Admission,Discharge, and Transfer (ADT) Systems
Justlike other experts, doctors of nursing practice (DNPs) are faced withdaily challenges in solving problems by scrutinizing competingchoices. Precisely, DNPs experience two problem solving processes inpractice: clinical decision-making and administrativedecision-making. Generally, decision-making processes in these twoscopes of health care affect areas such as quality improvement, humanresource management, strategic planning, patient care, materialsmanagement, and many more fields that pertain to the provision ofhealth care (Hebda & Czar, 2013). Therefore, to make informedadministrative and nursing decisions, DNPs utilize decision makingtools. Administrative decision-making that employs informatics,according to the authors, is more reputable because it directlyaffects the streams of revenue. Informatics is essential because itlays emphasis on the collection, organization, and analysis of datain the creation of wisdom to make informed administrative and nursingdecisions.
Accordingto Hebda and Czar (2013), the tools in this sector are well-built andhave been in use since the 1960’s. One of the most common toolsthat DNPs use to make administrative and nursing decisions is theadmission, discharge, and transfer (ADT) systems. This multi-facetedADT module was created to provide a comprehensive range of softwarededicated to the support of administrative functions that pertain topatient registration, admission, discharge, and transfer throughoutthe entire continuum of care. The ADT system serves as the focalcollection point of crucial patient information, which includesdemographic data like age, sex, gender, insurance, employment, nextof kin, and medical history. These systems directly feed into billingand therefore, generate revenue.
Youmight be wondering how effective these systems have been to date.Well, as Hebda and Czar (2013) note, these tools have been verysupportive of the administrative and nursing decision makingprocesses in a health care setting. Since ADT systems have allowedthe accurate and efficient collection, maintenance, and output ofpatient data, they have enhanced DNPs abilities to provide qualitycare to their patients. The ADT systems have been providingup-to-date online patient information, significantly helping a DNP indeciding on what treatment protocols are appropriate for a client inthe current situation improving the quality of care. ADT systemshave helped generate statistical reports that help DNPs in theprocess of making informed administrative and nursing decisions. WithADT system databases, sensitive patient data has been safely storedor backed up in a secure cloud to prevent the loss of data. Since ADTis a digital platform, it has led to an increase in the amount ofdata that health care organizations can capture and use for futurereference (Hebda & Czar, 2013). Generally, ADT systems have beeneffective to date because they have proven to be beneficial infacilitating the process of DNPs solving administrative and nursingproblems by analyzing competing choices. Per se, ADT systems haveindirectly supported the improvement of the quality of patient care.
Althoughthe ADT systems have proven to be advantageous in a health caresetting, they do have one serious flaw. Being a digital platform, allthe sensitive patient data gathered is transferred to cloud storage.From here, DNPs can gain access to crucial information that can helpthem make informed decisions. However, this “storage benefit”poses a serious security risk. With the swift progression oftechnology, computer hackers have developed software that canoverride an entire institution’s protection protocols. Therefore,hackers can hack into these databases where sensitive patient data isstored and use the information they acquire against their intendedtargets (Hebda & Czar, 2013). There have been occasions wherecrucial patient information has been stolen from a hospital’s cloudstorage and used against an individual. To improve on this in theforeseeable future, then it is imperative for cloud storage securityprotocols be tightened with specificity to the health care industry.
Hebda,T., & Czar, P. (2013). Handbook of informatics for nurses &healthcare professionals. Boston, MA: Pearson.