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Nursing Informatics 101
Transcript of Nursing Informatics 101 - Amazon S3s3.amazonaws.com/rdcms-himss/files/production/public...Nursing...
Nursing Informatics 101
Nursing Informatics 101 Contributors
Christel Anderson, MA Director, Clinical Informatics HIMSS Melissa F. Barthold, DNP, RN-BC,CPHIMS, FHIMSS Senior Clinical Solutions Strategist University of Mississippi Medical Center Tammy Duecker, RN
Patty Guinn, RN, BS Director, Clinical Informatics Cornerstone Advisors Joyce Sensmeier MS, RN-BC, CPHIMS,FHIMSS, FAAN Vice President, Informatics HIMSS Ruth MacCallum, BS RN-BC Clinical Informatics Consultant (Retired)
Why Nursing Informatics?
“If we cannot name it, we cannot control it, finance it, teach it, research it or put it into public policy.”
Source: Lang, N. 1993
Presenter
Presentation Notes
Lang’s definition of nursing informatics
Nursing Informatics Defined
Nursing informatics (NI) is the specialty that integrates nursing science with multiple information management 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, Second Edition ANA 2015
Who are Informatics Nurses?
• Expert nursing clinicians in utilizing the nursing process • Expert analytical & critical thinking skills • Understand patient care delivery workflow & integration
points for automated documentation • Clinicians with extensive clinical practice
• Experienced in utilizing and implementing the nursing process
• Have additional education & experience related to technology and information systems
• Are excellent project managers because of the similarity between the project management process & the nursing process
• May be board certified in Nursing Informatics by ANCC
Nursing Informatics is Nursing!
• NI is was recognized as a specialty by the ANA in 1992 • 1st Scope and Standards of Nursing Informatics Practice
published – Nursing Informatics: Scope and Standards of Practice, 2nd
Edition published 2015 • Meets Panniers and Gassert’s (1996) attributes of a specialty in
nursing • A differentiated practice • A defined research program • Organizational representation • Educational programs • A credentialing mechanism
Nursing Practice
Nursing Process is the cornerstone of Professional Nursing Practice
• Defines the “What” and “How” of professional practice
• The steps of the process are measurable
• The process steps can also be used by other clinical disciplines
Nursing Process
Well-documented information provides: • What care has been provided and what is outstanding
• Outcomes of care provided and responses to the plan of care • Current patient status & assessments
• Support decisions based on assessments to drive new plans of care
Automation of Documentation
• Why automate documentation – not only for nursing but for all of patient care?
• Up-to-date, accurate information of each step of the Nursing Process is the power behind safe, high quality patient-centered care!
Successful Automation Successful implementation of health IT requires: • Well designed systems that support the Nursing Process
within the culture of an organization and/or specific care providers
• Acceptance & integration of information systems into the regular workflow of nursing process & patient care
How do Informatics Nurses Impact the Nursing Process?
Enable the professional nurse to be the “Coordinator” of each patient’s care
• Communicate & coordinate care with ALL other clinical disciplines
• Coordinate discharge planning, education & teaching, transitions of care
• Manage ALL information related to the nursing process and patient care delivery
Assessment
Planning Implementation
Evaluation
• STANDARDIZED • DOCUMENTAITON • PROCESS RE-ENGINEERING • INFORMATION MANAGEMENT • RESEARCH AND EVIDENCE
COLLECTION
Presenter
Presentation Notes
Communication and coordination is so crucial in providing nursing care and you can’t communicate and therefore can’t coordinate without access to INFORMATION – patient, financial, providers, payors, etc.
How do Informatics Nurses Impact the Nursing Process?
Because information management is integrated into nursing practice, there are now additional steps in the nursing process
Assessment
Planning Implementation
Evaluation
• STANDARDIZED • DOCUMENTAITON • PROCESS RE-ENGINEERING • INFORMATION MANAGEMENT • RESEARCH AND EVIDENCE
COLLECTION
Presenter
Presentation Notes
So we have added steps to support the nursing process and reflect the role of nursing informatics: Standardized documentation Process Re-engineering Information Management Research and Evidence Collection These steps enhance the nursing process, make it more efficient, and result in better and repeatable outcomes. Let’s see how this happens – next slide.
How do Informatics Nurses Impact the Nursing Process?
