Evaluate a known health care information system for the impact on practice and r

Question

Evaluate a known health care information system for the impact on practice and research within the institution. Provide as much detail as possible regarding the "roll out" of the system, the time it took, how that impacted practice and what lessons were learned as a result. Include the impact on the nurses and other healthcare providers, for example, the time involved in training, the time involved in documentation, the transition in care that resulted, etc. For research and quality improvement, what opportunities are available to data mine the information system for tracking and analysis purposes.

Explanation / Answer

Automated and interoperable healthcare information systems are expected to improve medical care, lower costs, increase efficiency, reduce error and improve patient satisfaction, while also optimizing reimbursement for ambulatory and inpatient healthcare providers.

Health information technology (HIT) is information technology applied to health and health care. It supports health information management across computerized systems and the secure exchange of health information between consumers, providers, payers, and quality monitors

Improve health care quality or effectiveness:

Increase health care productivity or efficiency;

Prevent medical errors and increase health care accuracy and procedural correctness;

Reduce health care costs;

Increase administrative efficiencies and healthcare work processes;

Decrease paperwork and unproductive or idle work time;

Extend real-time communications of health informatics among health care professionals; and

Expand access to affordable care.

Evaluating the impact of computer-based medical information systems requires not only an understanding of computer technology but also an understanding of complex social and behavioral processes

Over the past decade, nurses have been part of a movement that reflects perhaps more change than any two decades combined.Directions in nursing education in the 1960s established nursing as an applied science. This was the entry of our profession into the age of knowledge. Only in the mid-1990s did it become clear that producing new knowledge was not enough. To affect better patient outcomes, new knowledge must be transformed into clinically useful forms, effectively implemented across the entire care team within a systems context, and measured in terms of meaningful impact on performance and health outcomes.

Provide patient-centered care - identify, respect, and care about patients’ differences, values, preferences, and expressed needs; relieve pain and suffering; coordinate continuous care; listen to, clearly inform, communicate with, and educate patients; share decision making and management; and continuously advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health.

Work in interdisciplinary teams - cooperate, collaborate, communicate, and integrate care in teams to ensure that care is continuous and reliable.

Employ evidence-based practice - integrate best research with clinical expertise and patient values for optimum care, and participate in learning and research activities to the extent feasible.

Apply quality improvement - identify errors and hazards in care; understand and implement basic safety design principles, such as standardization and simplification; continually understand and measure quality of care in terms of structure, process, and outcomes in relation to patient and community needs; and design and test interventions to change processes and systems of care, with the objective of improving quality.

Utilize informatics - communicate, manage knowledge, mitigate error, and support decision making using information technology.

Organizations might roll out clinical information system applications in a number of ways. Some are slow and painful; others are often described as big bang, with potentially greater pain but in a shorter period of time. This tool describes how an application may be rolled out if you want to stage user adoption over time, as well as ways to transition users—frequently called turnover strategy.

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