responding to the iom initiatives to transform the bsn program

Copyright, Bonnie Korn, Sarah Swart, University of Detroit Mercy, 2005 1

Responding to the IOM Responding to the IOM Initiatives to Transform the Initiatives to Transform the

BSN Program BSN Program

University of Detroit MercyBSN Completion Program

Online and On Site

Michigan Center for NursingMichigan Nursing Summit 2005


University of Detroit Mercy University of Detroit Mercy PresentersPresenters

Bonnie Korn, RN, MSNBonnie Korn, RN, MSNChair and Faculty, Bachelor of Science in Nursing Chair and Faculty, Bachelor of Science in Nursing Completion Program ; BSNONLINE Planning TeamCompletion Program ; BSNONLINE Planning [email protected]@udmercy.edu

Sarah Lelgarde Swart, MM, MLISSarah Lelgarde Swart, MM, MLISDirector of Instructional Technology and Healthcare Director of Instructional Technology and Healthcare Informatics Faculty; BSNONLINE Planning TeamInformatics Faculty; BSNONLINE Planning [email protected]@gmail.com and and http://ces.vpweb.comhttp://ces.vpweb.com


OverviewOverview

IOM InitiativesIOM Initiatives Application for Curriculum Application for Curriculum

DevelopmentDevelopment


The Changing LandscapeThe Changing Landscape

IOM Initiatives (2003)IOM Initiatives (2003) Integration of InformaticsIntegration of Informatics New Practice ModelsNew Practice Models Patient SafetyPatient Safety Healthcare SystemsHealthcare Systems Leadership DevelopmentLeadership Development


IOM InitiativesIOM Initiatives

““These core competencies These core competencies include: patient centered care, include: patient centered care, interdisciplinary teams, interdisciplinary teams, evidence based practice, evidence based practice, quality improvement, and quality improvement, and informatics.”informatics.”

Greiner, 2003.Greiner, 2003.


Basic FoundationBasic Foundation

““While clinicians are trained to While clinicians are trained to use an array of cutting-edge use an array of cutting-edge technologies related to care technologies related to care delivery, they often are not delivery, they often are not provided a basic foundation in provided a basic foundation in informatics.” informatics.” (Gorman et al, 2000; Hovenga, (Gorman et al, 2000; Hovenga, 2000)2000)

Greiner, 2003Greiner, 2003


Utilize InformaticsUtilize Informatics

Mitigate errors (not blame) through Mitigate errors (not blame) through the use of technological decision the use of technological decision making processesmaking processes

Support decision making through Support decision making through technologytechnology

Powerful communication to make Powerful communication to make sure all interested parties have the sure all interested parties have the information they needinformation they need

(Greiner, 2003) (Greiner, 2003)


Informatics and Informatics and Health Care TechnologiesHealth Care Technologies

Discovering, retrieving and Discovering, retrieving and using information in nursing using information in nursing practicepractice

Apply technology to practice Apply technology to practice and researchand research

Use of methods and equipment Use of methods and equipment to apply technology to practiceto apply technology to practice

Nursing Language TaxonomiesNursing Language Taxonomies


Culture of SafetyCulture of Safety

““A culture of safety embodies the idea A culture of safety embodies the idea that the person who receives care that the person who receives care should expect a safe environment that should expect a safe environment that is free of error, does not cause harm, or is free of error, does not cause harm, or reduces harm. …several tenets are reduces harm. …several tenets are important to consider: disclosure, important to consider: disclosure, nonabandonment, rapid response, nonabandonment, rapid response, nonblame, and forgiveness. I suggest a nonblame, and forgiveness. I suggest a sixth: practical links.”sixth: practical links.”

(Milstead, 2005) (Milstead, 2005)


Informatics and Culture of SafetyInformatics and Culture of Safety

““..focus is on correction of the system ..focus is on correction of the system that allowed errors to be made rather that allowed errors to be made rather than on the person who committed the than on the person who committed the error. … Practical links connect the error. … Practical links connect the solution to the error.” solution to the error.”

(Milstead, 2005) (Milstead, 2005)


Health Care SystemsHealth Care Systems

SafeSafe EffectiveEffective Patient CenteredPatient Centered TimelyTimely EfficientEfficient EquitableEquitable

Committee on Quality Health Care in America, 2001.Committee on Quality Health Care in America, 2001.


