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Perspectives on
Nursing Informatics in 2011
Dana Alexander RN, MSN, MBA
Judy Murphy, RN, BSN, FACMI, FHIMSS
Mark Sugrue, RN, BC
HIMSS NI Task Force Call
March 28, 2011
Questions?
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Nursing Informatics in the Eye of the Storm !!
31
Nursing
Informatics
ARRA
ICD10
PPACA
RWJFIOM
Agenda
Emerging Nurse Leadership Roles
Todays Practice Environment Meaningful Use
TIGER
Future of Nursing
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Perspectives on Nursing
Informatics in 2011
Dana Alexander RN, MSN, MBA
VP & Chief Nursing Officer
GE Healthcare
HIMSS Nursing Committee
Email:[email protected]
TIGERTechnology, Informatics, Guiding Educational Reform
www.thetigerinitiative.org
Our vision is to enable nurses to useinformatics tools, principles, theories,and practices to make health caresafer, more effective, efficient, patient-centered, timely, and equitable byinterweaving enabling technologiestransparently into nursing practiceand education, making informationtechnology the stethoscope for the21st century.
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Scope of Practice BarriersWhy are we having this conversation?
ARRA/HITECH 2009PPACA 2010
Future of NursingOct 2010
There is no aspect of our profession that will be
untouched by the informatics revolution in progress.
-Angela McBride, Distinguished Professor andUniversity Dean Emeritus Indiana University School of Nursing
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2009 2011 2013 2015
HIT-Enabled Health Reform
MeaningfulUseCrite
ria
HITECHPolicies 2011 Meaningful
Use Criteria(Capture/share
data) 2013 MeaningfulUse Criteria
(Advanced careprocesses with
decision support) 2015 MeaningfulUse Criteria(ImprovedOutcomes)
HIT-Enabled Health ReformAchieving Meaningful Use
Source: HIT Policy Committee 6/16/2009
Nursing Informatics & Future of Nursing
FON Recommendation
Remove scope ofpractice barriers
Increase nurse residencyprograms
80% BS by 2020
100% Doctorate level
RN Lifelong learning
Opportunities to Improve
Lead Change/AdvanceHealth
Nursing Informatics
Information technologiesto support practice anddemonstrate RN value
Competencies !!!
Curriculum
TIGER !!
Prepare Nursing Leaders
Develop NI Leaders
Remove scope ofpractice barriers
Increase nurse residencyro rams
Information technologiesto support practice andemonstrate RN value
PR
ACTICE
80% BS by 2020
100% Doctorate level
RN Lifelong learning
Competencies !!!
Curriculum
IGER !!EDUCATION
Opportunities to Improve
Lead Change/AdvanceHealth
Prepare Nursing Leaders
Develop NI Leaders
LEADERSHIP
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Leadership
EducationPractice
Transforming Nursing
Whats in a Name?Titles, reporting structures, scope of responsibility
and sphere of influence are dynamic and evolving
Structured for Success: Alignment with the organizations vision and
strategy Key Partnership Relationships to include
Executive, Clinical, IT and Education Communication channels Intertwined with the Professional Practice Model Patient-Centric, interdisciplinary team focused
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Partners in Practice: The Chief Nurse Executiveand Nursing Informatics Executive
What is the relationship between the NursingProfessional Practice Model and NursingInformatics?
How does the model look today and what are theemerging models?
Advancing Nursing Practice throughNursing Informatics
8 Key Recommendations# Recommendation
1 Remove scope-of-practice barriers
2 Expand opportunities for nurses to lead and diffuse collaborativeimprovement efforts
3 Implement nurse residency programs
4 Increase the proportion of nurses with a baccalaureate degree to 80percent by 2020
5 Double the number of nurses with a doctorate by 2020
6 Ensure that nurses engage in lifelong learning
7 Prepare and enable nurses to lead change to advance health
8 Build an infrastructure for the collection and analysis of interprofessionalhealth care workforce data
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Highlights - Key Messages1. Nurses should practice to the full extent of their
education and training.
