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Responding to the IOM Initiatives to Transform the BSN Program  University of Detroit Mercy BSN Completion Program Online ...
University of Detroit Mercy Presenters <ul><li>Bonnie Korn, RN, MSN Chair and Faculty, Bachelor of Science in Nursing Comp...
Overview <ul><li>IOM Initiatives </li></ul><ul><li>Application for Curriculum Development </li></ul>
The Changing Landscape <ul><li>IOM Initiatives (2003) </li></ul><ul><li>Integration of Informatics </li></ul><ul><li>New P...
IOM Initiatives <ul><li>“These core competencies include: patient centered care, interdisciplinary teams, evidence based p...
Basic Foundation <ul><li>“ While clinicians are trained to use an array of cutting-edge technologies related to care deliv...
Utilize Informatics <ul><li>Mitigate errors (not blame) through the use of technological decision making processes </li></...
Informatics and  Health Care Technologies <ul><li>Discovering, retrieving and using information in nursing practice </li><...
Culture of Safety <ul><li>“ A culture of safety embodies the idea that the person who receives care should expect a safe e...
Informatics and Culture of Safety <ul><li>“ ..focus is on correction of the system that allowed errors to be made rather t...
Health Care Systems <ul><li>Safe </li></ul><ul><li>Effective </li></ul><ul><li>Patient Centered </li></ul><ul><li>Timely <...
Redesigned Health Care System Rules <ul><li>Continuous healing relationships </li></ul><ul><li>Customized for patient need...
Clinical Nurse Leader <ul><li>Clinician </li></ul><ul><li>Outcomes Manager </li></ul><ul><li>Patient Advocate </li></ul><u...
Trends in Healthcare <ul><li>Key Indicators from reports listed in the Working Paper on the Role of the Clinical Nurse Lea...
Work in Interdisciplinary Teams <ul><li>Cooperate, collaborate, communicate, and integrate care in teams to ensure care is...
Apply Quality Improvement <ul><li>Identify errors and hazards in care; </li></ul><ul><li>Understand and implement basic sa...
Knowledge and Skills for the Graduate <ul><li>Use information and communication technologies </li></ul><ul><li>Work in int...
Curriculum on the Move <ul><li>On campus to On site to On line </li></ul><ul><li>Curriculum revision </li></ul><ul><li>Res...
Partnerships Everywhere <ul><li>Hospital Site Partners </li></ul><ul><li>Trinity Healthcare Online Partner </li></ul><ul><...
Applying Culture of Safety Standards <ul><li>Security and Privacy of Records </li></ul><ul><li>Enter Once, Use Many Times ...
Healthcare Informatics:  Greek to Geek <ul><li>Course Plan: 25% technology + 75% informatics theory </li></ul><ul><li>Desi...
On the Keyboard <ul><li>MS Office skills – Word APA formatting using styles; Excel data collection and graphs; PowerPoint ...
Information Age <ul><li>Website Evaluation Tool – 5 point criteria </li></ul><ul><li>http://www.library.cornell.edu/olinur...
Informatics Theory <ul><li>Why Informatics?  </li></ul><ul><li>Clinical Information Systems* </li></ul><ul><li>Data Standa...
Web Design – The Geek Part <ul><li>Every nurse must create their own site in HTML code! They are published online through ...
Nurses’ Reactions <ul><li>At the start it is sheer panic! </li></ul><ul><li>With a lot of encouragement, some late night p...
Thank you – Feel Free To Contact Us! <ul><li>BSNOnline Partnership Site: </li></ul><ul><li>http://healthprofessions.udmerc...
References <ul><li>Aiken, Linda H., Clarke, Sean P., Cheung, Robyn B,, Solane, Douglas M., Silber, Jeffrey H. Educational ...
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Responding to the IOM Initiatives to Transform the BSN Program

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Institute of Medicine initiatives were used to transform the Bachelor of Science in Nursing Completion program. This presentation was delivered at a Nursing Summit meeting in 2005.

