| Evolve from the French word ―informatics
Referred to the field of applied computer science
Concerned with the processing of information such
as nursing information | Nursing informatics |
| First introduced into healthcare facilities in the
1960s
For the processing of basic administrative tasks
This is an essential tool in HIT systems | Computer |
| Computer is first introduced into healthcare facilities in the? | 1960s |
| Computers were used or introduced intro healthcare facilities for? | the processing of basic administrative task |
| is an all-encompassing term
Refers to technology that
– Captures health information
– Processes health information
– Generates health information | Health Information Technology (HIT) |
| Health Information Technology (HIT) refers to technology that: | Captures health information
Processes health information
Generates health information |
| Computerization affects all aspects of healthcare delivery including: | Provision and documentation of patient care
Education of healthcare providers
Scientific research for advancing healthcare delivery
Administration of healthcare delivery services
Reimbursement for patient care
Legal and ethical implications
Safety and quality issues |
| HIT or computerization is a shift toward: | integrating multiple technologies and telecommunication devices
Invisible devices such as cloud storage
user-friendly, menu-driven, touchscreen manipulation methods |
| Computers in nursing are used for: | Managing patient care information
Monitoring quality
evaluating outcomes
Communicating data and messaged via the Internet
Accessing resources
Interacting with patients on the web |
| Seven Time Periods: | Prior to the 1960s
1960
1970
1980
1990
2000
2010 |
| Computers in nursing informatics are used for: | Documenting and processing real-time plans of care
Supporting nursing research
Testing new systems
Designing new knowledge databases |
| Seven Time Periods: Prior to the 1960s: Historic Perspective of Nursing & Computers: Developed in the late ??? and early ??? | Developed in the late 1930s and early 1940s |
| Seven Time Periods: Use (Computer) did not begin until the (what year?) | 1950s and 1960s |
| Seven Time Periods: Prior to the 1960s: A few experts formed a ??? to adapt computers to healthcare and nursing | cadre
a small group of people specially trained for a particular purpose or profession |
| Seven Time Periods: Prior to the 1960s: Computers in healthcare were used for? | administrative and accounting functions |
| Computer Use in healthcare did not begin
A few experts formed a cadre to adapt computers to
healthcare and nursing
Computers in healthcare were used for
administrative and accounting functions | Seven time periods: prior to the 1960s |
| Seven time periods: 1960s: Use of technology began to be? | explored |
| Seven time periods: 1960s: Studies were conducted to? | determine how computer technology could be utilized |
| Seven time periods: 1960s: The nurses' station was viewed as? | the most appropriate center for development of computer applications |
| Seven time periods: 1960s: The mid-1960s presented nurses with? | new opportunities for computer use |
| Seven time periods: 1960s: Increased time devoted to documentation and a rise in medication errors prompted? | the investigation of emerging computer-based information system |
| Use of computer technology began to be explored
Studies were conducted to determine how computer
technology could be utilized
The nurses’ station was viewed as the most appropriate
center for the development of computer applications
The mid-1960s presented nurses with new opportunities for
computer use
Increased time devoted to documentation and a rise in
medication errors prompted the investigation of emerging
computer-based information systems | Seven time periods 1960s |
| Seven time periods: During the late 1960s through the 1970s, hospitals began developing computer-based information systems which initially focused on: | 1. Physician order entry
2. Results reporting
3. Pharmacy
4. Laboratory
5. Radiology reports
6. Information for financial and managerial purposes
7. Physiologic monitoring systems in the intensive care units |
| Seven time periods: 1970s: A few systems started to include: | Care planning
Decision support
Interdisciplinary problem list |
| Seven time periods: 1970s: Nurses were often involved in? | implementing systems |
| Seven time periods: 1970s: Interest in computers and nursing began to emerge in? | Public and home health and education |
| Seven time periods: 1970s: In the 1970s, conferences helped public and home health nurses: | 1. Understand the importance of nursing data and their relationship to new Medicare and Medicaid legislation
2. Provide information on the usefulness of computers for capturing and aggregating home health and public health information. |
| Seven time periods: 1970s: Hospitals and public health agencies embarked on? | investigating computers and nursing |
| Seven time periods: 1970s: True or False: The opportunity to improve education using computer technology also began: | True, it did happen in this period |
| Seven time periods: 1970s: In this time, what helped to expand nursing awareness of computers and the impact HIT could have on practice | Early nursing networks |
| Seven time periods: 1970s: The Clinical Center at the National Institutes of Health implemented the?
One of the earliest clinical information systems (called Elipsys & Allscripts)
Was the first system to include nursing practice protocol | Technicon Medical Information System (TDS) computer system |
| Seven time periods: 1970s: TDS one of the earliest clinical information systems called? | Elipsys and Allscripts |
| Seven time periods:
- The field of nursing informatics exploded and became visible in the healthcare and nursing
- The nursing profession needed to update its practice standards and determine its data standards, vocabularies, and classification schemes that could be used for the computer based patient record systems
- Many mainframe healthcare information systems (HISs) emerged with nursing subsystems
- These systems documented several aspects of the patient record
- The microcomputer or personal computer (PC) emerged during this period
- The first Nursing Special Interest Group on Computers met for the first time during SCAMC (Symposium on Computer Applications in Medical Care)
– the ANA approved the formation of the Council on Computer Applications in Nursing (CCAN)
– CCAN became a very powerful force in integrating computer applications into the nursing profession
– The first edition of this book published | 1980 |
| Seven time periods 1980: Many mainframe healthcare information systems (HISs) Emerged with?
