collect and store client identification
shared with multiple providers across health care and demographic data that are verified and updated
setting. at the time of each visit
● Scheduling -allows a health care organization to
Features of A Hospital based Electronic Health Record schedule clients and resources efficiently.
1. Charting ● Patient billing or accounts receivable
2. Medication Management ● Utilization management
3. Scheduling
4. Labs B. Financial Management Systems
5. Referrals ● Financial systems manage the expenses and revenue
6. Bill Coding for providing healthcare.
7. Reporting/Surveillance ● Financial systems often interface to share information
8. Health Maintenance with materials management, staffing, and billing
systems to balance the financial impact of these
Benefits of EHR Use resources within an organization.
1. Point of care entry allow the nurse to capture the - Accounts payable/Ledger
activities of care as they occur. - Materials Management
2. Documentation of care is legible which lessen the - Payroll and Human Resource Systems track
time wasted on trying to learn what has been written employee time and attendance, credentials,
by the HCP. performance evaluations, and payroll compensation
3. Rapid access to patient-related data information.
4. Data is available using remote workstations - Staff Scheduling systems coordinate staff, services,
5. Interoperability and data portability equipment, and allocation of patient beds.
6. Evidences such as clinical practice guidelines in are
embedded in the EHR II. Clinical Information Systems
➔ Large computerized database management systems
Challenges of EHR Use that support several types of activities that may
1. Change in workflow patterns include physician order entry, result retrieval,
2. System and system-related expense documentation, and decision support
3. Performance and Security Concerns ➔ Clinicians use these systems to access data that are
used to plan, implement, evaluate case.
eHealth
➔ An emerging field of medical informatics which refers (Application of Health Informatics in Administration)
to the organization and delivery of health services and A. Nursing Information System
information using the Web and related technology. ● are computer systems that manage clinical data from
➔ Health care initiatives and practice supported a variety of healthcare environments and made
electronic or digital media used usually for patients available in a timely and orderly fashion to aid nurses
and family education where information is in improving patient care.
communicated electronically.
B. Computerized Provider Entry Order Entry Systems
Applications of eHealth ● Refers to the process of providers entering and
1. Communicating with a patient through a sending treatment instructions – including medication,
teleconference, email, SMS laboratory, and radiology orders – via a computer
2. Recording, retrieving, and mining data in an electronic application rather than paper, fax, or telephone.
medical record (EMR/EHR) ● Order entry systems provide major safeguards by
3. Providing patient teachings with the aid of electronic ensuring that physician orders are legible and
tools complete.

Effects of eHealth C. Laboratory Systems


1. Represents optimism by allowing patients and health ● Laboratory Information Systems were one of the first
workers to look into various options. systems ever used in healthcare.
2. Enables the patient to received tailored information ● Systems which includes report on blood, body fluid
3. Empowers the patients to open a new types of and tissue samples along with biological specimens
relationship. that are collected at the bedside and received in a
central laboratory.

Telemedicine D. Radiology Systems


➔ the use of information exchange from one site to ● Radiology Information System (RIS) are systems
another via electronic communications to improve schedule, result, and store information as it relates to
patient’s health status. diagnostic radiology procedures.
➔ health services delivered by telecommunications- ● The benefit of RIS and picture archiving and
ready tools, supervised or directed by a physician communication system (PACS) is their ability to assist
in diagnosing and storing vital patient care support
data.
3.2 Administrative and Clinical Information Systems
E. Pharmacy System
I. Administrative Information Systems ● These systems typically allow pharmacists to order,
➔ Support client care by managing financial and manage and dispense medications for a facility.
demographic information and providing reporting
3.3 Computer Technology Used in Education 3. Fully online - All content and communication are
conducted entirely online and no face-to-face
Types of Online Education component

A. Learning Management System (LMS) 3.4 Trends in Nursing Informatics


➔ A software product which was originally designed for
1. Mobile Computing
a corporate and government training division as a tool - A technology that allows transmission of data, voice
to access workers skills for job positions and also and video via a computer or any other wireless enabled
provide specific training for individuals or groups device without having to be connected to a fixed
(Saba, 2015). physical link.

