INFORMATION TECHNOLOGY SYSTEM APPLICABLE IN NURSING PRACTICE

PRACTICE APPLICATION

Key Features of Nursing Informatics to practice Application

• Patient Charting: Nursing assessment, care plan and notes can be entered into
the
automated system with graphical user interface
• Clinical Data Integration: Data and information can be shared to another
department.
• Decision Support: Decision support module can be added to nursing information
systems and they provide prompts reminders, along with guides to disease
linkages between signs/ symptoms
• Optimal Operation of Hospital and Clinic: Better drug administration, staff
scheduling, wards and rooms monitoring, patient mapping and etc.
• Better Care Planning: Time spent on care planning is reduced while the quality of
what is
recorded is improved

CRITICAL CARE APPLICATIONS

Critical Care Nursing - An area of expertise within nursing that focus specifically with
human responses to life-threatening problems.

Critical Care Nurse – is responsible to ensure that critically ill patients are seriously
conditioned individuals. Ensure that families of the medically ill patients should receive
optimal care.

Critical Care Applications Areas – where patients require complex assessment, high-
intensity medication, continuous therapy and interventions, and unrelenting nursing
attention and continuous watchfulness.

EXAMPLE OF CRITICAL CARE UNIT

▪ Intensive Care Units (ICU)

▪ Pediatric Intensive Care Units (PICU)
▪ Neonatal Intensive Care Units (NICU)
▪ Cardiac Care Units (CCU)
▪ Progressive Care Units
▪ Cardiac Catheter Labs
▪ Telemetry Units
▪ Progressive Care Units
▪ Emergency Department
▪ Recovery Room

CRITICAL CARE INFORMATION SYSTEM (CCIS)

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 - Provides real-time resource utilization data and management of information and
access critical care areas through the integration of the medical facilities in the
critical to an intelligent computer system which is capable of processing all data.
- Enables the electronic collection of hospital and patient-specific critical care
data of the entire patient in the critical care areas which can be processed to
create a patient profile which generate real time and historical report.
- Automated collection and management of medical information will become the
important task of the critical care information system.

ADVANTAGES OF CRITICAL CARE INFORMATION SYSTEM (CCIS)

▪ Providing feedback and quick evaluation of the patient condition and provides
alert.
▪ Intelligently integrates and process physiologic and diagnostic information and
store it to secured clinical repository.
▪ Creates trends analysis with graphical representation of results.
▪ Offline stimulation can be performed to test the condition of the patients.
▪ Provide access to vital patient information
▪ Provide clinical decision support system.

MEDICAL INFORMATION BUS (MIB)

- An application of networking and information technology for healthcare

- This is a way of gathering and compiling data from medical devices at bedside
and hospital host computers

▪ Provides a generalized method of attaching patient monitoring devices to a

common interface
▪ This interface converts the unique manufacturer data communications protocol
into a standardized hardware and software system
▪ It eliminates the need for custom connector and software presently needed to
interface such device
▪ Has the ability to filter, store and select information sent for inclusion into the clinical
medical record on the clinical computer system
▪ For acquiring data from bedside devices such as bedside monitors, IV pumps,
ventilators etc. for multiple purposes.

GOALS OF MEDICAL INFORMATION BUS (MIB)

▪ To communicate, accurate, useful information to clinician that will be used in

decision-making.
▪ To provide care to critically-ill patients that requires processing information
collected from multiple sources.
▪ To provide enough time to collect information and to communicate it to many
health care providers
▪ To accurately monitor rapid changes in patient condition and the therapy
provided in response to these changes

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 ▪ To evaluate outcome of intervention in order to measure cost effectiveness and
describe quality of patient care.

COMMUNITY HEALTH APPLICATION

- Fulfills a unique role in the community, promoting and protecting the health of
the community at the same time maintaining sustainability and integrity of health
data and information.
- Emphasizes the prevention of the disease, medical intervention and public
awareness
- Collective term for the methodical application of information science and
technology to community and public health process.
- Focuses on the health information system of the community, it is centered on the
majority part of the public.

GOALS OF COMMUNITY HEALTH GOALS OF COMMUNITY HEALTH

INFORMATICS NURSING

Effective and timely assessment that Comprehensive directed towards the

involves monitoring and tracking the majority of individuals, families, and
health status of populations including the community at large.
identifying and controlling disease
outbreaks and epidemics

Community Health Information Tracking System (CHITS)

• Created to allow healthcare provides to collect, process and share personal

health data
from among rural health units
• It uses standard data sets too

Community Health Information System (CHIS)

- Encourages optimal application of computer system, computer programs and

communication system for the benefit of majority of individuals, families and
community.

PRIMARY FOCUS OF COMMUNITY HEALTH INFORMATION SYSTEM (CHIS)

▪ Preventing, identifying, investigating and eliminating communicable health

problems.
▪ Accessibility of data and information through communication
▪ Educating and empowering individuals to adopt healthy life style

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 ▪ Facilitate retrieval of data
▪ Effective transformation of data into information
▪ Effective integration of information to other disciplined to concretized knowledge
and create better understanding
▪ Creation of computerized patient records, medical information system
▪ Central repositories of all data such as data warehouse
▪ Simple graphical user interface (GUI) for nurses and other healthcare provider

KEY FEATURES OF COMMUNITY HEALTH INFORMATION SYSTEM (CHIS)

▪ Computer based survey system - used to collect quantitative information about

items in a population to establish certain information from the obtained data
▪ Community Electronic Disease Surveillance System
▪ Statistical Information system in Community Health
▪ SHIPP99 (Standards for Health Information in the Philippines) authored by the
National Institute of Health (NIH)
o aimed to formulate sets of recommendations for the standardized
method of collection, storage, transmission and dissemination of health
data throughout the country

ADVANTAGES OF COMMUNITY HEALTH SYSTEM

✓ Building strong communication

✓ Control of spread of disease
✓ Synchronization of the decisions
✓ National alertness and preparedness
✓ Building strategies
✓ Disease tracking
✓ Consistent exchange of response

AMBULATORY CARE SYSTEM

- Covers a wide range of health care service that are provided for patients who
are not admitted overnight to a hospital

▪ Ambulatory care or outpatient care is medical care provided on an outpatient basis.

