Nursing Informatics & Technology, Lecture notes of Nursing

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Nursing

Informatics 101

Nursing Informatics 101

Contributors

Christel Anderson

Director, Clinical Informatics

HIMSS

Melissa F. Barthold, MSN,

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

Ruth MacCallum, BS RN-BC

Joyce Sensmeier MS, RN-BC, CPHIMS, FHIMSS, FAAN Vice President, Informatics HIMSS

Nursing Informatics Defined

Nursing informatics (NI) is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. NI supports consumers, patients, nurses, and other providers in their decision- making in all roles and settings. This support is accomplished through the use of information structures, information processes, and information technology.

Nursing Informatics: Scope and Standards of Practice, ANA 2008

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 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

Successful Automation

Successful implementation of Electronic Health Records requires:

•Well designed systems that support 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

•Resources that can support the above

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

Implementation Planning

Evaluation

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

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

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
• Enhance continuity of care

The Many Roles of a Nurse Informaticist

• Administration, leadership, & management
• Analysis
• Compliance and integrity management
• Consultation
• Coordination, facilitation, and integration
• Development
• Educational and professional development
• Policy development and advocacy
• Research and evaluation

25 th^ 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

25 th^ Annual HIMSS Leadership Survey

Most Significant Barriers to Implementing

IT – Top Ten

4%

4%

4%

6%

6%

7%

7%

13%

18%

19%

Constraints at Higher Policy Level

Lack of Strategic IT Plan

Lack of Top Management Support

Lack of Time by Clinicians

Difficulty Proving ROI

Difficulty Achieving End-User Acceptance

Lack of Interoperable Systems

Vendors Inability to Deliver Project

Lack of Staffing Resources

Lack of Financial Support