Information Technology and Community Health

Information Technology and
Community Health
Definition of e-health
e-health is an emerging field in the intersection of medical informatics, public health and business,
referring to health services and information delivered or enhanced through the Internet and related
technologies. In a broader sense, the term characterizes not only a technical development, but also a
state-of-mind, a way of thinking, an attitude, and a commitment for networked, global thinking, to
improve health care locally, regionally, and worldwide by using information and communication
technology.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1761894/#:~:text=e%2Dhealth%20is%20an%20emerging,the%20Internet%20and%
20related%20technologies.
E-health, also spelled eHealth, also called e-health care, use of digital technologies and
telecommunications, such as computers, the Internet, and mobile devices, to facilitate health
improvement and health care services. E-health is often used alongside traditional “off-line”
(non-digital) approaches for the delivery of information directed to the patient and the health
care consumer.
https://www.britannica.com/science/e-health
Storage
Under this system, the EHR data is stored on the physician's own servers. In addition to
purchasing the hardware (including servers) and software, the physician is responsible for
maintenance, security, and data backup.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140898/
Retrieval
Advances in electronic technologies have made health information more available. For example,
databases on CD-ROM, the Internet and personal digital assistant (PDAs) enable healthcare
professionals to access medical information electronically in seconds. Electronic resources
contain a range of information from primary studies that can be found in journals to synthesized
sources including electronic books and synopses of research-based publications (for example,
Clinical Evidence®).
https://docs.google.com/presentation/d/1tWXfKyvcwnHlank2S1iTcGezUxCNRHuQphuSaHJkfc8/edit#slide=id.g94a191f80d_0_8
Transmittal
Concerns about the confidentiality of health information that is stored electronically:
First is the ability to access, transmit, and copy large volumes of data easily. Photocopying paper records is, of course, possible, but it is
hardly feasible for large numbers of geographically dispersed medical records. Electronic storage and transmittal of data, by contrast,
enable interested parties to aggregate information for individuals over time and across institutions and providers of care.
Second, databases were at one time discrete—often held in physically secure rooms on tape drives—with identifiers that were
unique to a given institution or insurer. Now, however, data from diverse sources can be combined and linked. Once data are
stored electronically, networks of databases can be explored almost imperceptibly from remote locations. Unless security systems
are designed to record access, the curious, entrepreneurial, or venal can enter databases without leaving evidence of having done
so.
hird, computer-based health data have become a very valuable commodity. Some companies obtain information from
physicians' computers and pharmacy records for sale to pharmaceutical companies in return for incentives such as low-cost
computer hardware and software. These companies gather such identifying variables as age, sex, and Social Security
numbers even if patient names are either not taken or are later stripped off (Miller, 1992).
https://docs.google.com/presentation/d/1tWXfKyvcwnHlank2S1iTcGezUxCNRHuQphuSaHJkfc8/edit#slide=id.g92f719adbe_2_24
Power of data in Information
The power of data is obvious – the more we have, the more informed our decisions can be. But when does it become too
much? How can we prevent data overload in this information-centric data-driven society? There is no perfect, and certainly
no “one-size-fits-all” solution.
Where can we use data? The short answer is: Everywhere. Data can be used to inform strategy, generate content and
measure results. Data shows value, spots trends, backs up arguments, measures impact, and tracks progress. Measurable
Key Performance Indicators (KPIs) are excellent to show value and progress. Very few things show the true cost of a policy
decision as well as a well-constructed impact analysis. Quantified trend reports, of media mentions for example, can give a
quick overview of how a specific issue or organization is being portrayed and how tone of coverage and share of voice are
evolving over time.
Data collection can be anything from quantitative and qualitative content analysis to surveys and focus groups, as well as
more complex online sentiment measurement techniques.
Data can enrich and provide evidence for almost everything – but that doesn’t mean it’s always a good idea to collect it.
e-health situation in the Philippines
Guided by the Philippine eHealth Strategic Plan for Universal Health Care as
embodied in the DOH Strategic Framework and Policy, “Fourmula 1 Plus:
Boosting Universal Health Care,” one of the identified policy and strategic activities
to help drive timely, evidence-informed, data-driven decisions is through the
implementation of the National eHealth Electronic Health Record System
Validation (NEHEHRSV).
The NEHEHRSV is envisioned to serve as the policy arm to implement

national systems conformity assessment protocol for national health data
reporting requirements of DOH and/or PhilHealth.
http://ehealth.doh.gov.ph/index.php/100-consultative-planning-on-the-electronic-health-record-system-ehrs-validation#openModal9
e-Health. . . . .
eHealth is concerned with improving the flow of information, through electronic
means, to support and facilitate the delivery of quality and responsive health
services, and better management of health systems and service delivery
networks.
It is envisioned that, “By 2020, eHealth will enable widespread access to health
care services, health information, and securely share and exchange client’s
information in support to a safer, quality health care, more equitable and
responsive health system for all the Filipino people by transforming the way
information is used to plan, manage, deliver and monitor health services.”
Using e-Health in the Community
Electronic Health Records ( EHR s) are the first step to transformed health care.
The benefits of electronic health records include: Better health care by improving all aspects of patient care, including
safety, effectiveness, patient-centeredness, communication, education, timeliness, efficiency, and equity.
The different types of community health services that you and your child may need include: financial support;
multi-service agencies; communication resources; behavioural resources; sensory and motor services; social and
recreation services; family support and respite services; school services; research opportunities.Jun 13, 2012
Typically eHealth applications use the Internet to transmit and store patient data either for a provider or payer. These
eHealth applications are used by doctors, hospitals, insurance providers to record patient health information, called
protected health information or PHI.
Roles of CHNurse in eHealth
There is a choice, but this is now much more severe than in 1982: either to continue to shy away from getting involved in the development,
implementation and evaluation of healthcare IT or e-health systems and let nursing quietly disappear or, to get involved through building our
knowledge base and working towards adding informatics wisdom to our professional knowledge. The latter would let nurses:
● understand and improve, influence and use new technologies and informatics, including remote care;
● find the most reliable sources of information to support evidence-based practice;
● guide patients through publicly available information sources;
● incorporate ICT into patient consultations;
● manage the nurse patient relationship when the nurse is not physically in the same place as the patient;
● perform a quick and accurate data entry at the point of care;
● understand the legal and ethical issues associated with
● managing and sharing patient information;
● extract data to support decisions and monitor the outcomes of practice;
● understand the role of technology in the delivery and organisation of care, and
● train other users such as patients and carers how to use relevant ICTs.
The final resolution around nurses and e-health will depend upon nursing itself. This is the 21st century and there are ever-more complex
technologies just around the next corner, among them nanotechnology, biotechnology, RFID and remote home monitoring. These require
to be used correctly for our patients’ safety and care.

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The NEHEHRSV is envisioned to serve as the policy arm to implement

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