Nursing and Information. Technology. What is Information Technology? Objectives. MNDAKSPAN Winter Conference. Karen Jones, RN, BSN, MS
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1 Nursing and Information Technology MNDAKSPAN Winter Conference February 10, 2017 Karen Jones, RN, BSN, MS What is Information Technology? The use of computers to store, retrieve, and send information. Objectives Describe how Information Technology is used within healthcare systems. Recognize nursing s role in software development and its application in the clinical care environment. Give two examples of how information technology has made an impact on nursing.
2 What Does Health Information Technology Include? Electronic Health Records (EHR) Personal Health Records (PHR) Personal Health Tools (Apps) Medical Devices Interfacing with Electronic Health Record Nursing Benefits from EHR Immediate Access to legible record, and results from diagnostic testing Links to Nursing Resources Online Nursing Practice Guidelines External Website references Department of Health, CDC, etc. Nursing Policies and Patient Education Materials Mixed Benefits Alerts Time spent documenting Electronic Health Record When did Electronic Health Record use begin? What contributed to widespread adoption? HITECH Act 2009 and Meaningful Use What are some benefits and challenges of implementing EHR? Risks Connectivity and Highly Reliable Access Security - Protecting PHI Controlling internal access External threats Unique challenge of EHR Many unique actions captured (audit trails and timing of actions taken) Ability to create alerts, warnings, suggestions. Can we become reliant?
3 Medical Devices Interfacing with EHR Monitors Infusion Pumps Ventilators Anesthesia Gas machines Personal Health Tools Smartphone Apps, wearable tracking technology Online communities message boards, interactive medical conversations, support groups Personal Health Record Similar to EHR, but patient controlled. Information from doctor visits Set goals and monitor your health priorities Food intake, exercise, blood pressure Sometimes PHR can link to EHR. Some EHR have built in patient portal to receive information and interact with provider. EHR in the Headlines
4 Nurse s Role - Software Development By Dzonatas - Own work, CC BY-SA 3.0, Nursing s Role Information Technology Nurse User Participate in Software Development Life Cycle Suggest ideas Help with design decisions or testing Tip sheet or training Policy updates to support system changes Provide suggestions for improvement post implementation By US Department of Justice (redrawn by Eugene Vincent Tantog) - INFORMATION RESOURCES MANAGEMENT, Public Domain, Nursing s Role Information Technology Nursing Informatics (NI) A specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice. ANCC available -
5 Nursing Informatics Additional Information American Nursing Informatics Association - Annual Conference Journal of Informatics Nursing HiMSS Conference Nursing Informatics Symposium Masters and Doctoral level degrees in Nursing Informatics (online and traditional) What s on The Horizon? First, take a look back What has come on the scene since you started nursing? Information Technology Impact on Nursing Need to use and stay current with emerging technology Upgrades to existing tools bring new features and enhancements Challenges of internal/external Quality metrics results in EHR changes Gartner Predictions
6 What s Next? PrintingTechnology 3D Printing of Artificial Limbs What s Next? Artificial Intelligence What is it? Example IBM s Watson Artificial Intelligence the theory and development of computer systems able to perform tasks that normally require human intelligence, such as visual perception, speech recognition, decision-making, and translation between languages. What s Next? Monitoring Technology Wearable body sensors Google Contact Lens Monitors Glucose What s Next? Improved Information Exchange
7 What can you imagine? What would you like to see in the future? What if the patients weight taken from the bed would automatically update an infusion pump and adjust drip medication dose? What if computer recognized you walk in the room and it changed the wall mounted monitor to the view for your role? Dictate vital signs and other flowsheet documentation versus keyboard? Questions?
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