For these reasons, nurse leaders need to embrace nursing informatics. If penalties are steep enough, they could theoretically put a healthcare organization out of business. Impacts on a healthcare organization's bottom line may impact its ability to care for patients in the local community. Failure to adopt EHRs and informatics reporting can result in reduced reimbursements from CMS, which can hurt an organization's bottom line. McCarty (2016) reported that more than fifty-percent of eligible professionals faced penalties under Meaningful Use in 2015 totaling $200 million in federal government reimbursement reductions. The United States federal government’s efforts to improve quality care outcomes through the Centers for Medicare & Medicaid Services’ (CMS) Meaningful Use and Value-Based Purchasing means that healthcare organizations that do not reduce patient harm and improve the health and outcomes of their patients put themselves at risk. Failure to use informatics constitutes a deficiency in care In the nursing profession, there must be a connection between the human element of caring and technology, which is used to help deliver nursing care. Perhaps part of the reason that the examples she provided turned out the way they did was that there was no harmony between (caring) humans and the technology. O'Neil acknowledged the power of algorithms and big data but chose instead to focus on those instances where big data was not used responsibly. She also stated that we “have to explicitly embed better values into our algorithms, creating big data models that follow our ethical lead" (p.204) which might entail putting fairness ahead of profit. She argued that for data to shape the future, it must have moral imagination, which must be facilitated by humans. “Big data processes codify the past” and “do not invent the future” (p. In her text, O’Neil (a statistician who completed graduate studies in mathematics at Harvard) examined some of the pitfalls of utilizing big data (in this text, the terms informatics, and big data may be used interchangeably). Cathy O’Neil, was an impulse buy on the way to the register which turned out to be quite a thought-provoking text that was consumed in just one sitting. One particular work entitled “Weapons of Math Destruction: How Big Data Increases Inequality and Threatens Democracy” (2016) by Dr. Housing more than two million tomes within its many shelves, a plethora of precious pieces of prose on printed parchment were procured. On a recent trip to Oregon, the author, who loves reading books almost as much as nursing practice, visited the world’s largest bookstore. Nurse leaders who are trained and can demonstrate informatics competencies are in a position to track, trend, and prevent patient harm from occurring, which will not only benefit patient outcomes but also prevent reduced federal healthcare reimbursement penalties and reduce litigation exposure. Locsin's theoretical framework (2017) demonstrates that technology can peacefully coexist with nursing and is perhaps necessary for the profession to move forward and be truly integrated. Abstractĭespite some societal influencers sounding the alarm on the malevolence of big data, the evidence shows that nursing informatics is one of the best hopes for healthcare in terms of keeping patients safe and doing no harm. Online Journal of Nursing Informatics (OJNI), 25(1). (2021 Nursing Informatics as Caring: A Literature Review.
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