Healthinformation systems (HIS)
HIS:Definition, description and purpose
Healthcareinformation systems are used in the healthcare sector to correct,store, and manage data that is related to the health of patients andthe activities that take place within the healthcare facilities(Pacific Health Information Network, 2011). Additionally, they areused in the hospitals to ensure that sound decisions are made in aquick manner and with the accuracy needed so that it will be reliableto the users at all levels. The clinicians can make use of the datain the system to improve their service delivery to their clients andbe effective in every transaction that relates to the health of thepatients. The routine data collected by the health staff is fed tothe health information systems and later on it is used in thedecision making process. According to Pacific Health InformationNetwork (2011), the information is collected and processed in such amanner that every clinician can understand all details, in the courseof attending to the needs of the patients. In other circumstances,the information can be used by the state governments to make a soundand equitable resource allocation to its citizens. Undeniably, theHIS impacts the healthcare and the nursing care in several ways. Ingeneral, in HIS data, quality of the patients is emphasized in anequitable and timely manner. The nursing care benefits enormouslysince the systems help them make sound decisions regarding the healthof the patients. The nurses can retrieve the data stored in thesystems concerning any particular patient to ensure that the servicesoffered to a client are reliable and timely. The data in the systemsis of high quality and it greatly contributes to improving the healthservices offered to the clients. The HIS, therefore, is of crucialimportance in the healthcare environment.
Examplesof the topic
Theuse of HIS is widely used in standardized terminology especially,NANDA. The nurses and other healthcare providers make use of thedata, collected by the health information systems, to make thenursing interventions so that nurses are held accountable for anyservices that directly relate to them. A nurse who is familiar withthe electronic systems, in one particular state, can understand theHIS language that is used in all other states. The delivery ofservices for that nurse, therefore, will be simpler compared to anurse who has never used the healthcare systems. The nurses are at aposition to do proper documentation that enables them to unearth allthe health problems that the patients are facing. Assessments listsare made and plans of care can be developed with the help of theNANDA while using the HIS. NANDA has features, like definitions andother characteristics, which can guide even the novice nurses to makethe correct diagnosis (Lundberg et al, 2008).
Similarly,NIC has as well concentrated on the HIS through the research-basedinterventions that have been made by nurses globally. The outcomes ofNIC ensure that the analysis of the data regarding the patients isdone in a quick and efficient manner. The nursing intervention, withthe use of HIS codes, can be used internationally for communicationwith other systems to ensure that there is no contradiction betweenthe health systems. The electronic health records ensure that thenursing interventions are communicated to all the clinicians who arepart of the healthcare staff. The body associated with nursingclassification and the clinical efficiency lays down the proceduresand methods that can be applied while retrieving a clinicalintervention from the health records that are stored in electronicforms. The interventions can then be used like other internationalterminologies in the clinical setting. The NIC consists of sevendomains and 30 classes that when fed into the information system canbe applied in all the clinical settings that are in existence, in allhealthcare facilities worldwide. NIC has been translated intodifferent languages a feature that makes it universally applicable tosuit different countries that do not use a common language.
Experienceof the topic
Theuse of HIS has been applicable in different areas in distinguishedstates. For instance, there is a period I was involved in a teamdoing surveillance in the Sub-Saharan Africa concerning the HIVassisted partner services where we were using the HIS (Cherutich,Golden, Betz, Wamuti, Ng`ang`a, Maingi, & Farquhar, 2016). Ourstudy was particularly in Kenya where we realized that the quality ofthe data was extremely poor and the systems were not applicable. Thiswas highly demoralizing given that some of the electronic data toolsare readily available all over the world including Africa and couldbe easily accessed at low services to improve the quality of servicesgiven to the HIV patients. A system for HIV surveillance wasimplemented in about 18 healthcare facilities in Kenya so thatquality data could be collected and be fed into the systems to makethe necessary decisions in the state.
Thepositive experience from providing the nursing care in the country isthat the facilities were able to collect information by use of thesystems to produce quality data that could be used in several othersectors in the country. The clinicians were at a position to maketimely and accurate decisions for the good of the patients. On theother hand, the negative aspect of the experience is that the lowquality data collected could not help the healthcare providers tomake the required conclusions (Cherutich et al., 2016). This wasgreatly attributed to the lack of the HIS that could have helped getquality data. This situation could have been improved a long time agosince there are HIS tools that are relatively cheap and the countrycan afford them despite its economic condition.
TheHealthcare Information Systems have been designed in a way that makesthem globally applicable in any clinical setting to make the accuratedecisions and nursing interventions in a timely manner. The nursesand other healthcare providers are the main beneficiaries while thestate governments as well make use of the information obtained tomake proper allocation of the resources. It is crucial that all thegovernments of various states try to acquire the cheaply availableHIS despite the economic challenges they face to help theirclinicians get an insight of what others are doing in differentcountries.
Thistopic will gain fame deeply in the clinical setting because of themanner with which it simplifies the data fed into this systems.Because different people benefit from it in different ways, its usewill attract various governments to acquire these facilities to makethe delivery of services efficiently and effectively.
Mynursing care has received a major boost by use of these systems. I amat a position to make use of the systems to get quality data andapply it in the clinical environment to offer quality services to thepatients. Similarly, I can make references to the nursinginterventions made by other clinicians globally.
Lundberg,C et al. (2008). Selecting a Standardized Terminology for theElectronic Health Record that Reveals the Impact of Nursing onPatient Care. OnlineJournal of Nursing Informatics (OJNI),12, (2) retrieved from http:ojni.org/12_2/lundberg.pdfon 31 July 2016.
Cherutich,P., Golden, M., Betz, B., Wamuti, B., Ng`ang`a, A., Maingi, P., &… Farquhar, C. (2016). Surveillance of HIV Assisted PartnerServices using Routine Health Information Systems in Kenya. BMCMedical Informatics & Decision Making,161-8.doi:10.1186/s12911-016-0337-9.
PacificHealth Information Network. (2011). Health Information Systems (HIS)retrieved from http://www.phinnetwork.org/Resources/HIS.aspxon 31 July 2016.