This document discusses the potential for electronic data capture in community health research and development. It notes that nurses are becoming major contributors of electronically captured data, but that the data is often interpreted and used in ways removed from its original purpose. It outlines six domains where increased data transparency could impact: accountability, choice, productivity, care quality, social innovation and economic growth. However, it stresses the importance of nurses actively participating in and influencing how this data is captured, interpreted and used.
Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...Sax Institute
This presentation from Nicholas Mays, Professor of Health Policy, Director, Policy Innovation Research Unit, Department of Health Services Research & Policy focuses on the challenges, approaches and evaluation of England's Pioneers.
Partnering with Patients, Families and Communities for Health: A Global Imper...EngagingPatients
Engagement is an essential tool to improving global health. This report introduces a new framework for engagement to help countries assess current programs and think strategically about future engagement opportunities. It spotlights barriers to engagement and offers concrete examples of effective engagement from around the globe.
Virtual health is supporting continuing efforts to further humanize health care by extending and expanding the concept of a patient-centric care delivery model into one that is truly life-centric.
Virtual health uses telecommunication and networked technologies to connect clinicians with patients (and with other clinicians) to remotely deliver health care services and support well-being. For providers, committing to virtual health at a personal and organizational level affords ever-increasing opportunities to deliver the right care at the right time in the right place, in a connected and coordinated manner.
By strengthening and facilitating a therapeutic alliance between clinicians and patients, virtual health is an important step on our continuous journey to humanize health care. It works within and around a patient’s life, as opposed to their sickness, to deliver care when, where, and how they need and want it. Also, virtual health works its way into consumers’ daily routines by being embedded in electronic devices associated with living life (e.g., smartphones and personal computers) more so than caring for sickness.
The healthcare industry is primed for expanded adoption of virtual health; a 2016 report estimated that the US virtual health market will reach $3.5 billion in revenues by 2022. Several factors are elevating stakeholder interest, including expected physician shortages, continued growth in digital technologies, changing reimbursement models, increasing consumer demand, and the evolving regulatory landscape. One game-changer: Today, nine in 10 American adults use the internet, giving clinicians the capability and flexibility to communicate with and serve health care consumers via the web.
The revised OECD Health Systems Performance Framework: methodological issues ...Sax Institute
The OECD is a leading organization in the international measurement of health system performance. The OECD Expert Group on Health Care Quality Indicators (HCQI) has recently revised its performance framework, identifying core indicators and highlighting new directions. Although improving, the capacity of countries to deliver more accurate standardized indicators still needs to be fostered. A particular aspect that deserves attention is the design, planning and implementation of public performance reporting. Such activity, strictly interrelated to the capacity of the information infrastructure, also depends from cultural, organizational and political conditions that can be differently present at the international level. The applicability of standardized principles and the evidence of improved outcomes due to public reporting systems is still questioned to a large extent. A first international conference on the topic of hospital performance reporting has been organized in Rome, Italy in 2014, followed by a second event held in Seoul, South Korea, in 2015. In his talk, Fabrizio Carinci will present recent developments of OECD projects, including:
• state of the art in the definition of OECD performance indicators
• challenges emerging from OECD R&D studies
• transferability and use of definitions at sub-national and provider level
• applicability for hospital performance benchmarking and geographical variation
• limitations imposed by the legislation on privacy and data protection
• an overarching vision of “essential levels of health information”
Through practical examples drawn from his direct experience as Member of the Bureau of the HCQI and other relevant Boards, Prof. Fabrizio Carinci will discuss the state of the art, the role played by national governments (including Australia), and potential avenues for mutual collaboration.
Niek Klazinga | Performance reporting in OECD countriesSax Institute
Dr Niek Klazinga (Head of the Health Care Quality Indicators Project in the OECD Health Division) spoke with the HARC network in December 2014 about current developments in performance measurement and reporting.
HARC stands for the Hospital Alliance for Research Collaboration. HARC is a collaborative network of researchers, health managers, clinicians and policy makers based in NSW, Australia managed by the Sax Institute.
HARC Forums bring members of the HARC network together to discuss the latest research and analysis about important issues facing our hospitals.
For more information visit saxinstitute.org.au.
General information and trends in continuing medical education (CME), based on Accreditation Council for Continuing Medical Education (ACCME) 2012 Annual Report data and general market analysis for trends impacting education participation.
Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...Sax Institute
This presentation from Nicholas Mays, Professor of Health Policy, Director, Policy Innovation Research Unit, Department of Health Services Research & Policy focuses on the challenges, approaches and evaluation of England's Pioneers.
Partnering with Patients, Families and Communities for Health: A Global Imper...EngagingPatients
Engagement is an essential tool to improving global health. This report introduces a new framework for engagement to help countries assess current programs and think strategically about future engagement opportunities. It spotlights barriers to engagement and offers concrete examples of effective engagement from around the globe.
