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L8 (Electronic Medical/ Health Records (EMR/EHR) and My Health Records…
L8
Electronic Medical/ Health Records (EMR/EHR) and My Health Records
Electronic Medical/ Health Records (EMR/EHR)
manage own health
transparency
Access timely
more control over own health
Better healthcare outcomes
conversations with healthcare providers
HOSPITAL EMRs & PRIMARY CARE EMR
Patient portal
Australian Government Initiative: My Health Records
The National Digital Health Strategy Vision
Shifting the vision: Moving from digital health ecosystem to a learning health system
meaning from the case through data analytics --> Feedback on what woks best automatically --> improve and build new knowledge continuously, rapidly, transparently
Defining e-health and health informatics and its relevance to person- centered care
What is E-Health?
e = electronic technology (computers, mobile phones, i- pads/tablets, internet, social media)
Aim: better healthcare and healthier life through digital technology
Tools to lead a healthier life
Collection of high quality data from multiple healthcare sites -- develop algorithms (pathways) on improving health services
Flexible, fits into your life via existing tools (Apps) -- Receiving care at home; Improving patient satisfaction
Robotic Surgery (Da Vinci)
Defining health informatics
Interdisciplinary field linking 4 major stakeholders
IT professionals (computer scientists, engineers, data analysts, software developers, etc)
healthcare providers (healthcare • professionals/healthcare institutions)
public at large (government, universities, advocacy groups) -- policies & procedures, data collection & analysis
Patients/consumers
AIM
Better healthcare and healthier life through digital technology
Optimisation of data capture, data use, information flow and development of new knowledge
Clinical care planning, problem-solving, decision- making, learning
include
Electronic Medical Records /Electronic Health Records
Management of data, use of data and interpretation of data
Support of clinical decision making (computer vs human decision making
Telehealth/Telemedicine
Standards of practice ( Health Informatics Society of Australia)
Data – source for identification of harmful/beneficial interventions
Ethics: use of digital data; custodianship/protection of the data; safety of the data
The problem
New knowledge is exponential
Practice is information-intensive
Defining medical informatics/nursing informatics
nursing science + information science + computer science
empathy not coding
Role of technology in the healthcare: Improving patient journey
Patient journey: the importance of documentation and high quality data
Good communication
Accurate reflection of patient assessment, changes in condition/deterioration
Documentation of care plans, care provided and care evaluated (outcomes)
Progress notes (captured in real time)
Patient information pertinent to continuity of care
Medico-legal requirement -- Accountability (who did what and why)
Linking e-Health and health informatics to person-centred care
attributes of nurse --> care environment --> delivery of care through a range of activities --> results of effective person-centred nursing care
Improving the patient journey: E-health and Medical Informatics