https://padlet.com/czapla2/qbrhj7b5wmyxfe1f marissa czapla en-us 2022-09-22 20:40:36 UTC 2026-03-16 15:17:31 UTC hello@padlet.com czapla2 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2309531225 In this youtube video Professor Paul Cooper at the Daekin University in Australia. He teaches health informatics and speaker at the Health Informatics Conference 2018. In this video I learned that health informatics is very complex with all of the groundbreaking technologies that are being introduced that come with their glitches and lack of reliability until it becomes more mainstream and mature. Paul Cooper introduces the idea of resilient health where the information technology that is being used has internal systems that self-correct their errors to reduce technology failure related harm to patient safety. This is a fundamental that Paul as a professor is teaching his students about the future continuation of incorporating health information technology in patient's every day lives even when they are not in a health care facility.

undefined [Australasian Institute of Digital Health]. (2018, April 27). What do health informatics students learn? What are the barriers to health informatics in Australia? [Video]. YouTube. Retrieved October 5, 2022, from https://www.youtube.com/watch?v=kDIx5ilB-4g&t=2s

Managing Pandemic Responses with Health Informatics - Challenges for Assessing Digital Health Technologies - PubMed (nih.gov)

This article looks in depth at the role that health informatics and technologies had during the Covid-19 pandemic response within the Unites States. I never knew how much we relied on health information technology during this pandemic such as tracking trends, comparing the most prevalent comorbidities in COVID related deaths and recovery statistics. These information technologies were what many states in our country used to decide whether or not to open up all businesses, enforce mask mandates, and ultimately let people go back to work with their everyday lives. However, this article highlights what with all of the new technologies that emerged from this pandemic, there still is evaluation that needs to be done to assess the value and efficacy of these technologies. According to Magrabi et al., (2022), "New technologies, particularly those intended for use on a large scale such as digital contract tracing, will require assessment of their usability as well as performance prior to deployment, after which evaluation should shift to using a complex systems paradigm to examine the value of information provided. The success of a digital health technology is dependent on the value of information it provides relative to the sociotechnical context of the setting where it is implemented."

Magrabi, F., Ammenwerth, E., Craven, C. K., Cresswell, K., De Keizer, N. F., Medlock, S. K., Scott, P. J., Wong, Z. S., & Georgiou, A. (2021). Managing Pandemic Responses with Health Informatics - Challenges for Assessing Digital Health Technologies. Yearbook of medical informatics, 30(1), 56–60. https://doi.org/10.1055/s-0041-1726490


]]> 2022-09-22 22:08:22 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2309531225 czapla2 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2309544560
This website has been a very helpful and clarifying tool that explains the TIGER initiative's objectives, what the actual program is and the evolution of this initiative. This article written by Toria Morawski and Joyce Sensemeier on nursekey.com has outlined what TIGER actually is. The Technology Informatics Guiding Education Reform is an initiative started to create a body of evidence based research to implement a health care industry standard for information technology used in the health care settings that will update systems that are proven to improve patient safety and quality of care. This whole movement was started in the year 2005 at Johns Hopkins University School of Nursing. The need for technology integration in the health care system across the board was a desperate need that was well known t advance the health care field around the world. It was then when an invitational summit was created and resulted in many health care companies and organizations pledging to pursue the goals of integrating technology that shown with evidence based practice improves health care safety and efficiency.

Morawski, T., & Sensmeier, J. (2021, July 29). The evolution of the tiger initiative. Nurse Key. Retrieved October 1, 2022, from https://nursekey.com/the-evolution-of-the-tiger-initiative/

https://youtu.be/72OtVROdPLA 

This youtube video of one of the creators of the TIGER initiative gives a brief but concise understanding of what the TIGER steps are including and how they are hoping to effect healthcare for the clinicians and the educators. The main person speaking in this video is Ursla Hubner who is one of the original cofounders of the TIGER Initiative. She explains how our health care system needs an organization of information technologists and health care providers along with educators to collaborate to incorporate the best systems and algorithms to not only enhance the safety of the current health care that is being provided, but to also enhance the data to research propelling our health care system into a future of massively improved efficiency and patient safety. This will be done by using the existing data, assess the current effects of our limited technology in the healthcare system and compare that to the effects it has on our patient care. This evidence will urge health organizations and legislature to continue to push for the advancement of technology in health care.