Published in: Technology, Health & Medicine
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Responding to the IOM Initiatives to Transform the BSN Program

  1. 1. Responding to the IOM Initiatives to Transform the BSN Program University of Detroit Mercy BSN Completion Program Online and On Site Michigan Center for Nursing Michigan Nursing Summit 2005
  2. 2. University of Detroit Mercy Presenters <ul><li>Bonnie Korn, RN, MSN Chair and Faculty, Bachelor of Science in Nursing Completion Program ; BSNONLINE Planning Team [email_address] </li></ul><ul><li>Sarah Lelgarde Swart, MM, MLIS Director of Instructional Technology and Healthcare Informatics Faculty; BSNONLINE Planning Team [email_address] and http://ces.vpweb.com </li></ul>
  3. 3. Overview <ul><li>IOM Initiatives </li></ul><ul><li>Application for Curriculum Development </li></ul>
  4. 4. The Changing Landscape <ul><li>IOM Initiatives (2003) </li></ul><ul><li>Integration of Informatics </li></ul><ul><li>New Practice Models </li></ul><ul><li>Patient Safety </li></ul><ul><li>Healthcare Systems </li></ul><ul><li>Leadership Development </li></ul>
  5. 5. IOM Initiatives <ul><li>“These core competencies include: patient centered care, interdisciplinary teams, evidence based practice, quality improvement, and informatics.” </li></ul><ul><li>Greiner, 2003. </li></ul>
  6. 6. Basic Foundation <ul><li>“ While clinicians are trained to use an array of cutting-edge technologies related to care delivery, they often are not provided a basic foundation in informatics.” (Gorman et al, 2000; Hovenga, 2000) </li></ul><ul><li>Greiner, 2003 </li></ul>
  7. 7. Utilize Informatics <ul><li>Mitigate errors (not blame) through the use of technological decision making processes </li></ul><ul><li>Support decision making through technology </li></ul><ul><li>Powerful communication to make sure all interested parties have the information they need </li></ul><ul><li>(Greiner, 2003) </li></ul>
  8. 8. Informatics and Health Care Technologies <ul><li>Discovering, retrieving and using information in nursing practice </li></ul><ul><li>Apply technology to practice and research </li></ul><ul><li>Use of methods and equipment to apply technology to practice </li></ul><ul><li>Nursing Language Taxonomies </li></ul>
  9. 9. Culture of Safety <ul><li>“ A culture of safety embodies the idea that the person who receives care should expect a safe environment that is free of error, does not cause harm, or reduces harm. …several tenets are important to consider: disclosure, nonabandonment, rapid response, nonblame, and forgiveness. I suggest a sixth: practical links.” </li></ul><ul><li>(Milstead, 2005) </li></ul>
  10. 10. Informatics and Culture of Safety <ul><li>“ ..focus is on correction of the system that allowed errors to be made rather than on the person who committed the error. … Practical links connect the solution to the error.” </li></ul><ul><li>(Milstead, 2005) </li></ul>
  11. 11. Health Care Systems <ul><li>Safe </li></ul><ul><li>Effective </li></ul><ul><li>Patient Centered </li></ul><ul><li>Timely </li></ul><ul><li>Efficient </li></ul><ul><li>Equitable </li></ul><ul><li>Committee on Quality Health Care in America, 2001. </li></ul>
  12. 12. Redesigned Health Care System Rules <ul><li>Continuous healing relationships </li></ul><ul><li>Customized for patient needs and values </li></ul><ul><li>Patient = source of control </li></ul><ul><li>Knowledge is shared and information flows freely </li></ul><ul><li>Evidence based decision making </li></ul><ul><li>Safety is a system priority </li></ul><ul><li>Informed decisions about all aspects of care </li></ul><ul><li>Anticipate patient needs </li></ul><ul><li>Continuously decrease waste </li></ul><ul><li>Cooperation among clinicians </li></ul><ul><li>Adapted from IOM Report, 2001 (Greiner, 2003) </li></ul>
  13. 13. Clinical Nurse Leader <ul><li>Clinician </li></ul><ul><li>Outcomes Manager </li></ul><ul><li>Patient Advocate </li></ul><ul><li>Educator </li></ul><ul><li>Information Manager </li></ul><ul><li>Systems Analyst </li></ul><ul><li>Team Manager </li></ul><ul><li>Member of a Profession </li></ul><ul><li>Lifelong Learner </li></ul><ul><li>AACN, 2004. </li></ul>
  14. 14. Trends in Healthcare <ul><li>Key Indicators from reports listed in the Working Paper on the Role of the Clinical Nurse Leader </li></ul><ul><ul><li>Global Society </li></ul></ul><ul><ul><li>Expanding technologies </li></ul></ul><ul><ul><li>Increasingly diverse populations </li></ul></ul><ul><ul><li>Inter-professional education </li></ul></ul><ul><ul><li>New practice models </li></ul></ul><ul><ul><li>Better use of resources </li></ul></ul><ul><ul><li>AACN, 2004. </li></ul></ul>
  15. 15. Work in Interdisciplinary Teams <ul><li>Cooperate, collaborate, communicate, and integrate care in teams to ensure care is continuous and reliable </li></ul><ul><li>(Greiner, 2003) </li></ul><ul><li>JCAHO recommends the use of interdisciplinary care plans </li></ul><ul><li>IOM recommends interdisciplinary education </li></ul>
  16. 16. Apply Quality Improvement <ul><li>Identify errors and hazards in care; </li></ul><ul><li>Understand and implement basic safety design principles such as standardization and simplification; </li></ul><ul><li>Continually understand and measure quality in terms of structure, process, and outcomes in relation to patient and community needs; </li></ul><ul><li>Design and test interventions to change processes and systems of care </li></ul><ul><li>(Greiner, 2003) </li></ul>
