Western Mindanao State University

College of Nursing
Nursing Informatics

NURSING AND COMPUTERS

• COMPUTER
• Most powerful technological tool to transform the nursing profession prior to the new
century
• Transformed the nursing paper-based records to computer-based records
• 4 MAIN FUNCTIONS OF COMPUTER
1. Accepts data
2. Processes data
3. Produces output
4. Stores results
ST ND RD TH TH
• EVOLUTION OF COMPUTERS 1 , 2 , 3 , 4 , 5 GENERATION AND MORE TO COME…
• 1940 – 1956: First Generation – Vacuum Tubes
• 1956 – 1963: Second Generation – Transistors
• 1964 – 1971: Third Generation – Integrated Circuits
• 1972 – 2010: Fourth Generation – Microprocessors
• 2010- : Fifth Generation – Artificial Intelligence
• CLASSES OF COMPUTERS
• Analog Computer
– Handle continuous input data i.e. continuously changing electric patterns of the
heartbeat
• Digital Computer
– Handle input that comes in discrete points in time
– Its data are represented by numbers, letters and symbols
• Hybrid Computer
– Contains features of both analog and digital computer
• TYPES OF COMPUTERS
• Supercomputer
– Largest type of computer
– Computational-oriented computer specially designed for scientific applications
requiring gigantic amounts of calculations
– Used in defense and weaponry, weather forecasting, scientific research
• Mainframe
– Fastest, largest and most expensive type of computer
– Workhorse of the business world
– Used for processing, storing and retrieving data.
– Requires special environment—cold and dry.
• TYPES OF COMPUTERS
• Microcomputers (Personal Computers or PCs)
– Used for an increasing number of independent applications as well as serving as
a desktop link to the programs of the mainframe.
• Handheld Computers
– Small, special function computers
– Limited in their expansion capabilities, ability to serve as full participants in the
office network, and the peripherals they can support
 – Personal digital assistants (PDAs)
• TYPES OF COMPUTER
COMPUTER IN NURSING
• Used to manage information in patient care, monitor the quality of care, and evaluate
the outcomes of care.
• Computers and networks are now used for communicating (sending/receiving) data
and messages via the Internet, accessing resources, and interacting with patients on
world wide web (www).
• MAJOR HISTORICAL PERSPECTIVES OF NURSING AND COMPUTERS
• SIX TIME PERIODS
1. Prior to the 1960s
– As the computer industry grew, the use of computers in the health care industry
also grew.
– There were only a few experts who formed a cadre of pioneers who attempted
to adapt computers to health care and nursing.
– The nursing profession was also undergoing major changes.
– The image of nursing was improving, nursing practices and services were
expanding in scope and complexity, and the number of nurses was increasing.
– These events provided the impetus for the profession to embrace computers
2. 1960s
– Uses of computer technology in health care settings begin to be questioned.
“Why computers? “What should be computerized?”
– Studies were conducted to determine how computer technology could be
utilized effectively in the health care industry and what areas of nursing should
be automated
– Computer technology advanced while the number of healthcare facilities
increased.
– Introduction of cathode ray tube (CRT) terminals, online data communication,
and real time processing added important dimensions to computer system,
providing more accessible and “user-friendly” machines.
– Hospital Information Systems (HISs) were developed primarily to process financial
transactions and serve as billing and accounting systems.
3. 1970s
– Nurses began to recognize the value of computer for their profession.
– Nurses recognized the computer’s potential for improving the documentation of
nursing practice, the quality of patient care, and the repetitive aspects of
managing patient care.
– They assisted in the design and development of nursing applications for HISs and
other environments where nurses functioned
– Health agencies developed and /contracted for their own computer-based
management information systems (MISs)
4. 1980s
– The field of informatics emerged in the health care industry and nursing.
– NI became an accepted specialty and many nursing experts entered the field
– Many mainframe HISs emerged with nursing subsystems (Patient record, Kardex,
VS, results report, discharge planning)
– Microcomputer or personal computer (PC) emerged.
 – PCs served not only as terminals link to the mainframe computers but also as
stand-alone systems (workstations).
– They were user-friendly and allowed nurses to create their own applications.
5. 1990s
– Early 1990s computer technology became an integral part of health care
settings, nursing practice, and the nursing profession.
– Nursing profession became actively involved in promoting NI.
– In 1992, ANA approved NI as a new nursing specialty.
– Brought smaller and faster computers (laptops, notebooks) to the bedside and
all of the point-of-care settings.
– Workstations and local area networks (LANs) were developed for hospital
nursing units.
– Wide area networks (WANs) were developed for linking care across health care
facilities.
– Internet started to be used for linking across different system.
6. Post 2000
– Early 2000s continued the torrid pace of hardware and software development
and growth.
– These growth is reflected in healthcare and nursing, with developments such as
wireless point-of-care, serious consideration for open source solutions, regional
database projects, and increased IT solutions targeted at all healthcare
environments.

