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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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Informatics in 2011

Mark Sugrue, RN, BC

Director, Health Industries AdvisoryPricewaterhouseCoopers

HIMSS NI Task Force Chair


NOW is YOURTime

Nursing has a choice:

At the table or on the menu?

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Informatics in 2011

Judy Murphy, RN, BSN, FACMI, FHIMSS

Vice President, Information ServicesAurora Health Care, Milwaukee, WI

HIMSS Board of Directors

ANI Co-Chair


Health Management Academy Survey

CNIOs

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Nursing Informatics responsibilities


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


CNIOs


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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


CNIOs


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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


CNIOs

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