Use of health information technology to augment/support the nursing care process – includes concepts such as safety, care improvement, decision assistance/support, outcome analysis, and data analysis.
Introduction
What is nursing informatics?
http://www.icn.ch/matters_informatics.htm
HIMSS Intro to Nursing Informatics
http://www.himss.org/ASP/topics_FocusDynamic.asp?faid=243
AMIA
Nursing Informatics History Project Interviews with NI Pioneers
http://www.amia.org/niwg-history-page
[Includes four Use cases of how to use this History Interviews in courses]
Roles and Job Descriptions
http://www.amia.org/working-group-nursing-informatics/working-group-nursing-informatics-roles
Clinical Informatics Wiki
http://www.clinfowiki.org/wiki/index.php/Main_Page
Patient Safety & Quality
Patient Safety & Quality Health Care: Digital Archives (contains many articles
on information technologies that support patient safety and quality)
http://psqh.com/archives-of-past-issues-and-news/84-2008-2009.html
Here are two examples:
Medication Safety Technologies: What works and what does not (Interviews with
experts in the topic)
http://psqh.com/julyaugust-2009/165-medication-safety-technologies.html
State of the Art: Diagnostic Clinical Decision Support Editorial Barry Chaiken
http://psqh.com/julyaugust-2009/163-q-and-a-july-august-2009.html
Improving Patient Safety through Information Technology
C. Andrew Brown, MD, MPH; Jessica H. Bailey, PhD; Margaret E. Miller Davis, MD; Paula Garrett, PhD; and William J. Rudman, PhD
http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_028123.html
The Role of Clinical Informatics in the Agency for Healthcare Research and Quality’s Efforts to Improve Patient Safety
Eduardo Ortiz, M.D., M.P.H., Gregg Meyer, M.D., M.Sc., Helen Burstin, M.D.,
M.P.H
http://www.amia.org/pubs/proceedings/symposia/2001/D010001573.pdf
Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
(AHRQ Publication No. 08-0043). Agency for Healthcare Research and Quality,
Rockville, MD. http://www.ahrq.gov/qual/nurseshdbk/
47. Patient Safety and Health Information Technology: Role of the Electronic
Health Record. (Nancy Staggers, Charlene Weir, and Shobha Phansalkar)
48. Patient Safety, Telenursing, and Telehealth (Loretta Schlachta-Fairchild,
Victoria Elfrink, and Andrea Deickman)
49. Documentation and the Nurse Care Planning Process (Gail Keenan, Elizabeth
Yakel, Dana Tschannen, P and Mary Mandeville)
50. Patient Care Technology and Safety. (G. Powell-Cope, A. Nelson, ES Patterson)
Health
IT for Children Toolbox
The toolbox is a resource meant to serve those within the children's health
community who seek to integrate information technology into promoting pediatric
health and well-being. Resources compiled for this toolbox include information
from non-profit organizations, Government agencies, academic research, and various
organizations in the private sector. This resource is designed for a diverse
set of stakeholders, including State and Federal policy makers, providers, insurers,
teachers and families and other caregivers.
AHRQ http://healthit.ahrq.gov/
[Click
on Health IT Tools-Left Menu side]
Computerized
Provider Order Entry
Clinical application that allows clinicians to order and process lab tests,
medications, clinical procedures, and other services electronically...
Health
Information Exchange
Health Information Exchange (HIE) enables clinical staff to access more information
about a patient when it is needed...
Electronic
Prescribing
The use of computing devices to enter, modify, review, and output or communicate
drug prescriptions...
Electronic Medical Record Systems
A basic component of an health IT system, electronic medical record systems
have the potential to provide substantial benefits...
Telehealth
Geographic disparities in access to care can be addressed partially using technologies
that allow for remote audio, visual, and haptic communication between caregivers
and specialists or patients...
Clinical
Decision Support
Given the exponential growth in our knowledge of medicine it is impossible for
any clinician to know everything he or she needs to know...
Clinical Decision Support
http://www.amia.org/inside/initiatives/cds
Berner ES. Clinical decision support systems: State of the Art. AHRQ Publication
No.
09-0069-EF. Rockville, Maryland: Agency for Healthcare Research and Quality.
