Healthcare Informatics Discussion
Healthcare Informatics Discussion
Health informatics is the practice of information and knowledge management in clinical healthcare and public health
Health informatics, along with nursing informatics, laboratory informatics, public health and populations health informatics, is a profession that interacts with healthcare workers in every role
New positions are being developed in the field of health informatics to meet the changing needs of organizations
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Learning Outcome 3.1 Differentiate between health information management and health informatics.
Teaching Notes
Health informatics is the practice of information and knowledge management across clinical healthcare and public health domains. The new skills and positions in healthcare are part of an evolving area referred to as health informatics. The term medical informatics was widely adopted in the United States in the 1980s, when physicians, scientists, and engineers began to study how computer applications could be used in medical care. In 1989, the American Medical Informatics Association (AMIA) was established. The term medical informatics is not in frequent use today, having been replaced by the term health informatics. Health informatics touches every job in healthcare, whether it is a physician or nurse using an electronic health record, a coder of health records using computer-assisted coding, or case managers as they assist patients by using digitized records exchanged from several locations. At all levels of jobs in healthcare, many existing workers will need to develop new health informatics skills and knowledge. Healthcare Informatics Discussion
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Health Informatics
Health information management helps to shape health informatics so that information can be effectively used
Health informatics focuses on electronic exchange, digital storage, and computerized manipulation of data
Health information management focuses on accuracy, confidentiality, and accessibility of standardized health information
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Learning Outcome 3.1 Differentiate between health information management and health informatics
Teaching Notes
Health informatics is built on top of this governed information and is focused on the resources, devices, and methods required for optimizing the acquisition, storage, retrieval, and use of clinical and related patient data. The tools include not only computers but also clinical guidelines, formal medical terminologies, and information and communication systems. Health informatics is concerned with the clinical setting and patient care, not business operations. The scope of work has been expanded, and increasingly the skills required include working with EHRs, but the focus of HIM continues to be the management and protection of patient data, both in a clinical setting and in secondary uses.
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Health Informatics
The clinical side of healthcare has been slow to adopt information technology
Regional extension centers were established to aid in the implementation of EHRs and HITECH.
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Learning Outcome 3.1 Differentiate between health information management and health informatics
Teaching Notes
The field of health informatics began with the study of how computers could be used in clinical settings. It was narrow and specialized because of the domination of paper records. Computer screens were used for reading diagnostic tests, not for accessing entire patient records.
The adoption of information technology on the business side of healthcare, such as practice management, has been far quicker than on the clinical or patient encounter side. Many finance and business functions, such as the payment of claims by insurance companies and appointment scheduling, are highly automated.
At the end of the section
Have the students read A day in the Life and discuss how it relates to the lecture
Have the students answer the Thinking it Through Questions and then discuss the answers.
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New Skills in An Integrated and
Wired System
Healthcare is changing and data is being used in multiple locations resulting in ongoing modifications to workflow and processes
Changes began with the introduction to digital records and continue towards achieving Promoting Interoperability and Patient-centric healthcare
HIM and Informatics professionals are required to maintain a broad range of skills to assist in the transition of healthcare
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Learning Outcome 3.2 Explain how integrated delivery systems are changing skill sets required for health information professionals.
Teaching Notes
The introduction of HIT into healthcare has disrupted the traditional workflow, because technology and data are being used in what was formerly a paper-based system. Workers are needed to manage this process, especially in organizations as complex as healthcare providers. An area of expertise has developed called change management to support this process. The healthcare system use of patient data beyond the location of the clinician and patient interaction includes transitions in care and patient engagement, existing workflows will change and new workflows will need to be developed. This means new skills for existing workers and positions for new workers with the required skills.
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New Skills in An Integrated and
Wired System
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
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Learning Outcome 3.2 Explain how integrated delivery systems are changing skill sets required for health information professionals.
Teaching Notes
Office of the National Coordinator for Health Information Technology (ONC) identified six areas where skilled specialists are required. These skill sets were in great demand during the early ramp-up and implementation of EHRs but continue to be needed today as systems mature. They support changes in workflow is what these positions have in common.
