nursing informatics - awhonnva.org•nursing informatics (ni): •“specialty that integrates...
TRANSCRIPT
WHAT IS NI?
• Nursing Informatics (NI): • “Specialty that integrates nursing science, computer science, and information
science to manage and communicate data, information, knowledge, and wisdom in nursing practice. NI supports consumers, patients, nurses, and other providers in their decision- making in all roles and settings. This support is accomplished through the use of information structures, information processes, and information technology.”
ANA, Nursing Informatics: Scopes and Standards of Practice, 2008
• “The science and practice that integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide.”
AMIA, Special Interest Group on Nursing Informatics, 2009
NURSE INFORMATICIST: A.K.A. “THE TECHIE NURSE”
Computer Geek! Nerd! Just a Nurse... Computer Help Desk
Subject Matter Expert (SME) Technical Liaison
Functional Tester Analyst Developer Project Manager
NURSE INFORMATICISTS
• Analyze Current Clinical & Business Processes
• Design Systems (Create Requirements)
• Develop/Configure Systems
• Act as Liaison between Providers & IT Personnel
• Test System Changes
• Deploy New Systems
• Train & Educate End Users
• Manage IT Programs
• Create Policy
• Perform Research
EDUCATION
• On the Job Training
• Degree Programs • Bachelors Degree Courses • Masters Degree: MS Nursing
Informatics • Doctorate Degree: DNP Informatics
• Certifications • HIMSS: CPHIMS • ANCC: RN-BC
• Organizations • HIMSS • AMIA • ANIA
0
5
10
15
20
25
30
35
40
45
Masters
Degree/ PhD
Bachelors
Degree
Certificate On the Job
Training
HIMSS 2011 NI Training Survey
2011 2007 Highest Degre
ON THE JOB TRAINING
• Subject Matter Experts (SME)
• Nurses Know the Clinical Use Case Best!
• Technical development follows a process similar to the nursing process:
• SDLC: Software Development Lifecycle
• Nursing Process
Analyze/Write Requirements
Develop Solution
Test Solution
Implement Solution
Analyze the Solution for Improvements
HEALTH IT IMPACTS
Clinical
Electronic Health Records (EHRs)
Admission (ADT) Systems
Med System
Barcode Scanning
Medication Pumps
FHR Monitoring
Ventilation Systems
Documentation Scanning
X-rays and Imaging
Dictation
Safety and Risk Monitoring Systems
Finance/Mgmt
Registration
Claims Systems/ Direct Billing to Insurance Companies
Billing to Patients
Charge Captures
Payroll Systems
HR Systems
Staff Scheduling
Procedure Scheduling
Networks
Wi-Fi
Internet (Network Bandwidth)
Intranet
Back-up Power Source Location/ Planning
Intercom Systems
Mobile/Telecom Networks
Smart Phones
Tablets
INTEROPERABILITY
XML
</SOAP-ENV:Header>
<SOAP-ENV:Body>
<AppBody>
<OHIQuery>
<PTNT_ID>9999999999</PTNT_ID>
<OHI_INQ_PERD_BGN_DT>20140901</OHI_INQ_PERD_BGN_DT>
<OHI_INQ_PERD_END_DT></OHI_INQ_PERD_END_DT>
<HIC_ID>ABCDE012345</HIC_ID>
<OHI_PLCY_ID></OHI_PLCY_ID>
<OHI_CVG_TYP_CD></OHI_CVG_TYP_CD>
<OHI_CVG_PYR_TYP_CD></OHI_CVG_PYR_TYP_CD>
</OHIQuery>
</AppBody>
</SOAP-ENV:Body>
</SOAP-ENV:Envelope>
X12
• Claims/Benefits/Financial Data
• Sample Message:
ISA*00*0000000000*00*0000000000*ZZ*MHSEWRAS-CENTRAL*ZZ*DMDCDEERS1600NB*030409*1051*U*00401*000000001*0*T*+!GS*HS*AGA000000000000*DMDCDEERS1600NB*20011014*184800*1*X*004010X092!ST*270*0002!BHT*0022*13*0005*20030409*1051!HL*1**20*1!NM1*P5*2*DMDCDEERS*****46*DMDCDEERS1600NB!HL*2*1*21*1!NM1*1P*2*EWRAS*****SV*385!HL*3*2*22*1!NM1*IL*1******MI*123456789!HL*4*3*23*0!NM1*03*1*Smith*John!DMG*D8*19850217!EQ*30**IND*C1!SE*13*0002!GE*1*1!IEA*1*000000001!
