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Nurses in Informatics - Transforming Healthcare


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Susan K. Newbold, PhD, RN-BC, FAAN, FHIMSS
Consultant in Healthcare Informatics working
to advance healthcare information technology
(Friday, 3.45, Keynote)

Harnessing the contribution of the nursing workforce is critical for effective health informatics for present and future endeavors. An overview of the historical efforts of nursing informatics pioneers will lead to a
discussion on how to promote future health informatics to transform healthcare.

Published in: Health & Medicine
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Nurses in Informatics - Transforming Healthcare

  1. 1. Nurses in Informatics Transforming Healthcare 25 NOVEMBER 2011SUSAN K NEWBOLD, PHD RN-BC FAAN FHIMSS
  2. 2. Topics Overview of historical efforts of Nursing Informatics pioneers Examples of current ways nurses use informatics to transform healthcare Tips on promoting healthcare informatics
  3. 3. NI History Project Dr. Harriett Werley Dr. Virginia Saba
  4. 4. Project Purpose and Funding
  5. 5. Pioneer Definition Innovator, trailblazer, or groundbreaker in some aspect of nursing informatics “First” in opening up a new area/aspect of nursing informatics, Shaped the thinking/direction of nursing informatics, and Demonstrated sustained leadership in nursing informatics AMIA Nursing History Committee, 2005
  6. 6. Videotaping 145 pioneers identified 33 videotaped (Chicago, Washington, Baltimore)  July 2005 – November 2007  Summer Institute in Nursing Informatics  AMIA Fall Meetings Selection  Earliest contributors to various aspects of nursing informatics  Availability & willingness to be interviewed  Limited resources
  7. 7. Nursing Informatics Pioneers Interviewed
  8. 8. Nursing Informatics Pioneers Interviewed
  9. 9. Common Themes• Nursing Informatics - what it is, present, future• The value of Informatics• Significant events that shaped the field of nursing informatics• Demographic of Pioneers• Pioneers path-career that lead up to involvement in (nursing) informatics • When they first considered themselves an informatics nurse.• Personal aspirations, accomplishments, vision, goals, collaborators• Pioneers first involvement - earliest events they recall. • Social and political environment the development of the field • Reactions of others • Level of difficulty in establishing discipline• Pioneers lessons learned that they would like to pass on.
  10. 10. Common Themes Example
  11. 11. Examples of Videos
  12. 12. Sample Transcription
  13. 13. Next Steps Adding a new section of other pioneers with bios Adding use cases for teaching and recruiting Qualitative analysis of themes Honoring Dr. Harriett Werley
  14. 14. NI Innovations Awards 2011 7th Year of the Award Initiated by Nurses for Nurses Sponsored by Health Data Management journal and ANIA-CARING Requirements –  Innovation in Healthcare that is Significant  Nursing Involvement  Metrics
  15. 15. NI Innovations Awards 2011 Carolinas Medical Center, Charlotte, North Carolina Children’s Hospital Colorado, Aurora, Colorado University of Wisconsin Hospitals and Clinics, Madison, Wisconsin
  16. 16. Carolinas Medical Center, Charlotte, NC Monitored Hourly Rounding documented on paper Purpose of project:  improve hourly rounding, reduce patient call frequency, improve patient outcomes for falls and improve satisfaction Initiated by a nurse Nurse education to punch in and punch out on devices already in use Metrics - fall rates, patient satisfaction, and frequency of call light use
  17. 17. Hourly Rounding Project
  18. 18. Metrics for Rounding Project
  19. 19. Metrics for Rounding Project
  20. 20. Metrics for Rounding Project
  21. 21. Children’s Hospital Colorado, Aurora, Colorado Timely identification and early notification of potential organ donor candidates through clinical decision support Nurse involvement with social work and physician Metrics – increase in donations
  22. 22. Clinical Triggers and Donation 2009 2010 2011 (thru June 2011)Patients Meeting Clinical 58 43 28Triggers# Organ Donors 3 8 4% of patients meeting Clinical 5.2% 18.6% 14%Triggers that donated organs# Organs Donated 13 26 14
  23. 23. University of Wisconsin Hospitals and Clinics, Madison, Wisconsin EHR Patient Story In addition to the project committee membership, 432 inpatient staff nurses were involved in the project through the Nursing Informatics and Practice Councils, unit pilots, workflow observations, focus groups, and interviews. Metrics
  24. 24. University of Wisconsin Hospitals and Clinics, Madison, Wisconsin
  25. 25. University of Wisconsin Hospitals and Clinics, Madison, Wisconsin
  26. 26. University of Wisconsin Hospitals and Clinics, Madison, Wisconsin
  27. 27. EHR Patient Story
  28. 28. TIGER Initiative Technology Informatics Guiding Educational Reform (TIGER) Integrate technology into all levels
  29. 29. Questions
  30. 30. Nurses in Informatics Transforming Healthcare 25 NOVEMBER 2011SUSAN K NEWBOLD, PHD RN-BC FAAN FHIMSS