Redesigned Health Care System Redesigned Health Care System RulesRules

Continuous healing relationshipsContinuous healing relationships Customized for patient needs and valuesCustomized for patient needs and values Patient = source of controlPatient = source of control Knowledge is shared and information flows Knowledge is shared and information flows

freelyfreely Evidence based decision makingEvidence based decision making Safety is a system prioritySafety is a system priority Informed decisions about all aspects of careInformed decisions about all aspects of care Anticipate patient needsAnticipate patient needs Continuously decrease wasteContinuously decrease waste Cooperation among cliniciansCooperation among clinicians

Adapted from IOM Report, 2001Adapted from IOM Report, 2001 (Greiner, 2003)(Greiner, 2003)


Clinical Nurse LeaderClinical Nurse Leader ClinicianClinician Outcomes ManagerOutcomes Manager Patient AdvocatePatient Advocate EducatorEducator Information ManagerInformation Manager Systems AnalystSystems Analyst Team ManagerTeam Manager Member of a ProfessionMember of a Profession Lifelong LearnerLifelong Learner

AACN, 2004.AACN, 2004.


Trends in HealthcareTrends in Healthcare

Key Indicators from reports listed in the Key Indicators from reports listed in the Working Paper on the Role of the Working Paper on the Role of the Clinical Nurse LeaderClinical Nurse Leader Global Society Global Society Expanding technologiesExpanding technologies Increasingly diverse populationsIncreasingly diverse populations Inter-professional educationInter-professional education New practice modelsNew practice models Better use of resourcesBetter use of resources

AACN, 2004.AACN, 2004.


Work in Interdisciplinary TeamsWork in Interdisciplinary Teams

Cooperate, collaborate, Cooperate, collaborate, communicate, and integrate communicate, and integrate care in teams to ensure care is care in teams to ensure care is continuous and reliablecontinuous and reliable

(Greiner, 2003)(Greiner, 2003)

JCAHO recommends the use of JCAHO recommends the use of interdisciplinary care plansinterdisciplinary care plans

IOM recommends interdisciplinary IOM recommends interdisciplinary educationeducation


Apply Quality ImprovementApply Quality Improvement

Identify errors and hazards in care;Identify errors and hazards in care; Understand and implement basic safety Understand and implement basic safety

design principles such as standardization design principles such as standardization and simplification;and simplification;

Continually understand and measure Continually understand and measure quality in terms of structure, process, quality in terms of structure, process, and outcomes in relation to patient and and outcomes in relation to patient and community needs;community needs;

Design and test interventions to change Design and test interventions to change processes and systems of careprocesses and systems of care

(Greiner, 2003) (Greiner, 2003)


Knowledge and Skills for the Knowledge and Skills for the GraduateGraduate

Use information and communication Use information and communication technologiestechnologies

Work in interdisciplinary teams to make Work in interdisciplinary teams to make ethical decisionsethical decisions

Adapt technologies to meet patient Adapt technologies to meet patient needsneeds

Teach patients about health care Teach patients about health care technologiestechnologies

Information Privacy and SecurityInformation Privacy and Security Access, critique, and analyze health Access, critique, and analyze health

information resourcesinformation resourcesSummarized from AACN report, 2004.Summarized from AACN report, 2004.


Curriculum on the MoveCurriculum on the Move

On campus to On site to On lineOn campus to On site to On line Curriculum revisionCurriculum revision Responding to IOM report (2003)Responding to IOM report (2003) Curriculum contentCurriculum content Response to needs of the RNResponse to needs of the RN Power of partnershipsPower of partnerships


Partnerships EverywherePartnerships Everywhere

Hospital Site PartnersHospital Site Partners Trinity Healthcare Online Trinity Healthcare Online

PartnerPartner Instructional Design StudioInstructional Design Studio Partnership with our studentsPartnership with our students


Applying Culture of Safety Applying Culture of Safety StandardsStandards

Security and Privacy of RecordsSecurity and Privacy of Records Enter Once, Use Many TimesEnter Once, Use Many Times Increased Comfort with Using Increased Comfort with Using

TechnologyTechnology Improved Work ProcessesImproved Work Processes Reduce ErrorsReduce Errors Teach Technology to PatientsTeach Technology to Patients


Healthcare Informatics: Healthcare Informatics: Greek to GeekGreek to Geek

Course Plan: 25% technology + 75% Course Plan: 25% technology + 75% informatics theoryinformatics theory

Designed for 100% onlineDesigned for 100% online Moved to onsite program with 3 class Moved to onsite program with 3 class

meetings and the rest online (15 weeks)meetings and the rest online (15 weeks) Mantra: “The only way to learn Mantra: “The only way to learn

computers is to be on a computer!”computers is to be on a computer!” Course transformation supports needed Course transformation supports needed

computer skills for online learningcomputer skills for online learning


On the KeyboardOn the Keyboard

MS Office skills – Word APA formatting using MS Office skills – Word APA formatting using styles; Excel data collection and graphs; styles; Excel data collection and graphs; PowerPoint accelerated presentationsPowerPoint accelerated presentations

Apply Your New Knowledge Assignment for Apply Your New Knowledge Assignment for each applicationeach application

Enabler for nurses to perform on the job: Enabler for nurses to perform on the job: example – nurses prepared presentations for example – nurses prepared presentations for Beaumont Hospital’s Magnet status reviewBeaumont Hospital’s Magnet status review


Information AgeInformation Age

Website Evaluation Tool – 5 point criteriaWebsite Evaluation Tool – 5 point criteria http://www.library.cornell.edu/olinuris/ref/research/http://www.library.cornell.edu/olinuris/ref/research/

webcrit.htmlwebcrit.html Accuracy*Authority*Objectivity*Currency*CoverageAccuracy*Authority*Objectivity*Currency*Coverage Knowledge Management – Boolean Searching – Knowledge Management – Boolean Searching –

Scavenger Hunt … This object was accepted in the Scavenger Hunt … This object was accepted in the Association of Academic Healthcenters Learning Association of Academic Healthcenters Learning Objects repository!Objects repository!

