100%(8)8 out of 8 people found this document helpful
This preview shows page 1 - 4 out of 11 pages.
Advanced Information Management and the Application of TechnologyAdvanced Information Management and the Application of TechnologyDarci HillWestern Governors University1
Advanced Information Management and the Application of TechnologyIntroductionInformatics in nursing is a vital area of specialty.Nursing informatics was recognized as a specialty by the ANA in 1992, making it relatively new (Troseth, 2012). Specialists in the area of nursing informatics are frequently called upon to participate in the development and implementation of health information systems that contribute to research, data gathering, and meeting of regulatory requirements [Kir14]. This paper will address the health information system (HIS) needs of a growing healthcare system in opening a satellite facility. HIS will be analyzed in a general way, with special care given to addressing HIS advantages and disadvantages, the impact on patient care, documentation and outcomes, as well as nursing care. Benefits to the healthcare organization as a whole will be discussed, including quality improvement (QI) activities, regulatory issues, patient privacy, and financial considerations. Finally, stakeholders and their role in implementation of the system, and how the HIS will be evaluated following implementation will be discussed.Advantages and Disadvantages of HISUsability, Interoperability, Scalability, and CompatibilityHIS can have both advantages and disadvantages. While many factors specific to the individual HIS and organization can make or break the successful implementation of an HIS, usability, interoperability, scalability, and compatibility are important to any HIS in any organization. Usability can be defined as the extent to which a product can be used by specified users to achieve specified goals with effectiveness, efficiency and satisfaction within the context of the products’ use [Nat171]. Usability issues can result in staff frustration, unsafe workarounds, or major patient-safety events [Nat171]. In an effort to mitigate these possible usability disadvantages of HIS, evidence-based standardization guidelines were published in 2
Advanced Information Management and the Application of Technology2015 [Low15]. Interoperability refers to the way that varying computer systems, in healthcare orother areas, communicate and exchange information [OCo17]. High levels of interoperability amongst HIS result in safer care, fewer repeated tests, and lower costs [OCo17]. When interoperability is poor, it creates care gaps and reduces patient satisfaction [OCo17]. Scalabilityrefers to the ability of the HIS to add users and data, and handle increased access needs as the system grows [Mur15]. When proper scalability is achieved in HIS, new users, such as nurses and providers, are easily added to the system, and patient data is easily added or updated[Mur15]. When scalability is not efficient, costs rise due to frequent hardware and software changes, and duplicative tasks create the opportunity for error and reduce efficiency[Mur15]. Compatibility is often linked with interoperability [OCo17].