Nursing Informatics by Lauren Curalov https://padlet.com/curalov/fd286udmhwy3rqht en-us 2023-01-24 16:46:05 UTC 2023-04-17 13:56:02 UTC hello@padlet.com https://padlet.net/icons/png/1f5a5.png Week ONE curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2455003231 What is Health informatics?
- Data collection, storage, retrieval, and analysis of information.

The Digital Age
- Electronic health records allow better information sharing
- Quality measure abilities, pulling the data collecting in EHRs
-Streamlining care which reduces costs and duplication of patient testing

Goal/Impact of Informatics
-Patient safety and outcomes
-Evidence based practice
-Cost reduction (Medicare and Medicaid use information gathered to reduce costs for patients and hold providers accountable for what they order and why)




]]> 2023-01-24 16:59:02 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2455003231 CMS in cost reduction and clinician burden curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2455007352 2023-01-24 17:01:38 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2455007352 Week TWO curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2455019613 Competencies for Health Informatics
- Adequate knowledge, skills and abilities to perform specific informatics tasks.
- Having basic computer knowledge in healthcare is essential
TIGER Initiative
- a shared vision, strategies, and specific actions for improving nursing practice, education, and patient-care delivery through the use of health information technology]]> 2023-01-24 17:08:46 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2455019613 TECHNOLOGY INFORMATICS GUIDING EDUCATION REFORM (TIGER) curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2455043204
Have we become lazy in education requirements??
Since COVID, huge changes were put in place including more seminars online which made it easier for people to be involved. But has it taken away from human interaction???

Most facilities like my hospital use online platforms for competency education for staff. Example "LEARNMORE"

PROS:
Ease of use
Comfortability for computer savvy people
Great for an introvert
You can do it on "your time"

CONS:
Promotes less human interaction
Less engagement in some cases
Decreased knowledge if you are skipping to the test
Less hands on experience for visual and tactile learners

What is your take on these online competencies??]]> 2023-01-24 17:23:39 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2455043204 Week THREE curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2455079633 "Big Data" allow mass collection of data in order to tailor needs and interventions.

]]> 2023-01-24 17:46:36 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2455079633 Interoperability Week 3 curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2462184676 In our healthcare system, the way they have worked to increase interoperability is switching from Meditech to a more broadly used electronic health record called "EPIC". This change has intoroduced us to more sharing of data from other facilities but we are still lacking in some areas.

We can now download ECG strips form our monitors, add media images into the computer, and search lab values from certain EPIC using facilities.

There is still much work to do however!!

What computer system do you use?

EPIC? Meditech? LMR?]]> 2023-01-30 22:59:52 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2462184676 Week 4: DIKW curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2466199548 EPIC has become one of the top EHRs in the U.S.
This site states "The majority of U.S. News and World Report's
top-ranked hospitals and medical schools use Epic"
Our southcoast Hospitals group changed over to EPIC in 2015, and it was STRESSFUL! I actually cried the first day because I was so overwhelmed and I consider myself "tech savvy". 
There are known quality improvements since changing to EPIC. Information sharing has also improved.

Pharmacies now share their refill history and outside pharmacies like the VA and Primacare also show up in our EHR so we can more easily find medications patients are on (that are not in our system base). This improves patient care and satisfaction.]]> 2023-02-02 14:23:39 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2466199548 ALEXA.. a future in healthcare?! curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2466214647 This article says that 200 hospitals used Alexa during COVID. It helped staff keep a safe distance but allowed improved communication!!!

Not sure how Alexa can abide by the HIPPA laws, but if it could.. IMAGINE!?!?

I love Alexa in my home. Having an Alexa in patient rooms COULD have some benefits..

what do you think about this????]]> 2023-02-02 14:32:23 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2466214647 Week 5- Meaningful Use curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2482118163 The lowest rate of EHRs is in specialty care, assuming that is due to it being smaller offices. As providers, we rely heavily on specialists so having them included in EHR access would be beneficial to the patient and providers as we could then have more streamlined care and an interoperable system potentially!!! ** https://www.healthit.gov/data/quickstats/adoption-electronic-health-records-hospital-service-type-2019-2021

There are three basic components of meaningful use:
1) The use of a certified EHR in a meaningful manner.
2) The electronic exchange of health information to improve quality of health care. 3) The use of certified EHR technology to submit clinical quality and other measures.