• Standardized Documentation
• The collection tool for information management
• Information Management • Key role for Nursing Informatics • Key to research and evidence collection
• Process Re-engineering
• Key to successful implementation
• Research and Evidence Collection • Key to repeatable, standardized care and improved
outcomes
Presenter
Presentation Notes
In addition to making it easier for nursing to move from area to area with minimal adjustment to a data collection tool, standardized documentation allows data to be more easily shared and reported on. Keep in mind the definitions of the Data, Information, Knowledge, and Wisdom as defined in Nursing Informatics: Scope and Standards of Practice document. Data are discrete entities that are described objectively without interpretation Information is data that are interpreted, organized, or structured, and Knowledge is information that is synthesized so that relationships are identified and formalized. Wisdom is the appropriate use of knowledge to manage and solve human problems. (Reference: ANA Scope and Standards of Nursing Informatics Practice) Management of the information collected from the standardized documentation is a key role for nursing informatics – pulling data and analyzing to support research. Nursing informatics performs a role in process re-engineering during the planning and implementation of clinical software – how can software/hardware make the flow of information better to support improved patient care. And most importantly, all of this supports the ability to repeat and standardize patient care for consistent, quality outcomes.
The Value of Nurse Informaticists • Nurse Informaticists are bilingual • Support nursing work processes using technology • Re-engineer clinical workflow & facilitate change
management
Acute care – all specialties Home health Ambulatory care Software development Redesign work flows Long-term care Outpatient settings Telehealth
Presenter
Presentation Notes
Bilingual = explain what nurse’s do to computer programmers. We understand the nursing side but need to make it clear to a programmer. Re-engineer Clinical Workflow and Facilitate change management Automate the collection and reuse of nursing data through software development Eliminate redundant documentation Design systems to match clinical workflows Telehealth Home health Ambulatory care Long term care Acute care – all specialties Outpatient settings
The Value of Nurse Informaticists • Analyze clinical and financial data • Promote and facilitate access to resources and references • Provide nursing content to standardized languages • Improve relationships between providers and recipients of health
care
• Enable cost savings and productivity goals including key roles in requirements for:
– Population health
– Engaging patients and families
– Increasing quality and decreasing variations in care
– Enhancing Care Coordination
– Meaningful Use / Affordable Care Act
Presenter
Presentation Notes
Utilize JCAHO indicators, Core Measures, federal or state mandated data and facility specific data for nurses and the entire interdisciplinary team in both clinical and administrative settings to deliver high quality, evidence-based care. Analysis of Clinical Data�Utilizing decision support to increase the accuracy and completeness of nursing documentation Access to Resources & references�Serve as resource person to staff to recommend journals, high quality internet sites Standardized languages: ICNP SNOMED NIC/NOC, NANDA Linkage to other nomenclatures ICD-9’s CPT’s
The Benefits of Nurse Informaticists • Nurse Informaticists promote and facilitate access to resources and
references
• Support for their mission to deliver high quality, evidence-based care
• Support for better service by facilitating true interdisciplinary care
• Improvement in key relationships with
providers & care recipients
• Enable cost savings and productivity goals
• Facilitate change management
Presenter
Presentation Notes
Improve Relationships - Nursing Informaticists work with physicians, peers, interdisciplinary team members, patients, and families. Automate the collection and reuse of nursing data through software development
Functional Areas of Nurse Informatics
• Administration, Leadership & Management • System Analysis and Design • Compliance and Integrity Management • Consultation • Coordination, Facilitation and Integration • Development of Systems, Products and Resources • Education and Professional Development • Genetics and Genomics • Information Management and Operational Architecture • Policy Development and Advocacy • Quality and Performance Improvement • Research and Evaluation • Safety, Security and Environmental Health • Integrated Functional Area Example: Telehealth and Informatics
Presenter
Presentation Notes
ANA Scope and Standards 2015 Functional Roles
Nursing Informatics: Scope and Standards of Practice, Second Edition
• Covers the full scope of Nursing Informatics
• Outlines the competency level of nursing practice and professional performance expected for all informatics nurses and nurse specialists
• Details nursing informatics competencies needed by any RN
• Reflects the impact of informatics in any health care practice environment
• HIMSS Bookstore - http://marketplace.himss.org/Store/Product-Detail?productId=544956773
Standards of Nursing Informatics Practice
• Standard 1 – Assessment
• Standard 2 – Diagnosis, Problem and Issues Identification
• Standard 3 – Outcomes Identification
• Standard 4 – Planning
• Standard 5 – Implementation
• Standard 5A – Coordination of Activities
• Standard 5B – Health Teaching and Health Promotion
• Standard 5C - Consultation
Presenter
Presentation Notes
Standard 1. Assessment The informatics nurse collects comprehensive data, information, and emerging evidence. Standard 2. Diagnosis, Problems, and Issues Identification The informatics nurse analyzes assessment data to identify diagnoses, problems, needs, issues, and opportunities for improvement. Standard 3. Outcomes Identification The informatics nurse identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. Standard 4. Planning The informatics nurse develops a plan that prescribes strategies, alternatives, and recommendations to attain expected outcomes. Standard 5. Implementation The informatics nurse implements the identified plan. Standard 5A. Coordination of Activities The informatics nurse coordinates planned activities. Standard 5B. Health Teaching and Health Promotion The informatics nurse employs informatics solutions and strategies for education and teaching to promote health and a safe environment. Standard 5C. Consultation The informatics nurse provides consultation to influence the identified plan, enhance the abilities of others, and effect change.
