1.Infrastructure of InformaticsAs applied to nursing and healthcare in todays rapidly changingtechnological worldKimberly Aniskevich, RN Jacksonville University Online RN to BSNInformation Management In Healthcare NUR 353Spring 2013S

2. President Barack Obama,February 9,2009. We have the most inefficient health care system imaginableWere still usingpaper. Nurses cant read the prescriptions that doctorshave written out. Why wouldnt we want to put that on anelectronic medical record thatwill reduce error rates, reduce our long-term costs ofhealthcare, and create jobs right now? 3. No Time for Computers!!! 06:45 Shift Report, Call light, Assessment, Vital Signs,Call light, Medication, Response, Evaluation, Call light,Stat, Diet, NPO, Procedure, Call light, Fall Risk, BradenScale, Mini Cog, Call light, IV, ECG, Lab draw, Call light,CODE, Discharge, Admission, Call light, Transfer,Surgery, Respiratory Distress, Call light, Chest pain,Vomiting, Dr. on the Phone, Call light, Family on thephone. If this then that 07:45 You want me to what with thatcomputer????....Call light OhNO.DOWNTIME... 4. What is INFORMATICSand reallywhy do Icare as a nurse? I takecare of people, notinformationI donthave time for all thatother stuff... Defining the foreign world of Informatics S 5. INFORMATICS The collection, classification, The study and application of storage, retrieval, and information technology to the arts, science, and professions, and to its dissemination of recorded use in organizations and society at knowledge. large.Merriam Webster online IUPUI School of Informatics The discipline focused on the acquisition, Application of information science storage, and use of information in a specific and statistical techniques to the setting or domain.(It) is more about information than technology, with the latter management of information. being a toolto make the best use of information..Business Dictionary Online William Hersh 6. Nursing informatics is a specialty that integrates nursing science, computer science, and information science tomanage and communicate data, information, knowledge, and wisdominto nursing practice. Nursinginformatics facilitates the integrationof data, information, knowledge andwisdom to support patients, nurses,and other providers in their decisionmaking in all roles and settings. Thissupport is accomplished through theuse of information structures,information processes, and information technologyAmerican Nursing Association, 2008 7. INFRASTRUCTURE Basic and usually SUPERSTRUCTURE: permanent framework which supports aConstruction above the basement or foundation, supported by an superstructure and is infrastructure which is in turnsupported by a supported by the substructuresubstructure. SUBSTRUCTURE: Basic framework or foundation that supports a superstructure, and isBusiness Dictionary Online supported by an infrastructure. 8. INFORMATION SYSTEMA combination of hardware, software, infrastructure, andtrained personnel organizedto facilitate planning, control,coordination, and decisionmaking in an organizationBusiness Dictionary Online 9. Infrastructure=Substructure=Superstructure=IT=Informatics=Information=System=Hardware=Softwa re=Equipment=Systems=Services=Fra mework=Support=Storage=Data=Application=Information System=Networks=Knowledge=Nursing Informatics=Evidenced Based Practice (Hey! I know thatone!)=Collaboration=Interface= OUCH.My head hurts 10. Building Blocks of anInformaticsInfrastructure forEvidenced-basedPractice Taken from : Bakken, Informatics and Evidence- based Practice, JAMIA, 2001S 11. Building Blocks of Informatics InfrastructureBUILDING BLOCK APPLYING EVIDENCE TO PRACTICE Provide basis for indexing digital1.) Standardized terminologies and sources of evidence and matchingstructures sources to clinician specific needs.2.) Digital Sources of EvidenceProvide access to evidence. Support the communication among computer based systems to bring3.) Data Exchange Standardstogether patient data and decision logic. Integrate and link heterogeneous4.) Informatics Processessources of evidence. Present clinician alerts related to potential adverse events. Retrieve clinically relevant sources of5.) Informatics Competencies evidence through the use of search tools 12. SO.What do we know?PEOPLE, EQUIPMENTCOMPUTERS, TECHNOLOGYHARDWARE and SOFTWAREKNOWLEDGE, DATA, INFORMATION,EVIDENCED BASED PRACTICE,SERVICE DELIVERY,RESEARCH and DEVELOPMENT,DATA MANAGEMENT,PLANNING AND IMPLEMENTATION,EMR and HEALTH INFORMATIONSYSTEMS.. 13. ReferencesBakken, S. (2001). An informatics infrastructure is essential for evidenced- based practice. Journal of The American Medical Informatics Association, 8(199-201). http://doi: 10.1136/jamia. 2001.0080199Hebda, T., & Czar, P. (2013). Handbook of informatics for nurses & healthcare professionals (5th ed.). Upper Saddle River, NJ: Pearson Education.Hersch, W. (2009). A stimulus to define informatics and health informationtechnology. BMC Medical Informatics and Decision Making2009, 9(24). http://doi10.1186/1472-6947-9-24www.businessdictionary.comwww.merriam-webster.com