Searching Bibliographic databases online Searching Bibliographic databases online


Informatics TheoryInformatics Theory

Why Informatics? Why Informatics? Clinical Information Systems*Clinical Information Systems* Data StandardsData Standards HIPAAHIPAA Network SecurityNetwork Security Privacy and ConfidentialityPrivacy and Confidentiality TelehealthTelehealth

*textbook by AMIA and ANA plus Coursepacks created using journal articles from the library databases and delivered via Blackboard


Web Design – The Geek PartWeb Design – The Geek Part Every nurse must create their own site in HTML code! Every nurse must create their own site in HTML code!

They are published online through their own FTP account They are published online through their own FTP account at the University. Here are some samples:at the University. Here are some samples:

http://chp.udmercy.edu/~schlacsu/http://chp.udmercy.edu/~schlacsu/ Informatics Trends in Healthcare (Group Project-4pages)Informatics Trends in Healthcare (Group Project-4pages) http://chp.udmercy.edu/~andreore/http://chp.udmercy.edu/~andreore/

Stress Relief for NursesStress Relief for Nurses http://chp.udmercy.edu/~beemandehttp://chp.udmercy.edu/~beemande

Congestive Heart FailureCongestive Heart Failure http://chp.udmercy.edu/~irwinde/http://chp.udmercy.edu/~irwinde/

Elder AbuseElder Abuse More than 110 sites were created during the first three More than 110 sites were created during the first three

years of this course!years of this course!


Nurses’ ReactionsNurses’ Reactions

At the start it is sheer panic!At the start it is sheer panic! With a lot of encouragement, some late night With a lot of encouragement, some late night

phone calls and emails, and chatroom visits, they phone calls and emails, and chatroom visits, they know I am ready to helpknow I am ready to help

……by the end they really feel like Geeks! (their by the end they really feel like Geeks! (their words)words)

One student has published her webpage project in One student has published her webpage project in a journal “The Triplet Connection”a journal “The Triplet Connection”

IT Committee Appointments IT Committee Appointments


Thank you – Feel Free To Thank you – Feel Free To Contact Us!Contact Us!

BSNOnline Partnership Site:BSNOnline Partnership Site: http://healthprofessions.udmercy.edu/nursing/bsncohttp://healthprofessions.udmercy.edu/nursing/bsnco

mp.phpmp.php

(one of our nurses favorites PPT features!


ReferencesReferencesAiken, Linda H., Clarke, Sean P., Cheung, Robyn B,, Solane, Douglas M., Aiken, Linda H., Clarke, Sean P., Cheung, Robyn B,, Solane, Douglas M.,

Silber, Jeffrey H. Educational levels of hospital nurses and surgical Silber, Jeffrey H. Educational levels of hospital nurses and surgical patient mortality. patient mortality. JAMA, JAMA, 290(12), 1617-1623.290(12), 1617-1623.

American Association of Colleges of Nursing. (June 2004). Working American Association of Colleges of Nursing. (June 2004). Working Paper on the Role of the Clinical Nurse Leader.Paper on the Role of the Clinical Nurse Leader.

Committee on Quality Health Care in America, Institute of Medicine Committee on Quality Health Care in America, Institute of Medicine (2001). Crossing the quality chasm: a new health system for the 21(2001). Crossing the quality chasm: a new health system for the 21stst century.century.

Greiner, A. C., Knebel, E., & Committee on the Health Professions Greiner, A. C., Knebel, E., & Committee on the Health Professions Education Summit. (2003, Apr 8). Health professions education: a Education Summit. (2003, Apr 8). Health professions education: a bridge to quality. , Retrieved Apr 12, 2005, from bridge to quality. , Retrieved Apr 12, 2005, from http://www.nap.edu/catalog/10681.htmlhttp://www.nap.edu/catalog/10681.html

Milstead, J. A. (2005). The culture of safety. Milstead, J. A. (2005). The culture of safety. Policy, Politics, & Nursing Policy, Politics, & Nursing PracticePractice, , 66(1), 51-54.(1), 51-54.

responding to the iom initiatives to transform the bsn program

Technology

quality health

bsnonline

sarah swart

bonnie korn

iom report

working paper

detroit mercy

interdisciplinary