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Finkelman, Leadership and Management for Nurses: Core Competencies for Quality
Care, 3rd edition.
1
Chapter 19: Healthcare Informatics and Technology
LEARNING OUTCOMES AND SUGGESTED CLASSROOM AND CLINICAL
ACTIVITIES
LEARNING OUTCOME 1
Discuss the current issues related to and influencing health informatics
Suggestions and Strategies for the Classroom Experience
• Ask the class to identify current issues that the students consider relevant to health
Suggestions and Strategies for the Clinical Experience
• Consider the list made in the classroom about current issues and when possible
apply to the clinical setting.
LEARNING OUTCOME 2
Discuss the impact of informatics and technology on caring.
Suggestions and Strategies for the Classroom Experience
• Ask students to divide into teams and discuss the importance of informatics and
Suggestions and Strategies for the Clinical Experience
• In clinical conference ask students to provide examples of how they used or
observed use of information and technology during their clinical day. How did
information and technology impact the caring process?
LEARNING OUTCOME 3
Examine the critical issues related to privacy, confidentiality, and informatics.
Suggestions and Strategies for the Classroom Experience
• Discuss HIPAA and its implications for staff nurses and nurse managers.
Suggestions and Strategies for the Clinical Experience
• Ask students for examples of privacy and confidentiality that they participated in
or observed during clinical. Was the patient’s privacy and confidentiality
maintained and how?
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LEARNING OUTCOME 4
Examine meaningful use and its relationship to health informatics.
Suggestions and Strategies for the Classroom Experience
• Ask students to describe meaningful use in their own words. How does it relate to
their use of the electronic medical/health report?
Suggestions and Strategies for the Clinical Experience
• Ask a staff person responsible for ensuring meaningful use is followed in an HCO
to speak to the students about the initiative and purpose.
LEARNING OUTCOME 5
Analyze the current status of the electronic medical/health record and other associated
information technology methods and the role of the nurse informaticist.
Suggestions and Strategies for the Classroom Experience
Suggestions and Strategies for the Clinical Experience
LEARNING OUTCOME 6
Critique the implications of health informatics and medical technology to nursing
practice and health care, focusing on practice, management, nursing education patient
education, nursing research, quality improvement, and reimbursement.
Suggestions and Strategies for the Classroom Experience
• Divide students into teams with each team taking one of the topics listed in the
Learning Outcome. Each team should discuss the implications as noted in the
Suggestions and Strategies for the Clinical Experience
• Ask a nurse manager to speak to the class on the topics noted in the Learning
Outcome.
LEARNING OUTCOME 7
Examine current governmental initiatives to improve health informatics.
Suggestions and Strategies for the Classroom Experience
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KEY CHAPTER CONCEPTS
1. The Institute of Medicine informatics core competency is described as “Utilize
2. The IOM identified five informatics requirements that every healthcare professional
should meet: employ word processing, presentation, and data analysis software; search,
3. There is interest in healthcare informatics as supported by provisions in the ACA, by
4. Technology does have an impact on caring; positive and negative. Advancement of
5. The ANA notes that technology may improve: Patient safety; quality; operational
efficiency and effectiveness in interprofessional practice; medication use and processes to
7. Privacy and confidentiality long have been concerns in health care, but now, with
8. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 identifies
steps that must be taken by healthcare providers to protect privacy and confidentiality.
9. In response to the need to streamline information technology methods in HCOs, the
11. Telehealth is the use of telecommunications equipment and communications
networks for transferring healthcare information between participants at different
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12. The critical factor with effective telehealth is the ability of healthcare providers to
13. Benefits from using telehealth in the nursing practice include consistency, accuracy,
quality, completeness, ease, and (some) legal protection.
15. Most HCOs do not have the same electronic medical record systems, making sharing
16. Technology has led to such clinical changes as use of automated medication
17. Mobile technology and communication have become more important, for example,
use of smartphones, email, and social media.
18. Examples of technology methods: automated medication administration; point-of-
20. The government is involved in improving use of technology in health care. It has
developed the National Health IT Strategic Plan (see Box 19-2).
APPLYING LEADERSHIP AND MANAGEMENT
BSN and Master’s Essentials: Application to Content
Chapter identifies which Essentials apply to the chapter content. This information is
primarily for the instructor, but students should understand the how these nursing
education standards apply to the chapter content and the nursing profession.
My Hospital Unit: An Evolving Case Experience
See the overview of the My Hospital Unit feature found in the front of the textbook.
Refer students to the specific My Hospital Unit scenario found in the chapter.
Applying AONE Competencies
The AONE competencies for nurse leaders are found in Appendix A. Ask students to
identify which of the AONE competencies apply to the content in the chapter.
Engaging in the Content: Critical Thinking and Clinical Reasoning and Judgment
See Discussion Questions and Application Exercises at the end of the chapter. Online
options are noted.
Chapter Features: Case Study and Applying Evidence-Based Practice
5
The Chapter Features: Case Study and Applying Evidence-Based Practice features may
be used in both classroom and online formats. The last two slides in the PPT slides
ADDITIONAL CASE
This case is not found in the textbook. It may be used for individual or team assignments:
written assignment and classroom or online team discussions. It may also be used as an
essay question for exams.
Case:
The hospital Documentation Committee is holding its monthly meeting. The chair has
included meaningful use on the agenda. Several members seem confused and ask why
this is on the agenda, stating, “We have much more important issues to consider such as
the concern about documenting in a timely manner.” The chair turns to the hospital
informatics director for a response and then the hospital attorney jumps into the
discussion.
Questions:
1. What is meaningful use?
2. Why is it important to the hospital and the documentation committee?
3. If the hospital ignores meaningful use, what could be the consequences?
4. Why would the informatics director and the hospital attorney be involved?
