MODULE 2: Information Technology System
      - These valuable data include patient's
Applicable in Nursing Practice
3.1: Introduction to Module 2
The application of information technology
systems in nursing practice has resulted to a lot
of transformation and development of systems
within the health care delivery system.   This
module will cover on the application of
information technology on the areas of hospital-
based critical care practice, community and
public health, ambulatory care systems and
emergency preparedness and response and use
of assistive devices for easy monitoring and
referral of patients.
         The use of information technology has
created a great impact in nursing practice that
it open a lot of new opportunities for
development and innovations for nurses.  The
need to update oneself in the current
development has encourage nurses to seek for
continuing education and training to keep
themselves updated in new trends necessary for
clinical practice.  
        As student nurses learn the different
concepts on the application of information
technology, they have taken the first step to
equipped themselves in competencies by nurses
involved in informatics.
3.2: Use of Information Technology in Health
Care Settings
 Health Information  the patient.
        - refers to the data related to a person’s
medical history.
 
diagnoses, procedures or surgeries a patient has
undergone a physician’s clinical notes, or lab
results recorded by a health technician.
(American Health Information Management
Association)
Health Information Technology (HIT)
- defined as hardware, software, integrated
technologies or related licenses, intellectual
property, upgrades or packaged solutions sold as
services that are designed for or support the use
by healthcare entities or patients for the
electronic creation, maintenance, access or
exchange of health information. (HITECH Act,
2009).
- The area of healthcare that oversees the
technology systems healthcare providers use to
manage patient data (Brooks, 2019).
- refers to the electronic systems health care
providers and patients use to store, share and
analyze information (ONC, n.d.)
 
Health Information Technology for Economic
and Clinical Health (HITECH) Act of 2009 
- sought to change the situation by providing
each person in the United States with an
Electronic Health Record (EHR)
- A nationwide HIT infrastructure is developed
so that access to a person's EHR will be readily
available to every healthcare provider who treats
Health Information Management (HIM)
- incorporates the data that go into the systems;
also analyzes and protects the data (AHIMGA)
4 Basic Functions of HIM
 Health information
management encompasses coding and
revenue cycle, informatics, data
analytics, and information governance.
 Coding and revenue cycle
management includes assigning
diagnostic and procedural codes for
billing to managing the revenue flow
from the patient registration to final
discharge.
 Informatics oversees the technology
aspects of managing health information,
whereas data analytics manages the
integrity of data through mapping and
quality improvement processes.
 Information governance focuses on
HIM operations and compliance and
ensures protection of protected health
information (PHI)
Benefits of Health Information Technology
(HIT)
1.  Increased Patient Safety
      Health information systems can:
 Store, display and integrate patient
information such as lab results, medical
imaging which can be retrieved for
reference
 perform program security checks that
could alert medical personnel of
adverse effects the patient might
experience on a certain medication
before it is prescribed
 promotes availability of information
needed for decision-making
2. Efficient Care Coordination
 Information technology systems allow
multiple medical professionals
simultaneously involved in a patient’s
care to record, disseminate, and share
information system
 Allows health staff to document and
share every facet of a patient’s treatment
and data. which can result to a more
seamless experience for caretaker and
patient alike.
3. Enhanced Performance Analysis
 Staff performance, patient care and
stability, and institution efficiency could
be tracked
 Compute staffing decisions based on
individual skillsets
 Allow treatment decisions to be made
proactively based on past performance
data
 Patients could submit feedback
anonymously regarding their level of
care
 Accrediting bodies could utilize
performance metrics to evaluate the
institution
4. Increased Patient Information
Accessibility
 Allow instant access to patient records
to any member of the health team
 Provides access to patient files allowing
patients to be more involved in their
care.
 Patients appear to become more engaged
in their care (Rozembaum and Bates
2013) through information available on
the internet.
5.  Reduced Operational Costs
 Allocate resources and save significant
amounts of money, energy, time, and
supplies
 Arrange medical personnel to best serve
patients
 Allow better management of supplies
 Inventory can easily be done
Technology Informatics Guiding Education
Reform (TIGER) Initiative
-created in 2004
-to collaborate with nursing stakeholders to
create a vision, action, and strategies to improve
nursing education, practice, and patient care
delivery through the use of health information
technology
-defined the competencies recommended for the
NI discipline
Competencies of Nursing Informatics
 Have knowledge of types and clinical
and administrative uses of HIS
 Ensure confidentiality of protected
patient health information.
 Assure access control in the use of
health information systems.
 Ensure the security of health
information systems.
 Possess user skills, including navigation,
decision support, and output reports.
 Understand the principles of health
information system use by healthcare
professionals and consumers are based.

1.  Basic Computer Skills

 Information and communication

technology concepts
 Computer use and managing files
 Word processing
 Spreadsheets
 Database use
 Presentation
 Communication and web browsing

2. Information Literacy
3.3 : Roles of Nurses in Nursing Informatics
 Establish the character and extent of the
Roles within Nursing Informatics
information needed
 Efficiently and effectively access  Systems integration
needed information
 Appraise information and the sources  Process and workflow design
critically
 Information technology security
 Integrates appropriate information into
his/her knowledge base and value  Analysis
system
 Use information effectively, as an  Data integration
individual or team member, to achieve a
specific purpose
 Evaluate outcomes of information use  Clinical application support

3. Information Management  Clinical transformation

 Verbalize the importance of HIS with  Clinical champion

clinical practice.
  Consultation  Prepares new system functionality
through workflow, policies, procedure,
 Patient care coordination education

5.   Provide though leadership

 Leadership, including management and
 Develop clinical system strategies with
administration
hospital leaders
 Integrity and compliance management

 Policy development and advocacy

 Research and evaluation

 User training

 Educational and professional

development

Clinical Informaticist Roles:

1.  Lead change

 Serve as agent of change to move

people out of their comfort zone
 Use shared governance and hold
sponsors and stakeholders accountable

2.  Promote standardization

 eliminate silos
 promote adherence to clinical and
technical standards

3.  Develop relationships and credibility

 Collaborate with other departments to

realize full potential of records

4.  Implement and optimize

 Analyze data to optimize system use and

patient outcomes