Standards of Nursing Informatics Practice
• Standard 6 – Evaluation
• Standard 7 – Ethics
• Standard 8 – Education
• Standard 9 – Evidence-Based Practice and Research
• Standard 10 – Quality of Practice
Presenter
Presentation Notes
Standard 6. Evaluation The informatics nurse evaluates progress toward attainment of outcomes. Standard 7. Ethics The informatics nurse practices ethically. Standard 8. Education The informatics nurse attains knowledge and competence that reflect current nursing and informatics practice. Standard 6. Evaluation The informatics nurse evaluates progress toward attainment of outcomes. Standard 7. Ethics The informatics nurse practices ethically. Standard 8. Education The informatics nurse attains knowledge and competence that reflect current nursing and informatics practice. Standard 6. Evaluation The informatics nurse evaluates progress toward attainment of outcomes. Standard 7. Ethics The informatics nurse practices ethically. Standard 8. Education The informatics nurse attains knowledge and competence that reflect current nursing and informatics practice. Standard 9. Evidence-Based Practice and Research The informatics nurse integrates evidence and research findings into practice. Standard 10. Quality of Practice The informatics nurse contributes to quality and effectiveness of nursing and informatics practice.
Standards of Nursing Informatics Practice
• Standard 11 – Communication
• Standard 12 – Leadership
• Standard 13 – Collaboration
• Standard 14 – Professional Practice Evaluation
• Standard 15 – Resource Utilization
• Standard 16 – Environmental Health
Presenter
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Standard 11. Communication The informatics nurse communicates effectively in a variety of formats in all areas of practice. Standard 12. Leadership The informatics nurse demonstrates leadership in the professional practice setting and the profession. Standard 13. Collaboration The informatics nurse collaborates with the healthcare consumer, family and others in the conduct of nursing and informatics practice. Standard 14. Professional Practice Evaluation The informatics nurse evaluates their own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The informatics nurse employs appropriate resources to plan and implement nursing informatics and associated services that are safe, effective, and fiscally responsible. Standard 16. Environmental Health The informatics nurse supports practice in a safe and healthy environment.
Nursing Informatics Certifications
American Nurses Association Credentialing Center Board Certification in Nursing Informatics
http://www.nursecredentialing.org/InformaticsNursing HIMSS – CPHIMS (Certified Professional in Healthcare Information and Management Systems)
http://www.himss.org/health-it-certification/cphims
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Presentation Notes
These are the two most recognized certification bodies related to healthcare informatics. ANCC – this is the certification provided by the American Nurses’ Association. It is one of many nursing certification exams and certificates awarded by the American Nurses Credentialing Center after successful completion of exams and compliance with continuing education activities. This is the premier certification for nurses and you must be a nurse to take this certification. National Organization of Competency Assurance (NOCA) - Established in 1977, the National Organization for Competency Assurance (NOCA) is the leader in setting quality standards for credentialing organizations. Through its annual conference, regional seminars, and publications, NOCA serves its membership as a clearinghouse for information on the latest trends and issues of concern to practitioners and organizations focused on certification, licensure, and human resource development. Before considering any certification, be sure the certifying body has undergone certification by NOCA – to be sure that the certifying body is qualifed to certify. HIMSS - HIMSS launched a professional certification program for healthcare information and management systems professionals in January 2002. An individual who meets eligibility criteria and successfully completes the examination is designated a Certified Professional in Healthcare Information and Management Systems (CPHIMS). This certification is for any health care professional.