NURSING INFORMATICS (NI)

Defined by American Nurses Association (ANA, 2001)
• A specialty that integrates nursing science, computer science, and information
science to manage and communicate data, information, and knowledge in nursing
practice.
• Facilitates the integration of data, information, and knowledge to support to patients,
nurses, and other providers in their decision-making in all roles and settings.
• This support is accomplished through the use of information structures, information
processes, and information technology.

NURSING INFORMATICS (NI)

• Nursing science is the development of theories and practical concepts for improving
how clinicians and patients administer care and manage conditions. It merges the
worlds of natural, applied, and human science into a multi-dimensional lens that
explores new and better ways to deliver health services.
• Information science is the study of processes for storing and retrieving information,
especially scientific or technical information.
• Computer science is the study of the principles and use of computers.

FOUR MAJOR NURSING AREAS

1. Nursing Practice
– Has become an integral part of the electronic health record (EHR).
– Computer systems with nursing and patient care data, nursing care plans are no
longer separate subsystem of the computerized HISs but rather integrated into
one interdisciplinary patient health record in the HER.
 – Nursing practice data emerged. Used to assess problems, document care, track
the care process and measure outcomes.
– The electronic version of nursing practice—the computer—has revolutionized
and transformed nursing practice
2. Nursing Administration
– Nursing administration hospitals has also changed with the introduction of
computer that links nursing departments together
– Most policy and procedure manuals are accessed and retrieved by computer.
– The internet is being used by nurses to access the libraries, online resources, and
research protocols at the bedside.
3. Nursing Education
– Most universities and schools of nursing offer computer enhanced courses,
online courses, and/or distance education.
4. Nursing Research
– Provides the impetus to use the computer for analyzing nursing data.

