Questions?

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

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Agenda
Emerging Nurse Leadership Roles Todays Practice Environment Meaningful Use TIGER Future of Nursing

Nursing Informatics in the Eye of the Storm !!

ARRA

RWJF IOM

Nursing Informatics

ICD10

PPACA

31

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TIGER
Technology, Informatics, Guiding Educational Reform Our vision is to enable nurses to use informatics tools, principles, theories, and practices to make health care safer, more effective, efficient, patientcentered, timely, and equitable by interweaving enabling technologies transparently into nursing practice and education, making information technology the stethoscope for the 21st century. www.thetigerinitiative.org

Perspectives on Nursing Informatics in 2011

Dana Alexander RN, MSN, MBA VP & Chief Nursing Officer GE Healthcare HIMSS Nursing Committee Email: dana.alexander@ge.com

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Why are we having this conversation?

Future of Nursing Oct 2010 ARRA/HITECH 2009 PPACA 2010

Scope of Practice Barriers

There is no aspect of our profession that will be untouched by the informatics revolution in progress.

-Angela McBride, Distinguished Professor and

University Dean Emeritus Indiana University School of Nursing

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Nursing Informatics & Future of Nursing

FON Recommendation Remove scope of practice barriers Increase nurse residency programs 80% BS by 2020 100% Doctorate level RN Lifelong learning Opportunities to Improve Lead Change/Advance Health
PRACTICE

HIT-Enabled Health Reform Achieving Meaningful Use

2009 2011 2013 2015
HIT-Enabled Health Reform
Meaningful Use Criteria

Nursing Informatics Information technologies to support practice and demonstrate RN value Competencies !!! Curriculum TIGER !! Prepare Nursing Leaders Develop NI Leaders

EDUCATION

HITECH Policies

2011 Meaningful Use Criteria (Capture/share data)

LEADERSHIP

2013 Meaningful Use Criteria (Advanced care processes with decision support)

Source: HIT Policy Committee 6/16/2009

2015 Meaningful Use Criteria (Improved Outcomes)

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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 Transforming Nursing

Leadership

Practice

Education

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8 Key Recommendations
# 1 2 3 4 5 6 7 8 Recommendation
Remove scope-of-practice barriers Expand opportunities for nurses to lead and diffuse collaborative improvement efforts Implement nurse residency programs Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020 Double the number of nurses with a doctorate by 2020 Ensure that nurses engage in lifelong learning Prepare and enable nurses to lead change to advance health Build an infrastructure for the collection and analysis of interprofessional health care workforce data

Partners in Practice: The Chief Nurse Executive and Nursing Informatics Executive
What is the relationship between the Nursing Professional Practice Model and Nursing Informatics? How does the model look today and what are the emerging models?
Advancing Nursing Practice through Nursing Informatics

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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 and usability 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 have informatics competencies at some level. -Dr. David Blumenthal, Office of the National Coordinator

Highlights - Key Messages

1. 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 system that promotes seamless academic progression. 3. Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States. 4. Effective workforce planning and policy making require better data collection and an improved information infrastructure.

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The Future of Nursing: Leading Change, Advancing Health

Released Type Topics October 5, 2010 Consensus Report Health Care Workforce, Quality and Patient Safety, Health Services, Coverage, and Access Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine Studies under the IOM Executive Office

Driving toward Improving Outcomes and Population Health.2015 and Beyond

Building an infrastructure for evidence based practice is essential Informatics is key to increasing knowledge and informing 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

Activity

Board

http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

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NOW is YOUR Time

Nursing has a choice: At the table or on the menu?

Perspectives on Nursing Informatics in 2011

Mark Sugrue, RN, BC Director, Health Industries Advisory PricewaterhouseCoopers HIMSS NI Task Force Chair Email: mark.d.sugrue@us.pwc.com

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Health Management Academy Survey CNIOs

Perspectives on Nursing Informatics in 2011

Judy Murphy, RN, BSN, FACMI, FHIMSS Vice President, Information Services Aurora Health Care, Milwaukee, WI HIMSS Board of Directors ANI Co-Chair Email: judy.murphy@aurora.org

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Technology 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

Health Management Academy Survey CNIOs Nursing Informatics responsibilities

Interdisciplinary Collaboration
Cross functional & cross venue improvements Interprofessional

Online Education
Ubiquitous

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Health Management Academy Survey CNIOs

Technology Impact on Process

Workflow
How the technology is used within the context of patient 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

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Technology Use
Explosion of device variety Device use at point-of-care Barcoding Impact on nurse-patient relationship

Health Management Academy Survey CNIOs

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Health Management Academy Survey CNIOs

Adapted from: Murphy, J. Trends in the Delivery of Nursing Care: What Impact Will Technology Have?, Nursing Informatics Commentary, Journal of Healthcare Information Management, Vol 25, No. 1, 14-15 (Winter 2011). A special thank you to Michael Kurliand and the HIMSS Nursing Informatics Community in helping identify many of these ideas. The NI Community 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

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Health Management Academy Survey CNIOs

Response Profile & Methodology Requested Health System Executives to refer us to their corporate nursing informatics leader Response Rate: 77% Representative of 31 Health Systems Average Net Patient Revenue: $2.8 billion

Health Management Academy Survey CNIOs

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