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Importance of nursing informatics in health care delivery

it is all about nursing informatics in the philippines and how it will process in health care delivery system

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Importance of nursing informatics in health care delivery

  2. 2. NURSING INFORMATICS IN PHILIPPINES • Nursing Informatics... is the "science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide."
  3. 3. • In 2008,Nursing Informatics course in the undergraduate curriculum was defined by the Commission on Higher Education (CHED) Memorandum Order 5 Series of 2008 but was later revised and included as Health Informatics course in CHED Memorandum Order 14 Series of 2009.
  4. 4. • the inclusion of informatics as an integral part of the undergraduate curriculum has been one of the most influential factors for the increased awareness and interest in this field of nursing. However, the contents of the curriculum was adapted from international materials which does not match the local needs.
  5. 5. • 1. Advance nursing informatics education through partnerships with colleges of nursing. 2. Encourage hospital executives to ensure all practicing nurses adopt and adhere to all policies and principles of the TIGER (Technology Informatics Guiding Education Reform) Foundation Initiative. NIT in the Philippines Brief history - Headed by Dr. Alvin Marcelo, PMIS was officially registered under the Securities and Exchange Commission in 1996 by its board composed of eleven physician. - Another challenge is, there are two generations of people. The young ones are people that think differently and the old ones are the ones that are being pushed by the young ones out of their practice.
  6. 6. • 3. Build a culture that supports nursing informatics through programs organized around reward and recognition, professional development, mentoring, performance planning and assessment, and career path development. 4. Develop nurses' potential to fulfill emerging informatics management roles by focusing on leadership skills such as communications, strategic and systems thinking, clinical, financial and business operations, and technical skills. Healthcare organizations can do much to support the evolving role of nursing informatics. Among the recommendations from nursing leadership organizations:
  7. 7. FUTURE VISION OF NURSING INFORMATICS • Many nurses struggle in practice as they continue to try and apply habitual communication practices in the new environment without any critical reflection on, and adaptation of, those practices
  8. 8. ELECTRONIC BASED QUALITY IN PH HEALTH CARE • RECORD-KEEPING or documentation is an essential part of nursing practice that has clinical and legal significance at the same time. It is said that quality documentation improves patient care which results in better outcomes, while poor documentation often contributes to poor-quality nursing care (Prideaux, 2011). Nursing documentation, a precursor to good patient care, is a vessel for efficient interdisciplinary communication and cooperation (Ammenwerth, Mansmann, Iller, & Eichstadter, 2003).
  9. 9. • Nurses in majority of healthcare facilities in the Philippines still practice paper nursing documentation. A report of the Maryland Nursing Workforce Commission (2007) revealed that such method of documentation reduces the time spent at the bedside for patient care, thus directly affecting outcomes. This is where Nursing Informatics comes in.
  10. 10. • Nursing Informatics “aims to improve the health of populations, communities, families and individuals by optimizing information management and communication” (ANA, 2001). It is fundamental in providing cost-effective high-quality healthcare, of which an important component is accurate clinical information
  11. 11. • Thede (2003) explained that electronic information systems provide an avenue for more effective communication and collection of patient health information resulting in more effective patient care. One example of such information system is the electronic health record or EHR, where multiple systems that cross to share data are networked to support efficient information management and communication within a healthcare system. EHR is largely advantageous because it tends to store large amounts of data that are made accessible at the same time in different places. What makes this system more interesting is its ability to provide healthcare teams with clinical alerts and reminders when abnormal parameters are identified in both laboratory and assessment data.
  12. 12. • Electronic-based documentation systems would be of great value to Philippine hospitals with a nurse-patient ratio higher than the ideal. When the staffing ratio is high, nurses tend to allot more of their time documenting rather than actually caring for their patients at the bedside. In an electronic-based documentation system, trends in patient outcomes will be highlighted alongside medical and nursing management
  13. 13. • Such systems, while integrating the concepts and theories of nursing science, computer science and information science, propel the entire healthcare delivery system into a practice that is evidence-based and culturally-relevant. These systems should not be regarded as a substitute for clinical judgment or as a predictor of critical illness but as a tool that could help identify life-threatening cases. • Though most of Philippine hospitals are quite far from achieving this, such information systems should be viewed as a crucial facet in promoting a culture of patient safety where the documentation standards help and/or equally meet the standards of medical and nursing care.
  14. 14. ELECTRONIC HEALTH RECORD • also known as “Electronic Medical Records or Computerized Patient Records” are found more useful when the number of data being process are highly prioritized and/or a large data are being stored . EHR provide the ability to manage health impossible to apply to paper record keeping.
  15. 15. TYPES OF DATA STORED IN EHR • An electronic health record should contain important data such as; • Patient profile • Results of medical examination • Medical history • Development of health condition and status • Results of laboratory test • Information about allergies, illness, immunization, dis order and diseases. • Medicine taken and its compatibility with drug interaction • Records of appointment • Billing records
  17. 17. Illustrative Questions How to Use this Guide What elements should I include in my assessment of health care facility performance in the country? • See Section I for a taxonomy of performance domains. • See Section IV.A for principles on selecting measures to include in assessment. • See Appendices 1-8 for examples of performance measures used in empirical studies from World Bank client countries. What standard should I use for judging how well health care facilities in the country are performing? • See Section IV.B for guidance on several comparison methods for identifying performance gaps. What metrics have been used to measure the quality of health care facility management? • See Appendix 2 to look up “Quality” under Domain and “Managerial quality” under Dimension for a list of empirical studies with relevant metrics. • See Appendix 8 for bibliographic references. Read original studies for details on measurement methods and metrics. What factors might be causing low performance in health care facilities? • See Section II for summaries of different disciplinary approaches to explaining organizational performance. What strategies might be successful in addressing nurses’ lack of motivation in government-run health care facilities? • See Section III for summary tables matching strategies to root causes and conditions for effectiveness. • See Sections IV.C and IV.D for recommended methods to determine root causes and select suitable strategies. How can I know if the performance improvement strategy we are implementing is working? • See Section IV.E for suggestions on study designs, data infrastructure, and other prerequisites for effective monitoring of implementation progress and impact.
  18. 18. Intermediate cccOutcome Domains Dimensions Examples of Measures QUALITY Clinical quality Management quality Patient experience • Adherence to clinical guidelines • Avoidance of medical errors • Availability of medical supplies • Functional medical records system functional • Patient satisfaction EFFICIENCY • Cost-to-service ratios • Staff-to-service ratios • Patient or procedure volume • Nurses or health workers per bed • Inpatient or outpatient visits per day, per bed, or per health worker UTILIZATION Patient or procedure volume relative to capacity Patient or procedure volume relative to population health characteristics • Percent occupancy • Outpatient visits per provider • Percentage of pregnant women receiving antenatal care ACCESS • Physical access • Financial access • Linguistic access • Information access • Service availability / allocation • Non-discriminatory service provision (equitable treatment regardless of age, gender, race, ethnicity, religion, class, etc.) • Geographic distance to facility • Availability of transport to facility • Hours of operation of facility • Absenteeism of health care workers from facility • Affordability of services • Availability of culturally and linguistically appropriate services LEARNING • Data audit and feedback processes • Innovation adoption • Training/continuing education for healthcare workforce • Use of balanced scorecard for organizational performance • Presence of patient suggestion box • System exists for nurses to report errors to hospital management • Quality improvement methods used SUSTAINABILITY • Political support • Community and patient support • Financial support • Human resource supply • Involvement of community leaders in facility planning and monitoring • Use of strategic management process to promote organizational fit with environmental conditions