Technology and Informatics

Centers for Medicaid and Medicare (CMS)

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

Office of the National Coordinator for Health IT (ONC)

rules specify the standards, implementation specifications, and other criteria for EHR systems and technologies to be certified

clinical health care informatics

seeks to transform healthcare and enhance human health through a creative and innovative use of informatics

clinical informatics

the application of information and communication technologies to the delivery of health care services

technology

knowledge and use of tools, machines, materials, and processes to help solve human problems

clinical research informatics

relates to informatics who's objective is to advance the biomedical/health sciences through the humane and ethical use of informatics

"Meaningful Use" of a Health record (ONC) 1-3 stages

-Client engagement -Reducing racial disparities -Improved efficiency -Increased safety -Coordination of care -Measures to improve population health

PHR - personal health record

-Private, secure application through which an individual may access, manage, and share his or her health information . . . Can include information that is entered by the consumer and/or data from other sources such as pharmacies, labs, and health care providers. -Electronic record of an individual's health information by which the individual controls access to the information and may have the ability to manage, track, and participate in his or her own health care

Telehealth

-Uses telecommunication technologies to allow clients access to care that might not otherwise be able to obtain Driving Forces: Demographics Nursing and healthcare worker shortages Chronic diseases and conditions Educated consumers Economics

Office of the National Coordinator for Healthcare Informatics (ONC): 5 building blocks for nationwide interoperable health information infrastructure

1) Core technical standards and functions 2) Certification to support adoption and optimization of health IT products and services 3) Privacy and security protections for health information 4) Supportive business, clinical, cultural, and regulatory environments 5) Rules of engagement and governance -responsible for developing an overall policy infrastructure that supports health IT and HIEs. has worked closely with the Centers for Medicare & Medicaid Services (CMS) to assist in establishing policies related to Medicare and Medicaid payment for "meaningful use" of EHRs. • rules specify the standards, implementation specifications, and other criteria for EHR systems and technologies to be certified. • CMS 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

electronic health record (EHR)

Electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization

HITECH Act

Health Information Technology for Economic and Clinical Health Act (part of the American Recovery and Reinvestment Act, 2009)

clinical information systems

Nursing information systems monitoring systems order entry systems laboratory systems radiology systems pharmacy systems other ancillary systems

Legislation impacting health information technology

Overarching Goal is to meet the Triple Aim- "decrease cost of healthcare, improve health outcomes, improve patient (client) satisfaction."

PPACA

Patient Protection and Affordable Care Act

Health Information Exchanges

Support the sharing of health data across healthcare institutions, data warehouses that are repositories of stored data, and communication networks.

Interoperability

The ability of two or more systems or components to exchange information and use the information that has been exchanged. That means that there are two steps to interoperability: 1) the ability to exchange information; and 2) the ability to use the information that has been exchanged." (ONC)

electronic medical record (EMR)

The legal record created in hospitals and ambulatory environments that is the source of data for the EHR

informatics

Use information and technology to communicate, manage knowledge, mitigate error, and support decision making

nursing informatics

a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice. Nursing informatics supports consumers, patients, and other providers in their decision-making in all roles and settings. This support is accomplished through the use of information structures, information processes, and information technology."

health information technology

application of information processing, involving both computer hardware and software

public health informatics

application of information, computer science, and technology to public health science to improve the health of populations

administrative information systems

client registration systems financial systems payroll and human resources systems risk management systems quality assurance systems contract management systems scheduling systems

what does nursing informatics support

consumers, patients, nurses, and other providers

consumer health informatics (CHI)

defined by the AMIA as a from of health information technology geared to delivering better health care decisions based on the consumers perspective

health informatics

discipline in which health data are stored, analyzed, and disseminated through the application of information and communication technology

certified clinical information systems

electronic health records, clinical data repositories, hand held and mobile devices for collecting data and viewing reference material, imaging modalities, electronic messaging systems, and patient portals