Changing perspectives on informtics?

Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research. This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.

Health Information Exchange

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Towards Building a Person-Centred and Provider-Friendly Health System

Healthcare in the United States has become very fragmented, expensive and disjointed. Over the course of a hospitalization, a patient may be transferred from one unit to another, sometimes spending as much as 5 different units in a 3 day stay. This has led to many hand-off reports, and increased the potential for mistakes, improper communication, and patient deaths. Partnership in this context is deﬁned as a relationship between individuals or groups that is characterized by mutual cooperation and responsibility, as for the achievement of a speciﬁed goal (The American Heritage Dictionary, 2006). Partnership ensures that each member is equal and brings something important to the table. The Partnership Care Delivery Model (PCDM) ensures that the patient is an integral part of the healthcare team, and their experiences, contributions, advice, and influence is needed and valued.

Presentation on UDHC for UC Tertiary Engagement Summit (Draft Slides)

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What does the future look like for HCIT in terms of software development, education, research, and practices? What challenges could arise? Respond to at least two of your classmates Solution Health information technology (IT) encompasses a broad array of technologies involved in managing and sharing patient information electronically, rather than through paper records. Health IT has the potential to improve patient safety, health care quality, efficiency and data collection and may help restrain rising costs. Adoption of health IT has generally been slow in the U.S. For example, while one in four doctors reports using electronic health records (EHRs), fewer than one in ten is using a \"fully operational\" system. 1 Computerized physician order entry (CPOE) - a component of fully functional EHR systems that may help reduce preventable medication errors by half or more. 2 Few hospitals have fully implemented CPOE systems. 3 An important challenge for health IT is its cost: who should pay? Providers are expected to bear most of the cost of implementation, while much of the savings accrue to others - insurers, patients and governments. Another challenge is protecting patient privacy. Once confidential patient information has been stored electronically, only those with a legitimate need to know should have access to it. .

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In the rapidly evolving landscape of healthcare, technological advancements have significantly transformed the way patient information is managed and utilized. One of the most significant innovations in this realm is the adoption of Electronic Medical Records (EMRs) or Electronic Health Records (EHRs). These digital repositories of patient health information have revolutionized healthcare delivery, improving efficiency, accuracy, and patient outcomes.

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76 CHAPTER 4 Assessing Health and Health Behaviors Objectives this chapter will enable the reader to: 1. Describe the expected outcomes of a nursing health assessment. 2. Identify the components of a nursing health assessment conducted for an individual client. 3. Examine life span, language, and culturally appropriate nursing health assessment tools for children, adults, and older adults. 4. Compare the similarities and differences among the various approaches to assessing the family, mindful of cultural influences. 5. Evaluate the criteria for conducting a screening in the community. 6. Compare the similarities and differences among the various approaches to assessing the community. Athorough assessment of health and health behaviors is the foundation for tailoring a health promotion-prevention plan. Assessment provides the database for making clinical judgments about the client’s health strengths, health problems, nursing diagnoses, desired health or behavioral outcomes, as well as the interventions likely to be effective. This information also forms the nature of the client–nurse partnership such as the frequency of con- tact and the need for coordination with other health professionals. The portfolio of assessment measures depends on the characteristics of the client, including developmental stage and cul- tural orientation. The nurse assesses age, language, and cultural appropriateness of the various measures selected. Cultural competence is the ability to communicate effectively with people of different cultures. Providing culturally competent care is the cornerstone of the nursing assessment. The nurse’s aware- ness of her own attitude toward cultural differences and her cultural worldview and characteristics Chapter4 • AssessingHealthandHealthBehaviors 77 are critical to her understanding and knowledge of various cultures. Recognizing that diversity exists in all cultures based on educational level, socioeconomic status, religion, rural/urban residence, and individual and family characteristics will ensure a more successful encounter (The Office of Minority Health, 2013). An online cultural educational program, designed specifically for nurses and featur- ing videotaped case studies and interactive tools, is available. The Enhanced National Standards for Culturally and Linguistically Appropriate Services, based on a definition of culture expanded to include geography, spirituality, language, race and ethnicity, and biology, provides a practical guide to culturally and linguistically sensitive care (The Office of Minority Health, 2013). Technology is having a significant impact on health care. The Electronic Health Record (EHR) promotes involvement of the client in developing a dynamic, tailored database. The EHR offers great promise to improve health and increase the client’s satisfaction with his care. Data aggregation, cross-continuum coordination, and clinical care plan management are critical com- ponents of the.

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Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR. Note: EHR The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book. Institute of Medicine (IOM) The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing: Health information and data This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it. Result management Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed. · Reduced lag time allows for quicker recognition and treatment of medical problems. · The automated display of previous test results makes it possible to reduce redundant and additional testing. · Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up. · Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient Order management Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders. · CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions. · The use of CPOE, in conjunction with an EHR, also improves clinician productivity. Decision Support Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks. · Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction. Electronic communication and connectivity Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans. · Electronic co.

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Presenatie gegeven tijdens de workshop "Van DNA naar dossier", die 17 juni 2013 in Utrecht werd georganiseerd in het kader van het ReDaPeD project (Towards Responsible Data-management for Personalised Diagnostics). Voor meer informatie over dit project en een verslag van de workshop, zie: http://www.society-lifesciences.nl/nl/projecten/dna-data-informatie/project/artikel/meer-data-meer-issues.html

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