June 2009. Available at: http://healthit.ahrq.gov/images/jun09cdsreview/09_0069_ef.html
Health Information Technology government Site
http://hhs.gov/healthit/
[Click on Health IT Tools]
California Health Care Foundation—Telehealth
http://www.chcf.org/topics/index.cfm?topic=CL707
Communication
Includes electronic health records, personal health records, standardized languages and terminology.
Electronic Health Record
http://www.himss.org/ASP/topics_ehr.asp
ROI
http://www.himss.org/ASP/topics_FocusDynamic.asp?faid=167
EHR Adoption
http://www.himss.org/ASP/topics_FocusDynamic.asp?faid=198
Project Management
http://www.himss.org/ASP/topics_FocusDynamic.asp?faid=196
Success Stories
http://www.himss.org/ASP/topics_FocusDynamic.asp?faid=37
Tools for EHR professionals
http://www.himss.org/ASP/topics_FocusDynamic.asp?faid=195
AHRQ Health IT Tools
http:// healthit.ahrq.gov/
[Click on Health IT Tools-Left Menu side]
Pediatric
Rules and Reminders
This tool provides pediatricians and other clinicians with the information needed
to develop and implement specific rules and reminders into an EHR system for
pediatric patients. These rules and reminders are designed to help providers
who use EHRs improve adherence to clinical guidelines.
Pediatric
Documentation Templates
This tool provides ambulatory clinicians with a series of templates for acute
and chronic pediatric conditions that can also be implemented into an EHR system.
These templates are based on national guidelines and can be used to electronically
document visits.
Personal Health Record Tools
Microsoft HealthVault
http://www.healthvault.com/
Google Health
http:// www.google.com/health
Mayo Clinic’s Health Manager
https://healthmanager.mayoclinic.com/default.aspx
Electronic Health Records Software
Tools to use with your students:
Cerner Academic Education Solutions
http://www.cerner.com/public/Cerner_3.asp?id=29911
Evolve
https://evolve.elsevier.com/cs/Satellite/FacultyHome?Audience=Faculty
Nurse2
http://nursesquared.com/
neehr Perfect
http://www.neehrperfect.com/index.html
Companies that sell EHR
Epic
http://www.epic.com/
Cerner
http://www.cerner.com/public/
McKesson
http://www.mckesson.com/en_us/McKesson.com/
Meditech
http://www.meditech.com/ProductBriefs/pages/Product_6.0.htm
Siemens
https://www.smed.com/default.asp
Eclipsys
http://www.eclipsys.com/
Nursing Classifications systems, terminologies & nomenclature
Podcast Interview with Dr. Virginia Saba creator of the Clinical Care Classification
System
http://ojni.org/13_2/saba.htm
Standards for Nursing Terminology
Nicholas R. Hardiker, RN, MSc, Derek Hoy, RN, MSc, and Anne Casey, RN, MSc. J Am Med Inform Assoc. 2000 Nov–Dec; 7(6): 523–528. PMCID: PMC129660
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC129660/
Nursing Terminologies Judith Ozbolt 2003
http:.. www.verpleegkunde.net/.../NursingTerminologiesforNHII.pdf
International Classification of Nursing Practice System
http://www.icn.ch/icnp_collaborations.htm
ANA Recognized Terminologies and Data Elements Sets
http://www.nursingworld.org/npii/terminologies.htm
Standardized Nursing Terminology and Communication Protocols Lead to Increased
Use of Patients' Plan of Care
http://www.innovations.ahrq.gov/content.aspx?id=1848
Glossary for Standardized Terminologies
http://dlthede.net/Informatics/Chap17InteroprabilityNursing/GlosStandTerm.html
Toward a standardized nursing terminologies: Next Steps Barbara Kripps CARING
Newsletter
http://www.thefreelibrary.com/Toward+standardized+nursing+terminology:+the+next+steps.-a0187327610
Integration of a reference terminology model in nursing
http://www.iso.org/iso/catalogue_detail.htm?csnumber=33309
Consolidated Health Informatics Initiative Final Recommendation
www.ncvhs.hhs.gov/031209p5.pdf
AHRQ
Standards
Various clinical systems represent and communicate data in different ways, so
standards are necessary to ensure interoperability...
Healthcare
Information Technology Standards Panel
An effort initiated by HHS to advance the goals of interoperability and privacy/security
of health information by fostering dialogue between the various health care
information standards organizations...