Data from HIMSS Industry Surveys
26% 35%
41% 64% 64% 66%
68% 69%
72% 76%
85% 87% 87%
Supply Chain Optimization
Growth Through Acquisition
Position Organization as ACO
Facilitate Mandated Quality Metrics Improvement
Achieve Secure Interoperability of Data
Increase Market Share
Achieve Meaningful Use
Improve Physician Satisfaction
Improve Operational Efficiency
Improve Care Coordination
Sustain Financial Viability
Improve Patient Care/Quality of Care
Improve Patient Satisfaction
26th Annual HIMSS Leadership Survey: Business Objectives
N = 330
Source: 26th Annual HIMSS Leadership Survey
Presenter
Presentation Notes
The HIMSS Leadership Survey has a long tradition at HIMSS and was first published in 1990. This report represents the key points from the 26th edition of the study. To ensure the study is continually reflective of the market, the study was updated this year and comparative data to previous years is not presented. This survey collects information on a wide array of items, including organizational priorities and goals, executive and board level support for IT, the strategic role of IT, the ways in which IT supports patient care and budget and staffing outlooks.
51%
53%
68%
Improve Population Health
Reduce Cost of Healthcare
Improve Patient Health Experience
26th Annual HIMSS Leadership Survey: Impact of IT on Triple Aim Goals
N = 330
Source: 26th Annual HIMSS Leadership Survey
32%
38%
42%
45%
57%
CNIO is Part of Executive Team
Nurses Have Favorable Attitude Towards IT
Nurses Believe IT can Positively Impact Patient Care
Nurses Believe IT is Critical to Their Success
IT Effectively Engages Nursing Leaders
26th Annual HIMSS Leadership Survey: IT and Nurses
N = 330
Source: 26th Annual HIMSS Leadership Survey
25th Annual HIMSS Leadership Survey Primary Clinical IT Focus – Top Ten
2%
2%
2%
3%
4%
6%
9%
9%
13%
13%
21%
Interoperability of EHR and Mobile Devices
Establishing Clinical Protocols
Ancillary Systems
Creating Standards-Based Care Summary
Implementing Ambulatory EMR Solution
Implementing Patient Portal
Focus on Data Warehouse
Supporting Workflow Changes
Linking Clinical Systems with Quality Measures
Ensuring Organization has Fully Functional EHR
Focus on Physician Systems
2014 NI Workforce Survey Primary Workplace
5%
1%
5%
10%
2%
5%
16%
55%
5%
2%
5%
5%
4%
9%
20%
48%
3%
3%
4%
4%
4%
7%
13%
58%
Other
Ambulatory Care
Consulting Firm
Vendor
Government/Military
Academic Setting
Health System
Hospital
2014 Results 2011 Results 2007 Results
2014 NI Workforce Survey Nursing Education
3%
1%
1%
1%
1%
13%
24%
41%
35%
42%
1%
1%
2%
2%
3%
11%
18%
29%
41%
42%
Other PhD
Nurse Practitioner
Licensed Practical Nurse
PhD in Nursing
Doctor of Nursing Practice
Other Bachelors
Other Masters
Registered Nurse
Masters in Nursing
Bachelors in Nursing
2014 Results 2011 Results
Nursing Informatics Education
• Nursing Informatics courses at the BSN level
• Specialty in Nursing Informatics – MSN
• Distance learning – online
• Traditional
• Certificate programs
• Post graduate degree
Presenter
Presentation Notes
There are a variety of education programs for NI. Many BSN programs require nurses take information technology courses. At the master’s level NI can be the nurses major or a few NI courses may be required. MSN programs are available as traditional or distance learning programs. Certification programs are available in NI. They are usually 3 to 4 courses focused on NI but not degree oriented. ANCC offers a test for a board certification.
