NR-360 Week 6 Discussion: Informatics and the Development of Standards Discuss the roles of federal, state, and local public health agencies in the development of standards for informatics in hea... lthcare. Local, state and federal governments work together in the field of nursing informatics. The roles of federal, state and local public health agencies in the development of standards for informatics in healthcare is to provide a database of Public Health Information (PHI) to improve the quality, safety, and health outcomes of the general public. These agencies help assess, monitor, and identify health problems and priorities, formulate public policies, provide access to appropriate and cost-effective care and also evaluate the effectiveness of that care (McGonigle & Mastrian, 2018). Public health agencies use informatics for planning and system design, data collection and management, analysis, interpretation, dissemination, and application to public health programs. Public health information systems represent a partnership of federal, state, and local public health professionals (McGonigle & Mastrian, 2018). These systems are able to rapidly exchange the information, capture large amounts of data, and strengthen the connection between these three systems. For example, the role of the federal and state governments would be to inform people about required vaccinations before traveling or required tests for employment. People can use government sites to look up the cities with major disease outbreaks, what to do in case an emergency treatment is needed, or what symptoms to watch out for. The federal government also makes policies, helps people with financing, collects and disseminates information about U.S. health and health care delivery systems, and directs management of services. State government is responsible for making sure the environment is sanitary and safe by doing regular inspections, and that some individuals do not engage in risky behaviors that would cause danger to others. Certain communicable diseases such as cases of COVID-19 or mumps and syphilis need to be reported to local agencies. This data is sent to state and local governments to be further analyzed and researched. From this information, healthcare providers can be notified of outbreaks, precautions to take, signs and symptoms of the disease, possible treatments, and prevention of risk factors. The data compiled can be accessed through web sites such as the Centers for Disease Control (CDC) and the World Health Organization (WHO) on a federal level. Information can be gathered in the form of a field study. (McGonigle, & Mastrian, 2018). For example, The Joint Commission makes yearly visits to local hospitals. Their mission is to continuously improve health care for the public by evaluating organizations ultimately inspiring them to excel in providing safe and effective healthcare (The Joint Commission, 2020). They aspire by developing standards for nursing by collecting data from various sources and implementing them on the local level. Staff at the CDC and other federal agencies, state and local health departments, and workers from all walks of public health life come together to educate leaders and peers on ongoing developments by improving public health surveillance, reducing costs and improving access to quality information (Savel, & Foldy, 2012). REFERENCES McGonigle, D. & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett. Savel, T., & Foldy, S. (2012, July 27). The Role of Public Health Informatics in Enhancing Public Health Surveillance. Retrieved from: https://www.cdc.gov/mmwr/preview/mmwrhtml/su6103a5.htm The Joint Commission: About Us. (2020). Retrieved from https://www.jointcommission.org/about-us/ REPLIES 1) Stacie what an excellent posting and I love how you even tie in the reporting for national crisis, like the Covid-19 pandemic, through the World Health Organization (WHO). What local agency reports statistics near you? Hi Professor! After doing more research on this topic, I discovered that finding local agency reports about statistics on COVID numbers are difficult to find. The Trump administration has ordered hospitals to bypass the Centers for Disease Control and Prevention and send all Covid-19 patient information to a central database in Washington back in July of this year. The move has alarmed health experts who fear the data will be politicized or withheld from the public. Health and Human Services said that going forward, hospitals should report detailed information on a daily basis directly to the new centralized system, which is managed by TeleTracking, a health data firm with headquarters in Pittsburgh. However, if hospitals were already reporting such information to their states, they could continue to do so if they received a written release saying the state would handle reporting. Both the C.D.C. network and the TeleTracking system set up by Health and Human Services rely on so-called push data, meaning hospital employees must manually enter data, rather than the government tapping into an electronic system to obtain the information. Local agencies therefore are not the best reliable source for they legally not allowed to disclose information about COVID positives. REFERENCE Stolberg, S. (2020, July 14). Trump Administration Strips C.D.C. of Control of Coronavirus Data. Retrieved from https://www.nytimes.com/2020/07/14/us/politics/trump-cdc- coronavirus.html?auth=link-dismiss-google1tap 2) The roles of federal, state, and local public health agencies all differ but work similarly in the development of standards for informatics in healthcare. The U.S Department of Health and Human services has many different agencies under its umbrella which are considered federal. Some of those agencies include the CDC (centers for disease control and prevention), the NIH (national institutes of health), and the FDA (food and drug administration). Their roles are to continuously update the United States using informatics by uploading recent studies or important information that the people should know regarding their health. Today, we are dealing with this COVID-19 pandemic and every day the CDC uploads new information or just reminds us of the basic protocols we should be taking to prevent obtaining and/or spreading COVID, influenza, and other diseases. Through scientific research, knowledge, experience, wisdom of Doctors and Scientists, data collected, and statistics of the progression of diseases, these Federal Agencies are working to inform the people with all of this information for their new knowledge and safety. The state governments on the other hand aren't using agencies to inform the United States as a country, but rather their own individual state they are in charge of; this includes the governors, the cabinet, etc. These group of people are in charge of informing the new state laws in accordance to the new pandemic, for example; in the state of New Jersey, restaurants, malls, entertainment, and all stores are to be closed down by 10 pm. Small rules and regulations that have been put into place in order to better handle the pandemic is lead by the state. This is usually broad casted on our television news or even social media these days in order to set certain standards the state should meet for healthcare purposes. Finally, local agencies such as mayors and certain leaders that charge of individual cities; using the regulations provided by the state. In a certain way it is like a chain of command, and one cannot work without the other. The federal, state, and local agencies rely on informatics in order to work together efficiently and spread the important news and information to local residents. Without the participation of myself and those residents around me, there would be no solid data to collect and interpret for the government to collect and assess and give the people solid direction. Hey Gabriela! Well written discussion post this week! You had done a good job associating this topic with the current times of COVID-19. The CDC is always discussing and alerting the people of this nation about COVID-19 cases, hospitalizations, and deaths across the United States and how they are rising. The newest update from this organization is talking about as the cold weather is moving in, people are spending more time indoors but taking steps to slowing the spread of COVID-19 should be a priority to all. Wearing a mask, staying at least 6 feet apart, avoiding crowds, and washing your hands often are just many of the ways that the CDC has been informing the country to battle this pandemic. I live in New York and Governor Cuomo has certain regulations for New York State that differ to regulations in New Jersey. Although the governors work with the states, the federal, state, and local agencies all rely on information and statistics in order to work together to decrease the spread of COVID-19 and to make aware of important information to residents nationwide. [Show More]
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