THE COMPUTER INFORMATION SYSTEM

• A Computer Information System is a basic, complete and a functional computer.
• It should have the ability to receive user input, process data, and with the processed
data, create information for storage and/or output.
• It includes all the HARDWARE and SOFTWARE required to make it functional for a user.
• Used by people and organizations to collect, input, filter, process, create, manipulate
and distribute and store data.
• A Computer Information System typically includes a computer set: monitor, keyboard,
CPU, mouse and other optional components. All of these components also can be
integrated into all-in-one unit, such as a laptop computer.
COMPONENTS OF THE COMPUTER INFORMATION SYSTEM
• HARDWARE
– Refers to machinery. This category includes the computer itself, which is often
referred to as the central processing unit (CPU), and all of its support equipment.
Among the support equipment are input and output devices, storage devices
and communication devices.
• Common individual computer hardware components that you'll often find inside a
modern computer:
– Motherboard
– Central Processing Unit (CPU)
– Random Access Memory (RAM)
– Power Supply
– Video Card
– Hard Drive (HDD)
– Solid-State Drive (SSD)
– Optical Drive (e.g., BD/DVD/CD drive)
– Card Reader (SD/SDHC, CF, etc.)
• Common individual computer hardware components that you'll often find inside a
modern computer:
– Motherboard
 • The motherboard is the piece of computer hardware that can be thought
of as the "backbone" of the PC, or more appropriately as the "mother"
that holds all the pieces together.
➢ Central Processing Unit (CPU)
• The central processing unit is the computer component that's responsible for
interpreting and executing most of the commands from the computer's other
hardware and software.
➢ Random Access Memory (RAM)
• Random Access Memory, or RAM (pronounced as ramm), is the physical
hardware inside a computer that temporarily stores data, serving as the
computer's "working" memory.
• The purpose of RAM is to provide quick read and write access to a storage
device. Your computer uses RAM to load data because it's much quicker than
running that same data directly off of a hard drive.
➢ Power Supply
• The power supply unit is the piece of hardware that converts the power
provided from the outlet into usable power for the many parts inside the
computer case.
• It converts the alternating current from your wall outlet into a continuous form of
power called direct current that the computer components require. It also
regulates overheating by controlling voltage, which might change
automatically or manually depending on the power supply.
➢ Video Card
• The video card is an expansion card that allows the computer to send graphical
information to a video display device such as a monitor, TV, or projector.
➢ Hard Disk Drive (HDD)
• The hard disk drive is the main, and usually largest, data storage hardware
device in a computer. The operating system, software titles, and most other files
are stored in the hard disk drive.
➢ Solid-State Drive (SSD)
• Solid state is a term that refers to electronic circuitry that is built entirely out of
semiconductors. The term was originally used to define those electronics such as
a transistor radio that used semiconductors rather than vacuum tubes in its
construction. Most electronics that we have today are built around
semiconductors and chips.
• In terms of a solid state drive, it refers to the fact that the primary storage
medium is through semiconductors rather than a magnetic media such as a
hard drive.
➢ Optical Drive
• Optical drives retrieve and/or store data on optical discs like CDs, DVDs, and
BDs (Blu-ray discs), any of which hold much more information than previously
available portable media options like the floppy disk.
➢ Card Reader
• The generic term for an input device that reads flash memory cards. It can be a
standalone device that connects to a computer via USB or it may be integrated
into a computer, printer, or multifunction device.
 Here is some common hardware that you might find connected to the outside
of a computer, although many tablets, laptops, and netbooks integrate some of
these items into their housings:
a. Monitor
b. Keyboard
c. Mouse
d. Battery Backup (UPS)
e. Flash Drive
f. Printer
g. Speakers
h. External Hard Drive
i. Pen Tablet
• Here are some less common individual computer hardware devices, either because
these pieces are now usually integrated into other devices or because they've been
replaced with newer technology:
a. Sound Card
b. Network Interface Card (NIC)
c. Expansion Card (Firewire, USB, etc.)
d. Scanner
e. Projector
f. Floppy Disk Drive
g. Joystick
h. Webcam
i. Microphone

• The following hardware is referred to as network hardware, and various pieces are
often part of a home or business network:
a. Digital Modem (e.g., Cable Modem, DSL Modem, etc.)
b. Router
c. Network Switch
d. Repeater
e. Print Server
f. Firewall
• Network hardware isn't as clearly defined as some other types of computer hardware.
For example, many home routers will often act as a combination router, switch, and
firewall.
Modem vs Router
• The difference between a modem and a router is that a modem connects to the
internet, while a router connects devices to Wi-Fi
• Modem
What it Can Do
• Connects to your ISP(Internet Service Provider).
• Compatible specifically with the ISP.
• Converts the signal from them to a universal one that your computer can use.
What it Can't Do
• Create a local network.
• Run WiFi.
• Connect multiple devices to the internet.
• Routers
• What it Can Do
• Creates a local area network(LAN).
• Allows you to split your internet connection to all of your devices.
• Hosts WiFi.
• Run a firewall.
• Connect to a VPN.
• What it Can't Do
• Connect directly to the internet.
• Decode the signal from your ISP.
• There's more computer hardware called auxiliary hardware, of which a computer
might have none, or several, of some kinds:
a. Fan (CPU, GPU, Case, etc.)
b. Heat Sink
c. Data Cable
d. Power Cable
e. CMOS Battery
f. Daughterboard
• Some of the devices listed above are called peripheral devices. A peripheral device is
a piece of hardware (whether internal or external) that isn't actually involved in the
computer's main function. Examples include a monitor, video card, disc drive, and
mouse.

