Post on 14-May-2020
Advancing Nursing
Informatics: From Learner to
Leader
May 10, 2018
NURSING INFORMATICS COMMUNITY
SpeakersNancy Beale, MSN, RN-BC, Vice President, Clinical Systems and Integration, NYU Langone Health System
Julie Bowen, MSN, RN, Executive Director of IT & Clinical Education HIPAA Security Officer Gibson Area Hospital
Bonne Farberow, MSN, RN-BC, CCRP, Population Health Executive, Cerner Corporation
Learning Objectives
• Recognize the value of nursing informatics and how to articulate and underscore the value.
• Demonstrate how your identity as a nurse integrates into nursing informatics.
• Examine the role of the CNIO and nurse informaticist and how to advance to these positions in health care organizations.
About
Nursing Informatics Defined
Nursing informatics (NI) is the specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice. NI supports nurses, consumers, patients, the interprofessional healthcare team, and other stakeholders in their decision-making in all roles and settings to achieve desired outcomes. This support is accomplished through the use of information structures, information processes, and information technology
- Nursing Informatics: Scope and Standards of Practice, 2nd Edition, ANA 2015
Nursing Process and the System
Development Life Cycle
Why Nursing Informatics?• Existence (or lack) of theoretical frameworks that support nurses to
conceptualize the application of technology to practice
• Technology will not solve the “Iron Triangle” of access, quality and cost – that view is simplistic
• Use of technology must be guided by greater comprehension of the ultimate goal, impact and benefit
Francis, I. (Feb, 2017). Nursing Informatics and the
Metaparadigms of Nursing. Online Journal of Nursing Informatics (OJNI), 21(1), Available at http://www.himss.org/ojni
2017 Nursing Informatics Workforce Survey Infographic
Poll: What is your role?Please utilize the polling option on your screen.
Top Respondent Titles
2%
2%
1%
3%
6%
3%
2%
4%
7%
1%
23%
2%
2%
2%
3%
3%
3%
3%
4%
5%
7%
20%
Chief Nursing Informatics Officer
Project Manager
Associate Professor/Professor
Clinical Applications Specialist
Application Analyst
Nurse Educator/Instructor
Clinical Informatics Specialist
Consultant
Clinical Analyst
Director of Clinical Informatics
Nursing Informatics Specialist
2017 Results 2014 Results
What is your practice setting?Please utilize the polling option on your screen.
Workplace
5%
2%
5%
5%
4%
9%
20%
n/a
48%
3%
3%
4%
4%
4%
7%
13%
n/a
58%
5%
2%
3%
4%
8%
9%
7%
15%
42%
Other
Ambulatory Care
Consulting Firm
Vendor
Government/Military
Academic Setting
Health System
Multi-facility Health System,…
Hospital
2017 Results 2014 Results 2011 Results
* New selection option for 2017 survey
Nursing Education
3%
1%
n/a
1%
1%
n/a
1%
13%
24%
35%
n/a
42%
1%
1%
n/a
2%
2%
n/a
3%
11%
18%
41%
n/a
42%
1%
1%
1%
2%
2%
5%
3%
9%
14%
22%
23%
42%
Other PhD
Nurse Practitioner
PhD in Nursing Informatics
Licensed Practical Nurse
PhD in Nursing
Master's Degree in Other Informatics
Doctor of Nursing Practice
Other Bachelor's
Other Master's
Master's in Nursing
Master's Degree in Nursing Informatics
Bachelor's in Nursing
2017 Results 2014 Results 2011 Results
Selection options expanded for 2017 survey. Added Master’s in Nursing Informatics, Master’s in Other
Informatics and PhD in Nursing Informatics
Years of Clinical Experience
n/a
12%
22%
20%
15%
31%
4%
20%
21%
15%
13%
28%
2%
16%
22%
17%
16%
26%
Less than 1 year
1 to 5 years
6 to 10 years
11 to 15 years
16 to 20 years
More than 20 years
2017 Results 2014 Results 2011 Results
Nursing Experience
9%
10%
12%
15%
24%
32%
44%
43%
12%
13%
13%
16%
20%
26%
38%
44%
9%
12%
14%
15%
20%
24%
44%
45%
Oncology
Ambulatory Clinic
Quality Improvement
Pediatric
Emergency
Administration
Critical Care
Medical/Surgical
2017 Results 2014 Results 2011 Results
Current Informatics Education/Training
1%
n/a
7%
11%
26%
1%
4%
5%
9%
23%
1%
6%
5%
5%
24%
Bachelor's
Program/Course
Certificate
Master's/PhD
On-the-Job Training
2017 Results 2014 Results 2011 Results
Held Pursuing
51%
17%
6%
27%
2017 Results
2017 Results
49%
4% 3% 5%14%
32%
2017 Results
2017 Results
Nursing Informatics Certification
Perceived Value in Holding Certification
24%35% 41%
50% 53% 57% 60%71%
79% 85%
2017 Results
Percentage of respondents with certification
Impact of Certification to Career Path
18%
35%
47%
Not at all Impactful(1 to 3)
Impactful (4 to 5)
Highly Impactful (6to 7)
2017 Results
New Survey Question added to 2017. Respondents asked to use a scale of one to
seven, where one is not at all impactful and seven is highly impactful.