HL7
• Healthcare Data
• Sample Message:
MSH|^~\&|ADT1|MCM|LABADT|MCM|198808181126|SECURITY|ADT^A01^ADT_A01|MSG00001-|P|2.5|<cr>
EVN|A01|198808181123||<cr>
PID|1||PATID1234^5^M11^ADT1^MR^MCM~123456789^^^USSSA^SS||JONES^WILLIAM^A^III||19610615|M||C|1200 N ELM STREET^^GREENSBORO^NC ^27401-1020|GL|(91-9)379-1212|(919) 271-3434||S||PATID1234500 1^2^M10^ADT1^AN^A|123456789|987654^NC|<cr>
NK1|1|JONES^BARBARA^K|WI^WIFE||||NK^NEXT OF KIN<cr>
PV1|1|I|2000^2012^01||||004777^LEBAUER^SIDNEY^J.|||SUR||||ADM|A0|<cr>
HL7 ADMIT MESSAGE
MSH|^~\&|ADT1|MCM|LABADT|MCM|198808181126|SECURITY|ADT^A01^ADT_A01|MS
G00001-|P|2.5|<cr>
EVN|A01|198808181123||<cr>
PID|1||PATID1234^5^M11^ADT1^MR^MCM~123456789^^^USSSA^SS||JONES^WILLIAM^
A^III||19610615|M||C|1200 N ELM STREET^^GREENSBORO^NC^27401-1020|GL|(91-
9)379-1212|(919)271-3434||S||PATID12345001^2^M10^ADT1^AN^A|123456789
|987654^NC|<cr>
NK1|1|JONES^BARBARA^K|WI^WIFE||||NK^NEXT OF KIN<cr>
PV1|1|I|2000^2012^01||||004777^LEBAUER^SIDNEY^J.|||SUR||||ADM|A0|<cr>
*Sample message from HL7 v2.x Certification Practice Guide
HL7 RADIOLOGY MESSAGE
MSH|^~\&|XRAY||CDB||200006021411||ORU^R01|K172|P|...<cr>
PID|...<cr>
OBR|1|X89-1501^OE|78912^RD|71020^CHEST XRAY AP \T\LATERAL|||19873290800||| 9218^MASTERS^JOHN^B|...<cr>
OBX|1|CE|71020&IMP^RADIOLOGIST'S IMPRESSION|4|^MASS LEFT LOWER LOBE|||A|||F|...<cr>
OBX|2|CE|71020&IMP|2|^INFILTRATE RIGHT LOWER LOBE|||A|||F|...<cr>
OBX|3|CE|71020&IMP|3|^HEART SIZE NORMAL|||N|||F|...<cr>
OBX|4|FT|71020&GDT|1|circular density (2 x 2 cm) is seen in the posterior segment of the LLL. A second, less well-defined infiltrated circulation density is seen in the R mid lung field and appears to cross the minor fissure#||||||F|...<cr>
OBX|5|CE|71020&REC|5|71020^Follow up CXR 1 month||30-45||||F|...<cr>
*Sample message from HL7 v2.x Certification Practice Guide
MEANINGFUL USE
• The Health Information Technology for Economic and Clinical Health (HITECH) Act was part of the American Recovery & Reinvestment Act (ARRA) of 2009
• Stimulus to promote adoption and meaningful use of health IT
• Improve quality, safety, efficiency, and reduce health disparities
• Interoperability
• $550 Million in Grants for State Health IT Exchanges in 2011
• NHIN: Nationwide Health Information Network
• Adoption of Certified EHR’s by 70% of Primary Care Providers by 2014
• $27 Billion in Phased Incentives
• As much as $44,000 (through Medicare) or $63,750 (through Medicaid) per eligible health care professional
• Eligible Hospitals can receive up to $2 Million
www.HealthIT.gov (July 2014)
WHAT DOES THIS MEAN TO ME?!
• Increased presence and use of multiple Health IT systems
• Connected commercial and personal Health systems
• Improved ability to care for patients
• More comprehensive health data available from various providers
• Increased patient safety
• Better patient monitoring and reporting tools available
• More comprehensive health data for diagnosis
• Time savings
• Data shared across systems and providers
• Patient involvement
• Apps available for patient’s home use increase compliance and engagement
WHAT CAN I DO?
• Support Health IT initiatives in the workplace
Participate in surveys and studies for improving your systems
Engage in NI working groups at your organization
Provide feedback on enhancements or changes to make your systems better
Volunteer to be a tester
Help train new users
• Support Health IT initiatives in your personal life
Utilize personal health apps
Utilize health apps and tools from your provider or insurance company
Be patient with system upgrades and conversions (especially at small providers)