• SOFTWARE
a. General term applied to the instructions that direct the computer’s hardware to
perform work.
b. Hardware consists of physical components, whereas software consists of
instructions communicated electronically to the hardware.
• Software is needed for 2 purposes:
a. Computers do not directly understand human language, and software is needed
to translate instructions created in human language into machine language.
b. Packaged or stored software is needed to make the computer an economical
work tool
TYPES OF SOFTWARE
• System Software
a. the basic computer software that commands the computer hardware and
computer system to perform specific task.
b. Includes basic input and output system, operating system, machine servers,
utility programs and windows
• Programming Software
a. Provides tools to assist programmer in writing commands or codes using different
programming languages in a more convenient way
• Application Software
a. Compiled readily executable program that can be used in different application
(HER, games, etc.)
3 BASIC TYPES OF SOFTWARE
• Commercial
• Shareware
 • Open Source
• TELECOMMUNICATION
a. Telecommunication is left out of some lists of computer-based information
system (CBIS) elements, but for a CBIS that involves more than one piece of
hardware to function, communication or connectivity is a necessity. This is, in
part, because parts of it are covered under hardware. The components that
allow one computer to communicate with another are hardware and are
controlled by software. If communication between people is included in this
element, though, it is an important element.
• DATABASE
a. Facts that are used by programs to produce useful information. Like programs,
data are generally stored in machine-readable form on disk or tape until the
computer needs them.
• PEOPLE
a. Every system needs people if it is to be useful. Often the most over-looked element
of the system are the people, probably the component that most influence the
success or failure of information systems.
• PROCEDURES
a. Are the policies that govern the operation of a computer system. "Procedures are
to people while software is to hardware" is a common analogy that is used to
illustrate the role of procedures in a CBIS.
TYPES OF AUTOMATED DATA USED IN HEALTHCARE INFORMATION SYSTEM
• INTEGRATED SYSTEMS
NURSING INFORMATION SYSTEMS
• CIS is a computerized system that organizes, stores and double checks all your medical
information. Your health history, prescriptions, doctor's notes and dictation and all other
information are kept together, electronically. This replaces the paper charts of the past.
ADMINISTRATIVE NURSING INFORMATION SYSTEM
NURSING EDUCATIONAL INFORMATION SYSTEM
NURSING RESEARCH INFORMATION SYSTEM
• NURSING INFORMATICS AND HEALTHCARE POLICY
• Nursing Information System
– Are computer systems that manage clinical data from a variety of healthcare
environments, and made available in a timely and orderly fashion to aid nurses in
improving patient care.
– Helps in determining diagnoses, preparing and implementing of nursing care
plan, and evaluating the care provided.
• Nursing Informatics
– A specialty that integrates nursing science, computer science, and information
science to manage and communicate data, information, and knowledge in
nursing practice.
• NURSING INFORMATICS AND HEALTHCARE POLICY
• Nursing Informatics Specialist
– Responsible in providing clinical information and data analysis for effective
patient care and monitoring.
– Should have a good understanding of basic nursing techniques and standards
coupled with statistical data collection, data analysis and interpretation.
 • Role and Limitations of Nursing Informatics
– Development of nursing informatics in the Philippines will transform the way
hospitals, clinics and healthcare systems acquire, store, process and converse
information from one institution to another.
– Offer significant benefits to patients, healthcare providers and healthcare
management.
• NURSING INFORMATICS AND HEALTHCARE POLICY
– If not used properly, will give rise to ethical and legal challenges in the protection
of patient confidentiality, privacy and secrecy.
– One of the effective countermeasures against illegally seizing sensitive data is by
using specialized customized transmission techniques.
– THE INTERNET:
A NURSING RESOURCE
• Carries an enormous collection of information resources and services that change the
lifestyle of the humanity.
• Nurses and other healthcare professionals use the power of internet to establish
communications, documentation dissemination, data and information transfer, etc.
• Since the internet has a collection of vast information, the patient already has an idea
of his/her condition before consulting to nurse or healthcare provider.