2014 NI Workforce Survey Current Informatics Education/Training
1%
n/a
7%
11%
26%
1%
4%
5%
9%
23%
Bachelors
Program/Course
Certificate
Masters/PhD
On-the-Job Training
2014 Results 2011 Results
Survey question was revised in 2011 and not comparable to 2007 survey
2014 NI Workforce Survey Nursing Certification Held
55%
20%
3%
23%
55%
9%
4%
19%
52%
17%
6%
23%
None
Other Nursing Specialty
CPHIMS
ANCC
2014 Results 2011 Results 2007 Results
2014 NI Workforce Survey Job Responsibilities
n/a
32%
15%
21%
n/a
41%
n/a
45%
n/a
23%
23%
31%
n/a
53%
n/a
57%
16%
22%
22%
22%
29%
38%
39%
43%
Regulatory Initiatives
Liaison/Communicator
Informatics Education
Quality Initiatives/Reporting
Clinical Analytics
Systems Development
System Optimization/Utilization
Systems Implementation
2014 Results 2011 Results 2007 Results
2014 NI Workforce Survey Application Experience (Background)
39%
n/a
n/a
85%
53%
57%
55%
63%
83%
41%
49%
48%
72%
65%
68%
72%
76%
91%
48%
49%
62%
71%
73%
74%
81%
84%
94%
Point-of-Care CDS
Quality Improvement/Risk Management
Bar Coded Medication Management
Clinical Information Systems
eMAR
Non-Nursing Clinical Documentation
CPOE
EMR/EHR
Nursing Clinical Documentation
2014 Results 2011 Results 2007 Results
2014 NI Workforce Survey Top Barrier to Success as a Nurse Informaticist – Past 10 Years
1%
7%
12%
16%
9%
18%
7%
16%
2%
6%
6%
7%
12%
12%
14%
17%
Regulations
Infrastructure
Software Architecture/Design
User Acceptance
Organizational Strategic Plan
Lack of Financial Resources
Lack of Staffing Resources
Lack of Administrative Support
2014 Results 2004 Results
Percent of respondents who rated option as the top/largest barrier for select responses appearing in both years
2%
9%
21%
10%
20%
20%
48%
Don't Know
Other
None of the Above
Chief Clinical Information Officer
Part of Another Position
Chief Nursing Information Officer
Chief Medical Information Officer
2015 Impact of the Informatics Nurse Survey - Informatics Leadership
Does your organization employ any of the below clinical informatics leaders?
N = 565
1%
13%
1%
2%
5%
5%
16%
25%
34%
None of the Above
Other
Chief Technology Officer
Chief Operating Officer
Chief Medical Information Officer
Chief Medical Officer
Chief Executive Officer
Chief Information Officer
Chief Nursing Officer
2015 Impact of the Informatics Nurse Survey - CNIO Reporting Structure
Who does your CNIO report to?
N = 110
Presenter
Presentation Notes
2%
6%
32%
60%
Don't Know
Low Impact
Medium Impact
High Impact
2015 Impact of the Informatics Nurse Survey - Impact of Informatics Positions on Quality of Care
N = 543 In general, what impact do informatics nurses have on the quality of care that patients receive at your organization? Please use a one to seven scale, where one is “no impact” and seven is “high degree of impact.”
Presenter
Presentation Notes
In this instance, we are relying on the IOMs definition of quality of care, “the degree to which health services for individuals and populations increases the likelihood of desired health outcomes and are consistent with current professional knowledge”.
50%
73%
75%
83%
85%
Selection
Design
Analysis
Optimization
Implementation
N = 553
Identify the overall value that informatics nurses bring to the following with regard to clinical systems.
2015 Impact of the Informatics Nurse Survey - Areas Where Informatics Nurses Bring a High Degree of Value
Presenter
Presentation Notes
Please identify your satisfaction with each of the below, using a one to seven scale, where one is no value and seven is high degree of value.
51% 57%
61% 64% 65% 66% 67% 67% 70% 71%
75% 76%
80%
Integration/Interface with Other SystemsReporting
Reduction of Never EventsQuality Outcomes
Completeness of DocumentationScreenflow
Definition of Alerts/RemindersAccuracy of Documentation
Compliance with Policies/RegulationsDesign/Configuration
User AcceptancePatient Safety
Workflow
N = 549
Identify the level of impact that having informatics nurses involved in the analysis, design, optimization, implementation and selection process had on each of the areas below.
2015 Impact of the Informatics Nurse Survey - Areas Where Informatics Nurses Bring a High Degree of Value
Presenter
Presentation Notes
Please identify your satisfaction with each of the below, using a one to seven scale, where one is no value and seven is high degree of value.
5%
22%
27%
29%
33%
49%
53%
70%
Other
Predictive Modeling
Voice Recognition
Data Warehousing
Remote Monitoring
Personalized Healthcare
Smart Devices
Medical Device Integration
N = 576 In which of the below areas do informatics nurses play a role with regard to emerging technologies?
