HISTORICAL PERSPECTIVE Flashcards
application of computer and
information science in all basic and
applied biomedical sciences to
facilitate the acquisition, processing,
interpretation, optimal use and
communication of health-related
data
health informatics
the practice and science of
integrating nursing information and
knowledge with technology to manage and integrate health information.
nursing informatics
- the specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage and communicate data, information, knowledge and wisdom in nursing practice
nursing informatics
integrates nursing, computer and information sciences to
manage and communicate data, information, knowledge and wisdom into nursing practice in order to support patients, nurses and other providers
in their decision-making in all roles and settings
nursing informatics
- responsible for providing clinical information and data analysis for effective patient care and monitoring
nursing informatics specialist
Computerization and electronic processing affects all aspect of health care delivery including:
- Provision and d___ of patient care
- e___ of healthcare providers
- s___ r___ for advancing healthcare delivery
- a___ of health care delivery services
- r___
- s___ and q___ issues
documentation
education
scientific research
administration
reimbursement
safety and quality
- Punch cards
- Card readers
- Sort and prepare data for processing
- Teletypewriters
prior 1960s
1960s - During this period, computer technology advanced,
while the number of health care facilities increased. The
introduction of ___, online
data communication, and ___ processing added
important dimensions to the computer systems providing
more accessible and “user-friendly” machines
cathode ray tube terminals; real-time
Hospitals began developing computer-based information
system which initially focused on physician’s order entry and
results reporting, pharmacy, laboratory and radio reports,
information for financial and managerial purposes, and physiologic monitoring system in the intensive care unit, and a few system started to include care planning, decision support, and
interdisciplinary problem list.
1970s
1980s - The ___ or ___ emerged. This revolutionary technology made computers more accessible, affordable, and usable by nurses and other health care providers.
microcomputer; personal computer
In ___, the first Nursing Special Interest Group on computers
which met for the first time during SCAMC (Symposium on Computer
Application in Medical Care).
1981
In ___, the ANA(American Nurses Association)
approved the formation of the
Council on Computer Application in Nursing(CCAN).
1985
In ___, the first edition of nursing informatics were published.
1986
Nursing Informatics was approved in ___ by ANA as a new nursing
specialty with a separate Scope of Nursing Informatics Practice Standards, established specific credentialing examination for it and demand for nursing
expertise increased greatly.
1992
1990s - The internet was used for ____ or the Information Superhighway and facilitated data exchange between computerized patient record systems across facilities and settings
high performance computing and communication
Development of wireless point-of-care system with focus on Open Source Solution.
2000s
___ became individualized in the Electronic Patient Record (EPR) and patient specific systems considered for the lifelong record or Electronic Health Record (EHR).
clinical information system
In 2004, an ___ established the Office of the National Coordinator for Healthcare
Information Technologies (ONC)
executive order 13335
___ of 2009 (ARRA) and the Healthcare Information
Technology for Economic and Clinical Health (HITTECH) Act of 2009 with the funding to implement HIT and HER systems, support healthcare information exchange, enhance community and university-based informatics education, and support leading edge research to improve the use of HIT.
American Recovery and Reinvestment Act
During 2010, the Office of National coordinator (ONC) convened two national committees: ___ and ___ that focuses on Meaningful Use
(MU) Legislation
national committee on health policy
national committee on health standard
In ___, Saba initiated a history of nursing informatics at the National Library of Medicine. It was initiated
based on the recommendation by ___ who published the History of Medical Informatics in 1990
1995; dr. morris collen
Beginning of 2004, the stories of ____ were captured through a project sponsored by American Medical Informatics Association Nursing
Informatics Working Group.
pioneers of nursing informatics
major nursing standard initiatives
- nursing practice standards
- nursing education standards
- nursing content standards
- confidentially and security standards
Healthcare Information and Management systems Society was
founded
1961
– Development of one of the first hospital Information system in
California
1965
First Conference on Management Information System
1973
First National Conference on Computer Technology in Chicago
1981
– First Nursing Computer Journal is published.
1984
Graduate program in Nursing Informatics is introduced in Maryland university
1989
establishment of electronic library
1993
– First International Nursing Informatics Teleconference held in Australia
1995
JCAHO identified clinical information system as a way to improve safety and
recommends that hospitals adopt technology.
2002
Health Insurance Portability and Accountability Act was enacted
2003
– Establishment of the National Health Information Coordinator
2004
a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery
setting
electronic health record
It automates and streamlines the clinician’s workflow and has the ability to generate a complete record of clinical patient encounter, as well as supporting other care-related activities directly or indirectly via interface including evidence-based decision support, quality management, and outcomes reporting
electronic health record
First, ___ is an essential technology for healthcare and is an integral tool for all professionals
computerized patient record
there was no national coordination or champion for CPRs.
* As a result, the ___ was created in 1992
computer based record institute
true or false - Eventually, the pioneering Computerized Patient Record evolved into
Electronic Medical Record (EMR) and more recently to the Electronic
Health Record (EHR).
true