Inside a movement to revolutionize health informatics education. (2020, November 3). [Video]. YouTube. Retrieved October 5, 2022, from https://www.youtube.com/watch?v=72OtVROdPLA&feature=youtu.be









]]> 2022-09-22 22:28:39 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2309544560 czapla2 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2327084420 This article is a useful tool to explain what terminology standards are, why we need standardized terminology in health informatics and linked a list of current common terminology standards that are used in health information and technology. This article was on the Health Information and management Systems Society which is an organization and advisor globally to innovate the health care system by educating the best practices through health informatics and technology. This article introduces standardized terminology as the foundation of interoperability due to its proven improvement of the efficacy of exchanging information. If health terminology becomes standardized it will not only improve the way providers communicate with each other improving patient safety, but it will also improve how health electronic record systems communicate with others, (HIMSS.org, 2019).


Admin. (2019, December 10). Terminology standards. HIMSS. Retrieved October 5, 2022, from https://www.himss.org/terminology-standards

https://youtu.be/uWGmAZOX6gU

This Ted Talk x video on you tube is commentated by Dr. Rhonda Hughes at the University of South Carolina. This 10 minute video explains the importance of linking big data with systems across health care organizations and adding more variables to track to better understand and improve health care outcomes for our patients. That is how we will broaden our view of how and why our patients get to their outcomes that they do. We want to understand what more variables can we discover that enhances the patient's chances of not being readmitted to the hospital after a procedure. She asks the questions what other variables can we introduce to research their effect on adverse events during hospitalizations? All of this data and technology that already exists has created the reality of diagnosing and treating disease processes unlike we could have ever imagined prior due to precision health. Precision health uses big data to look at a specific organ unlike we have ever been able to before. This in turn allows a specialist provider to tailor a specific treatment plan for individual patients improving the specificity in health care which improves patient outcomes, (Tedx Talks, 2018).

TEDx Talks. (2018, December 5). Improving health outcomes with big data | Ronda Hughes | TEDxUofSC [Video]. YouTube. Retrieved October 5, 2022, from https://www.youtube.com/watch?v=uWGmAZOX6gU&feature=youtu.be
 


]]> 2022-10-05 07:07:19 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2327084420 czapla2 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2328338370 The Online Journal of Issues in Nursing wrote this article on something that I have learned this week in class called the Nelson data to wisdom continuum. This theoretical frame work defines the scope of practice in nursing informatics. According to Nelson, (2020), "One must always remember that the capabilities of computers (which are always changing) do not define the scope of practice for nursing informatics; rather, it is how nurses use these tools that define their practice. In turn, if we do not understand how nurses at all levels of knowledge and experience use computers to support their practice, we cannot design automated systems that truly support the goals of nursing." This tool enables the use of data to be better defined. This is done by putting the raw data collected into context with information connected to those values. That information then can be interpreted into knowledge giving that information value. That value can then be assessed and categorized based on personal and past experiences. This wisdom is the key that unlocks to power of data giving it both value and breadth in relation to our healthcare system's quality and goals for improvement, (Nelson, 2020).


Nelson, R., (July 21, 2020) "Informatics: Evolution of the Nelson Data, Information, Knowledge and Wisdom Model: Part 2" OJIN: The Online Journal of Issues in Nursing Vol. 25, No. 3. DOI: 10.3912/OJIN.Vol25No03InfoCol01

https://youtu.be/Frvgl1jqcDw

This you tube video video provides a brief overview on why hospital systems are improving their electronic medical record platforms and or why they are transitioning from outdated paper charting to electronic. This is being done because transitions to digital electronic health record systems has improved data managing and financial management systems for hospitals so much that it has now been this country's new gold standard. This technology has increased financial revenue in hospitals due to its increased accuracy of treatment and medication documentation for our patients which also increases the quality of their care by securely sharing the facts of the patients hospital stay and care plan.
This video also highlights the potential problems that hinder a smooth and successful transition to and EHR. Strengthening Your EHR Conversion, (2022) states the problems with EHR conversions as," Improper integration of EHR data with current hospital systems, lack of staff that understand the new EHR system, EHR data quality, inability to perform data migration from older EHR systems, inability to keep protected health information safe." This video also goes through the general process of how an EHR conversion is completed throughout hospital systems. Creating an in house team that is competent in the knowledge of how your hospital system works financially, what documentation and data systems that are currently being used and how to transfer that current data into the new system accurately. It also important for this team to know how the clinical team completes their processes and how the clinical billing system works for that organization. That team collaborating with the other key stakeholders such as hospital management, clinical personal and Information technologists need to create a personalized EHR implementation plan. That plan is generally consisting of gathering and organizing current data, figuring out which parts of the new data system needs to be individualized which makes this new system fit the needs of the organization. Once the new system is ready, the first initial live of the new program must have a team recording the kinks and issues that need to be fixed so that the employees using this system can complete their jobs efficiently and safely, (Strengthening Your EHR Conversion, 2022).


