Setting the stage healthcare information technology initiatives and nursing
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Setting the Stage – Healthcare Information Technology Initiatives and Nursing. CNPE Meeting September 18, 2006. Panel Members. Lillee S. Gelinas, MSN, RN, FAAN, Vice President, Clinical Performance, VHA

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Setting the stage healthcare information technology initiatives and nursing

Setting the Stage – Healthcare Information Technology Initiatives and Nursing

CNPE Meeting

September 18, 2006


Panel members

Panel Members

  • Lillee S. Gelinas, MSN, RN, FAAN, Vice President, Clinical Performance, VHA

  • Judith J. Warren, PhD, RN,BC, FAAN, FACMI, Director of Nursing Informatics, KUMC Center for Healthcare InformaticsUniversity of Kansas School of Nursing

  • Joyce Sensmeier, MS, RN,BC, CPHIMS, Vice President, Informatics, HIMSS


Almost ubiquitous computers

ATMs

E-bay

Automobiles

Smart toilets

Dishwashers

Handheld games

Amazon.com and e-Bay

Netflix

Distance learning

Medication Dispensers

PDAs

Patient monitors

Telehealth

Simulation laboratories

Webcasts

Cinahl, PubMed

Online journals, books, digital library

Decision support

Almost Ubiquitous Computers


Definition of nursing

Definition of Nursing

Nursing is the

  • protection, promotion, and optimization of health and abilities,

  • prevention of illness and injury,

  • alleviation of suffering through the diagnosis and treatment of human response, and

  • advocacy in the care of individuals, families, communities, and populations.

(Nursing’s Social Policy Statement, Second Edition, p. 6)

(Nursing: Scope and Standards of Practice, p. 7)


Nursing within such a world

Nursing Within Such A World

  • Patient centered care that includes context, health, and whole person

  • Standardized nursing languages not well integrated into practice and information systems, notable exceptions

    • PNDS in perioperative systems

    • OMAHA System in home health and visiting nurse applications


Federal initiatives changing landscape

Federal Initiatives Changing Landscape

  • Gore invented the Internet

  • HIPAA

  • DHHS Secretary Thompson’s electronic health record (EHR) initiatives

  • President Bush established Office of National Coordinator for Health Information Technology (ONCHIT, now ONC)

  • DHHS Secretary Leavitt established American Health Information Community (AHIC)


Federal state and local issues

Federal, State, and Local Issues

  • Population health, emergency preparedness, and biosurveillance activities

  • Regional health information organizations (RHIOs) and interoperability

  • E-prescribing

  • Interstate practice by clinicians

  • Increasing healthcare costs, uninsured, safety net

  • Quality and evidence-based practice


Setting the stage healthcare information technology initiatives and nursing

Who Advocates for the Healthcare Consumer?Where Are the Nurses?Who Represents Nursing at the Many, Many Decision-making Tables?


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