Virtual health is supporting continuing efforts to further humanize health care by extending and expanding the concept of a patient-centric care delivery model into one that is truly life-centric.
Virtual health uses telecommunication and networked technologies to connect clinicians with patients (and with other clinicians) to remotely deliver health care services and support well-being. For providers, committing to virtual health at a personal and organizational level affords ever-increasing opportunities to deliver the right care at the right time in the right place, in a connected and coordinated manner.
By strengthening and facilitating a therapeutic alliance between clinicians and patients, virtual health is an important step on our continuous journey to humanize health care. It works within and around a patient’s life, as opposed to their sickness, to deliver care when, where, and how they need and want it. Also, virtual health works its way into consumers’ daily routines by being embedded in electronic devices associated with living life (e.g., smartphones and personal computers) more so than caring for sickness.
The healthcare industry is primed for expanded adoption of virtual health; a 2016 report estimated that the US virtual health market will reach $3.5 billion in revenues by 2022. Several factors are elevating stakeholder interest, including expected physician shortages, continued growth in digital technologies, changing reimbursement models, increasing consumer demand, and the evolving regulatory landscape. One game-changer: Today, nine in 10 American adults use the internet, giving clinicians the capability and flexibility to communicate with and serve health care consumers via the web.
The revised OECD Health Systems Performance Framework: methodological issues ...Sax Institute
The OECD is a leading organization in the international measurement of health system performance. The OECD Expert Group on Health Care Quality Indicators (HCQI) has recently revised its performance framework, identifying core indicators and highlighting new directions. Although improving, the capacity of countries to deliver more accurate standardized indicators still needs to be fostered. A particular aspect that deserves attention is the design, planning and implementation of public performance reporting. Such activity, strictly interrelated to the capacity of the information infrastructure, also depends from cultural, organizational and political conditions that can be differently present at the international level. The applicability of standardized principles and the evidence of improved outcomes due to public reporting systems is still questioned to a large extent. A first international conference on the topic of hospital performance reporting has been organized in Rome, Italy in 2014, followed by a second event held in Seoul, South Korea, in 2015. In his talk, Fabrizio Carinci will present recent developments of OECD projects, including:
• state of the art in the definition of OECD performance indicators
• challenges emerging from OECD R&D studies
• transferability and use of definitions at sub-national and provider level
• applicability for hospital performance benchmarking and geographical variation
• limitations imposed by the legislation on privacy and data protection
• an overarching vision of “essential levels of health information”
Through practical examples drawn from his direct experience as Member of the Bureau of the HCQI and other relevant Boards, Prof. Fabrizio Carinci will discuss the state of the art, the role played by national governments (including Australia), and potential avenues for mutual collaboration.
Niek Klazinga | Performance reporting in OECD countriesSax Institute
Dr Niek Klazinga (Head of the Health Care Quality Indicators Project in the OECD Health Division) spoke with the HARC network in December 2014 about current developments in performance measurement and reporting.
HARC stands for the Hospital Alliance for Research Collaboration. HARC is a collaborative network of researchers, health managers, clinicians and policy makers based in NSW, Australia managed by the Sax Institute.
HARC Forums bring members of the HARC network together to discuss the latest research and analysis about important issues facing our hospitals.
For more information visit saxinstitute.org.au.
General information and trends in continuing medical education (CME), based on Accreditation Council for Continuing Medical Education (ACCME) 2012 Annual Report data and general market analysis for trends impacting education participation.
This infographic speaks to the challenges Emergency Departments face in caring and following up with the growing population of patients they see, and demonstrates how some EDs are seeing measurable improvements in care, patient satisfaction and efficiency.
PIHCI programmatic grants webinar (en) for circulationAlexandra Enns
These are the slides from CIHR’s webinar providing information for the upcoming PIHCI Network Programmatic Grant funding opportunity.
The complete instructions are on ResearchNet: https://www.researchnet-recherchenet.ca/rnr16/vwOpprtntyDtls.do?prog=2734&view=currentOpps&org=CIHR&type=EXACT&resultCount=25&sort=program&next=1&all=1&masterList=true
Caring for Patients with Pain is a Team SportCHC Connecticut
Health Centers are called upon to help patients with both acute and chronic pain.. Our desire to help patients with pain often exceeds our skill set and resources. Health Centers across the country have been stepping up to become better educated and trained in this complex area of clinical practice. One thing we’ve learned is that it requires the whole team to be successful. In this webinar we will look at the contribution of each member of the expanded care team in addressing needs of patients with chronic pain, and the strategies that support their work.
Patient Engagement is more that an patient portal
Connected Health tools are available to enhance engagement
Personalization is needed to engage
How patient engagement technologies fit with population health
Helping those lacking health and digital literacy and access
The future is bright for Personal Connected Health
"Competencies to Practice Toolkit: A Repository of Workforce Development Resources for Public Health" presentation from the American Public Health Association's Annual Meeting.
