LESSON 1

ALYSSA ASHLEY R. DIEGO-MALAG, RN, MAN, EdD

 SEVEN TIME PERIODS
E. 2010s
 A historical analysis of the impact of the Nursing
Minimum Data Set (NMDS) demonstrated that
continued consensus and effort was needed to
bring to fruition the vision and implementation of
minimum nursing data into clinical practice
 National Institute for Nursing Research (NINR)
published in 1993 the new NI research agenda on 3
aspects of context: genomic health care, shifting
research paradigms, and social (Web2.0)
technologies
 SEVEN TIME PERIODS
E. 2010s
 During 2010, the ONC convened two national
committees, (a) National Committee on Health Policy
and (b) National Committee on Health Standards,
which outlined and designed the focus for the
“Meaningful Use” (MU) legislation.
 Meaningful Use was designed to be implemented in at
least three stages, each consisting of regulations which
built onto each other with the ultimate goal of
implementing a complete and interoperable EHR
and/or HIT system in all US hospitals
 NURSING CONTENT STANDARDS

 The nursing process data elements in EHRs are essential

for the exchange of nursing information across
information systems and settings
 Standardization of healthcare data began in 1893 with
the List of International Causes of Death for the
reporting of morbidity cases worldwide, whereas the
standardization of nursing began with Florence
Nightingale’s six Cannons in her “Notes on Nursing”
(1959).
 NURSING CONTENT STANDARDS

 Currently, the ANA has “recognized” 12 nursing

terminologies.
 The ANA selected six of the ANA-“recognized” nursing
languages for inclusion in the National Library of
Medicine’s (NLM) Metathesaurus of the Unified
Medical Language System (UMLS) and also for inclusion
in the Systematized Nomenclature of Medicine—
Clinical Terms (SNOMED-CT).
 ELECTRONIC HEALTH RECORDS
(EHR)
 In 1989, the Institute of Medicine (IOM) of the National
Academy of Sciences convened a committee and asked the
question, “Why is healthcare still predominantly using
paper-based records when so many new computer-based
information technologies are emerging?”
 Two major conclusions resulted from the committee’s
deliberations. First, computerized patient record (CPR) is an
essential technology for healthcare and is an integral tool
for all professionals. Second, the committee after hearing
from numerous stakeholders recognized that there was no
national coordination or champion for CPRs.
 ELECTRONIC HEALTH RECORDS
(EHR)
 The Computer-Based Patient Record Institute (CPRI)
was created in 1992
 CPR Project Evaluation Criteria: (a) management, (b)
functionality, (c) technology, and (d) impact
 Today, under HIMSS management, the Davies Award of
Excellence Program is offered in four categories:
Enterprise (formerly Organizational or Acute Care), first
offered in 1995; Ambulatory Care, started in 2003;
Public Health, initiated in 2004; and Community Health
Organizations (CHO), first presented in 2008
 ACTIVITY: COMPUTER HARDWARE

1. Identify the essential hardware components of a computer.

2. List key peripherals attached to most computers.
3. Describe the four basic operations of the central processing unit
(CPU).
4. Explain how power is measured for computers.
5. Describe common computer input, output, and storage devices.
6. List the names for six types of computers and describe how they
are different.
7. Describe computer network hardware devices and their
functions.