Average
4.96
Without Certification / Not Pursuing
41% 19%
Top Barrier to Certification
Hold Certification / Or Pursuing
50% 25%
Job Responsibilities
53%
n/a
57%
38% 39%43%
31%36%
40%
Systems Development SystemOptimization/Utilization
SystemsImplementation
2011 Results 2014 Results 2017 Results
Career Path for Nursing Informatics
Functional Areas of Nursing Informatics
According to the Nursing Informatics: Scope and Standards of Practice, 2nd Edition, 2015, American Nurses Association Administration, leadership, and management Systems analysis and design Compliance and integrity management Consultation Coordination, facilitation, and integration Development of systems, products, and resources Educational and professional development Genetics and genomics Information management/operational architecture Policy development and advocacy Quality and performance improvement Research and evaluation Safety, security, and environmental health
Senior Nursing Informatics Executive (CNIO) at Organization
3%
67%
30%
4%
60%
32%
Do Not Know
No
Yes
2017 Results 2014 Results
http://www.himss.org/sites/himssorg/files/himss-cnio-job-description.pdf
Reporting Structure for Senior NI Executive
4%
17%
16%
7%
15%
25%
41%
2%
14%
10%
9%
12%
25%
28%
COO/Operations Executive
Do Not Know
CMO/CMIO/Physician Executive
Other
CEO/Administrator
CIO/IT Executive
CNO/Nursing Executive
2017 Results 2014 Results
2014 study allowed respondents to select more than one as compared to 2017 which allowed one selection
Job Satisfaction in Informatics Career Choice
3%
17%
81%
4%
16%
80%
Not Satisfied (1 to 3)
Somewhat Satisfied (4 to 5)
Highly Satisfied (6 to 7)
2017 Results 2014 Results
Respondents asked to use a scale of one to seven, where one is not at all satisfied and seven is highly satisfied.
2017 Average
6.2
2014 Average
6.2
Applications Currently Developing/Implementing/Optimizing
30%
33%
41%
48%
58%
56%
60%
62%
77%
36%
36%
41%
51%
55%
59%
62%
69%
80%
31%
37%
26%
33%
38%
47%
41%
55%
71%
Quality Improvement/Risk…
Point-of-Care CDS
Bar Coded Medication…
eMAR
Clinical Information Systems
Non-Nursing Clinical…
CPOE
EMR/EHR
Nursing Clinical Documentation
2017 Results 2014 Results 2011 Results
Potential Financial Impacts
• CMS Reporting
• eCQM's
• MIPS
• MACRA
• CPC+2
• Pay for Performance (P4P)
• Value Based Purchasing (VBP)
• Clinical Research Reporting
Enabling better health through information technology.
http://www.himssanalytics.org/sites/himssanalytics/files/HIMSS%20Analytics%20EMRAM%20-%20web_1.pdf
Top Barriers to Success as a Nurse Informaticist
1%
2%
6%
5%
10%
7%
6%
12%
12%
14%
17%
1%
3%
5%
6%
7%
7%
9%
11%
12%
13%
21%
Technology
Regulations e.g. Meaningful Use,…
Software Architecture/Design
Time Management
Integration/Interoperability
User Acceptance
Infrastructure
Financial Resources
Organizational Strategic Plan
Staffing Resources
Administrative Support
2017 Results 2014 Results
Percent of respondents who rated option as the top/largest barrier.
Sources of Information for Day-to-Day Activities
19%
18%
21%
46%
53%
61%
64%
68%
Social Networking
Blogs
Print Journals
Association Newsletters
Electronic Journals
Professional Organizations*
Websites
Networking with Peers
2017 Results
2017 Results
* New selection option for 2017 survey
• Launched in 1996 with readership spanning over 49 countries
• Complimentary, international, peer reviewed journal published three times a year that supports all function areas of nursing informatics
• View the latest issue www.himss.org/ojni
• Explore the submission guidelines and submit a manuscript. Student submissions welcome!
