Advancing Nursing Informatics: From Learner to Leader NNW Webinar l May 10 2018 l... · Nursing...

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.

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


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


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


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


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


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


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


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)


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


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


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)

http://www.himss.org/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, [email protected]

• www.thetigerinitiative.org

TIGER (Technology Informatics Guiding

Education Reform)

mailto:[email protected]

http://www.thetigerinitiative.org/

Questions

Check out the 2018 HIMSS National Nurses Week Page! www.himss.org/national-nurses-week

http://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


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


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


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


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 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


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


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


HIMSS Nursing Informatics Community

Contact Information

Tammy Kwiatkoski, MBA

Director, Clinical [email protected]

Trisha Pongco

Coordinator, Clinical [email protected]



Check out the 2018 HIMSS National Nurses Week Page! www.himss.org/national-nurses-week

http://www.himss.org/national-nurses-week

Advancing Nursing Informatics: From Learner to Leader NNW Webinar l May 10 2018 l... · Nursing...

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