1. TOPIC PRESENTATION
ON
HEALTH INFORMATIC
PRESENTED BY
M.SONIA PALMEI
M.SC.(N) 1ST YEAR

2. INTRODUCTION
Health informatics is informatics in health
care . It is multidisciplinary field that uses
health information technology to improve
health care via any combination of higher
quality, higher efficiency and new
opportunities.
The disciplines involved include
information science, behavioral science,
computer science, management science
and others. It deals with the resources,
devices and methods required to optimize
the storage, retrieval and use of
information in health and biomedicine.

3. DEFINITION
HEALTH INFORMATICS
Is the application of computing and
communications technology to health care,
health education and biomedical research.
INFORMATICS
Is defined as the structure, behavior and
interactions of natural and artificial systems
that store, process and communicate
information.
NURSING INFORMATICS
It is defines as the use of computers
technology to support nursing including
clinical practice, administration, education &
research.

4. FRAMEWORK OF NURSING
INFORMATICS-
It relies on the central concepts of data,
information & knowledge.
DATA
INFORMATION
KNOWLEDGE

5. DESIGN SYSTEM TO MATCH
CLINICAL WORKFLOW-
Telehealth
Home health
Ambulatory care
Long-term care
Acute care-all specialties
Outpatient settings
Software development
Redesign workflow

6. GOAL OF NURSING
INFORMATICS
To improve the health of population,
communities, families & individuals by
optimizing information management &
communication.
Use of technology in the direct provision
of care.
In managing & delivering education
experiences.
In supporting life-long learning.
In supporting nursing research.

7. GENERAL PURPOSE OF
NURSING INFORMATICS
It is a way of keeping patient information
properly organized.
Technologies including tablet, computer &
mobiles devices can help nurses keep up
with what they need.
It can also help with staff assignments &
lab results. The idea i.e. technology &
information should be easily accessible to
nurse so that they can do a better job of
caring for their patients.
Another function of nursing informatics is
to help create care plans.
It makes use of the information
coordinated by technology to help nurses
make better decisions.

8. NURSING SKILLS NEED
RELATED TO INFORMATICS
AND TECHNOLOGY
Use information & communication
technology to document & evaluate patient
care, advance patient education & enhance
the accessibility of care.
Use appropriate technology to assess &
monitor patients.
Adapt the use of technologies to meet
patient needs.
Teach patients about health care
technologies.
Protect the safety & privacy of patients in
relation to the use of health care &
information technologies.

9. CHALLENGES OF MANAGING
HEALTH RELATED
INFORMATICS &
TECHNOLOGY
Ethics related to new therapies.
Evaluating the quality of information.
Information security.
OUR FUTURE
Technological advances are advantages
only if nurses find them useful & learn how
to use them.
Nurses may tend to focus on machinery
rather than persons.
Information overload.

10. APPLICATION OF NURSING
INFORMATICS IN NURSING
PRACTICE, EDUCATION &
RESEARCH
DEFINITION
Nursing informatics practice as “a specialty
that integrates nursing science, computer
science & information science to manage &
communicate data, information, knowledge &
wisdom in nursing practice”.

11. HISTORY
Early hospital computer systems are developed
from business computing systems in the late
1950s early 1960s. These were used for
accounting, billing, inventory & similar
business related functions.
Since 1984, Nursing informatics has
established itself as a specialty in the Nursing
practice supported the recommendation of the
council on computer applications in Nursing to
officially recognize NI as a Nursing specialty.

12. A.CLINICAL PRACTICE
The Nursing process is the core of patient care
delivery. Nurses are constantly faced with data
and information. Data & information are
integrated in each step of the Nursing process:-
Assessment
Diagnosis
Planning
Implementation &
Evaluation

13. B. NURSING ADMINISTRATION
E-mail for improved communication.
Cost analysis & finding trends for budget
purpose.
Quality assurance & outcome analysis.
Automated staff scheduling.

14. C. NURSING EDUCATION
Computerized record keeping.
Computerized assisted instruction.
Interactive video technology.
Presentation software for preparing slides.

15. D. NURSING RESEARCH
Effective data management & trends finding
include the ability to provide historical/current
data reports.
The adoption of standard language related to
nursing terms.
Computerized literature searching-medicine,
web sources etc.

16. COMPUTER USES IN HOSPITAL &
COMMUNITY
USES OF COMPUTER IN
COMMUNITY:
When it comes to importance of computers in
hospitals it is undoubtedly an important aspect to
keep in the pace of the technologically advance
world. Below are some of the points which
highlight the uses of computers in hospitals.
Storage of patient data.
Computerized presentation.
Teaching nurses through simulations.
Using computers to advance health care.
Improved quality.
USES OF COMPUTER IN
HOSPITALS:
Medical data.
Medical imaging.
Medical examination.

17. HEALTH INFORMATION SYSTEM
DEFINITION
HEALTH INFORMATION
Health information is any quantifiable & non
quantifiable information that can be used by
health decision-makers & clinicians to better
understand disease processes & health care
issues & to prevent, diagnose/treat health
problems.
HEALTH INFORMATION SYSTEM
Is a information system that uses computers,
communication & programs to collect, store,
process, retrieve & communicate patient care &
administrative information.

18. 1. CLINICAL HEALTH
INFORMATION SYSTEM-
They are often used in large & complex
hospitals to focus on patient specific
data.
This are to study of information
technology and how it can be applied to
the healthcare field to provide treatments
to the patients.
And also specially designed for the use
in the critical care environment such as
icu / Iccu to draws information.

19. 2.ROUTINE HEALTH INFORMATION
SYSTEM-
Ongoing data collection of health status,
health, and health resources.
It provides information at regular intervals
at public, private and community level
health facilities and institutions.

