ISSUES IN INFORMATICS

Healthcare Policy and Nursing
Informatics as a Specialty
; Attempts of NI to be recognized as a
specialty failed.

; a request was supported by political
forces and thus ANA recognized NI as a
specialty.

Nursing Informatics was defined as:

• A combination of nursing, information, and
computer science to manage and process
nursing data into information and knowledge
for use in nursing practice.

Domain of Nursing Informatics

• It is focused on data and its
structures, information management, and the
technology, including databases, needed to
manage information effectively.

NI includes use of the ff. theories:
• Linguistics
• Human-machine interface
• Decision science
• Cognitive science
• Communication
• Engineering
• Library science and
• Organizational dynamics

Interdisciplinary Practice
Informatic nurses:
• Demonstrate specialized knowledge of
information and technology.
– This knowledge exceeds the ability to use
technology that is expected of all nurses.

Informatic nurses:
• should assist with the development and
implementation of technology tools for clinical
practice, evaluation of the effectiveness of
technological tools on nurses’ work, and help
prepare nurses to use information
technologies.

• the Division of Nursing (DN),
Health and Human Services Administration
(HRSA)funded two Master’s NI programs,
University of Maryland and University of Utah
and one doctoral program in NI at University
of Maryland in 1988-1992.

• In 1992, the American Nurses Association
(ANA)officially established the role of the
informatics nurse specialist, shortly after
which they began offering the first
credentialing exam in 1995.

• the ANA’s Scope and Standards of Nursing
Informatics Practice (2001) identifies three
progressive levels of NI competencies:
• the beginning nurse,
• experienced nurse,
• and informatics nurse specialist

• As the specialty of NI has become more
defined,nurses have sought out more learning
opportunities and have benefited from the
emergence of more formal NI education
programs.

• In 2004, President G.W. Bush issued an executive ord
er creating The Decade of Health Information
Technology with a goal of establishing an electronic
health record (EHR) for every American in the next
10 years. One of the reasons for this order was the
release of findings from the Institute of Medicine
(IOM) studies concluding that information
technologies hold the promise to transform health
care practice and facilitate patient safety.

• One of Centers for Medicare and Medicaid
Services (CMS) most important initiatives is to
assist practitioners in making care more
effective and less costly, particularly by
promoting adoption of health information
technology.

• The
(TIGER) Summit in
2006 collaborated with colleagues from key
federal agencies and healthcare organizations
and articulated a vision for the future of
nursing that enables nurses to use informatics
in practice and education to provide
safe, quality care.

– to provide an electronic health record to all
American by 2014.

– Works to build a secure, nationwide health
information infrastructure to connect health
providers , consumers and others supporting
health and healthcare.

– Is at the forefront of the administration’s health
and IT effort and is a resource to the entire health
system to support the adoption of health
information technology and the promotion of
nation wide health information exchange to
improve health care.

• The of
2009 (ARRA) provided for the creation of an Health
IT Policy Committee under the auspices of
the (FACA), the
committee is charged with making recommendations
to the National Coordinator for Health IT on a
policy framework for the development and
adoption of a nationwide health information
infrastructure, including standards for the exchange
of patient medical information.

• ARRA also provided for the creation of an
under the auspices
of the FACA that is charged with making
recommendations to the National
Coordinator in standards, implementation
specification, and certification criteria for the
electronic exchange and use of health
information.

– Represents a unique opportunity to build
partnerships across communities of interest
throughout the nation’s health care environment
in the development of a truly integrated and
effective health information exchange network.

• serves as the statutory [42 U.S.C. 242k(k)] public
advisory body to the Secretary of the Department
of Healthand Human Services in the area of health
data and statistics. In that capacity, the Committee
provides advice and assistance to the Department
and serves as a forum for interaction with interested
private sector groups on a variety of key health
data issues.

• A science partner, working with the public and
private sectors to build the knowledge base
for what works and does not work
in health and health care and to translate this
knowledge into everyday practice and policy
making.

• National Governors Association-State Alliance for e-Health
• PEHRC (Physicians· Electronic Health Record Coalition)
• The eHealth Initiative and the Foundation for eHealth
Initiative
• Connecting for Health-Markle
• Healthcare Information and Management Systems Society
(HIMSS)
• HIMSS EHR Association (EHRA)

Preem Lhery G. Junio
Reporter
BSN III-A

ISSUES IN INFORMATICS

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