1. Introduction: How to teach socio-technical analysis in healthcare?
Healthcare is highly information-intensive; i.e., healthcare activities rely heavily on information being transferred between patients and various care providers, collected, stored, processed and used. The purposeful use of information within activities can be seen as a socio-technical information system (IS) [1, 2], within which information technology (IT; manual or computer-based) is used as a means of work by individual actors or as a means of coordination and communication between actors [3]. To develop such socio-technical systems, the focus should on the work activities as the basic unit of analysis, instead of the IT artefacts embedded in the IS [4].
The Activity Driven (AD) approach on Information Systems Development (ISD) has been studied and developed in the University of Eastern Finland (University of Kuopio until 2009) since the early 1990s [5, 3], with the main focus on healthcare activities and healthcare information systems. It is a socio-technical and participatory approach based on Activity Theory [6] with the primary goal of providing methods that emphasize the intertwined development of work and IS. The approach encourages IS developers and “users” (e.g., healthcare providers) to study collaboratively how different kinds of work activities are actually arranged and conducted, including what kind of information and technology do the actors need within those activities.
The approach comprises several interrelated parts, including the Activity Analysis and Design (ActAD) framework [5], the Activity Driven Information Systems Development Model (AD ISD) [3], and a methodology for depicting healthcare “landscapes” [7]. Some initial practical meth...
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Introduction “Health informatics is the science that underlies the academic investigation and practical application of computing and communications technology to healthcare, health education and biomedical research” (UofV, 2012). This broad area of inquiry incorporates the design and optimization of information systems that support clinical practice, public health and research; understanding and optimizing the way in which biomedical data and information systems are used for decision-making; and using communications and computing technology to better educate healthcare providers, researchers and consumers. Although there are many benefits of bringing in electronic health systems there are glaring issues that associate with these systems. The
Though the benefits of IT are numerous, successful adoption into healthcare has been difficult. The Medicare Payment Advisory Commission (2004) states, “barriers include the cost and complexity of IT implementation, which necessitates significant work process and cultural changes” (p. 158). These challenges, sadly, have resulted in a series of ineffective systems.
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Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.
Over the past five years, numerous legislative acts have fundamentally changed the way the country thinks about healthcare. Nowhere have the changes been felt more than for those delivering care. However, often providers do not stop and consider how the changes affect patients, which is unfortunate as patient acceptance and participation in their healthcare can improve outcomes. Murphy (2011) concurred that healthcare should revolve around the patient rather than the patient treated as a passive participant. Her viewpoint extended to implementing health information technology (HIT) that is patient-centric and collaborative in helping patients become a full partner in their preventative self-care and disease management.
1). The TIGER Initiative seeks all nurses to make health information technology the stethoscope of the 21st century (Westra & Delaney, 2008). TIGER was established after a health information technology (HIT) session was called by Dr. David Brailer (Walker, 2010). Nursing informatics leaders attended the HIT session, but they were surprised to learn that nurses were not a part of the presentations given on the future of HIT (Walker, 2010). After the HIT sessions, nursing leaders met and decided to make the voices of nurses known in the HIT future. “In early 2005, the group held a strategy session to bring together nurses from academia, government, and industry, coined the name TIGER, and began designing an invitational summit” (Walker, 2010, p.353, para. 1). In 2006, the summit was held to establish nursing’s role in the future of HIT. 100 nurses from all different specialties, not just informatics, attended the summit (Walker,
My overall vision is to develop and promote information technology solutions to better improve health outcomes, patient safety, and prevention of medical errors in underserved countries. In closing, Health informatics and Health Information Management is an exciting program that is designed to provide me with a suite of resources to help me develop essential leadership, teamwork, and healthcare management skills that will help me to become successful leader in healthcare
This essay reviews the history of RAD and OOAD as recently emerged information systems development methodologies distinguished for high levels use of iterative prototyping and customer involvement, analyzes their features and observes the comparisons between the two.
It has widespread uses in healthcare, including specialty practice. Numerous roles have developed based on the growing education and applications of the nursing informatics knowledge base. Joyce Sensmeier, RN-BC, MS, CPHIMS, FHIMSS, FAAN, vice president of informatics for HIMSS said, “the demand for informatics nurses is outpacing supply, especially as electronic health records become the norm and hospitals move to optimize their use.” Reports indicate that only 9% of hospitals had adopted electronic health records in 2008 (MMN, 2017). In 2013, more than 80% have demonstrated meaningful use of EHRs, per the U.S. Department of Health and Human Services. The U.S. has around 8,000 nurse informaticists today, with a forecasted need of 10 times that number in the years to come (MMN, 2017). That is a considerable amount of workforce required, it is clear why nursing informatics is a booming specialty with plenty of exciting opportunities. Per the latest data from the Healthcare Information and Management Systems Society, average salaries for nurse informaticists increased 42% in seven years, from $69,500 in 2004 to $98,702 in 2011 (Hill et al.,
Information and Communications Technology (ICT) is reshaping the health care system in the United States at an accelerating rate. In earlier times US Healthcare system was more focused on intervention of diseases, but now it is moving more towards preventive approach and I see Health IT as the most important tool that can lead this change. I strongly believe that my professional goals, range and depth of my experience and knowledge is an asset and my enthusiasm for the field makes me an ideal candidate for the Master of Professional Studies in Technology Management (Health Information Technology) program at Georgetown University.
Information and Communication Technology (ICT) has been shown to be increasingly important in the education or training and professional practice of healthcare. This paper discusses the impacts of using ICT in Healthcare and its administration. Health Information technology has availed better access to information, improved communication amongst physicians, clinicians, pharmacists and other healthcare workers facilitating continuing professional development for healthcare professionals, patients and the community as a whole. This paper takes a look at the roles, benefits of Information and Communication Technology (ICT) in healthcare services and goes on to outline the ICT proceeds/equipment used in the health sector such as the
It comes with many challenges and stressors of every sort however, with all of its complexity my passion in caring for the people I serve comes great satisfaction. I care equally for the ill as I do for the healthy. To me illness prevention is as important as disease treatment and often find myself providing education to others such as friends, family, and of course my patients. As I continue my plans in furthering my education in completing my Bachelorette in Nursing (BSN), I will move forward in achieving my Masters in Nursing (MSN). Having achieved this will open more doors in continuing my career in Nursing Informatics (NI). Moving from the clinical specialist at bedside, to now my current position as clinical information technologist (IT), allows me to continue to work indirectly with patients, which I enjoy. I feel I am now more of the advocate for my fellow nurses and physicians building the “user friendly” electronic health record (EHR). Nursing is ever changing, challenging, rewarding, and I am grateful to have had all the opportunities in my career. My career journey will take me to a different aspect of nurturing however, just as important our patients are we too must nurture each other. I am looking forward the continuous growth in my career in clinical IT. I believe in good communication with any new implementation and encourage feedback and input. I let them know they are valued and important to what will ultimately affect them. As stated by Billings and Kowalski (2008) using positive questions can enhance communication, increase the understanding, and commitment in the work force. I always say to my colleagues, “Changing your documentation is not meant to change your standard of practice, only changes the place where you document”. This ultimately puts those at ease as we all know moving from paper charting to electronic can be