The Future of Nursing and the. Role of Informatics

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1 The Future of Nursing and the Role of Informatics Willa Fields, RN, DNSc, FHIMSS Professor, San Diego State University Program Manager, Sharp Grossmont Hospital

2 Outline Future of Nursing Report Health IT and Patient Safety Report National Quality Strategy HIMSS Nursing Informatics Committee Position Statement 2

3 The Future of Nursing The United States has the opportunity to transform its healthcare system, and nurses can and should play a fundamental role in this transformation. -IOM (Institute of Medicine) The Future of Nursing: Leading Change, Advancing Health. Washington, DC: The National Academies Press. Download Report 3

transformation. -IOM (Institute of Medicine). 2010.

4 Four Key Messages 1. Nurses should practice to the full extent of their education and training. 2. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. 3. Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States 4. Effective workforce planning and policy making require better data collection and information infrastructure. 4

5 Health IT and Patient Safety IOM Mission Advise the nation to improve health Committee charge Summarize existing knowledge of the effects of health IT on patient safety Make recommendations to maximize and promote safety of health IT assisted care 5

of the effects of health IT on patient safety Make

6 Key Findings Health IT can improve patient safety, although gaps in literature Health IT needs to be viewed as part of the larger sociotechnical system All stakeholders need to work together 6

7 Summary of Recommendations Potential risks of health IT not adequately addressed Need coordinated effort to identify and understand patient safety risks associated with health IT by Facilitating free flow of information Creating reporting and investigating system for health IT related deaths, serious injuries, and unsafe conditions Researching and developing standards and criteria for safe design, implementation, and use of Health IT 7

information Creating reporting and investigating system for health IT related deaths, serious injuries, and

8 Aims of the National Quality Strategy Better Care Affordable Care Healthier Communities 8

9 Nursing Informatics defined Nursing Informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice. 9

science, and information science to manage and

10 Informatics Nurses Effect change in the development and adoption of interoperable systems across the nation, showing quantifiable impact on national health Responsible for driving implementations for interoperable systems within healthcare delivery organizations Combined collaboration among stakeholders is needed to develop, adopt, and accelerate healthcare transformation 10

implementations for interoperable systems within healthcare delivery organizations Combined

11 Impact of Having Informatics Nurses Involved with Clinical Systems Patient Safety Workflow User Acceptance Screen Flow Quality Outcomes Accuracy of Documentation Design / Configuration Alerts / Reminders Reduction of Never Events Scale of 1-7

Accuracy of Documentation Design / Configuration Alerts / Reminders

12 Connecting the Consumer Patients are no longer bound by physical space 2011 is a tipping point year for patient engagement 59% of adults, including older adults, use technology to access healthcare information 12

patient engagement 59% of adults, including older

13 Implications for Time & Place Technology is revolutionizing the way that healthcare is delivered Clinicians & consumers are incorporating new technological solutions into their daily lives Healthcare environments are incorporating wireless solutions, mobile computers, and automated exchanges 13

technological solutions into their daily lives Healthcare environments

14 New Ingredients in Transforming Nursing Technology Expanded Access Informatics Engaged Consumers Data Exchange 14

15 HIMSS Position Together, nurses and nursing informatics must lead, and be visible, vocal and present at the table to achieve healthcare delivery transformation. Leadership Education Practice Policy 15

16 Steps for Transformation Leadership Partner with nurse executives to lead technology changes that advance health and the delivery of healthcare. Support the development of informatics departments and nurse informaticists in analyst, leadership and officer roles. Foster the evolution of nurse informaticists in leadership roles such as a Nursing Informatics Executive or Chief Nursing Informatics Officer (CNIO). Education 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. Practice 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. 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. 16

Foster the evolution of nurse informaticists in leadership roles such as a Nursing Informatics Executive or Chief Nursing Informatics Officer (CNIO).

17 Opportunity of Our Lifetime 17

18 Position Statement Resources Download the Position Statement: onstatementmonographreport.pdf Download the Talking Points: onstatementtalkingpoints.pdf Request hard copies/more information: 18

pdf Download the Talking Points: http://www.himss.

19 Willa Fields, RN, DNSc, FHIMSS Professor, San Diego State University Program Manager, Sharp Grossmont Hospital

Future of Nursing Report Card. HIMSS activities to support the Future of Nursing Campaign for Action www.himss.org/ni

Future of Nursing Report Card. HIMSS activities to support the Future of Nursing Campaign for Action www.himss.org/ni Future of Nursing Report Card HIMSS activities to support the Future of Nursing Campaign for Action www.himss.org/ni About HIMSS Vision Better health through information technology. Mission Globally, lead