2015 Impact of the Informatics Nurse Survey - Informatics Nurses and Emerging Technologies
Presenter
Presentation Notes
Explore the HIMSS Nursing Informatics Community
HIMSS NI Milestones
Presenter
Presentation Notes
About HIMSS: Vision Advancing the best use of information and management systems for the betterment of health care. Mission To lead healthcare transformation through the effective use of health information technology. HIMSS Nursing Informatics Community: The first “official community” within HIMSS for Nursing Informatics formed in 2004 – now represents over 6,000 individuals Community Framework Clinical Informatics Leadership National Initiatives Informatics Practice
NI Community Framework
• Committee (Strategy)
• Task Force (Education & Networking)
• Workgroups (Participation)
• Multidisciplinary activities
• External collaborations
Presenter
Presentation Notes
Community Participation: 6000+ nurse members at HIMSS 6740 Nursing Informatics list serv subscribers to date 450+ attendees at HIMSS15 NI Symposium 150+ Nursing Informatics Task Force call monthly participants 25 Deliverables
HIMSS Position: Transforming Nursing Practice through Technology & Informatics Together, nurses and nursing informatics must lead, and be
visible, vocal and present at the table to achieve healthcare delivery transformation.
Presenter
Presentation Notes
Presenter 2014-05-06 14:18:51 -------------------------------------------- In alignment with the America Nurses Association (ANA) and the Alliance for Nursing Informatics (ANI), this HIMSS Position Statement provides background on key related issues and identifies specific recommendations for eliminating barriers and addressing nursing’s role in transforming healthcare through the use of IT, particularly in regard to the role of nursing informatics. This statement was developed by the HIMSS Nursing Informatics Committee, representing more than 2,900 nurse informaticists, and is supported by HIMSS multidisciplinary stakeholder membership. The IOM Future of Nursing report has stimulated accelerated efforts among nursing organizations to collaborate and unite on behalf of nursing and future care delivery in the U.S. It is through the collective wisdom, expertise and strategizing of individuals and groups that the recommendations of the Future of Nursing Report will be achieved. HIMSS believes Together, nurses and nursing informatics must lead, and be visible, vocal and present at the table to achieve healthcare delivery transformation. Collaboration and unified messaging among all stakeholders are keys to success. We believe that nurses and nursing informatics specialists are vital to accomplishing the goals described in this position paper and advancing healthcare transformation through the use of health IT.
Position Statement “Call to Action”
Leadership
• Partner with nurse executives • Support the development of informatics departments • Foster the evolution of nurse informaticists in leadership roles
Education
• Transform nursing education to include informatics competencies • Promote the continuing education of all levels of nursing
Practice
• Ensure that data, information, knowledge and wisdom form the basis of 21st century nursing practice
• Facilitate the collection and analysis of interprofessional healthcare workforce data
Policy
• Enable nursing informatics leaders to be knowledgeable and engaged in current
public policy initiatives • Government agencies must recognize that regulations and reimbursement policies
that remain exclusively physician-focused will not achieve the goals of healthcare transformation in the U.S.
Presenter
Presentation Notes
Nurses are key leaders in developing the infrastructure for effective and efficient health information technology that transforms the delivery of care. Nurse informaticists play a crucial role in advocating both for patients and fellow nurses who are often the key stakeholders and recipients of these evolving solutions. Nursing informatics professionals are the liaisons to successful interactions with technology in healthcare. As clinicians who focus on transforming information into knowledge, nurse informaticists cultivate a new time and place of care through their facilitation efforts to integrate technology with patient care. Technology will continue to be a fundamental enabler of future care delivery models and nursing informatics leaders will be essential to transforming nursing practice through technology.
The Impact of our Position Statement
Leadership
Education
Practice
Policy
Category IOM/RWJ Recommendation
HIMSS Recommendations for Nursing Informatics
HIMSS Impact on Recommendation
Leadership 1. Prepare and enable nurses to lead change to advance health.
• Partner with nurse executives to lead technology changes that advance health and the delivery of healthcare.
• Support the development of informatics departments.
• Foster the evolution of the Chief Nursing Informatics Officer/Nursing Informatics Executive role.
• Launch of Nursing Informatics Executive Workgroup with 170 participants
• Creation of NI Executive Toolbox with 25 resources
• Growth in # of Chief Nursing Informatics Officer/Nursing Informatics Executive members of HIMSS; to date there are approximately 200 NI Executive HIMSS members.
