Nursing Informatics 101



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Nursing Informatics 101 Melissa F. Barthold, MSN, RN, BC, CPHIMS, FHIMSS Tammy Duecker, RN Patty Guinn, BS, RN, CPHIMS Ruth MacCallum, BS, RN-BC HIMSS 2009 Presented today by Melissa Barthold, MSN, RN-BC, CPHIMS, FHIMSS Ruth MacCallum, BS, RN-BC

Nursing Informatics 101 Author Contact Information Tammy Duecker, RN Melissa F. Barthold, MSN, RN-BC, CPHIMS, FHIMSS Baptist Health South Florida Corporate Manager, Nursing Informatics MelissaFo@baptisthealth.net Patty Guinn, BS, RN, CPHIMS Director of Nursing Informatics PGuinn@dearbornadvisors.com Ruth MacCallum, BS RN-BC Manager Ingenix Consulting ruth.maccallum@ingenixconsulting.com

HIMSS Nursing Informatics Community The first official community within HIMSS for Nursing Informatics formed in 2004 now represents 2,000 individuals Community Framework: Clinical Informatics Leadership National Initiatives www.himss.org/ni

WARNING! This presentation is not intended for education of nurses already seasoned in the informatics field!

NI 101 OBJECTIVES Define nursing informatics Demonstrate how NI supports nursing process Explain value of NI to nursing practice and healthcare Identify roles for NI practice Identify practice areas and settings Identify education paths and certifications

Nursing Informatics Defined Nursing informatics is the integration of nursing, its information, and information management with information processing and communication technology, to support the health of people world wide. International Medical Informatics Association Nursing Informatics Special Interest Group (IMIA-NI), adopted August 1998, Seoul, Korea

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. NI supports patients, nurses and other providers in their decision-making in all roles and settings. This support is accomplished through the use of information technology and information structures, which organize data, information and knowledge for processing by computers. Nursing Informatics: Scope and Standards of Practice. Silver Spring, MD: American Nurses Association; 2008.

The Benefits of Nursing Informatics In the practice of professional nursing In the delivery of patient care in the healthcare continuum

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 Evaluation Assessment Implementation Planning

Nursing Process Evaluation Assessment Each step supports Actual Delivery of patient care Management of each patient s care Is patient centered Implementation Planning

Nursing Process Evaluation Implementation Assessment Planning Enables the professional nurse to be the Coordinator of each patient s care Communicate & coordinates care with ALL other clinical disciplines Coordinate discharge planning, education & teaching, transition of care Manages ALL information related to the nursing process and patient care

Nursing Process Because information management is integrated into the Nursing Process and Practice, some Nursing Communities identify a 5 th step in Nursing Process ØDOCUMENTATION

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

Nursing Process As the 5 th step of nursing process, Documentation becomes the core of Nursing Process along with the patient Assessment Planning Evaluation Documentation Implementation

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 Information Systems 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

One of the BEST resources to drive a successful implementation is a Nurse Informaticist!

Nurse Informaticists Are expert clinicians with extensive clinical practice background Experience in utilizing and implementing the nursing process Are expert nursing clinicians in utilizing the Nursing Process Expert analytical & critical thinking skills Understand patient care delivery workflow & integration points for automated documentation Have additional education & experience with Information Systems Are excellent Project Managers because of the similarity between the Project Management Process & the Nursing Process

The Value of Nurse Informaticists Nurse Informaticists are bi-lingual!

The Value of Nurse Informaticists Support nursing work processes using technology Design systems to match clinical workflows Telehealth Home health Ambulatory care Long-term care Acute care all specialties Outpatient settings Software development Redesign work flows

The Value of Nurse Informaticists Increase the accuracy and completeness of nursing documentation Improve the nurse s workflow Eliminate redundant documentation Automate the collection and reuse of nursing data Facilitate analysis of clinical data JCAHO indicators, Core Measures, federal or state mandated data and facility specific data

The Value of Nurse Informaticists Provide nursing content to standardized languages NIC/NOC, NANDA SNOMED Linkage to other nomenclatures ICD-9 s CPT s

The Benefits of Nurse Informaticists Nurse Informaticists promote and facilitate Access to resources and references for nurses and the entire interdisciplinary team in both clinical and administrative settings Change

The Benefits of Nurse Informaticists Benefits for nurses and the interdisciplinary team: Support for their mission to deliver high quality, evidence-based care Support for better service by facilitating true interdisciplinary care Promotes improvement in key relationships with physicians peers interdisciplinary care team members patients families

The Benefits of Nurse Informaticists Benefits in the administrative setting Support for cost savings and productivity goals Facilitate change management

The Many Roles of a Nurse Informaticist Vendors Acute care - Hospital Systems Consultant Education/Research Long-term care Ambulatory Home care

The Many Roles of a Nurse Informaticist Vendors: Sales Software development Implementation Education to train clients/users

Hospital Systems The Many Roles of a Nurse Informaticist Staff Nurse Super User Analyst Support/Implement Systems Directors/Managers of Nursing Informatics Project Managers CIO (Chief Information Officer)

The Many Roles of a Nurse Informaticist Consultant Software Implementation Software/System Solution Selection Process Improvement Project Management

The Many Roles of a Nurse Informaticist Other roles Education/Research Compilation/Analysis of Data Public Policy Government HealthCare IT initiative Insurance organizations

The Road to NI.. OJT (on the job training) Being in the right place at the right time!

The Road to NI.. Education Sources for educational programs: AMIA http://www.amia.org/mbrcenter/wg/ni/resources/academic.asp University of North Carolina http://ils.unc.edu/informatics_programs/ HIMSS www.himss.org/ni

The Road to NI.. Certifications American Nurses Association Credentialing Center Board Certification in Nursing Informatics http://nursingworld.org/ancc/certification/cert/certs/informatics.html HIMSS - Certified Professional in Healthcare Information and Management Systems (CPHIMS) http://himss.org/asp/certificationhome.asp

The Road to NI.. Professional Organizations The Alliance for Nursing Informatics is a collaboration of over 25 organizations, representing a unified voice for nursing informatics. Join one today! www.allianceni.org

References http://www.snomed.org/ http://himss.org http://www.amia.org/ni-wg http://www.healthitcertification.com/about.html http://www.caringonline.org/ http://www.imia.org/ni/index.html http://en.wikipedia.org/wiki/nursing_informatics