Increasing Nurse Leaders' Informatics Skills: Building from the TIGER Competencies

Transcription

1 Increasing Nurse Leaders' Informatics Skills: Building from the TIGER Competencies Melissa Barthold, MSN, RN-BC, CPHIMS, FHIMSS DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

2 Conflict of Interest Disclosure Melissa Barthold, MSN, RN-BC, CPHIMS, FHIMSS Senior IT Clinical Solutions Consultant University of Mississippi Medical Center Jackson, Mississippi Has no real or apparent conflicts of interest to report HIMSS

3 Learning Objectives Identify the competencies needed by nursing leaders Describe the leadership competencies using the TIGER Competencies Collaborative as a framework Design strategies for developing curricula to meet the TIGER Competencies

4 University of Mississippi Health Care Located in Jackson, Mississippi UMHC is part of the University of Mississippi Medical Center Over 9,000 employees 722-bed adult and pediatric hospitals Largest diagnostic, treatment and referral care system in the state Only Level 1 trauma hospital Only transplant center Only pediatric hospital Admissions: 28,000 Emergency Visits: 109,000 Outpatient Clinic Visits: 135,000

5 TIGER Goal Revolutionary leadership that drives, empowers and executes the transformation of healthcare through the use of Health IT.

6 Intended Population Director Manager Nursing Supervisor Unit Educator Charge Nurse

7 Competency Development TIGER work over last six years The TIGER initiative revolutionary leadership driving healthcare innovation AONE Nurse Manager Skills Checklist Informatics skills ANA Nursing Informatics Scope and Standards Apply to all nurses NLN Informatics Education Toolkit QSEN Quality and Safety Education for Nurses

8 TIGER Leadership Competencies Technology Informatics Guiding Education Reform. (November 29, 2010). The TIGER initiative Revolutionary leadership driving healthcare innovation: The TIGER leadership development collaborative team. Retrieved from TIGER Initiative: e2.aspx.

9 TIGER Initiative All Nurses Retrieve and enter patient care data electronically Analyze & interpret information as part of care Use informatics applications designed for nursing practice Implement policies relevant to best practice Beginning Nurses Demonstrate basic computer literacy and the ability to use desktop applications & electronic communications Access data & perform documentation using computerized patient records Recognize the role of informatics in nursing Acquire knowledge to support clinical and administration processes to support EBP Support patient safety initiatives using IT Experienced Nurses Ability to build upon the competencies required for entry level & beginning nurses Demonstrate expertise as a content expert in system design See relationships among data elements Execute clinical judgment based on observed data patterns Safeguard access to quality information Participate in efforts to improve information management & communication Hebda, T. & Claderone, T. (2010), p. 58.

10 Expanded Leadership Competencies Management Competencies Develop dashboards to manage outcomes Director Manager Charge nurse Proficient in use of electronic support systems Director Manager Supervisor - Charge Nurse Support research that advances nursing and the delivery of patient care Director Manager Develop goals, benefits and anticipated outcomes for adoption of new technologies Director - Manager Sustain the focus on the patient care delivery model through the EHR transformation Director - Manager Develop and support adequate education and support resources for new technology implementation Director - Manager Share knowledge with colleagues to improve best practice evidence Director - Manager Technology Informatics Guiding Education Reform. (November 29, 2010). The TIGER initiative Revolutionary leadership driving healthcare innovation: The TIGER leadership development collaborative team. Retrieved from TIGER Initiative: e2.aspx.

11 Types of Education Academic graduate programs Organization fellowship programs for nurse execs Health industry network programs for nursing management Technology vendor-sponsored programs Self-education for nurse execs and managers

12 Types of Education Nursing-informatics.com Nurse.com Many universities

13 Defining Needs Organizational assessment Directed by CNO/CNIO and In consultation with Senior Leadership Incorporated into job description and part of evaluation Based on nationally-defined competencies - TIGER

14 Assess current knowledge state CNO champion Program Design Nursing education sponsorship Knowledge of new requirements Address Computer literacy IT Information literacy Electronic librarian Information management Nursing informatics Tiger, NLN, ANA, QSEN

15 Basic Computer Literacy ECDL/ICDL Syllabus Module 1 Concepts of Information and Communication Technology Module 2 Using the Computer & Managing Files Module 3 Word Processing Module 4 Spreadsheets Module 5 Using Databases Module 6 Presentation TIGER-Leadership

16 Contact IT - resource Getting Basic Basic terms URL, CPU, RAM Managing files don t put it all on the desktop Networked folders safety Basic trouble-shooting

17 Information Literacy Determine the nature and extent of the information needed Access needed information effectively & efficiently Evaluate information & sources critically Use information effectively Evaluate outcomes of the use of information TIGER

18 Basic Literacy Contact the elibrarian Introduction to the library How to search Available databases Medline, CINAHL, OVID Boolean logic Copyright

19 Information Management Collecting data Processing data Presenting & communicating the processed data as information/knowledge

20 Outcomes The Focus - Management How to collect data Analyzing data Using data Reporting Dashboards Understanding and explaining data

21 The Focus - Management Staff involvement Meaningful use Improving patient care Supporting EBP

22 Class Type Content delivery method Online Face-to face group class In-person (Shadowing) Strategies Pre-test and post-test Class exercises Interactive Q&A Handouts, internet searches, scavenger hunts

23 Final Steps Certificate of achievement Incorporate into new leader orientation Part of evaluation Peer support - mentoring

24 References Androwich, I. & Haas, S. (2007). American Organization of Nurse Executives 2006 survey on nursing and information technology. Nurse Leader, 5, Hebda, T. & Claderone, T. (2010). What nurse educators need to know about the TIGER initiative. Nurse Educator, 35, National Research Council. The Future of Nursing: Leading Change, Advancing Health. Washington, DC: The National Academies Press, Retrieved from Kaminski, J. (2011) Nursing Informatics Learning Center. Retrieved from National League for Nursing. (2008). Position statement. Preparing the next generation of nurses to practice in a technology-rich environment: An informatics agenda. Retrieved from National League for Nursing. (2008). Informatics Education Toolkit. Retrieved from Nurse.com (2011) Informatics CE courses. Retrieved from Perry, P. & King, M. (2009). Course development: Nursing informatics. Online Journal of Nursing Informatics (ONJI), 13(2). Retrieved from Pravikoff, D., Tanner, A., & Pierce, S. (2005, September). Readiness of U.S. nurses for evidence-based practice. American Journal of Nursing, 105, Quality and Safety Education for Nurses. Informatics. Retrieved from Technology Informatics Guiding Education Reform. (November 30, 2010). The TIGER initiative designing usable clinical information systems: Recommendations from the TIGER usability and clinical application design collaborative team. Retrieved from TIGER Initiative: Technology Informatics Guiding Education Reform. (September 3, 2008). Nurse executive IT education needs questionnaire. Retrieved from Technology Informatics Guiding Education Reform. (November 29, 2010). The TIGER initiative revolutionary leadership driving healthcare innovation: The TIGER leadership development collaborative team. Retrieved from: Technology Informatics Guiding Education Reform. (November 29, 2010). The TIGER initiative Transforming education for an informatics agenda: TIGER education and faculty development collaborative team. Retrieved from: Westra, B. & Delaney, C.. (2007, July-August). Informatics Competencies for nurse leaders. Nursing Outlook,

25 Contact Information Melissa Barthold