These basic components will be implemented gradually through three stages. Fulfillment of the requirements of each stage, attesting to each stage, is required to access incentives and avoid penalties as of 2015.

https://www.aanem.org/getmedia/bb9480ae-f5b3-4c64-b55a-55c457d325a8/EHR-and-Meaningful-Use.pdf.aspx


]]> 2023-02-14 15:30:27 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2482118163 Week 6: CPOE and EHR curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2488709657 Benefits of CPOE:
  • Reduce errors and improve patient safety
  • Improve efficiency
  • Improve reimbursements
  • Reduce errors and improve patient safety
Some studies have been done with handwritten orders vs CPOE and have noted a decrease in errors from 6.7% to 4.8% respectively.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1297620/?tool=pubmed
Studies prove that scannning meds and having CPOE have reduced errors
https://eds-s-ebscohost-com.ezproxy.simmons.edu/eds/detail/detail?vid=4&sid=94012645-96cf-45d8-a94f-e5993a35f32f%40redis&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=T903265&db=nup
]]> 2023-02-20 16:57:18 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2488709657 Week 7: Health Information exchange curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2496793864 Rhode island has a HIE called CurrentCare

Only about 1/2 of RI residents utilize this free service to keep all healthcare information in one spot. 

I live in RI and have never heard of it so maybe they need a bigger push when you go to healthcare facilities it your PCP. 

This would aid in information sharing in afterhours for pharmacies for med reconciliation ]]> 2023-02-27 17:59:17 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2496793864 Week 8 Telehealth curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2505384654 Because strokes are so time limited, having neurologists on telehealth is very convenient and beneficial. Having the neurologist on camera for our patients in a timely fashion for consult has aided in many cases around the world. This article describes ways the American Academy of Neurology Telehealth can be of benefit but also the barriers they come across.
One of the biggest barriers in the ER with this is technological problems.. either we have no wifi service or they have difficulty calling in.
This leads to delays and can potentially lead to errors in medicine and diagnosis.
We rely heavily on their assessment so without that, the patient is being treated by the ER doctor alone, without the consult of the neurologist who specializes in this.

Technological problems are one of the biggest barriers in telehealth of all kinds!]]> 2023-03-06 15:48:02 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2505384654 Week 9: Gamification curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2514730294 In my workplace, all of the employees who have health insurance are asked to participate in "limeade". This app/site is used in order to gather information on their employees but does it in a way that is more "fun"... you can earn prizes and you are asked to join groups.

It is used to improve employee well being by promoting interaction in the app.. joining social communities and offering incentives whether it be "points" or prizes.]]> 2023-03-13 16:37:54 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2514730294 Week 10: alert fatigue. curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2522812793 So many alerts, its tough to figure out what is critical and what is not.. and then sometimes there is no alert on something very wrong like pediatric over-dosing for medications.
It happens to me once before and the computer calculated correctly for what was ordered but the order was wrong and was  “auto verified” instead of manually verified by an actual pharmacist. It was almost missed until I questioned how it seemed to be quite excessive!!
Scary but true.

https://www.elsevier.com/__data/assets/pdf_file/0019/272152/MHE1116-Elsevier-Alert-Fatigue-WP.pdf


]]> 2023-03-20 02:57:33 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2522812793 Week 11: Privacy and Security curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2531843312 https://www.healthit.gov/data/data-briefs/individuals-access-and-use-patient-portals-and-smartphone-health-apps-2020

I am surprised at the lower percentage of users. I would think more people would use them but as the digital age is progressing i am sure this will improve! ]]> 2023-03-26 14:50:00 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2531843312 Week 12: Data Storytelling curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2541531345 In this link it shares about how yo tell a story with data as many adults struggle with data when its more than simple math. Using graphs pictures and a story, the eye catching visuals and the story to go along with it helps viewers to understand the information better!]]> 2023-04-03 01:31:25 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2541531345 Week 13: Data Visualization curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2547748123 This article discusses the importance of choosing the right amount of data to use for proper visualization of a powerpoint of graphic. They speak of how it is an all too common theme that speaker overwhelm their audience with confusing graphs with too much information or too much information on a powerpoint slide. Keeping it simple with the right amount of data is vital in improving quality care and patient engagement. ]]> 2023-04-08 21:53:57 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2547748123 Week 14: Legal and Ethical Issues curalov https://padlet.com/curalov/fd286udmhwy3rqht/wish/2557018957 One major factor in healthcare is obtaining informed consent. This article talk about informed consent and shared decision making, making sure that your patient is on board with your plan of care.
Without the interest and input from your patient, our plans don't mean anything. We also want to be sure we aren't forcing them into something they don't agree with or believe in. We need to provide a lot of education for those patients and document well if they disagree and decline out plan and come up with an alternate and document that WELL!]]> 2023-04-17 13:56:02 UTC https://padlet.com/curalov/fd286udmhwy3rqht/wish/2557018957