The future is not magic, it is statistics

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1 The future is not magic, it is statistics

2 A Case Study 2

3 Flowchart symbols 3

4 ProvenCare Swim Lane Flowchart 4

5 Future s in apps for Dr. Glenn s work at xg Health SMART on FHIR as a way to create channels for innovators to bring ideas into the EHR workflow. As SMART & FHIR standards are finalized in ~mid-2015, EHRs will become an open and extensible platform for interoperable/embedded applications. 5

6 SMART and FHIR SMART is the "embedded app" model developed by Boston Children's, and FHIR is the new HL7 data API standard API (Application Programing Interface) is a set of routines, protocols, and tools for building software application HL7 (Health Level Seven International) Founded in 1987, Health Level Seven International (HL7) is a not-for-profit, ANSI-accredited standards developing organization dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services 6

7 Millennium Requirements Millennium code 7

8 Opportunities Cerner, UWM and Aurora- research on knowledge based initiative: built a case that the design and use of intelligent information systems in real-time practice holds the promise of simultaneously transforming practice and research. Requirements include the identification of actionable knowledge that can be embedded in clinical decision support and electronic documentation systems, the creation of clinical data repositories, and a data warehouse from which analyses can be conducted across multiple settings. The Accountable Care Unit (ACU model) has been under way at Emory for the past three years, and both physicians and nurses give the model high marks.an Shapiro s work in Nurse Dr. Shapiro s work in this area is key to interdisciplinary practice. HRSA grant 1.5M 8

9 9

10 Nursing Apps that could run from FHIR and SMART in our future Falls and Falls prevention CAUTI Pressure Ulcers Care Coordination Discharge planning Medication adherence Safety Surveillance Pt. and Family 10

11 Thank you Roy L. Simpson, DNP, RN, DPNAP, FAAN Clinical Professor Nell Hodgson School of Nursing Emory University

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