Interface
Engines
Sharing clinical data necessitates the translation of one data format into another
so that disparate systems can talk to each other...
HL7
A messaging standard for exchanging clinical and administrative data between
health information systems...
SNOMED
CT
A comprehensive coding standard used often to represent clinical concepts in
electronic medical records (EMRs)...
LOINC
A widely accepted coding standard for results, such as laboratory tests or vital
signs, for clinical care, outcomes management, and research...
NDC
Classification system used for reporting drugs and biological products in pharmacy
transactions, prescription drug claims processing, and clinical information
systems...
DICOM
A messaging standard for exchanging medical images between medical equipment
and information systems...
NCPDP
The standard used in electronic prescribing and pharmacy benefits/claims transactions...
CPT
A standard vocabulary used to describe procedures performed by medical professionals...
ICD
Lundberg, C., Warren, J.., Brokel, J., Bulechek, G., Butcher, H., McCloskey
Dochterman, J., Johnson, M., Mass, M., Martin, K., Moorhead, S., Spisla, C.,
Swanson, E., & Giarrizzo-Wilson, S. (June, 2008). Selecting a Standardized
Terminology for the Electronic Health Record that Reveals the Impact of Nursing
on Patient Care. Online Journal of Nursing Informatics (OJNI), 12, (2). Available
at http:ojni.org/12_2/lundberg.pdf
Saxion, E. (October, 2006). Interview: Multidisciplinary Terminology: Logical
Observation Identifiers Names and Codes (LOINC). Online Journal of Nursing Informatics
(OJNI), 10, (3) [Online]. Available at http://ojni.org/10_3/termint.htm
Hepler, A. (October, 2006). Interview: Data Element Set: Nursing Minimum Data
Set (NMDS). Online Journal of Nursing Informatics (OJNI), 10, (3) [Online].
Available at http://ojni.org/10_3/termint.htm
Elawar, S. (October, 2006). Interview: Multidisciplinary Terminology: Alternative
Billing Codes (ABC). Online Journal of Nursing Informatics (OJNI), 10, (3) [Online].
Available at http://ojni.org/10_3/termint.htm
Ryan, S. (October, 2006). Interview: Multidisciplinary Terminology: The International
Classification for Nursing Practice (ICNP). Online Journal of Nursing Informatics
(OJNI), 10, (3) [Online]. Available at http://ojni.org/10_3/termint.htm
Connolly, P., Mao, CL., Yoder, M. & Canham, D. (October, 2006). Evaluation
of the Omaha System in an Academic Nurse Managed Center. Online Journal of Nursing
Informatics (OJNI), 10, (3) [Online]. Available at http://ojni.org/10_3/connolly.htm
Matney, S., (February 2005). Update on Logical Observation Identifier Names and Codes (LOINC) . Online Journal of Nursing Informatics (OJNI). Vol. 9, No. 1. [Online]. Available at http://ojni.org/9_1/nurslangup.htm
Issues – includes legal, ethical, social, security, advocacy, and public policy.
We need privacy now. Barry Chaikan
http://psqh.com/septemberoctober-2009/235-september-october-2009-health-it-quality.html
The
Health Information Privacy and Security Collaboration (HISPC) Toolkit
This toolkit provides guidance for conducting organization-level assessments
of business practices, policies, and State laws that govern the privacy and
security of health information exchange (HIE).
Health
Information Exchange Policy Issues
Newly released set of tools to assist communities that participate in health
information exchange. Provides guidance on contractual, policy, and technical
issues.
Architecture of Health IT
The field of health information technology involves many technologies, and each
one comes with an acronym...
Health Information Technology government Site
http://hhs.gov/healthit/
Meaningful Use
The focus on meaningful use is a recognition that better health care does not come solely from the adoption of technology itself but through the exchange and use of health information to best inform clinical decisions at the point of care.