At the end of the section
Have the students read A Day in the Life and discuss how it relates to the lecture
Have the students answer the Thinking it Through Questions and then discuss the answers.
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Informatics and the Promoting Interoperability (PI) of Health IT
Promoting Interoperability initiatives strive to put each patient in the center of healthcare system by getting the “right information to the right place at the right time”
Health Information Exchanges (HIE) are used to exchange information between organizations as required by Meaningful Use.
Integrated Delivery Networks (IDNs) are becoming more common, and are allowing healthcare organizations to provide better care at a lower cost.
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
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Learning Outcome 3.3 Summarize the informatics skills required to support Meaningful Use.
Teaching Notes
Promoting Interoperability is designed to put the patient at the center of the healthcare system and to ensure that all health information is available for exchange between all members of the care team as well as the patient. The objective is to get the “right information to the right place at the right time.” This will solve many of the problems of paper records, will allow for better care, and should lower costs.
Health information exchanges (HIEs) are organizations that provide the infrastructure and services allowing for the movement of health-related data between nonaffiliated stakeholders based on nationally established standards. HIEs will play a critical role in connecting all stakeholders.
Integrated delivery network (IDN) is a network of hospitals and physicians organized under a single parent company for the purpose of providing care across the full continuum of a patient population’s needs. In many ways, the goals of IDNs are designed to accomplish the standards of Promoting Interoperability, including the evolution to patient- centered care. The purpose of IDNs is to achieve better care and lower costs through productivity and efficiencies
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Accountable Care and Health
Informatics
Healthcare in the US is transitioning from a fee-for-service model to a fee-for-value model under the direction of the Affordable Care Act (ACA)
Provider reimbursement will be aligned with quality and outcome measurements
Patients are encouraged to be more active in their healthcare by using patient portals or personal health records (PHR)
Technology is opening many possibilities monitoring and involving patients using mHealth
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
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Learning Outcome 3.4 Categorize the informatics skills supporting the continuum of care under accountable care and shared savings models.
Teaching Notes
The healthcare system in the United States is undergoing a massive restructuring, primarily through the Affordable Care Act (ACA). US healthcare has been based on a fee-for-service model, with care mostly given on an episodic basis (patients see doctors only when they are sick). The goal of the ACA and other policies is to move healthcare to a fee-for-value model. The hope is to reduce costs and have healthier patients through population health management, including wellness programs. ACOs are established in a partnership between providers and insurance companies.
The ACA called for the formation of accountable care organizations (ACOs) using shared savings models that are supervised by CMS. The movement to ACOs and their focus on patient quality and outcome measurements parallel the PI initiative. The principal means of patient engagement are patient portals and Personal Health Records (PHRs).
mHealth is a Mobile-based or mobile-enhanced solutions that deliver healthcare. As mHealth evolves, mobile devices can capture patient data and automatically send it to PHRs and EHRs. The data will be monitored electronically, with alerts and notifications sent out as appropriate.
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Chapter Summary
Health information management addresses issues with the accuracy, confidentiality and accessibility of health records, while health informatics focuses on information exchange, storage and manipulation of information
Healthcare workflow and processes are changing to increase the integration, interconnection, and interoperability of healthcare data
HIE and IDNs are assisting providers and healthcare organizations with the next stages of Promoting Interoperability
Accountable Care Organizations are driving the adoption of fee-for-value reimbursement, patient portals and personal health records, and mHealth
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
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Chapter Three Summary
Teaching notes:
Before reviewing with the students, have the students list two major takeaways and two outstanding questions/challenges from Chapter Three
Discuss with the students what health informatics skills will HIM professionals need to know.
Discuss what HIM skills will health informatics specialists need.
Discuss how data relates to the fields of health informatics and health information management.
Discuss how the health care workforce is changing
Once an EHR system is in place discuss what health informatics skills are required to implement the stages of implementation.
Discuss the objective of Meaningful Use and how health information exchanges and integrated delivery networks use health information and health informatics in supporting Meaningful Use Healthcare Informatics Discussion
