Concept 48: Technology and Informatics
outcomes
improves health provider's workflow, improves health care quality, prevents medical errors, reduces health care costs, increases administrative efficiencies, decreases paperwork, improves disease tracking, creates cultural, social, organizational, and intellectual change, may be used in unintended ways, serves as an infrastructure for a learning health system, promotes and supports patient and family engagement in health decisions, connected health
application includes the designs of systems, such as clinical information systems, that are involved with data transmission, encryption, compression, and other information processing techniques
information science
collection of mathematical theories, based on statistics, concerned with methods of coding, transmitting, storing, retrieving, and decoding info
information science
ICNP
international classification of nursing practice
information science
interprofessional science primarily concerned with the analysis, collection, classification, manipulation, storage, retrieval, and dissemination information
health informatics encompasses
interprofessional study of design, development, adoption, and application of IT-based innovations in health care services delivery, management, and planning
cognitive science
interprofessional study of mind, intelligence, and behavior from and information processing perspective| encompasses how people think, understand, remember, synthesize, access, and respond to stored information and knowledge
Peopleware
involves the sociologic side of informatics implementation and includes issues such as productivity, teamwork, group dynamics, project management, organizational factors, human interface design, and human-machine interaction
Peopleware
key component of successful implementation, used to refer to anything that has to do with the role of people in the development and use of computer hardware and software systems
Technology
knowledge and use of tools, machines, materials, and processes to help solve human problems
antecedent
need for a tool, machine, materials, and/or processes to improve health care, information science, computer science, health discipline science (nursing, medicine), information technology specialist, informed patients, families, and caregivers
application of information processing
health IT (computer hardware, computer software, communications, and networking technologies that enables the storage, retrieval, sharing, and use of health care data, information, knowledge, and wisdom for communication and decision making
scope
health IT and health informatics intersect with the science of health to provide powerful tools and processes for advancing health practices and serve as an infrastructure to support and promote a continuously learning health care system
subset of clinical health care informatics
nursing informatics (NI)
NIC
nursing interventions classification
NOC
nursing outcomes classification
clinical information systems (CIS)
offer the best set of tools for achieving quality outcomes and are at the heart of health care IT and informatics
PNDS
perioperative nursing data set
informatician
person who works in the field of informatics, sometimes called an informaticist
Omaha system
problem, classification, scheme, intervention, scheme, problem, rating scale for outcomes
health IT
provides the umbrella framework to describe the comprehensive management of health information and its secure exchange between consumers, providers, government and quality entities, and insurers
clinical research informatics
relates to informatics whose objective is to advance the biomedical/health sciences through the humane and ethical use of informatics
office of the national coordinator for health IT (ONC)
responsibility for developing an overall policy infrastructure that supports health IT and HIES
clinical health care informatics
seeks to transform health care and enhance human health through a creative and innovative use of informatics
nursing informatics
specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice
office of the national coordinator for health IT rules
specify how hospitals, physicians, and other eligible professionals must demonstrate their meaningful use of these technologies in order to receive Medicare and Medicaid payment incentives
health information exchanges (HIEs)
support the sharing of health data across health care institutions, data warehouses that are repositories of stored data, and communication networks
SNOMED CT
systematic nomenclature of medicine clinical terms
computer science
systematic study of algorithmic processes that create, describe, and transform information
product of creative human action and sustained by human action
technology
defining characteristics of health information technology
technology (hardware and software) that supports discipline of health informatics (EHR), clinical point-of-care tools, interoperable and connected, evolutionary and updated to provide new functionality, interoperable systems and tools, technology-competent and engaged patients, families and caregivers
informatics
the science that encompasses information science and computer science to study the process, management, and retrieval of information
NI support
through the use of "information structures, information processes, and information technology"
NANDA
NANDA international
information science
branch of applied mathematics and electrical engineering that involves the quantification of information
computer science
branch of engineering that studies computation and computer technology, hardware, and software as well as the theoretical foundations of information and computation techniques
electronic health record (EHR)
central component of the health IT infrastructure, individual's official, digital health record and is shared among multiple facilities and agencies
CCC
clinical care classification
development of direct approaches to patients and their families and even to individuals who are not yet patients (consumers) who desire to seek the use of information and communications technology support to preserve and/or improve their health status
clinical health care informatics
clinical informatics subdomains
clinical health care informatics and clinical research informatics
AMIA's three domains of informatics
clinical informatics, public health informatics, and translational bioinformatics
Interrelated concepts
clinical judgment, leadership, communication, collaboration, safety, evidence, care coordination, and health care quality, ethics, health policy, and health care law
issues relating to the use of information and knowledge as well as the sound and socially appropriate collection and maintenance of person-specific and/or de-identified patient data
clinical research informatics
other sciences in implementation of informatics
cognitive science and organizational science
CIS
consist of information technology that is applied at the point of clinical care: EHR, clinical data modalities, and communication tools (electronic messaging systems and patient portals)
Institute of Medicine
consistently highlighted the use of health information technologies as one solution for ensuring safe and quality health care
another subset of clinical health care informatics
consumer health informatics (CHI)
HIPPA (health insurance portability and accountability act)
create a complex network of laws and regulations that address patient privacy and consent for the use of identifiable personal health information
proliferation of clinical information systems
created a pressing need for standardization of patient information systems and terminology
standardized terminology within the EHR
critical for communicating care to the interprofessional team and exchanging health information
three technology revolutions
greater access to broadband (increased access to Internet and promoted its use in various facets of people's lives), mobile connectivity and the concept of anytime/anyplace access, and the presence of social media and social networks in daily life
consumer health informatics
form of health information technology geared toward delivering better health care decisions based on the consumer's perspective
attributes from health IT and informatics concept analysis
hardware and software, data standards and terminology, policies and procedures, privacy and security, informatics workforce, and organizational skills
most promising tool for improving the overall quality, safety, and efficiency of the health delivery system
health IT
organizational science
an emerging field that focuses on behavior of organizations and includes a wide variety of topics (individual, group, and organizational decision making; the management of human resources; and the design of organizations and interorganizational networks)
electronic medical record (EMR)
an individual's health record within a health care provider's facility, and decision support tools to guide practice and decision making
clinical informatics
application of information and communication technologies to the delivery of health care services
public health informatics
application of information, computer science, and technology to public health science to improve the health of populations
American Medical Informatics Associated: health informatics
applied research and practice of informatics across the clinical and public health domains
translational bioinformatics
development of storage, analytic, and interpretive methods to optimize the transformation of increasingly voluminous biomedical and genomic data into proactive, predictive, preventive, and participatory health
discipline-specific science (nursing science or medical science)
differentiates informatics in the speciality areas of practice or domains of informatics and provides the fundamental building blocks for knowledge and wisdom
health informatics
discipline in which health data are stored, analyzed, and disseminated through application of information and communication technology
health information technology (health IT)
essential antecedents for health informatics, application of information processing involving both computer hardware and computer software that deals with the storage, retrieval, sharing, and use of health care data, information, and knowledge for communication and decision making