Health Information Technology government Site
http://hhs.gov/healthit/
[Click on Privacy and Security]
Health Information Technology government Site
http://hhs.gov/healthit/
[Click on Standards & Certification]
Health Information Technology government Site
http://hhs.gov/healthit/
[Click on Federal Advisory Committees]
Health Information Technology government Site
http://hhs.gov/healthit/
{Click on Resources and then Fact Sheets]
Privacy and Security Framework-US Department of Health & Human Services
http://www.hhs.gov/ocr/privacy/hipaa/understanding/special/healthit/index.html
Patient Privacy in the era of health information technology: Overview of Issues
http://www.gwumc.edu/sphhs/about/rapidresponse/download/Rapid_HIT_FINAL.pdf
Privacy and Health Information Technology
http://www.rwjf.org/pr/product.jsp?id=39409
Health Information Technology—Consumer Principles Privacy
www.nclnet.org/health/final%202006%20principles%20PDF.pdf
California Health Care Foundation Health Privacy
http://www.chcf.org/topics/index.cfm?topic=CL141
Baur, C & Kanaan, S. (June 2006). Expanding the Reach and Impact of Consumer
e-Health Tools: Executive Summary and Chapter 1: Introduction. Washington DC:
US Department of Health and Human Services. Office of Disease Prevention and
Health Promotion Health Communication Activities. Available at:
http://www.health.gov/communication/ehealth/ehealthTools/executivesummary.htm
http://www.health.gov/communication/ehealth/ehealthTools/chapter1.htm
Nursing involvement through teamwork/collaboration
Covers the nurses role in determining usability, workflow analysis, and systems selection/evaluation.
HRSA Electronic Health Record Selection Guidelines
Electronic Health Records: Selection Guidelines for Health Centers December
2008 version
http://www.hrsa.gov/healthit/ehrguidelines.htm
AHRQ Health IT Tools
http:// healthit.ahrq.gov/
[Click on Health IT Tools-Left Menu side]
Health
IT Evaluation Toolkit
This toolkit provides guidance on how to evaluate health IT. Example measures
relevant to quality, safety and efficiency are provided along with suggested
data sources and the relative costs to collect the measures.
Health
IT Costs & Benefits Database Project
This searchable database contains the results of a literature search on the
relative costs and benefits of health IT. Article outcomes are summarized for
those who do not have access to some journals or articles.
Health
IT Survey Compendium
This searchable resource contains a set of publicly available surveys to assist
organizations in evaluating health IT. The surveys in the compendium cover a
broad spectrum, including user satisfaction, usability, technology use, product
functionality, and the impact of health IT on safety, quality, and efficiency.
Health
IT Adoption Toolbox
The toolbox contains a range of resources relevant to the various stages of
considering, planning, executing, and evaluating the implementation of health
IT. The resources have been compiled from a number of public initiatives as
well as resources explicitly created by the Health Resources and Services Administration
(HRSA). The toolbox is designed to meet the needs of a broad range of providers.
Time
and Motion Database
This tool enables organizations to measure the impact of health IT systems on
clinical workflow through the collection of time-motion study data.
HIE
Evaluation Toolkit
This toolkit provides guidance on how to evaluate health information exchange
(HIE). Example measures are provided along with suggested data sources and the
relative costs to collect those measures.
Rural
Health IT Adoption Toolbox
The Rural Health IT Adoption Toolbox is a resource created to address the needs
of rural providers in the planning and implementation of health information
technology. Resources compiled for this toolbox include information from both
public and private sector entities, including Government agencies, academic
institutions, and research organizations. This toolbox is designed for rural
health providers, but is intended to inform State and Federal policy makers,
insurers, and other interested stakeholders regarding the special considerations
for health IT adoption in rural settings.
Health
IT Evaluation Measures: Quick Reference Guides
Each guide includes a brief description of the measure, summary of current literature
on the measure, measurement methodology, and study design and analysis considerations.
The guides provide a starting point for evaluators in the development of an
evaluation plan for a given measure.
California Health Care Foundation--Health IT
http://www.chcf.org/topics/index.cfm?topic=CL108
Across all categories
/facultydevelopment/facultyresources/
nur4070_fall2009.pdf
Informatics Courses at New York City College of Technology, The City University
of New York
www.cs.iusb.edu/syllabi/I101.pdf
Indiana University of South Bend
Health IT Bibliography
The Health IT Bibliography puts expert-selected knowledge resources on health
IT at the fingertips of those seeking to better understand how health IT can
transform everyday care by improving its quality, safety, efficiency and effectiveness.
Linda Thede and Jeanne Sewall Informatics Nursing Book Pages
http://dlthede.net/Informatics/Informatics.html