2. Nurses should achieve higher levels of education
and training through an improved education systemthat promotes seamless academic progression.
3. Nurses should be full partners, with physicians andother health professionals, in redesigning health carein the United States.
4. Effective workforce planning and policy makingrequire better data collection and an improvedinformation infrastructure.
Where Does Nursing Informatics Live?.Everywhere!!
Nursing Informatics Leader Responsibilities and Influence: Educate organizations about informatics
Defining competencies and provide mentorship
Partnering for workforce readiness & development Supporting & optimizing evolving care delivery models
Blending business & clinical intelligence and analytics
Incorporating ethnographic research, human factors concepts andusability for transforming care delivery
Communicating and sustaining the vision
Build and infrastructure for evidence based practice
In the future it will be necessary for every clinician to haveinformatics competencies at some level.-Dr. David Blumenthal, Office of the National Coordinator
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Driving toward Improving Outcomes andPopulation Health.2015 and Beyond
Building an infrastructure for evidence basedpractice is essential
Informatics is key to increasing knowledge andinforming practice Nursing informatics links practice to care
delivery and the professional practice model Regulatory & Policy Influence Supporting and optimizing care delivery models
e.g. ACOs
The Future of Nursing: Leading Change, AdvancingHealth
Released October 5, 2010
Type Consensus Report
Topics Health Care Workforce,Quality and PatientSafety, Health Services,
Coverage, and Access
Activity Robert Wood JohnsonFoundation Initiative on
the Future of Nursing, atthe Institute of Medicine
Board Studies under the IOM
Executive Office
http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx
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Perspectives on Nursing
Informatics in 2011
Mark Sugrue, RN, BC
Director, Health Industries AdvisoryPricewaterhouseCoopers
HIMSS NI Task Force Chair
Email:[email protected]
NOW is YOURTime
Nursing has a choice:
At the table or on the menu?
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Perspectives on Nursing
Informatics in 2011
Judy Murphy, RN, BSN, FACMI, FHIMSS
Vice President, Information ServicesAurora Health Care, Milwaukee, WI
HIMSS Board of Directors
ANI Co-Chair
Email:[email protected]
Health Management Academy Survey
CNIOs
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Nursing Informatics responsibilities
Health Management Academy Survey
CNIOsTechnology Impact on People
Informatics Workforce
Proliferation of Workforce Training Programs
Staff furloughed away from direct patient care for
big implementation projects Impact on bedside staffing
Interdisciplinary Collaboration
Cross functional & cross venue improvements
Interprofessional
Online Education
Ubiquitous
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Technology Impact on Process Workflow
How the technology is used within the context ofpatient care delivery
Use of social networking tools
Standardization Terminology / Vocabulary
Interoperability
Optimization Application usability
Use of decision support
Quality measure as byproduct of documentation
Evidence-based staffing decisions based on acuity
Health Management Academy Survey
CNIOs
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8/2/2019 NI - HIMSS
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Health Management Academy Survey
CNIOsTechnology Use
Explosion of device variety
Device use at point-of-care
Barcoding Impact on nurse-patient relationship
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Adapted from:
Murphy, J. Trends in the Delivery of Nursing Care: What Impact Will
Technology Have?, Nursing Informatics Commentary, Journal ofHealthcare Information Management, Vol 25, No. 1, 14-15 (Winter 2011).
A special thank you to Michael Kurliand and the HIMSS NursingInformatics Community in helping identify many of these ideas. The NICommunity has always been selfless in sharing and helping each other;here is just one more example. I truly appreciate being part of this group
Judy
Health Management Academy Survey
CNIOs
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8/2/2019 NI - HIMSS
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Health Management Academy Survey
CNIOsResponse Profile &Methodology
Requested HealthSystem Executives torefer us to their
corporate nursinginformatics leader
Response Rate: 77%
Representative of 31Health Systems
Average Net PatientRevenue: $2.8 billion
Health Management Academy Survey
CNIOs
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