CLINICAL DECISION SUPPORT SYSTEMS IN NURSING

Clinical Decision Support Systems In Nursing



Clinical Decision Support Systems in Nursing

Thesis Statement

This paper will discuss barriers clinicians, specifically nursing staff encounter when working with new clinical decision systems and the possible remedies to these barriers.

Introduction

This paper discusses the variety of IT frameworks that are implemented in different organizations, pertaining to the needs of management. The paper discusses ITIL, COBIT, ISO: 17799 and CMMi for deploying one in the healthcare industry based on the needs of the organization and the feasibility and reliability of the selected one (Schlarman, 2007). Health care industry carries crucial significance as the whole society relies on the services of healthcare, using their rights of healthy living standards. Therefore, healthcare industry holds vital responsibility of meeting the health standards of the individuals by implementing appropriate framework(s).

The healthcare system of U.S is always a subject under discussion. There are some people who argue that the healthcare system of America is of the best quality while other people are of the view that there are a large number of uninsured people in America; due to this reason America spends a lot of money on healthcare as compared to other countries. But still there is a lot of inefficiency. To understand the difference between these two points needs a lot of consideration.

Both private and public insurance systems are present in U.S healthcare system. But the exceptional case in the healthcare system of U.S is that the private system is dominant over the public system. In 2003, about 18% people were uninsured, 15% with Medicaid public insurance plan ensures 15% of people, and private sponsorship programs sponsors 62% adult (Longest, 2010).

Medicare Programs basically federal programs that provides medical aid to senior citizens more than age of 65, and also disable persons. In the “Medicare program”, there is a single payer, the government that performs the insurance function of reimbursement. Federal income taxes, payroll taxes are financing elements of Medicare on a regular basis. The benefits of Medicare are divided into four parts, part A provides hospital services, part B provides physician services part C covers the benefits of HMO's and part D deals with the benefits of drugs(hpm.org).

Discussion

Clinical decision support tools are Digital technologies that model and give support for processes of human decision-making. Decision support mechanisms enhance and facilitate a clinician's ability to take decisions at the right point of when the care is needed. Decisions are made by the help of technology by utilizing automated mechanisms that give messages or alerts to clinicians about an issue of potential patient. A clinician's level of trust in these modern technologies to provide support in the process of decision making is greatly dependent on how information is presented in these technologies, their potential to take crucial decisions, and how they are made. Beside all this, ethical situations may occur if these tools do not provide standards, if clinicians do not get how to make these systems work, and when professional bonds are ...