Nursing Informatics
in the Philippines
• 1980s – Health Informatics loosely practiced
– Biomedical Informatics is practiced in the Philippines
– Word processors to capture patient information
– Data Base Management System
• 1990s – Medical Informatics
– PMIS
– MIU
• 1980s – 2009
– Nursing Informatics is loosely practiced in the Phil.
– March 2010 – PHILIPPINE NURSES INFORMATICS
ASSOCIATION
• National TeleHealth Center (NThC) –
June 1998 (UP)
• Goal: To improve health care delivery
of the general public through ideas and
knowledge exchange utilizing IT.
e – Health initiatives:
• - 1. Community Health Information Tracking
System (CHITS) – is a free web –based, open
source software especially designed for
Government Health Centers in the
Philippines.
• - collects routine health data and integrates
them into u unified , comprehensive
computerized information system that can
be used by the community for local decision
– making and health planning.
• (www.chits.ph)
• 2. eRecords – upgrading the knowledge of
healthcare workers at all levels from the
municipal health office leaders and staff to
community health volunteers (or brgy. health
workers)
• 3. eLearning Videos
– Bird flu/avian flu
– Iwas lason
– Brain attack/stroke
– Tuberculosis
– PSEM diabetes Mellitus
• 4. eMedicine – a professional network that
leverages locally available ICT infrastructure
(SMS, voice, email, internet) for delivering
much needed health services directed to
remote areas using standard telemedicine
protocols.
– SMS Telemedicine
– TelePsychiatry
– TeleDermatology
– TeleRadiology
– Facilatated referrals
THE FUTURE OF
INFORMATICS
THE NEW TWENTY – FIRST
CENTURY SCENARIO
• The nurse of this decade has much more evidence to
point to in the patient’s genes, genomes, and
proteomes.
• The new science is revolutionizing the way science is
being conduct and the way the disease is being
prevented, diagnose and treat patients.
• The scenario begins and ends with the genetic
information whether the concern of the nurse are
prevention, diagnose, cure, or rehabilitation.
• The types of IT needed to support these new approaches to
healthcare are grid technologies, high performance
computers, and robust integrated information systems based
on standards.
SEVERAL DRIVERS OF MORE INFORMATION TECHNOLOGY
TODAY
1. The complexities of the healthcare conditions and the
complexities of medical reports.
2. Competition is also eroding profits, which is driving more
competitive healthcare environment, while the consumer is
becoming more knowledgeable and demanding.
HIMMS Leadership Healthcare
CIO Surveys
• Healthcare Information Management Systems Society
(HIMMS) – with the help of healthcare Chief Information
Officers (CIO), they two monitor the trends in US
healthcare IT.
• TOP TECHNOLOGIES THAT THE CIOs PREDICT FOR THE
FUTURE:
1. High Speed Networks
2. The Internet
3. Client Server Systems
4. Wireless Information Systems
FUTURE TRENDS in IT
1.
2.
3.
4.
5.
6.
7.
8.
9.
Bar coding
Bioinformatics /Biomedical Informatics /Computational
Biology
Claims Processing
Client Server Systems
Data Warehousing
Decision Support
Disease Management /Outcomes
Electronic Health Record – Clinical Information System –
Computer Based Patient Records-Hospitals/ Healthcare
Information Systems
10. High Speed Networks
11. HIPA Compliance
12. Identify Management – Smart Cards
13. Laboratory Information Management Systems
14. Medication Error Prevention/ Patient Safety
15. Mobile Computing/ Technology/ Wireless
16. Outsourcing Services
17. Personal Digital Assistants (PDA)
18. Point of Care Computing
19. Practice Management
20. Prescription Management
21. Scheduling
22. Security Upgrades
23. Speech Recognition
24. Standards
25. Supply Ordering/ Management
26. Telecommunications/ Telehealth/
Telemedicine
27. Vocabulary Integration/ Interface
28. Web Portals/ Internet access to/from
staff/ professionals/consumers
TRENDS (towards 2030) in
HEALTH AFFECTING
IT in the FUTURE
1. Demographics – the graying of America
2. Growth in chronic disease
3. Emerging infectious disease threats
4. Changes in Health – seeking behavior
toward the Internet
5. Focus on Quality = focus on IT
6. Security and Biodefense
7. Genetic Revolution
GENETIC REVOLUTION
•
•
•
•
Advances in today’s science have resulted in growth in the
computer systems that analyze and link data from the testing of
genes, genomes, and proteomes to different parts of the EHR.
GENES – are the segment of the chromosome that regulate the
fundamental physical and functional units of heredity.
GENOMICS – is the identification and functional characterization
of multiple genes.
PROTEOMICS – is the analysis of a set of proteins in a cell that in
turn is determined by gene expression at the protein level.
NANOTECHNOLOGY
•
•
•
Refers to the interaction of cellular and molecular components of
engineered materials – typically clusters of atoms, molecules,
and molecular fragments – at the most elemental level of
biology.
Involves shrinking to the atomic scale, the diagnostics and
treatments of our future, and studying the simplest parts of
biology like the flow of water, calcium, sodium and potassium
into and out of the cells.
Said to be the biggest natural bridge between life sciences and
physical sciences and requires interdisciplinary research and
applications.
NURSING and the CORE
COMPETENCIES IN FUTURE
• The entry in genetic nursing in the future
will require nurses to complete graduate
degree programs and clinical practice
requirements in genetic medicine,
human genetics and or genetic
counseling accrdg. to (ISONG)
International Society of Nurses in
Genetics.
ETHICAL, SOCIAL, and LEGAL
ISSUES
•
Nurses will be involved in the ethical, social, and legal issues
resulting from new genetic discoveries. And with that, they will
have to use IS in order to;
1. Assure patient informed consent
2. Assure confidentiality and security of information.
3. Assure that patients are not discriminated against.
4. Assure access to genetic technologies from vulnerable and
minority populations.
5. Assure culturally sensitive genetic counseling.