Strengthening Your EHR Conversion. (2022, July 19). [Video]. YouTube. Retrieved October 5, 2022, from https://www.youtube.com/watch?v=Frvgl1jqcDw&feature=youtu.be]]> 2022-10-05 22:05:47 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2328338370 czapla2 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2360152984 https://youtu.be/z1BjRy7JWNc

This video is a simple and clear explanation of what meaningful use is, why it exists and how it is used to improve the healthcare system. It explains the background of the HITECH act, using 3 stages to encourage EHR use in medical institutions. The video explains that meaningful use improves the healthcare system with the adoption of EHR's to make safer and easier to share critical medical information from provider to provider, provider to patient, and provider to insurance companies. Making the care provided to patients more patient centered improves health outcomes. The three stages of meaningful use are to first get an EHR system, then get tools for it to expand and improve the coordination of care, and finally to update and adopt more advanced technologies that have proven to improve patient outcomes such as e-prescriptions.

 https://youtu.be/8WdA916Bi1E

This video explains the implementation of meaningful use in the patient perspective. This video explains how meaningful use of EHR and how the ease of access of the patients health information improves his care by making it easier to securely chat with his doctor, review his own medical information, make appointments when they are needed, and to help providers choose correct medications for this patient based on his allergies that are flagged in his electronic chart when prescribing medications. This video goes through the journey of the patient, "Tyler," who is messaged on his health portal app of his primary care provider that he is due for a check up and flu shot. The use of this EHR technology enables Tyler to get care on the proper schedule recommended by his doctor, when Tyler otherwise would not be aware that he was due. The use of his EHR also enabled him to check in, update any health information or medication changes prior to the appointment so that the provider was able to give a more accurate and thorough exam.


]]> 2022-10-28 05:09:21 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2360152984 czapla2 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2360176983 https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference

This website offers great information on the definitions and contrasts as to what an EHR, electronic health record and what an EMR or electronic medical record is. Although both of these terms seem and sound very similar to one another, the comparison is quite different. As this website explains, the EMR or electronic medical record is a basically the digitized version of a patient's chart in a place such as a clinic or primary care office. Although this electronic record holds much valuable information such as patient's past and current vital sings, diagnoses and prescribed prescriptions that they have taken in the past and currently are taking, this information is unable to travel outside of the physical office itself. The lack of interoperability makes it very difficult to share with outside specialist providers if needed. An EHR however includes everything that the EMR does, and more. The difference is that the EHR is all of the vital patient data that is taken from the clinic or primary care providers office at their annual check ups and screenings, storing their current and past health information, and allows this record to be shared, viewed and used in all providers outside of that one office. The EHR can show the specialist provider information from the primary provider and visa versa, allowing for all providers to add to and review the journey of the patients health. This in turn provides a higher quality of coordinated care.

Garrett, P. (2011, August 26). EMR vs EHR – What is the Difference? Health IT Buzz. https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference

https://youtu.be/SlQ60KaLeHg 

This youtube video explains the other side of EHR's or electronic health records. This video talks about the unintended safety issues that are harming patient's care but technological issues that providers are unaware of while they are providing care. This video provides an example of an issue effecting patient care. This video goes through the scenario of two different patients that both come in to the ER at the same time, both needing chest x rays and when the provider is clicking to see the results of one patient, during the double click in between the first and second click, the EHR auto refreshes with another patients information changing the position of the current patient's chest x ray results which in turn causes the provider to accidentally open up the wrong patient's chest x ray. This leads to the provider examining the wrong chest x ray that shows it is clear, instead of the actual patients x ray that shows her pneumonia, she then discharges home with no antibiotics.]]> 2022-10-28 05:36:20 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2360176983 czapla2 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2360203361 https://youtu.be/fmrgAjJXHUU

This Youtube video is from the Office of National Coordinator of Health IT in the U.S. government. This video examines the progress that the country has made, and how the doctors use their EHR's of their patients and are able to share and see information with other specialists such as cardiologists which then increases their knowledge of what is going on with the patient. By having the access of seeing what the specialists are doing with their patients, this then enables the provider to make more informed decisions and improves the quality of the care that they receive. They explain that the health information exchange is necessary for provides to give the patients the most complete and holistic care. This video also explains how helpful the state's health information exchange was during the hurricane sandy in NY state, when many hospitals had to close due to damage, the people seeking care at other places had all of their current information at opened hospitals due to that network.