Online Journal of Nursing Informatics
(OJNI)
• Focused on education reform and maximizing the integration of technology and informatics into seamless practice, education and research resource development
• Explore the reimagined TIGER Virtual Learning Environment (VLE)
• Join the TIGER Community, tiger@himss.org
• www.thetigerinitiative.org
TIGER (Technology Informatics Guiding
Education Reform)
Questions
Check out the 2018 HIMSS National Nurses Week Page! www.himss.org/national-nurses-week
Appendix
Years of Informatics Experience
8%
13%
14%
15%
10%
39%
8%
16%
17%
13%
21%
25%
8%
9%
15%
16%
20%
31%
Less than 1 year
1 to 2 years
3 to 4 years
5 to 6 years
7 to 10 years
More than 10 years
2017 Results 2014 Results 2011 Results
Years in Current Position
18%
26%
30%
26%
15%
32%
29%
24%
11%
24%
35%
31%
Less than 1 year
1 to 2 years
3 to 5 years
More than 5 years
2017 Results 2014 Results 2011 Results
Percent of Time Spent on
Clinical Activities
71%
21%
4% 2%
2017 Results
None <25% 26-50% >75%
Department to Which You Report
2%
5%
6%
n/a
6%
22%
32%
52%
3%
4%
6%
10%
31%
21%
30%
53%
3%
4%
9%
10%
11%
28%
32%
49%
Software Design
Implementation
Education Department
Corportate Headquarters
Quality Improvement
Administration/Corporate…
Nursing
IS/IT
2017 Results 2014 Results 2011 Results
Total Number of Reports (direct & indirect)
NA
NA
NA
NA
25%
61%
7%
2%
3%
7%
14%
67%
11%
3%
2%
6%
15%
64%
More than 20
16 to 20
11 to 15
6 to 10
1 to 5
None
2017 Results 2014 Results 2011 Results
Job Satisfaction in Current Position
10%
33%
57%
9%
33%
58%
Not Satisfied (1 to 3)
Somewhat Satisfied (4 to 5)
Highly Satisfied (6 to 7)
2017 Results 2014 Results
2017 Average
5.5
2014 Average
5.4
Respondents asked to use a scale of one to seven, where one is not at all satisfied and seven is highly satisfied.
Salary Range
0%
5%
28%
26%
13%
7%
4%
4%
2%
1%
2%
2%
4%
24%
25%
20%
8%
6%
5%
3%
1%
2%
$30,000 to $45,000
$46,000 to $60,000
$61,000 to $85,000
$86,000 to $100,000
$101,000 to $115,000
$116,000 to $130,000
$131,000 to $145,000
$146,000 to $160,000
$161,000 to $185,000
$186,000 to $200,000
Above $200,000
2017 Results 2014 Results
Question asked for salary range only starting in 2017
Salary Range & Certification
2%
5%
28%
27%
17%
6%
5%
4%
3%
1%
1%
1%
3%
19%
22%
22%
10%
7%
7%
4%
2%
4%
$30,000 - $45,000
$46,000 - $60,000
$61,000 - $85,000
$86,000 - $100,000
$101,000 - $115,000
$116,000 - $130,000
$131,000 - $145,000
$146,000 - $160,000
$161,000 - $185,000
$186,000 - $200,000
Above $200,000
Certification Held No Certification Held
Question asked for salary range only starting in 2017
Salary Range & Education
2%
6%
32%
25%
20%
7%
4%
2%
1%
0%
0%
1%
2%
20%
24%
20%
9%
7%
7%
5%
2%
3%
$30,000 - $45,000
$46,000 - $60,000
$61,000 - $85,000
$86,000 - $100,000
$101,000 - $115,000
$116,000 - $130,000
$131,000 - $145,000
$146,000 - $160,000
$161,000 - $185,000
$186,000 - $200,000
Above $200,000
Post Graduate Degree No Post Graduate Degree
Question asked for salary range only starting in 2017
HIMSS Nursing Informatics Community
Contact Information
Tammy Kwiatkoski, MBA
Director, Clinical Informaticstkwiatkoski@himss.org
Trisha Pongco
Coordinator, Clinical Informaticstpongco@himss.org
Check out the 2018 HIMSS National Nurses Week Page! www.himss.org/national-nurses-week