Information Technology System Applicable in Nursing practice

Electronic Health Record
- computerized patient records
- large data are being stored
- manage health information using modern information techniques
- made up of electronic medical records (EMR) from different departments such as
laboratory, radiology, pharmacology department, etc.
Types of Data Stored in EHR
• Patient Profile
• Results of medical examination
• Medical History; History of allergies; immunization record, etc.
• Development of health condition and status
• Results of diagnostic tests
• Medication History
• Records of appointments
• Billing Records

HOSPITAL/CRITICAL CARE APPLICATION

Critical Care Nursing
an area of expertise of Nursing that focus specifically to life-threatening health problems of a
critically-ill patient.
Critical Care Nurse
ensures that critically-ill patients should receive optimal nursing care.
Performs complex assessment and monitoring, provides high-intensity medication and
continuous therapy.
Critical Care Information System
- Provides real-time resource utilization data and management
of information.
- Integration of medical facilities in the critical care.
- Electronic collection of hospital and patient-specific critical care data of patients
which can be processed to create a patient profile.
Special software is installed in the computer system.
Microprocessor-based and has built-in statistical information.
Advantages of Critical Care Information System
• Integrates and process physiologic and diagnostic information.
• Creates trends and analysis with graphical representation of results.
• Offline simulation can be performed.
• Clinical decision support system.
• Access to vital patient information.
• Provides alert, feedback and quick evaluation of the patient condition.

COMMUNITY HEALTH APPLICATION

Advantages of Integration of Community Health Systems
• Consistent exchange of response.
• Disease Tracking
• Data and information sharing.
• Building Strategies
• Early detection and monitoring of disease and sickness.
• Control of spread of disease.
• National alertness and preparedness.
• Building strong communication.
• Maintaining strong relation between nurses and other healthcare providers.
• Continuous coordination of healthcare professionals.
• Synchronization of the decisions.
• Streamlining of the process.
• Effective management of data and information.
• Optimal operation of hospitals and clinics.
Ambulatory Care Application
Ambulatory Care Information System
- provides automated processing of data and information, patient monitoring and
decision support.
Advantages:
▪ Real-time and easy access to patients’ medical records by healthcare providers.
▪ Allows more time for comprehensive patient counseling and review.
▪ Reduced errors
▪ Improved clinical outcome analysis.
Automated Ambulatory Care Information System
- integrates data to the other data and transform into knowledge.

EMERGENCY PREPAREDNESS and RESPONSE

Health information system captures the scenario or condition where emergency preparedness
and immediate response is on prioritized.
Emergency and Response process is to STOP the spread of diseases, infection, epidemics, etc
• Submission of data should be done on real-time so that immediate preparedness will
be applied to unaffected areas or community and proper response from the healthcare
provider are provided simultaneously.
• Segregation of data should also be captured in the reporting system to eliminate
redundancy of data and maintain integrity of results.
National Electronic Disease Surveillance System
- integrated to national health information system to enhance the emergency preparedness
and response system.
ADMINISTRATIVE ASSISTIVE DEVICES and WORKPLACE TECHNOLOGIES
Computerized nursing systems on administrative applications ̶ can help nursing manage and
use information to fulfill its unique data requirements:
❑ Clinical Needs (Patient care, documentation, etc.)
❑ Strategic Needs (Organizational performance, support processes, etc.)
❑ Quality Management Needs (Outcome measurement and regulatory compliance)
❑ Resource and Personnel Management Needs ( Scheduling, continuing education, staff
development).
• Examples of Computer Applications for Administrative Information Management
▪ Nursing Intensity
▪ Patient Classification System
▪ Staffing and scheduling system
▪ Unit activity reports
▪ Error reports
▪ Incident reports
▪ Infection control
▪ Training and Education
▪ Financial planning
▪ Hospital expansion
▪ Personnel files
▪ Quality assurance
Benefits of Using Information Technology for Nurse Administrators
➢ Expanded use of nursing staff resources.
➢ Improved quality of patient care monitoring.
➢ Improved documentation.
➢ Improved communication.
➢ Improved planning.
➢ Increased standardization of nursing practice.
➢ Ability to define nursing practice and associated issues.
➢ Ability to define methods to track patient care delivered, outcomes achieved, and
revenue generated.
➢ Enhanced recruitment and retention.
➢ Improved evaluation of care provided.
➢ Support for the dynamic organization, capable of change.
TELEHEALTH
American Nurses Association (1997)
-delivery of healthcare services or activities with time and distance barriers removed
and using technologies such as telephones, computers, or interactive video transmissions.
TELEHEALTH
Mosby’s Medical and Nursing Dictionary (1998)
- use of telecommunication technologies to provide healthcare services and access to
medical and surgical information for training and educating healthcare professionals and
consumers, to increase awareness and educate the public about health related issues and to
facilitate medical research across distances.
TELEHEALTH
Nurses are involved with telehealth technologies:
❑ Personal Digital Assistants are used at the bedside to enhance the safe delivery of
care with access to clinical resources, drug databases, and medication calculation
functions.
❑ Home healthcare nurses document stages of wound healing with a digital camcorder.
❑ Patients with heart failure use two-way video devices to participate in a congestive
heart failure program from home

