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What is and/or should be nursing’s role in decision making regarding selecting information systems?

What is and/or should be nursing’s role in decision making regarding selecting information systems?

What is and/or should be nursing’s role in decision making regarding selecting information systems?

QUESTION
What is and/or should be nursing’s role in decision making regarding selecting information systems?

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
What is and/or should be nursing’s role in decision making regarding selecting information systems?

ANSWER
Because of the evolving nature of healthcare delivery systems, the selection and application of computer-based information systems has taken on new significance. A paradigm shift toward managing patient care and related costs across a continuum of service needs and across an individual’s life span is focusing more attention on how to best define, represent, and communicate healthcare data. Within this new framework, nursing has primary responsibility and accountability for planning, evaluating, and delivering patient care services. As a result, involvement in the selection of healthcare information systems to support clinical and managerial decision making is critical.
External Information Management Requirements
Any information management system must make it easier for the organization to meet external regulatory requirements and uniform standards of practice. The Joint Commission for Accreditation of Healthcare Organizations (JCAHO), the Computer-Based Patient Record Institute (CPRI), and the Federal Health Reform Act are among the sources of these standards. Efforts directed by each of these sources focus on healthcare organizations’ ability to coordinate and integrate information required to provide efficient and effective patient care at a reasonable cost.
Accreditation of Healthcare Organizations by the Joint Commission
The 1994 JCAHO Accreditation Manual for Hospitals includes a separate chapter on information management (pp. 35-44). The goal of information management within this framework of standards is to ” “Obtain, manage, and apply information to enhance and improve individual performance M. J. Ball et al. (eds.), 233 Springer Science+Business Media New York 1995 234 Nursing Informatics Mary Etta Mills and the performance of organizations in patient care, governance, management, and support processes” ” (p. 35). While computerization is not required, the standards are “compatible with current, cutting-edge technologies” (p. 35).
The standards, as stated, address information identification, design, capture, analysis, communication, and use. The achievement of the standards by the organization is expected to take up to 5 years.
Expectations for information confidentiality and security are among the criteria influencing information system selection in the standards.
• Uniform data definitions (such as minimum data sets and standardized classifications) • Standard data transmission format • Data and information combination • Information sharing between systems • Patient care and nonpatient care data (i.e., clinical and fiscal) linkage over time and among organizational elements
• External database links (e.g., professionallibrary, practice guidelines, comparative data)
• Patient-specific information (such as demographics, assessments, treatment plans, advance directives, informed consent, therapeutic orders, procedures performed, clinical observations, medications ordered and administered, and so on).
• Management of verbal orders and record entry authentication • Data aggregation (e.g., for use in risk management, quality improvement, operational decision making, and planning).
Nursing is frequently the network through which patient care is not only delivered but also coordinated. As a result, the ability of an information system to support the coordination and integration of information required for clinical and managerial decision making is a key concept in guiding the selection process.
The development of accreditation standards for healthcare networks emphasizes the importance of system-level interface and information integration. In this context, networks are viewed as systems made up of multiple healthcare delivery organizations. The guiding principles are continuity of care and service coordination, which are supported by one-time data entry and immediate data availability to all users. Given that nursing care, facilitated by modalities such as critical paths, will eventually extend across care settings, information system selection must include the option of data sharing across care delivery sites. Technology such as a “integration hub” will support “multiple information system links, including one-to-many and many-to-one transactions” in the future (Corum, 1994, p. 26). This method eliminates the need to create point-to-point system interfaces. As a result, the hub would act as a clearinghouse for information routing.

What is and/or should be nursing’s role in decision making regarding selecting information systems?

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