  17. 17. Knowledge and Skills for the Graduate <ul><li>Use information and communication technologies </li></ul><ul><li>Work in interdisciplinary teams to make ethical decisions </li></ul><ul><li>Adapt technologies to meet patient needs </li></ul><ul><li>Teach patients about health care technologies </li></ul><ul><li>Information Privacy and Security </li></ul><ul><li>Access, critique, and analyze health information resources </li></ul><ul><li>Summarized from AACN report, 2004. </li></ul>
  18. 18. Curriculum on the Move <ul><li>On campus to On site to On line </li></ul><ul><li>Curriculum revision </li></ul><ul><li>Responding to IOM report (2003) </li></ul><ul><li>Curriculum content </li></ul><ul><li>Response to needs of the RN </li></ul><ul><li>Power of partnerships </li></ul>
  19. 19. Partnerships Everywhere <ul><li>Hospital Site Partners </li></ul><ul><li>Trinity Healthcare Online Partner </li></ul><ul><li>Instructional Design Studio </li></ul><ul><li>Partnership with our students </li></ul>
  20. 20. Applying Culture of Safety Standards <ul><li>Security and Privacy of Records </li></ul><ul><li>Enter Once, Use Many Times </li></ul><ul><li>Increased Comfort with Using Technology </li></ul><ul><li>Improved Work Processes </li></ul><ul><li>Reduce Errors </li></ul><ul><li>Teach Technology to Patients </li></ul>
  21. 21. Healthcare Informatics: Greek to Geek <ul><li>Course Plan: 25% technology + 75% informatics theory </li></ul><ul><li>Designed for 100% online </li></ul><ul><li>Moved to onsite program with 3 class meetings and the rest online (15 weeks) </li></ul><ul><li>Mantra: “The only way to learn computers is to be on a computer!” </li></ul><ul><li>Course transformation supports needed computer skills for online learning </li></ul>
  22. 22. On the Keyboard <ul><li>MS Office skills – Word APA formatting using styles; Excel data collection and graphs; PowerPoint accelerated presentations </li></ul><ul><li>Apply Your New Knowledge Assignment for each application </li></ul><ul><li>Enabler for nurses to perform on the job: example – nurses prepared presentations for Beaumont Hospital’s Magnet status review </li></ul>
  23. 23. Information Age <ul><li>Website Evaluation Tool – 5 point criteria </li></ul><ul><li>http://www.library.cornell.edu/olinuris/ref/research/webcrit.html </li></ul><ul><li>Accuracy*Authority*Objectivity*Currency*Coverage </li></ul><ul><li>Knowledge Management – Boolean Searching – Scavenger Hunt … This object was accepted in the Association of Academic Healthcenters Learning Objects repository! </li></ul><ul><li>Searching Bibliographic databases online </li></ul>
  24. 24. Informatics Theory <ul><li>Why Informatics? </li></ul><ul><li>Clinical Information Systems* </li></ul><ul><li>Data Standards </li></ul><ul><li>HIPAA </li></ul><ul><li>Network Security </li></ul><ul><li>Privacy and Confidentiality </li></ul><ul><li>Telehealth </li></ul>*textbook by AMIA and ANA plus Coursepacks created using journal articles from the library databases and delivered via Blackboard
  25. 25. Web Design – The Geek Part <ul><li>Every nurse must create their own site in HTML code! They are published online through their own FTP account at the University. Here are some samples: </li></ul><ul><li>http://chp.udmercy.edu/~schlacsu/ </li></ul><ul><li>Informatics Trends in Healthcare (Group Project-4pages) </li></ul><ul><li>http://chp.udmercy.edu/~andreore/ Stress Relief for Nurses </li></ul><ul><li>http://chp.udmercy.edu/~beemande Congestive Heart Failure </li></ul><ul><li>http://chp.udmercy.edu/~irwinde/ Elder Abuse </li></ul><ul><li>More than 110 sites were created during the first three years of this course! </li></ul>
  26. 26. Nurses’ Reactions <ul><li>At the start it is sheer panic! </li></ul><ul><li>With a lot of encouragement, some late night phone calls and emails, and chatroom visits, they know I am ready to help </li></ul><ul><li>… by the end they really feel like Geeks! (their words) </li></ul><ul><li>One student has published her webpage project in a journal “The Triplet Connection” </li></ul><ul><li>IT Committee Appointments </li></ul>
  27. 27. Thank you – Feel Free To Contact Us! <ul><li>BSNOnline Partnership Site: </li></ul><ul><li>http://healthprofessions.udmercy.edu/nursing/bsncomp.php </li></ul>(one of our nurses favorites PPT features!
  28. 28. References <ul><li>Aiken, Linda H., Clarke, Sean P., Cheung, Robyn B,, Solane, Douglas M., Silber, Jeffrey H. Educational levels of hospital nurses and surgical patient mortality. JAMA, 290(12), 1617-1623. </li></ul><ul><li>American Association of Colleges of Nursing. (June 2004). Working Paper on the Role of the Clinical Nurse Leader. </li></ul><ul><li>Committee on Quality Health Care in America, Institute of Medicine (2001). Crossing the quality chasm: a new health system for the 21 st century. </li></ul><ul><li>Greiner, A. C., Knebel, E., & Committee on the Health Professions Education Summit. (2003, Apr 8). Health professions education: a bridge to quality. , Retrieved Apr 12, 2005, from http://www.nap.edu/catalog/10681.html </li></ul><ul><li>Milstead, J. A. (2005). The culture of safety. Policy, Politics, & Nursing Practice , 6 (1), 51-54. </li></ul>

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