Health informatics and management in nursing

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Health informatics and management in nursing

• Professor Dr. Rutja Phuphaibul
• Department of Nursing
• Faculty of Medicine
• Ramathibodi Hospital
• Mahidol University

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DATA , INFORMATION and KNOWLEDGE

• Data - without interpretation
• Information - with interpretation and put into
  structure
• Knowledge synthesis for relationship and model

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Data Management Process
Data
Information
Knowledge
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BENEFITS

• Increase nursing potentiality in delivering care
• Planning
• Knowledge development
• Effective communication

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Practical Process

• Data collection
• Analysis
• Presentation
• Retrievable

Practice
Research
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What is DATA BASE?Where pool information is
collected , recorded, and retrieved
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DATA BASE PLANNING

• What is data you want to collect? What is the
  data structure?
• How to send the input into the data base, user
  interface design?
• Analysis of data?
• Report format?

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The Importance of IT in Nursing Administration
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• Nursing Informatics and administration
• NI , Manpower and Resource Development
• NI and Learning Organization
• NI and Quality Improvement

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Related Factors to Manpower

• Nursing Organization
• Nursing Service
• Patients
• Personnel
• Others

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INPUT PROCESS
OUTPUT

• Pt. types
• Nursing activities
• Standard
• Structure
• Number of Pt.
• Need of Pt.
• Other

• Quality care
• Pt.s satisfaction
• Staffs satisfaction
• Cost

• Manpower/staff planning
• Staff Mix
• Allocation of staffs

Staffing
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Manpower Planning

• HEALTH NEEDS ANALYSIS
• HEALTH DEMAND ANALYSIS
• HEALTH SERVICE DEVELOPMENT ANALYSIS
• POPULATION RATIO

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• 1. HEALTH NEEDS ANLYSIS
• Mortality rate, specific to illness.
• Identified service NORM
• Transform service demand into number of hours
• Calculate number of nursing hours need per year
  for 1 Pt. eg. For Clinic of Kidney dialysis
  patient
• Averaging number of nursing hours needs divided
  by number of working hours per year for 1 nurse.
  Will suggest how many nurses needed.

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2. HEALTH DEMAND ANALYSIS

• What are the types of service and number of
  patients? For calculation
• Develop statistical model for predicting demad
  according to income, cost age, sex, education,
  location -effective demand

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3. HEALTH SERVICE DEVELOPMENT ANALYSIS

• Estimate human power need according to service
  delivered in each setting-MOPH

Example Ward A has 20 pt. If the average nursing
hours needed is 4 hours/pt. How many nurses are
needed per day?
4 hr.x 20 pt / 7 hr. 12 person/day
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3. HEALTH SERVICE DEVELOPMENT ANALYSIS

• ER 100 pt. /day
• Emergency 3.2 hr /pt/day
• Critical 2.5 hr /pt/day
• Acute 1.0 hr /pt/day
• No urgent 0.5 hr /pt/day

5 pt/day 45 pt/day 40 pt/day 10pt/day
Average 1.74 hr/ pt/day
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Formular (Nursing Institute 2545)
100 x 1.74 x 1.4 7
34.8 nurses
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4. POPULATION RATIO
1500 or 1 1000 population US. 1152
JAPAN 1 307 MALASIA 1740 U.K. 1234
SINGAPORE 1 270 THAI 11226
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?????? IT ?????????? ?????? ??????
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IT for administration 1. Planning ( data base,
search, planning, budgeting) 2. Organizing (
analyze, classify, allocation, staffing, logistic
supply etc) 3. Prevent and solve problem
(Monitoring, supervising, communicating) 4.
Evaluate (QC, standard, Manual, Rewards)
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NI and Knowledge Management
????????????????????????? ????????????????????????
????????????? Enhancing its system (including
people) to continually increase the
organizations capacity for performance.
Learning organization (McMamara)
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Learning Organization

• Own by everyone
• Not Static, always change
• Dynamic
• Moving forwards
• Have its own life

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Look for better solution
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IT AS A KNOWLEDGE TOOL
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Action Research
Data Communicate Analyze
Share thought Share action Share solution Share
celebration
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IT for KM

• Communication
• Data Bases
• Data Mining

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Community of Practice (CoP)

• Global Nursing and Midwifery Alliance (GNMA) by
  WHO set up CoP on line
• Example -Thursday, October 5, 2006 Summary of
  online input
• 1. Online teaching 2. ICTs and the importance
  of sharing information 3. Awareness, cost and
  sustainability 4. ICTs to document Nursing and
  Midwifery contributions to health 5. ICT in
  Uganda, Tanzania, Nepal, Bangladesh, etc.

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NI and QA
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• NI in Patient Information System
• NI in Decision Support System
• NI in Business
• NI in Quality System

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??????????????????????????? (Hospital
Information Systems)
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???????????????????????????? ?(Nursing Recording)
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?????????????????????? Outside Hospital
Recording or Stand alone
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Examples
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????????????? IT ????? Indirect care
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1.      Data base for services Admission,
discharge, DRG for reimbursement.
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• Communication Network (Server)
• Intranet
• Email
• Announcement

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1.  Hospital Information Systems Clinical
data, administration and finance Compucare
(Affinity ) Mediteh , First Data ( Saint
Express ) , TDS ( 7000 Series )
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Other Programs 3M - HELP , PACE ( for
care planning) , ??? STAT (reference)

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  2. Nursing Record in specific department Clini
Com - Clini Care for medical nurses and Emergi
Soft for ER nurse.
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3.    Stand alone system For outdoor use with
laptop such as RN Act and Execlcare
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Decision Support Model Laboratory test, VS
monitor Fix model
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Decision Support Model
Non Fixed The program put other factors into
consideration. For selecting medical appliances
relating to age, sex, severity etc. 3M - HELP
, PACE ( for planning ) , and STAT (reference)
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Treeage Program
Decision Support Model
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• Program for quality management
• Audit
• The program can detect if there is more than one
  patient number are recorded, warning sign will
  be shown. Or when the number of occupied beds are
  more than the actual beds, the warning sign will
  show.
• It can check the drug administration as to follow
  the protocol.

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Program for nursing resource management
APACHE III , Incharge
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Program for Quality Management Code
3 / HIS , Medicus Inter Act system
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Thailand ICNP development

• T

• Thai Nurses Association
• Nursing Division (Institute) , MOPH
• Nursing Informatics Society of Thailand
• Nursing Council of Thailand
• Nursing Education
• Nursing Services
• etc.

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