Theta-at-Large & Zeta, RN Clinical Information Systems Coordinator and VA Nursing Academic Partnership Faculty, VA Providence Healthcare System & Rhode Island College School of Nursing, Providence, RI, USA.
Alpha Theta, Deputy Chief Nursing Informatics Officer, U.S. Department of Veterans Affairs, Washington, DC, USA.
J Nurs Scholarsh. 2021 May;53(3):288-295. doi: 10.1111/jnu.12631. Epub 2021 Mar 10.
This article reviews the missions of the U.S. Department of Veterans Affairs (VA) and the evolution of its electronic health record (EHR), the Veterans Health Information Systems and Technology Architecture (VistA). This system, along with its clinical graphical user interface the Computerized Patient Record System, form a key link in VA health care. A Veteran who receives healthcare through the VA can have their EHR accessed by clinicians at any VA healthcare facility across the United States and its territories. Data aggregated daily at a corporate data warehouse supports VA quality improvement and research.
Serving over 9 million Veterans, the VA is one of the largest integrated healthcare systems in the United States. It has been a leader in the development and use of healthcare informatics, EHR, and big data analytics for over 30 years. Nurses engaged in major roles in the evolution of these developments.
With over 500 nurses as members, the Office of Nursing Informatics' Field Alliance demonstrates the VA's continuing commitment to fostering nursing informatics. The commitment includes investment by the VA to develop nursing informaticists from among its own staff.
Exemplars of the impact of nursing informatics are shared. Future directions include an EHR that begins during military service and follows the Veteran into VA health care.
本文回顾了美国退伍军人事务部（VA）的使命及其电子健康记录（EHR）的演变，即退伍军人健康信息系统和技术架构（VistA）。该系统及其临床图形用户界面计算机化患者记录系统，是 VA 医疗保健的重要环节。通过 VA 接受医疗保健的退伍军人可以在美国及其领土内的任何 VA 医疗保健设施中让临床医生访问他们的 EHR。每天在企业数据仓库中汇总的数据支持 VA 的质量改进和研究。
VA 为超过 900 万退伍军人提供服务，是美国最大的综合性医疗保健系统之一。它在医疗保健信息学、EHR 和大数据分析的开发和使用方面已经领先了 30 多年。护士在这些发展中扮演着重要的角色。
该办公室拥有超过 500 名护士成员，展示了 VA 对培养护理信息学的持续承诺。承诺包括 VA 投资从其员工中培养护理信息学家。
分享了护理信息学的影响范例。未来的方向包括在军人服役期间开始并跟随退伍军人进入 VA 医疗保健的 EHR。