Informatics Applications in Evidence-Based Nursing Practice

Evidence-Based Practice (EBP)

- Is a systematic approach to clinical decision-making that uses the best evidence available
in making decisions about patient care (Sackett et al.,2000).
EBP Three (3) Components:
1. Critical appraisal of the relevant research evidence.
2. Healthcare practitioner clinical experience
3. Patient’s values and preferences.

Clinical Decision Support Systems (CDSS)

- Are systems designed to support healthcare providers in making decisions about the
delivery and management of patient care (Androwich & Kraft, 2011)
Decision Support Systems (DSS)
-are automated tools designed to support decision-making activities and improve the
decision-making process and decision outcomes. Such systems are intended to use the
enormous amounts of data that exist in information systems to facilitate decision processes
(Androwich & Kraft, 2011).
Clinical Practice Guidelines
- Systematically developed statements to assist practitioner and patient decisions about
appropriate healthcare or specific clinical circumstances (Institute of Medicine, 1990).
 INFORMATION SYSTEM IN THE FIELD
THE INTERNET

Internet, a system architecture that has revolutionized communications and methods of

commerce by allowing various computer networks around the world to interconnect.

Sometimes referred to as a “network of networks”

THE INTERNET: A NURSING RESOURCE

Carries an enormous collection of information resources and services that change the
lifestyle of the humanity.
Nurses and other healthcare professionals uses the power of internet to establish
communications, documentation dissemination, data and information transfer, etc.
Since the internet has a collection of vast information, the patient already has an idea of
his/her condition before consulting to nurse or healthcare provider.
PDA AND WIRELESS DEVICES
PDA (Personal Digital Assistant)

Designed to work both as a stand-alone computer and as a device that communicates with
other computers.

Common way to communicate to a computer is thru a cable—synchronize

- WLANs
- Bluetooth –short intervals
- Infrared Data Association (IrDA)—requires direct line of site

Smartphone (hybrid device combining wireless telephone, email, internet access and PDA
organizer functions) is the opposite end of the continuum.

Represents convergence between computing and communication

EMAIL

Email is short for 'electronic mail’.

Similar to a letter, it is sent via the internet to a recipient.
An email address is required to receive email, and that address is unique to the user.

Some people use internet-based applications and some use programs on their computer to
access and store emails.

BOOKMARK
When referring to an Internet browser, a bookmark or electronic bookmark is a method of
saving a web page's address.
A bookmark is very useful when you find a web page that you want to remember and be
able to look at another day.

When you bookmark a web page, you are creating a shortcut for quick access to that web
page.

You can access that bookmark at any time and view the web page as many times as you
want without having to search the Internet to find it again.
How to view bookmarks using shortcuts

Google Chrome - Ctrl+Shift+O or Cmd+Shift+B on

Mozilla Firefox - Ctrl+B or Ctrl+Shift+B
Microsoft Edge - Ctrl+I

Internet Explorer - Ctrl+I

Opera - Ctrl+Shift+B

Safari - Command+D.
VIDEO CONFERENCE
A video conference is a live, visual connection between two or more people residing in
separate locations for the purpose of communication.
At its simplest, video conferencing provides transmission of static images and text between
two locations.
At its most sophisticated, it provides transmission of full-motion video images and high-quality
audio between multiple locations.