2. Expand opportunities for nurses to lead and diffuse collaborative improvement efforts.
Category IOM/RWJ Recommendation
HIMSS Recommendations for Nursing Informatics
HIMSS Impact on Recommendation
Education 3. Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020.
• Transform nursing education to include informatics competencies and demonstrable behaviors at all levels of academic preparation.
• Promote the continuing education of all levels of nursing, particularly in the areas of EHRs and health IT.
• HIMSS is a proud supporter of the collaborative work accomplished by TIGER, including the TIGER Informatics Competencies Report; in September of 2014 TIGER joined the HIMSS family.
• Over 60 universities have informatics programs as identified in the HIMSS US Informatics Curriculum Listing.
4. Double the number of nurses with a doctorate by 2020.
5. Ensure that nurses engage in lifelong learning.
Category IOM/RWJ Recommendation
HIMSS Recommendations for Nursing Informatics
HIMSS Impact on Recommendation
Practice 6. Remove scope of practice barriers.
• Ensure that data, information, knowledge and wisdom form the basis of 21st century nursing practice by incorporating informatics competencies into practice standards in all healthcare settings.
• Facilitate the collection and analysis of interprofessional healthcare workforce data by ensuring data can be collected from existing heath IT systems.
• Published the HIMSS Transforming Nursing Practice through Technology & Informatics Position Statement resources with 30,000 downloads and 10,000 booklets printed.
• Conducted the 2014 NI Workforce Survey with 1,047 respondents to gain an understanding of the roles and responsibilities of the informatics nurse
7. Implement nurse residency programs.
8. Build an infrastructure for the collection and analysis of interprofessional healthcare workforce data.
What’s Next
• Update HIMSS Position Statement and supporting resources to reflect:
– New areas of nursing practice – Additional focus on health e.g. patient
engagement, mobile, population health – Nursing Informatics: Scope and Standards of
Practice, 2nd Edition published 2015 • Expected publication Summer 2015
Online Journal of Nursing Informatics (OJNI)
• 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!
Presenter
Presentation Notes
Our Philosophy OJNI values scholarly excellence. OJNI encourages article submissions from all facets of nursing informatics. OJNI enhances nursing informatics knowledge. OJNI addresses the theoretical and practical aspects of nursing informatics. OJNI develops future nursing leaders through student submissions. OJNI supports lifelong learning of the nursing profession. Through the HIMSS Foundation and the HIMSS Nursing Informatics Community, we welcome your submissions and ideas on OJNI.
TIGER (Technology Informatics Guiding Education Reform)
• 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
Presenter
Presentation Notes
What is TIGER (Technology Informatics Guiding Education Reform)? TIGER is focused on education reform and interprofessional community development. The spirit of TIGER is to maximize the integration of technology and informatics into seamless practice, education and research resource development. TIGER advances the integration of health informatics by: �Enabling the interprofessional clinical workforce to use informatics and technology to improve patient care�Fostering a learning health system TIGER Virtual Learning Environment The TIGER VLE has a new look, easier navigation, and updated curriculum. Powered by HIMSS, the TIGER VLE is a one-stop online health IT education portal for academic professionals, students, adult learners, and clinical educators. The VLE contains resources reflective of core international competencies to take you from A to Z in Health IT. �Easily integrate health IT modules and resources into your curriculum �Download Electronic Health Record (EHR) demo software �Utilize modules and industry publication vetted by the TIGER VLE Subject Matter Expert Workgroup�30-day free trial available for qualified institutions. Contact TIGER for more information and to share VLE feedback. Subscribe to the TIGER eNewsletter to be in the know with all things TIGER. To receive newsletters, email [email protected]
Resources and References
• Alliance for Nursing Informatics http://www.allianceni.org • American Nurses Association http://www.nursingworld.org • American Nurses Credentialing Center http://www.nursecredentialing.org/
• CPHIMS http://himss.org/ASP/certificationHome.asp
• HIMSS Nursing Informatics www.himss.org/ni
HIMSS Nursing Informatics Community Contact Information
Christel Anderson, MA
Director, Clinical Informatics, HIMSS
Twitter: @Christel_Anders
Maria Thornblad, MPA
Coordinator, Clinical Informatics, HIMSS
Twitter: @Maria_Thornblad