Features of LMS Examples:


● Personal Digital Assistants (PDAs)
Features Functionality Tools ● Smart Phones
● Tablets
1. Synchronous Utilize virtual Chat ● Laptop computers
communication office hours Whiteboard ● Computer on Wheels (COW) or Workstation
Online tutoring Video Conference on Wheels (WOW)
and training
sessions 2. Wireless Patient Monitoring
Real-time - Technologies that enable remote surveillance of
communication patient vital functions through the use of internally and
Student-led externally located patient devices.
learning
Visual
presentation of 3. Mobile System Access
concepts - Mobile technologies that enable remote/virtual access
to current clinical systems such as Electronic Health
2. Asynchronous Allows user to Discussion Records (EHRs) and Picture Archiving and
communication read and reply to Forums Communication System (PACS)
others Email Examples: websites, portal and mobile apps
Peer interaction Journal
Self or group 4. Medical Devices (to include Wearables)
reflections - Mobile and/or wireless enabled technologies that
capture and track key care compliance and disease
3. Collaborative Promote group Wiki management area.
projects collaboration Blogs
development Sharing of 5. Virtual Consultation
information - Remote connectivity and multimedia solutions that
Self- reflections enable virtual care consultation, education, and therapy

4. Testing and Allows formative Online tests 6. Aging in Place


grading and summative Self-assessment - Remote technologies that enable clinically monitored
assessment Survey independent living for aging populations.
Informal test Polls
questions Examples:
Vote on issues ● Personal Emergency Response Systems
(PERS)
5. Social media Allows social Twitter ● Video Consultations
integration connections Facebook ● Motion/Activity monitoring
Collaboration YouTube ● Fall detection, Aggregation and Transport
Building RSS (Real Simple
community Syndication) 7. Photovoice
Feeds - A qualitative method of community-based research
that uses photographs to encourage knowledge and
transformative change, especially among marginalized
B. Content Management Systems groups.
➔ A database of learning objects which includes items
that are developed for instructions use. - Patient-participants are asked to capture and share
➔ Allows course developers to create learning objects photographs that relate to a particular condition, as well
such as videos, modules, assessments or any as their sentiments regarding it.
materials used for online learning.
➔ Allows course developers to create learning objects to 8. Smart Bed
- Uses advanced medical technology at the point of
develop, modify and create materials which can be
care, connecting important information wirelessly,
integrated with course or learning management seamlessly, and directly to care providers.
systems.
- Smart beds can monitor a patient's BP, temperature,
C. Massive Open Online Courses (MOOC) heartbeat, oxygen levels, and more, and deliver it to a
➔ A model for delivering free learning content and central node which can be accessed remotely.
usually does not require pre-requisites other than
internet and internet access.
➔ MOOC provide participants with course materials that 9. Creating Virtual Organs From Medical Imaging
(3D Printing)
are usually used in a traditional education setting - Creating digital copies of patients‘ organs to preplan
such as lectures, videos and study materials. device implantations and assess if there is improved
➔ MOOCs provide an affordable and flexible way to function or outcomes in a virtual environment before a
learn for career advancement, college preparation, patient enters a cath lab or operating room.
eLearning and training.
10. Use of High Fidelity Simulation in Nursing
Types of Course Delivery Education
- HFS seeks to address the cognitive, affective, and
1. Hybrid - A combination of online delivery and on site
psychomotor domains of active learning (Bastable,
conduct of classes 2008)
2. Web-enhanced - Face to face classes use web- - It has noted that simulation effectively provides a safe
based technology to facilitate self-studying environment for learning and applying essential skills
for nursing practice
11. The Rise of Augmented and Virtual Reality in
Healthcare
- Aids in neuro-surgical planning and help educate
patients on what will happen during their procedures in
true 3-D using the patient's own imaging scans.

12. Robotics (Surgery and Invasive Procedures)


- Robotics is the engineering science and technology of
robots, and their design, manufacture, application, and
structural disposition

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