These systems documented several aspects of the patient record | nursing subsystems |
| Seven time periods 1980: True or false: In this period microcomputer or personal computer (PC) emerged | True |
| Seven time periods 1980: What (computer) emerged in this period? | Microcomputer and personal computer (PC) |
| Seven time periods 1980: The first Nursing Special Interest Group on Computers met for the first time during? | SCAMC (Symposium on Computer Applications in Medical Care) in 1981 |
| Seven time periods 1980: The ANA approved the formation of the Council on Computer Applications in Nursing in? | 1985 |
| Seven time periods 1980: Became a very powerful force in integrating computer applications into the nursing profession
Was approved by ANA in its formation in 1985 | CCAN (Council on Computer Applications in Nursing |
| Seven time periods 1980: The first edition of this book (CCAN [Council on Computer Applications in Nursing]) published in? | 1986, the following year |
| Seven time periods:
- Advances in relational databases, client-server architectures, and new programming methods
- Better application development at lower costs
– The complexity of technology, workflow analysis, and regulations shaped new roles in nursing
– Legislative activity in the mid-1990s paved the way for electronic health records through the Health Insurance Portability and Accountability Act (HIPAA) of 1996 (public-law 104-19)
– In 1992, the ANA recognized nursing informatics as a new nursing specialty separate Scope of Nursing Informatics Practice Standards, and also established a specific credentialing examination for it
– The demand for nursing informatics (NI) expertise increased
– The ANA developed the Nursing Information and Data Set Evaluation Standards (NIDSEC) to evaluate and recognized nursing technology rapidly changed in the 1990s
– The purpose of Information systems was to guide the development and selection of nursing systems that included standardized nursing terminologies integrated throughout the system | 1990s |
| Seven time periods 1990: Legislative activity in the mid-1990s paved the way for? | electronic health records through the Health Insurance Portability and Accountability Act (HIPAA) of 1996 (public-law 104-19) |
| Seven time periods 1990: The ANA recognized nursing informatics as a new nursing specialty separate Scope of Nursing Informatics Practice Standards, and also established a specific credentialing examination for it in what year? | 1992 |
| Seven time periods 1990: The ANA developed the Nursing Information and Data Set Evaluation Standards (NIDSEC) to evaluate and recognized nursing technology rapidly changed in the 1990s: 1-5 | 1. PC's become smaller
2. Computer notebooks became affordable
3. Computers were linked through networks
4. The internet became mainstream
5. The World Wide Web (WWW) increased access to information |
| Seven time periods 1990: The purpose of Information system was to? | guide the development and selection of nursing systems that included standardized nursing terminologies integrated throughout the system. |
| Seven Time Periods:
– More healthcare information became digitalized and newer technologies emerged
– In 2004 an Executive Order 13335
– Wireless, point of care, regional database projects, and increased
IT solutions proliferated
– The use of bar coding and radio-frequency identification (RFID)
emerged as a useful technology
– Smaller mobile devices with wireless or Internet access increased access to information for nurses within hospitals and in the community
– The development and refinement of voice over Internet protocol (VoIP) provided voice cost-effective communication
– The Internet provided a means for development of clinical applications
– The nursing informatics research agenda promoted the integration of nursing care data in HIT systems that would also generate data for analysis, reuse, and aggregation | 2000s |
| Seven Time Periods: 2000s: In 2004 an Executive Order 13335: | -Established the Office of the National Coordinator (ONC) for healthcare Information Technology (HIT)
-Issued a recommendation calling for all healthcare providers to adopt interoperable electronic health records (EHRs) by 2014/2015 |
| Seven Time Periods: 2000s: In what year ?an Executive Order 13335: -
Established the Office of the National Coordinator (ONC) for healthcare Information Technology (HIT)
-Issued a recommendation calling for all healthcare providers to adopt interoperable electronic health records (EHRs) by 2014/2015 | 2004 |
| Seven Time Periods: 2000s: In 2004 an What?:
-Established the Office of the National Coordinator (ONC) for healthcare Information Technology (HIT)
-Issued a recommendation calling for all healthcare providers to adopt interoperable electronic health records (EHRs) by 2014/2015 | Executive Order 13335 |
| Seven Time Periods: 2000s: True or False: Wireless, point of care, regional database projects, and increased IT solutions proliferated | True, it happened in this time period |
| Seven Time Periods: 2000s: What emerged as a useful technology in this time period? | The use of bar coding and radio-frequency identification (RFID) |
| Seven Time Periods: 2000s: Smaller mobile devices with wireless or internet access increased access to? | information for nurses within hospitals and in the community |
| Seven Time Periods: 2000s: The development and refinement of ???,
which provided voice cost-effective communication | voice over internet protocol (VoIP) |
| Seven Time Periods: 2000s: The internet in this time period provided a means for? | development of clinical applications |
| Seven Time Periods: 2000s: The nursing informatics research agenda promoted the? | integration of nursing care data in HIT systems that would also generate data for analysis, reuse, and aggregation |
| Seven time periods: 2010: During 2010, the ONC convened two national committees: | National Committee on Health Policy
National Committee on Health Standards which outlined and designed the focus for the "Meaningful Use" (MU) legislation |
| Seven time periods: 2010: was designed to be implemented in at least three stages | Meaningful Use |
| Seven time periods: 2010: Meaningful Use was designed to be implemented in? | at least three stages |
| Seven time periods: 2010: – In 2011/2012 MU Stage 1 was initiated focusing primarily on? | the Computerized Physician Order Entry (CPOE) initiative for physicians |
