- June 16, 2020
Improving Clinician Productivity, Quality and Patient Service in Clinical Settings Implementing New technologies
ImprovingClinician Productivity, Quality and Patient Service in ClinicalSettings Implementing New technologies
ImprovingClinician Productivity, Quality and Patient Service in clinicalsettings implementing new technologies
Informationand communication technology has become a vital part of the presenthealthcare provision environment as it not only facilitates ease ofdata storage but also enhances patients and organizational results.The facilitation of physicians’ informatics proficiency developmentvia continuing training is vital to improving their willingness topractice accurately and safely in information technology drivenworkplace. For a system to meet the needs of the clients andphysicians in the healthcare sector, informatics integration isessential as it leads to timely and accurate delivery of information.Applications like computerized documentation systems and electronichealth records among others allow medical officers to access client’sinformation in a timely and systematic manner. The uses of suchevidence-informed systems are important when it comes todecision-making at the health facilities. Informatics has helped toensure physicians understand the value of information communicationtechnology and its potential impact on the well-being of patients.Today, the implementation of new technologies in the health sectorhas led to the improvement in clinician productivity and quality, andservices being offered to patients even though security of thesystems remains a vital issue.
Roleof Health Informatics in Improving Clinician Productivity, Quality,and Patient Service in clinical settings
Informaticshas improved clinician productivity, quality, and patient service byreducing the cost of health care since most of the process that usedto take a longer time to complete can today be done within a shortinterval, thus saving on resources. In that, provision of health careservices is not just expensive but is also wasteful based on repeatprocedures, traditional means of sending information that take a lotof time, occurrence of errors and delays in care delivery among manyothers. With the development of an electronic system, clinicianproductivity has improved because information like lab results can beconveyed faster from the lab to the doctor to facilitate fasterprescription. Health facilities that have adopted informatics haveincreased their quality of services being offered, since the systemscan be used to reduce human errors that used to arise fromcalculation and record keeping. Effective knowledge sharing that hasled to improved clinician productivity is also attributed to theinception of health informatics since physicians can share what theyhave learned regarding medicines, diseases, and therapies amongothers, thus sharpening their skills. As information is conveyedforth and back between physicians and clients, patient service andphysician productivity is enhanced since everyone get informed on thetrend in the sector. Medical care informatics has also facilitatedincreased patient service and participation considering that theaccess to one’s clinical information leads to the development ofseriousness (Choi& De Martinis, 2013).In that, a patient with the right information about his healthcondition is in a position to educate himself in an efficient mannerregarding the prognosis in addition to tracking the medications.Increased coordination that means improved patient service is theother role played by informatics since a patient can receive carefrom various health care providers as long as his or her informationcan be shared via electronic health records. Referrals occur often inthe health care sector, thus the faster the client’s information isaccessed by the referral hospitals, the quicker he or she can receiveadditional care.
TheHistory of Health Care Informatics in Improving ClinicianProductivity, Quality, and Patient Service in clinical settings
Thehistory of informatics in enhancing clinician productivity, quality,and patient service has greatly evolved with the rapid advancement ininformation communication and technology. In the late 1960s, thefirst healthcare informatics principles were developed with the aimof enhancing clinician productivity, quality, and patient service andthey include data reporting, laboratory communication control,security of the health information system and the electronic healthrecords systems’ properties. As the electronic health records wereintroduced, public entities worked with the associations of expertsto define various formats such as patient identification,observation, release, and payment transactions. Data exchangeprocedures for various fields in the health sector were standardizedas the health informatics continued to advance. In 1970s, ProblemOriented Medical Information System was developed which all healthcare professions used and it provided a platform to view therelationship of condition, treatments, cost, and results (Fanget al., 2016).In mid 1980s, various researches were done on home care patientsservices and the importance of information systems to clinicians.Automating the medical information systems is considered to be thequality of the patient care in the 1990s, thus migrating fromprocedure to patient-oriented systems. From the year 2000 to date,the development goals of the health informatics have been theenhancement of the computer to recognize the spoken and foreign wordtranslation (Savel& Foldy, 2012).Internet has contributed greatly to the evolution of informatics inthe health sector, from merely supporting but also transforming thehealth services. Information communication technology has affectedevery part of professional practice, which has offered qualityservices to both hospital and home patients.