20. 3. HOSPITAL INFORMATION
SYSTEM-
Support of clinical and medical patient
care activities in the hospital.
Evaluation of hospital performance &
cost.
Administration of the hospital daily
business transaction like financial, payroll,
bed census etc.

21. 4.PUBLIC HEALTH INFORMATION
SYSTEM-
Attribution of health status to individuals &
populations in order to promote health status.
This are refer to public acute hospital only.

22. 5. MHEALTH-
Is a general term for the use of mobile phone &
other wireless technology to educate consumers
about preventive health care services.
MHEALTH CARE TEAM-
Doctors
Nurses
pharmacists
Technical administrators.
GOAL-
Is to improve overall, health and wellbeing of
population.

23. E-NURSING
Today, the nurses work in a variety of E-
Health programs such as teletriage. They access
online libraries & databases of clinical practice
guidelines from computers in their work place.
Nurses in specialized areas of practice now
interact with their peers in discussion groups
over the internet.
GOAL-
To enhance nurses to benefit from all
development in information, communication
and technology to improve nursing and patient
outcomes.
TYPES
SMARTER DECISION MAKING-
ICT initiatives such as electronic health,
telehealth, e-mail, and internet resources
enhances the decision making. They give
nurses

24. To access timely, evidence based and expert information and the results is safer
patient care and better health outcomes.
E-NURSING WORK OUTS-
nurses reap the full benefits of technology into their daily practice and also
supports nursing care, communication and access information.
PURPOSE-
To guide the development of ICT initiatives in nursing so that nursing practice and
patient outcomes are improved.
ADVANTAGES-
improved information and knowledge in the nursing practice.
New models of nursing practice and health services delivery will be supported.
Nursing group will be well connected.
Improves the quality of nursing work environments.
DISADVANTAGES-
High expenses.
Decreases manual contribution.
Misuse of the technology provided.

25. TELENURSING-
Telenursing refers to the use of telecommunications
and information technology for providing nursing
services in health care whenever a large physical
distance exists between patient and nurse.
TECHNOLODY USED-
HARDWARE-
COMPUTERS
PALM COMPUTERS
TELEPHONES
GRAPHIC CARD
SOUND CARD
INTERNAL MEMORY
EXTERNAL MEMORY
SOFTWARE-
MONITOR, KEYBOARDS, MOUSE, PRINTER.
WEB CAMERA,SPEAKERS,MICROPHONE
EMAIL,DATABASE, WORD-PROCESSING,
INTERNET, CONFERENCE CALLS.

26. NURSE INFORMATICS
Collecting data from patient.
Assessing data using knowledge.
Document all retrieved data.
Utilize critical thinking skills.
Continue monitoring and utilize available
technology.
ADVANTEGS
Decrease wait times.
Increase continuity of care.
Decrease healthcare costs.
DISADVANTAGES
Decrease face to face interaction.
Risk of decreasing quality of care.
concerns with maintaining confidentiality.

27. E-HEALTH
Is a client- centered world wide wed based network
where clients & health care providers collaborate through
information and communication technologies to research,
seek, manage, deliver, refer, arrange and consult with
others about health related information & concerns.
FORMS OF E-HEALTH-
1.ELECTRONIC HEALTH RECORDS-
Enabling the communication of patient data between
different health care professionals.
2.TELAMEDICINE-
Any health care provided to patients via technology
across a distance.
3.CONSUMER HEALTH INFORMATICS-
To support consumers in obtaining information,
analyzing their unique health care needs & helping them
make decisions about their own health.
4.HEALTH KNOWLEDGE MANAGEMENT-
Means an overview of latest medical journals, best
practice guidelines.

28. TELEMEDICINE
Telemedicine is defined as any health care provided to patients
via technology across a distance.
OR
Telemedicine is defined as the use of tele communication, the
deliver health care expert sharing of medical knowledge with
persons at distance locations.
AIMS
To deliver specialized medical care & advice with in reach of
patient at distant places.
INDIAN SCENARIO OF TELEMEDICINE
Now with the availability of internet connection in most
cities of India interest in telemedicine is increasing day by day
but still major draw back in India is that communication
network is not suitable for most telemedicine applications.
India is an ideal place to use this technology as 80%
population in India lives in villages where treatment is
provided by queen & unqualified practitioners.
Many medical centers in India are now successfully running
telemedicine projects using video-conferencing.

29. HISTORY OF TELEMEDICINE:-
1. Telegraphy and telephony was established in1920s
2. Wireless/Radio in 1950s
3. TV in 1960s
4. Computer & internet in 1990/2000
TYPE OF TELEMEDICINE-
1.REAL TIME TELEMEDICINE:-
Could be use as simple as a telephone call or as complex as robotic surgery. Video
conferencing equipment is one of the most common forms of technologies used in real time
telemedicine.
2.STORE AND FORWARD:-
Involves Medical specialties like dermatology, pathology etc is conductive to this kind. Most
beneficial for population living in isolated communities and remote regions.
OBJECTIVES-
To provide specialized medical advice.
To monitor patient condition.
To guide other medical staff about treatment procedure.
Share patient data among institutions for research purpose.
BENEFITS OF TELEMEDICINE:-
Resource utilization
Early intervention
Cost saving
Increased range of care & education

30. FUNCTIONS-
Video conferencing between patient and specialist doctors.
Transferring of patient’s medical data among hospitals.
Security in data connection.
Storage of information.
STAFFING-
Head of the department.
Consultant.
Network manager.
Program manager.
Web developer.
Telemedicine technician.
Telephone attendant.
LIMITATIONS TO SPREAD OF TELEMEDICINE
POOR PATIENT-Doctor relationships
Patient acceptance
Fear of technology
Low rates of utilization
infrastructure