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When these items were then further subdivided, Staggers and colleagues, along with the American Medical Informatics Association (AMIA) work group, realized that these competencies were not universal to all nurses; thus, before it could be determined if the competency was an NI competency, nursing skill levels needed to be defined. The group determined that practicing nurses could be classifiedinto four categories: (1) beginning nurse, (2) experienced nurse, (3) informatics nurse specialist, and (4) informatics innovator. Each of these skill levels needed to be defined before Staggers and colleagues (2001) could determine which level was the most appropriate for that skill set. Table 7-1provides the definition criteria for each skill level. Once the levels were defined, the group determined that 305 items were NI competencies and placed them into appropriate categories.11.Information literacy: Ability to identify when information is neededas wellas the skills to find, evaluate, and effectively use the same.Evaluation of online resources for quality Ability to search literature databases effectively 12.Health literacy: The acquisition of knowledge that promotes the ability to understand and to manage one’s health.13.Meaningful Use
The American Recovery and Reinvestment Act of 2009 specifies three main components of meaningful use: (1) the use of a certified electronic health record (EHR) in a meaningful manner, such as e-prescribing; (2) the use of certified EHR technology for electronic exchange of health information to improve quality of health care; and (3) the use of certified EHR technology to submit clinical quality and other measures. The criteria for meaningful use will bestaged in three steps. Stage 1 (2011–2012) set the baseline for electronic data capture and information sharing. Stage 2 (2013) and Stage 3 (expected to be implemented in 2015) continue to expand on this baseline and be developed through future rule making.14.Patient-centered Information Systems: Patient-centered information systems focused on collectingdata and disseminating information related to direct care. Several of these systems have become mainstream types of systems used in health care. The four typesof systemsmost commonly found in healthcare organizations include (1) clinical documentation systems, (2) pharmacy information systems,(3) laboratory information systems,and (4) radiology information systems.15.Clinical Decision Support Systems: A computer-based programdesigned to assist cliniciansin making clinical decisions by filtering or integrating vast amounts of information and providing suggestions for clinical intervention. May also be called a clinical decision support system (CDSS).Clinical decision support (CDS) tools are designed to helpsift through enormous amounts of digital data to suggest nextsteps for treatments, alert providers to available information they may not have seen, or catch potential problems, such as dangerous medication interactions.