CurrentIssues the Use of Informatics to Enhance Clinician Productivity,Quality, and Patient Service in a Clinical Setting
Despiteimproved outcome in clinician productivity, quality, and patientservice related to the adoption of informatics in the health caredelivery sector, security of patient’s information remains aconcern in most health facilities because of increased maliciousintrusion into systems. To protect the information of patients,hospitals need to ensure confidentiality and privacy of the storedinformation are maintained at all cost. In the United States, medicalfacilities are responsible for all the damages that arise because ofinformation security breach on the systems as per the HITECH Act. Inthe health care sector, confidentiality of information, that refersto the obligation of physicians who have access to clients’information to hold those records in confidence, needs to beguaranteed at all cost (Gadd,Williamson, Steen, & Fridsma, 2016).On the other hand, privacy also needs to be guaranteed, which refersto the right of the patient to be allowed to make decisions on whoshould access his or her records alone without influence from anyparty (Gadd,Williamson, Steen, & Fridsma, 2016).However, as data is being made more interoperable through sharingbetween departments and health facilities, the securityvulnerabilities tend to increase. Data security is becoming a hugechallenge considering that most patients tend to choose one facilityover the others based on the implemented policies regardingconfidentiality and privacy of client information. The increase intechnology has resulted in sophisticated methods being used byhackers to gain access into health care information system, thusextracting clients’ confidential information. Even though there isdire need of developing a secure information system, the cost ofimplementing all the security controls and policies in a health carefacility is rising on daily basis. One way of assisting healthfacilities to meet these security requirements is by urging thegovernment to take part because they can pool the available resourcesto ensure the necessities are met.
Takinga Stand on the Use of Informatics to Enhance Clinician Productivity,Quality, and Patient Service in a Clinical Setting
Storageof information in the healthcare facility is critical in determiningthe privacy and security of patients’ information, an issue that isof great concern today. Two main storage methods exist for healthfacilities, which include client-server systems and cloud-basedsystems, each with varying level of security. For client-serverstorage systems, the servers are stored within the health facilityand managed by the information technology department. On the otherhand, cloud-based storage of information entails shifting of clients’information to external server where the vendor who has satisfactoryexpertise does the management. Based on the two options, health carefacilities need to go for cloud-based storage because it offershigher security level and increased privacy for the client as opposedto client-server storage. Even though client-server storage maintainsthe information of the clients within the organization, the resourcesrequired to put in place a secure firewall in addition to anencryption technique are normally inadequate. Moreover, the fastadvancement in technology leads to manifestation of new threats thatwill require frequent update of security software, which theorganization may not be in a position to fund (Ohno-Machado,2016).On the other hand, cloud-based storage tends to be more securebecause they are not susceptible to downtime, as they are always upand running when needed. Moreover, cloud-based storage vendors haveadequate resources in addition to the expertise needed to implement asecure encryption technique and to update it frequently. Thus,malicious intruders are rendered useless, as they will not be able toread the accessed information. Patient information is also moresecure when stored in the cloud because the vendor has the neededexpertise needed to secure data on a centralized server. However, thechallenge associated with cloud-based storage is convincing patientsthat the process will lead to higher security because most of themfeel storing information within the facility via client-server is theideal method.
FutureDirection of the Use of Informatics in Enhancing ClinicianProductivity, Quality, and Patient Service in a Clinical Setting
Thefuture of health informatics lies on the empowerment of patientsthrough the development decision support systems and expert systemsthat will allow people to play a major part in their well-being.Expert systems comprise of technologies that attempt to replicate theperformance of human experts or physicians through the diagnosis ofpatients. Similarly, decision support systems include computers thatassist in the general process of decision-making, thus patients caninteract with them by inputting data about their health and getting adiagnosis. The use of these systems seems to be ideal in the medicinefield because they will help with the diagnosis, prescriptiontreatment, and solving problems related to patients without the needfor a doctor`s presence. Today, system developers, with the help ofhealth care providers, are developing applications that monitorpeople fitness and nutrition data and weave them into their healthrecord (Rodrigues et al., 2013). In the highly competitive healthcare industry, health facilities and organizations that can integratesuch applications are the ones that will survive the forces of themarket.
Inconclusion, health informatics has played a greater role in thehealth care sector by reducing the cost of services and eradicatingerrors, even though security remains. To address the issue ofsecurity and privacy, health facilities need to consider cloud-basedstorage, which possesses the needed expertise to safeguard clients’data in addition to unlimited resources. Despite the advantage posedby informatics, health facilities will have to go a step further toensure patients participation in the medical process by developingexpert systems and decision support systems.
Choi,J., & De Martinis, J. E. (2013). Nursing informaticscompetencies: Assessment of undergraduate and graduate nursingstudents. Journalof clinical nursing, 22(13-14),1970-1976.
Fang,R., Pouyanfar, S., Yang, Y., Chen, S. C., & Iyengar, S. S.(2016). Computational health informatics in the big data age: asurvey. ACMComputing Surveys (CSUR), 49(1),12.
Gadd,C. S., Williamson, J. J., Steen, E. B., & Fridsma, D. B. (2016).Creating advanced health informatics certification. Journalof the American Medical Informatics Association, 23(4),848-850.
Ohno-Machado,L. (2016). Data-driven informatics tools targeting patients andproviders. Journalof the American Medical Informatics Association, 23(6),1039-1039.
Rodrigues,J. J., de la Torre, I., Fernández, G., & López-Coronado, M.(2013). Analysis of the security and privacy requirements ofcloud-based electronic health records systems. Journalof medical Internet research, 15(8),e186.
Savel,T. G., & Foldy, S. (2012). The role of public health informaticsin enhancing public health surveillance. MMWRSurveill Summ, 61(Suppl),20-4.