It includes: diagnosis, consultation, intervention, observation, treatment and
rehabilitation services
▪ This care can include advanced medical technology and procedures even when
provided outside of hospitals.

▪ Ambulatory Care – these services are performed at outpatient clinics, urgent care
centers, emergency rooms, ambulatory or same-day surgery centers, diagnostic and
imaging centers, primary care centers, community health centers, occupational
health centers, mental health clinics, and group practices.

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▪ Ambulatory care system - provides automated processing of data and information
such as allergies and medical alerts, patients accounting system such as charging,
billing, discounts and concessions, diagnostics imaging treatments and etc.

ADVANTAGES OF AMBULATORY CARE INFORMATION SYSTEM

▪ Realtime and easy access to patients’ medical records by health care providers
▪ Improved workflow, which allows more time for comprehensive patient counseling
and review.
▪ Reduced errors with the availability of various automation engines (drug
interaction engine, medical alert engine, patient billing engine
▪ Automated and integrated back-end processes such a pharmacy, billing and
etc.
▪ Improved clinical outcome analysis
▪ Improved in hospital inventory management
▪ Better monitoring and management of costs

ISSUES OF AMBULATORY CARE INFORMATION SYSTEM

▪ Increased accountability
▪ The need for continuous support
▪ Privacy and confidentiality of information
▪ Accessibility and security of data and information
▪ Integration and support to the other system

ROLES OF NURSE IN ACS

▪ Facilitates the integration of data, information and knowledge

ROLE OF NURSE USING INFORMATION SYSTEM IN THE AMBULATORY CARE SYSTEM

▪ The very basic objective of the automated ambulatory care information system is
to easily integrate the data to the other data and easily translate these data into
information
▪ The effective transformation of data can be integrated to the other processes to
transform it into knowledge
▪ The ambulatory care nurse and other health care provider should be capable
enough to implement the process effectively.

EMERGENCY PREPAREDNESS AND RESPONSE

Objective:

▪ To halt the spread of diseases, infection widespread sickness, epidemic and etc.

Early informatics planning has help focused mainly on threat detection. Informatics can
help increase the effectiveness in responding to disasters as well as giving a tele-
presence for remote medical personnel. Some of the contributions that informatics can

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play during disasters are electronic health records, tracking of victims and supply
inventory.

New threats to health include:

▪ Mass trauma – ex. Explosions and blast injuries

▪ Biologic and biochemical warfare agents – ex. Anthrax, plague, smallpox
▪ Emerging infectious disease – ex. SARS
▪ Other outbreaks/incidents – wildfire, storms

Primary care and emergency department practitioners need readily accessible

information to facilitate diagnosis

Effective use of National Health Information System (NHIS)

▪ Will link all hospital, practices and health practitioners as well as students in the
country
▪ Improve health care services by proving the nurses and health care providers with
better data access, quicker data retrieval, readily translated data into information
▪ Support decision making for diagnose and guaranteed patient support
▪ Enhance the results of information for evaluation and analysis which can be used
to predict scenarios and create trending output
▪ Reducing cost
▪ Creating parallel works with different conditions
▪ Optimizing the schedule and capabilities of staff and facilities
▪ Improved coordination works thus minimized errors and irregularities

ADMINISTRATIVE ASSISSTIVE DEVICES AND WORKPLACE TECHNOLOGIES

▪ nurse administrators use various desktop computer applications to increase their

efficiency
▪ creative spreadsheets
▪ inserting formulas to perform calculations
▪ display data in charts

Spreadsheets - to trend historical data to forecast future needs; to show need for staffing

TELEHEALTH

- Use of telecommunication technologies to provide health care services to clients

and provide access to health-related information for both the clients and
healthcare providers.

TELEHEALTH APPLICATIONS

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 1. Telephone – 911 for emergency and health assistance, teleconferencing to
healthcare community; call centers dealing with healthcare communication
services.
2. Computer systems – monitoring and diagnostic equipment
• Advanced wireless applications
• Computerized home health care system (CHHCS)

COMPUTERIZED HOME HEALTH CARE SYSTEM (CHHCS)

Noninvasive sensors are applied directly to patient:

• Monitor vital signs

• Oxygen saturation
• Breath/Heart sounds
• Body postures &movements
• ECG leads and scanners

ADVANTAGES OF HOME HEALTH CARE SYSTEM (CHHCS)

• Enables patient to look for themselves in their homes which will help improve
patients’ compliance
• Reduces incidence of unnecessary readmission which is cost-effective
• Patients are assured that they are monitored daily in their home
• Early detection of disease &complications, thus allowing the nurse to respond
immediately to the patient’s status
• Enables the nurse to be more autonomous and create more collaborative roles.

ISSUES IN TELEHEALTH

• Legal Issues – Regulation and authority on healthcare practice regarding

telehealth
• Safety Standards – there is a need to certify care providers who engaged in
telehealth as a new medium of delivery
• Security – question of privacy, confidentiality and data security. Data should be in
secure lines
• Budget Constraints – cost of infrastructure, installation, connection, training and
maintenance is high

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