Pringle Dorothy, Nagle Lynn
Nurs Leadersh (Tor Ont). 2009;22(1):1-6. doi: 10.12927/cjnl.2009.20603.
Dr. Lynn Nagle, the Senior Nursing Advisor for Canada Health Infoway, writes the column on nursing informatics for this journal. She and I have both been involved in the development and now the implementation of HOBIC (Health Outcomes for Better Information and Care), a province-wide initiative funded by the Ontario Ministry of Health and Long-Term Care: I am the executive lead and Lynn is the informatics lead. HOBIC seeks to bring online functionality to nurses that supports systematic assessment of patients on eight outcomes upon admission and discharge in acute care, chronic hospital care, long-term care and home care, and quarterly for people in residential settings. There is strong research evidence that nurses make a difference in how well patients do on these outcomes. Nurses can now access the results of their assessments online throughout a patient's stay, compare them to other patients of similar age or gender and begin to set benchmarks for improving these outcomes. Unit managers and chief nursing officers receive an array of monthly reports on the admission and discharge status of patients - information that can also be reviewed on the basis of gender and age group. HOBIC will be a critical component of the electronic health record when it is wholly adopted throughout Ontario.
林恩·纳格尔博士是加拿大医疗信息高速公路的高级护理顾问，为本刊撰写护理信息学专栏文章。她和我都参与了HOBIC（更好信息与护理的健康结果）项目的开发，现在也参与了该项目的实施。HOBIC是一项全省范围的倡议，由安大略省卫生和长期护理部资助：我是执行负责人，林恩是信息学负责人。HOBIC旨在为护士提供在线功能，以支持在急性护理、慢性医院护理、长期护理和家庭护理中，对患者入院和出院时的八项结果进行系统评估，并对居住环境中的患者每季度进行一次评估。有强有力的研究证据表明，护士对患者在这些结果方面的表现有重要影响。护士现在可以在患者住院期间在线获取评估结果，将其与年龄或性别相似的其他患者进行比较，并开始为改善这些结果设定基准。科室经理和首席护理官会收到一系列关于患者入院和出院状态的月度报告——这些信息也可以按性别和年龄组进行查看。当HOBIC在安大略省全面采用时，它将成为电子健康记录的关键组成部分。
