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Paperless Hospital

Paperless Hospital. Presented by: Dieu Nguyen, RN. Objectives. Describe the trend in paperless hospital Describe hardware/ software used Describe system used Describe Advantages/ Disadvantages. Objectives C ontinued. Describe legal/ ethical issues

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Paperless Hospital

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  1. Paperless Hospital Presented by: DieuNguyen, RN

  2. Objectives • Describe the trend in paperless hospital • Describe hardware/ software used • Describe system used • Describe Advantages/ Disadvantages

  3. Objectives Continued • Describe legal/ ethical issues • Describe informatics competencies • Describe Functions & Responsibilities of Informatics Nurse

  4. What is paperless Hospital? • It is a growing Trend! • 5% were paperless in 2003 • (Cosgrove-Mather, 2003) • 1.5% =6,000 hospitals are paperless as of 2009! (Neergaard, 2009) • Clip art licensed from Google • Images on sensible-computer-help.com

  5. Continuation of Trend Trend changing for: Nurses Doctors Pharmacy Radiology Lab results ! (Neergaard, 2009)

  6. Hardware Used Flat/ LCD screen monitors Mouse Keyboards Printers Modems

  7. Hardware continuation • The Mouse • (Kaminski, 2009) • Clip art licensed from Office.com

  8. Software Trend Used • Internist-1 • Carecast • Flowcast • Groupcast • Imagecast

  9. Software Application • Carecast • Part of the IDX systems Corporation • Acquired by General Electric • Installed at 3,300 sites in 2005

  10. Usability Of CareCast • Axiom # 1 • Axiom # 2 • Axiom # 3 • (Effken, 2009) & (Staggers, 2003) • Clip art licensed from Google • Images on aksenate.org

  11. System Use • IDX System • (Creator of Carecast) • Computer System Design Services • Services healthcare • 138,000 physicians use the services • (IDX, 2010)

  12. Review of System • Evaluation Criteria • Type of information system • Type of healthcare professionals • Function • Configuration • (IDX, 2005)

  13. Review of System Continue • Data Standards • Disease & Procedure Classification System • Nursing Standards Classifications • Recommendation

  14. Advantages of System • 24 hour access • 99.9 percent reliability • Reduces medical errors • Eliminates redundant work • Alerts systems

  15. Disadvantages of Trend • Expensive to launch • Continuous need for upgrades • System failures • Resistance to changes • Not standardized

  16. Legal and Ethical Issues • Licensing • Documentation • Confidentiality • (Albright & Kinsella, 2009 )

  17. Informatics competencies • Pre-requisites • Current nurses • (McGonigle & Mastrian, 2009)

  18. Functions & Responsibilities of Informatics Nurse • What is nursing informatics? • Functions / Responsibilities

  19. Overview of Trend • Paperless Hospital

  20. References • Albright, K., & Kinsella, A. (2009). Telenursing and Remote Access Telehealth. In D. McGonigle & K. Mastrian (Eds.), Nursing Informatics and the Foundation of Knowledge (p. 303). USA: Jones & Bartlett Publishers, LLC. • Cosgrove-Mather, B. (2003). Hospitals installs computer system to help reduce medical errors. Paperless Hospitals’ Popularity Grows-CBS News. Retrieved from http://www.cbsnews.com/stories/2003/01/13/tech/main536267.shtml

  21. References Continued • D. McGonigle & K. Mastrian (2009). Nursing Informatics and the Foundation of Knowledge (pp. 78– 79). USA: Jones & Bartlett Publishers, LLC. • Effken, J. A. (2009). Improving the human-technology interface. In D. McGonigle & K. Mastrian (Eds.), Nursing Informatics and the Foundation of Knowledge (pp. 65 – 72). USA: Jones & Bartlett Publishers, LLC.

  22. References Continued • GE healthcare completes acquisition of IDX systems corporation. (2006, January 06). NEMA. Retrived from http://www.nema.org/media/ind/20060105c.cfm • IDX Flowcast Business Advantage. (2010). Enhancing business performance in physician organizations. Retrieved from http://www.idx.com/common/fc_bso.asp

  23. References Continued • IDX Groupcast Advancing Practice Performance. (2005). Case Study Noran Neurological Clinic. ecommerce solution allows clinic to save time and money. Retrived from http://www.gehealthcare.com/usen/hit/products/centricity_practice/docs/NoranNeurologicalClinicCustomerProfile.pdf

  24. References Continued • IDX Systems Corporation. (2005, March 27). Carecast(TM) Provides Electronic Health Records Nation's Newest Digital Hospital [Press release]. Retrieved from http://www.emrconsultant.com/forum/topic/82-idxr-carecasttm-provides-electronic-health/ • IDX Systems Corporation. (2010). Company History: IDX Systems Corporation. Reference answers. Retrieved from http://www.answers.com/topic/idx-systems-corporation

  25. References Continued • IDX. (2004). Success story: HP technology helps IDX customers successfully address the business side of healthcare. Retrieved from http://www.sweeney-com.com/assets/Clinical%20Brochure_012005.pdf • IDX. (2005). IDX Carecast Advancing Fail-Safe Care. Retrieved from http://www.sweeney-com.com/assets/Clinical%20Brochure_012005.pdf

  26. References Continued • IDX. (2006) Business Plans and Company Histories [The Gale Group, Inc.]. Retrieved from http://www.fundinguniverse.com/company-histories/IDX-Systems-Corporation-Company-History.html

  27. References Continued • ImageCast(GE formerly IDX –RIS/PACS ). (2007) University of Miami Leonard M. Miller School of Medicine. Retrived from http://cet.med.miami.edu/x55.xml • Kaminski, J. (2009). Computer science and the foundation of knowledge model. In In D. McGonigle & K. Mastrian (Eds.), Nursing Informatics and the Foundation of Knowledge (pp. 42 – 45). USA: Jones & Bartlett Publishers, LLC.

  28. References Continued • Kwan, N. & Lutz, B. J. (2009). Hospitals of the Furture: Paperless, Efficient [NBC Dallas-Fort Worth]. Retrieved from http://www.nbcdfw.com/news/health/hospital-patient-records-electronic-technology.html

  29. References Continued • Murray, P. J. & Erdley, W. S. (2009). Emerging technologies and the generation of knowledge. In D. McGonigle & K. Mastrian (Eds.), Nursing Informatics and the Foundation of Knowledge (pp. 397 – 415). USA: Jones & Bartlett Publishers, LLC.

  30. References Continued • Neergaard, L. (2009). Paperless health care? A hospital’s long journey. USA Today [The Associated Press]. Retrieved from http://www.usatoday.com/news/health/2009-07-06-electronic-medical-records_N.htm • PODS Pipeline Open Data Standard. (2010). PODS Data Interchange Standards. Retrieved from http://www.pods.org/48/Data%20Interchange%20Standards/

  31. References Continued • Staggers, N. (2003). Human Factors Imperative Concepts for Information Systems in Critical Care. AACN Clinical Issues, 14(3), 314-16.

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