VIDEO CONFERENCING BENEFITS

1. Reduced Travel Time and Costs

The oldest recognized benefit of video conferencing is reduced travel time and expenses.
The ability for managers, internal teams, and IT personnel to be in client meetings or solve
issues without leaving their offices can help drive business productivity. Providing video
capacity for your customers can create a competitive offering. Even hiring can be less of a
hassle if persons unable to be part of the live interview process can evaluate the candidate
from the recorded video call.
2. Optimized Attendance
Increased attendance from dispersed internal teams and clients is possible for participants
who otherwise would have been debilitated by location. Further, video recording
capabilities mean that, if needed, all individuals who need the data (such as staff training or
presentations) can get the information when it is easiest for them, rather than delaying or not
attending the meetings.
3. Structured Meetings with Improved Communications

Because people are calling from different locations, defined start and end-times are often
agreed upon prior to the video call. This allows for a more intensive discussion with less chit-
chat, and participants are more likely to stay alert and focused on what is discussed4.

4. Increased Productivity
As a result of improved communications, participants are more in sync, decisions are able to
be made faster, and productivity increases.

5. Employee Retention
The mobility offered by cloud-based video conferencing positively contributes to employee
retention. Less travel requirements allow a better work/life balance and employees can
choose to work from home to alleviate cost of commuting. Remote employees can still have
close relationships with team members, as video’s real-time face-to-face interactions are
richer than any alternative to in-person meetings.
6. Sustained Competitive Advantage

All of these aspects mean video conferencing provides a strong competitive advantage for
your business. There’s no benefit to being second, but with the right unified communication
system, you can maintain a strong business position through effective collaboration and
productivity improvement.
WEB 2.0

Web 2.0 is the name used to the describe the second generation of the world wide web,
where it moved static HTML pages to a more interactive and dynamic web experience.
Web 2.0 is focused on the ability for people to collaborate and share information online via
social media, blogging and Web-based communities.
WEB 2.0
Blogs and wikis are some of the new and exciting web 2.0 technologies.

‘Web 2.0’ is a term used to describe online tools which facilitate information sharing,
creativity and collaboration over the internet.

Other examples of popular web 2.0 technologies include video sharing sites such as YouTube
and social networking spaces like MySpace or Facebook.
BLOGS, WIKIS AND PODCAST
A blog is an informal website consisting of time stamped articles, or posts, in a diary or journal
format, usually listed in reverse chronological order.

You use a blog when reflecting interests, opinions, and personalities.

A wiki is a collaborative web site that allows users to create, add to, modify, or delete the
web site content via their web browser.

You use a wiki to look up information or look for references for a research paper.
A podcast is a digital medium that consists of an episodic series of audio, digital radio, PDF
subscribed to and downloaded through web or streamed online to a computer or mobile
device.
You use a podcast to hear music or streamed talk shows.

HEALTH TEAM and IT TEAM

Clinical Health Informaticist
has a key role in ensuring the adoption of HER technology and the sustainment of benefits.

facilitates interdisciplinary workflows and using metrics to drive improvements in patient care.

IT Departments

are responsible for meeting the challenges of new-syatem introductions as well as managing
the continuous upgrades to existing ones.

Nursing Information Team

ROLES AND RESPONSIBILITIES:
Document conformity to state and federal government regulations.

Manage credentialing.
Develop risk management programs to reduce organizational liabilities, identify legal risks
and minimize financial liability in legal matters.
Recruit and retain qualified staff.
Support the personnel, information and technological infrastructure necessary to further
organizational goals.
Assure customer (patient) satisfaction.
Establish patterns of care, benchmarks and outcomes necessary for evaluating past and
forecasting future patient care quality.
Ensure effective and efficient use of facility, equipment, service and financial resource
utilization.
Determine case mix in terms of patient diagnosis, age, and other variables to optimize third-
party payer reimbursement.
Assure follow-up care of chronic patients and assess efficiency of that care.
Satisfy data requirements of managed care contracts.

Demonstrate organizational efficiency, effectiveness, and performance to optimize

competitive position.