https://youtu.be/aJb6Dov0jlM 

This youtube video offers interesting information about Arizona State's health information exchange. As most states have their own health information exchange platforms for the medical institutions in that state to use, this video explains the patient rights involved with who can access their personal health information. This video starts off with explaining how the HIE enables providers to have more complete care which then gives the patients better care and better outcomes. This video then goes on to explain how patient rights are protected by the state and federal law. They explain how when each provider first begins to participate with the HIE platform, each patient gets a notice from that practice explaining their rights under the law of the state of Arizona, then it gives them the choice to opt out of their information being sent to the HIE. This gives the patient the choice to either have their information shared with the states HIE or refuse it. This video also explains that the type of data that is shared with the HIE is both physical health information along with general behavioral health information. It then explains how substance abuse information from a federally assisted substance abuse program is specially protected under federal law making it so that only people who get direct consent from the patient are able to see this information or only during emergencies. There is also a choice to opt out from letting this information be shared with the HIE system even during an emergency situation.]]> 2022-10-28 06:06:12 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2360203361 czapla2 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2386125036 This video explains the process and benefits of using the telemedicine technology for cardiology care. This technology improves the availability of patients getting appointments and improves continuity of care. This technology also allows the practitioner to see the patient inside their own home environment and assess the surroundings for possible allergy triggers. This telemedicine technology  makes it easier to connect with providers but also makes it easier and saves time to connect with specialties. Specialty providers such as cardiologists are able to assess patient labs, imaging and cardiac tests with telemedicine technology during or prior to appointments.


https://www.sciencedirect.com/science/article/pii/S1525861021002589

This article is a literature review on the use of telemedicine and telehealth inside nursing homes. This literature review inspects the usefulness and how this technology improves access to care and patient outcomes. Using telehealth this literature review has shown preliminary evidence of telehealth supporting specialty consults improving access to care in nursing homes, improved financial incentives and improved patient outcomes. This study was performed with reviewing qualitative and quantitative studies of telemedicine in nursing homes (Groom, et.al., 2021). This study was also shown to aid in the inequity of health care access in nursing homes during the Covid-19 pandemic. This study was conducted by registered nurses.

Groom, L. L., McCarthy, M. M., Stimpfel, A. W., & Brody, A. A. (2021). Telemedicine and Telehealth in Nursing Homes: An Integrative Review. Journal of the American Medical Directors Association, 22(9), 1784-1801.e7. https://doi.org/10.1016/j.jamda.2021.02.037

]]> 2022-11-16 06:54:44 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2386125036 czapla2 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2386167133 https://www.jmir.org/2020/6/e17708/

This journal article was published by the Journal of Medical Internet Research. This study involved 5 different focus groups of a consumer of mobile health apps that help patients with chronic health conditions self-manage their own care. This app is aimed in self management of HIV associated non aids. This app uses video information provider technology to help patients self monitor symptoms of this chronic illness. This study showed that the participants in the finished clinical trial of this mobile health app found it useful in monitoring their symptoms and improved communication with their providers. This health app technology utilizes smartphones that are now a part of everyday life for American's and people in most developed countries. With most people having smartphones, this utilization of mobile health apps increases health care accessibility and usability. This focus group helped to gain insights into the future of mobile health apps and the benefits that can have with patient's self managing their health care.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5171509/

This article was a discussion review of past information and literature of consumer health informatics form the past 25 years and what the future challenges hold. The past 25 years of consumer health informatics was based on the concept of patients being able to actively participate and make choices in their own health care based on the use of informatic tools, systems and technologies. This article explained the beginning of consumer informatics consisting of printed health information that was available to patients. The field rapidly advanced with technology with the internet, community chat groups, social media and telehealth/ mobile health apps. 

Demiris, G. (2016). Consumer Health Informatics: Past, Present, and Future of a Rapidly Evolving Domain. Yearbook of Medical Informatics, 25(S 01), S42–S47. https://doi.org/10.15265/iys-2016-s005]]> 2022-11-16 07:36:46 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2386167133 czapla2 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2386200247 This video explains the processes that are in place to improve safety of electronic health records. This Video explains how the clinical decision support systems, barcode administration along with electronic medication administration records impact the safety of health informatics technology.  This video also explains how with every use of health information technology use is guided by the six aims for healthcare.  These aims are safe, effective, patient-centered, timely, efficient, and equitable. These aims are to aid in the usability and improvement of quality of care for our patients. Although all of these health information technology safety systems are in place, there still are errors and safety issues with the use of EHR's and medical technology systems. ]]> 2022-11-16 08:05:31 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2386200247 czapla2 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2416631033 The use of privacy practices are terms that are given to patients that describe their rights and standards that are to be upheld by providers and the software that is to protect the private health information on their EHR. There are many steps that are in place to protect patient's information on their electronic health records. This includes health care providers such as myself, nurses and doctors having access controls to get inside the patient's EHR. This includes usernames and passwords on the EHR system. Encryption is another method used to protect patient information. This is used by the software harboring the patient's EHR scrambling that information so that nobody without the special password is able to see any information this includes cyber hackers. Other software programs are used to track and surveillance the amount and identity of people who access the patients EHR, including what they look at and for how long. These steps are ensured to keep patient information in EHR/s private and secure.

