The%20Impact%20of%20Healthcare%20Informatics%20on%20the%20Organization

1
The Impact of Healthcare Informatics on the
Organization

• Vikas Arya
• HSCI 740
• Friday, May 17, 2019

2
Telecommunications applications

• Technology is helping healthcare professionals
  work more efficiently.
• Care can be provided in real time over great
  distances.
• Physicians can consult with one another around
  the globe.
• Patients can use the Internet or e-mail to learn
  more about health conditions and educate
  themselves.
• Surveillance systems can enhance emergency
  response efforts by monitoring for signals in
  communities.

3
Effects of technology on inpatient care

• Technology is driving down demand for inpatient
  care, (e.g. telemedicine).
• Moving away from centralized hospital services
  and towards community based healthcare
  services.
• Greater need for IT professionals in healthcare.
  They are adept at using technology to solve
  health issues.

4
Healthcare Professionals response to Informatics
Advances.

• Clinicians feel that IT is challenging their
  authority.
• Would rather use their own judgment in providing
  the right treatment.
• Traditional values conflict with the current
  trend of evidence-based practice.
• IT systems are needed to effectively support
  evidence-based practice implementation and to
  convince healthcare professionals of its value.
• Healthcare professionals are being encouraged
  to follow standards set by experts in the field.
  This includes practicing evidence-based medicine.
• Before SW can be written, IT must prove its value
  to clinicians and change the culture.

5
How Healthcare Informatics is changing
professional practice.

• Using the Internet to
• Obtain information on practice guidelines,
  continuing education, long-distance learning for
  academic degrees.
• Deliver interactive training simultaneously to
  multiple sites.

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How Healthcare Informatics is changing
professional practice.

• Time distribution of work
• Increase frequency of interacting among staff
  nurses, allied professionals and physicians.
• Reduce the time for information transmission.

7
How Healthcare Informatics is changing
professional practice.

• POE implementation issues
• Need long-term commitment usually several years.
• During transition, both paper and e-systems
  exist, duplicating documentation and increasing
  time commitments. Can frustrate clinical staff.
• Many interpersonal barriers exist. Technology
  cannot solve these. Only faith and shift in
  philosophy can do that.

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How Healthcare Informatics is changing
professional practice.

• Acceptance of Healthcare Informatics
• Varied from refusal to requests for additional
  applications.
• Access to hardware and downtime for
  re-programming as well as on-going training of
  staff are noted as barriers to successful
  implementation.

9
How Healthcare Informatics is changing management
roles.

• Support rapid response to change
• Informatics supports localization of decision
  making by being responsive to changes and needs
  in specialized service areas.

10
How Healthcare Informatics is changing management
roles.

• Leaders need IS skills
• Administrators need information about trends.
• Information Systems need to create faster,
  condensed, organized, and more accurate feedback
  that supports decision making without overloading
  the users with information.
• Do not allow previous experiences to bias view of
  how IT might help to resolve a new challenge.
• As IT systems provide more information to
  managers and clinicians, they will be expected to
  interpret information and act on their analysis
  to benefit the organization and its customers.

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How Healthcare Informatics is changing management
roles.

• Danger of cascade effect
• When implementing major IT project, such as EMR
  or scheduling system, balance financial, quality
  and personnel factors and respond to problems
  quickly.
• Otherwise, users may not adapt and respond
  quickly to changes and that could lead to failure
  of the project.

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How Healthcare Informatics is changing management
roles.

• Changing Workgroup Culture
• Managers must encourage persons in the workgroup
  to make decisions about what information is
  relevant to improve overall care.
• Clinicians must be encouraged to use IT and to
  move past initial reservations that they feel.
  They may feel embarrassed because they do not
  have the technical skills, but this will pass as
  they become more proficient.

13
How Healthcare Informatics is changing management
roles.

• Short-term vs. Long-term performance measures
• Move away from short-term goals. In this view,
  employees are costs.
• Employees are assets and their long-term
  achievement approach will provide financial gains
  to the organization.

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How Healthcare Informatics is changing management
roles.

• Paradox of Increased Efficiency
• IT systems make administrators and clinicians
  more efficient.
• Now they both are expected to do multitasking, or
  simultaneous processing of multiple sources of
  information for multiple issues and customers.
• Organizations should provide checkpoints for
  administrators, allowing them to make sure that
  information is being used effectively.