 https://youtu.be/YDuzHzGc5y8  

This video was created by a company that is an electronic medical record and medical practice management account. The company called charm health sells their EHR system along with the policies and practices needed to keep patient information private and safe. This video discusses how to set a password policy within your practice, how to set a two step authentication factor and how to set an auto logoff time to prevent unverified eyes to see information on the EHR if accidentally left up while the provider walks away from the computer. These steps have been created to aide in the security and privacy of patient health information on computers from their EHR. A potential problem that may occur when using a new EHR system is not having these steps on in the software, making it so EHR information might not be protected. When there is any use of a new EHR system, it is very important to ensure the privacy and security steps are engaged within the software to protect patient information.]]> 2022-12-11 04:44:19 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2416631033 czapla2 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2416636002 This video does a wonderful job simply explaining the differences between exploratory data and explanatory data highlighting the key differences and unique characteristics of each. Exploratory data analysis is more done behind the scenes where you are looking for relationships within the raw data or any hidden insights. This is where visualizations of this data is not to be perfected for presentation, but created more to find questions to ask about the collected data. Explanatory analysis is done after the answer to those questions created in the exploratory analysis. Explanatory analysis is where visualizations are created to be presented to an audience to tell a story of the insights found to answer the created question of the data. This video then goes on to explain the five steps of data analysis, including extraction of data, cleaning of data, exploring, analyzing and sharing the findings.

https://youtu.be/fkhkvJSHivE 

This video explains briefly the basics of the fundamentals of data analysis. First this video explains the difference between data analytics and data analysis. Data analytics is the broad field of the use of tools and data to help make smart business decisions. Data analysis actually a subset of data analytics that focuses on specific processes. This video then states the basic steps of data analytics, starting with the first step which is problem understanding. Second step is data collection that can be collected manually or digitally. Exploratory analysis is the next step used to find missing values, variables and correlations that can be useful. Then data visualization is used to see the findings in the exploratory data analysis. The next step is machine learning orders where the discovered findings of the data in the visualization is fed to machine learning models to make proper predictions. Data analysis is a smaller scale where collected data goes under exploratory analysis, visualization, and then explanatory analysis prior to being shared with an audience.]]> 2022-12-11 05:10:14 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2416636002 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2424259590 This video is very informative about how to visualize data with the U.S. census bureau in your area. This video explains the resource to use which is data.census.gov. Once on that website, you can look at the data visualization profiles that include data by county, and state. Some available data are charts and maps for socioeconomic, demographics, and housing information. This information can be very useful for you to understand your communities demographics which can help you to provide a higher quality of care. 

https://www.ahrq.gov/data/visualizations/index.html  

This link is to the Agency for Healthcare Research and Quality's interactive data visualization. This resource of enables researchers and policy makers to view the specific trends that is going on in healthcare today. This website provides and displays a variety of topics that is important to trend as it reflects the current driving forces effecting the quality of care for our patients. This interactive data visualization makes healthcare leaders understand and use current data to make changes to the current standards of care to improve safety. ]]> 2022-12-18 23:55:51 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2424259590 https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2424268178 This website offers an informative article explaining how the field of informatics is rapidly advancing with technology along with the legal and ethical challenges related to various topics. This article explains the issues created by the use of technology in healthcare on the back of the profession of informatics. Providers and patients currently face legal and ethical issues are patient information protection, patient safety related to technical errors, liability, risk assessment, and many others. 
Some legislation that is in place to combat these issues are the HITECH act, the HIPPA act, and the Food and Drug Administration Safety and Innovation Act.

https://study.com/academy/lesson/ethical-legal-issues-in-healthcare-informatics.html

This video explains how healthcare practices and policies are being created to deal with legal and ethical issues with technology use in the healthcare field. The use of the software is for approved personnel only that are not allowed to share private patient information by law. By leaving patient charts open on the computer and walking away from it, this is a violation of HIPPA and can cause unintentional harm to patients.


]]> 2022-12-19 00:18:08 UTC https://padlet.com/czapla2/qbrhj7b5wmyxfe1f/wish/2424268178