When the Human Genome Project was declared complete back in 2003, there were high expectations set for genomic medicine. However, it has taken over a decade to begin moving from vision to reality. Today, the number of success stories remains relatively small, but they do stretch across the healthcare ecosystem, incorporating the prediction of drug responses, the diagnosis of diseases and the identification of targeted therapies. Stakeholders ranging from patients, healthcare providers and payers, researchers, diagnostic companies, policy-makers, life sciences businesses and governments now believe genomic medicine to be a potential game-changer
June 27/2017 - SPOR-PIHCI Network presentations from the pre-CAHSPR conference day in Toronto, Ontario
Sharing Practical Advances in Research Knowledge-
Translating Findings to Action from PIHCIN Research
The 2021 Guide to Fully Integrating Telehealth and Eliminating No-ShowsMichael Dillon
Telehealth is here to stay! Easily integrate it with your practice and reduce administrative overhead and patient no-shows.
A Must Read Guide to Eliminating No Shows in Healthcare Organizations.
Patient Engagement in Healthcare Improves Health and Reduces CostsM2SYS Technology
It’s been said that patient engagement develops naturally when there is a regular, focused communication between patient and provider and it leads to behaviors that meet or more closely approach treatment guidelines. It is also believed that patients engaged in their own care make fewer demands on the health care system and more importantly, they experience improved health. Patients who are educated about both their condition and their care are also patients who are most likely to get and stay healthy. In fact, many believe that empowering patients to actively process information, decide how that information fits into their lives, and act on those decisions is a key driver to improving care and reducing costs.
Research shows that informed and engaged patients take a more active role in their own care and furthermore, health care organizations are slowly discovering how patient engagement contributes to their financial and quality objectives. Patient engagement essentially revolves around the theory that if patients understand their condition, know the symptoms to watch for, know why they’re taking medication for example and how to implement the necessary lifestyle changes, the chances of them getting and staying healthy are significantly improved and when you proactively engage patients in their care, the quality of that care improves.
Listen in to our latest podcast with Brad Tritle, Director of Business Development for Vitaphone Health Solutions, chair of the HIMSS Social Media Task Force and contributing editor of the HIMSS book Engage! Transforming Healthcare through Digital Patient Engagement as we discuss the current state of patient engagement in healthcare, how it is defined, whether it really does have a significant impact on improving health and reducing the cost of care, what engagement initiatives are providers using and what the future of patient engagement may look like.
Patient Engagement Presentation - MPN Network Forum April 18, 2017Alexandra Enns
April 18, 2017
In April we held a Network Forum on engaging policymakers and patients/public effectively and appropriately. We would like to give a warm thanks to both Carolyn Shimmin, Patient Engagement expert of CHI's Knowledge Translation team, and Marcia Thomson, Assistant Deputy Minister of Manitoba Health, Seniors and Active Living for their presentations. Below you can see Carolyn's presentation - to see more of her work on patient engagement and to learn more about knowledge translation at CHI, please check out the blog Knowledge Nudge here. If you would like more information, helpful tools or advice about patient/public engagement in research, please contact Carolyn Shimmin at cshimmin@exchange.hsc.mb.ca
Patient Engagement is growing in importance as consumer expectations of healthcare providers change and as portals and other technologies improve. Early studies show affects on outcomes for patient engagement technologies
Primary Health Care Strategy:
Key Directions for the Information Environment. Case study report and composite success model.
Steve Creed & Philip Gander
This infographic speaks to the challenges Emergency Departments face in caring and following up with the growing population of patients they see, and demonstrates how some EDs are seeing measurable improvements in care, patient satisfaction and efficiency.
PIHCI programmatic grants webinar (en) for circulationAlexandra Enns
These are the slides from CIHR’s webinar providing information for the upcoming PIHCI Network Programmatic Grant funding opportunity.
The complete instructions are on ResearchNet: https://www.researchnet-recherchenet.ca/rnr16/vwOpprtntyDtls.do?prog=2734&view=currentOpps&org=CIHR&type=EXACT&resultCount=25&sort=program&next=1&all=1&masterList=true
Caring for Patients with Pain is a Team SportCHC Connecticut
Health Centers are called upon to help patients with both acute and chronic pain.. Our desire to help patients with pain often exceeds our skill set and resources. Health Centers across the country have been stepping up to become better educated and trained in this complex area of clinical practice. One thing we’ve learned is that it requires the whole team to be successful. In this webinar we will look at the contribution of each member of the expanded care team in addressing needs of patients with chronic pain, and the strategies that support their work.
Patient Engagement is more that an patient portal
Connected Health tools are available to enhance engagement
Personalization is needed to engage
How patient engagement technologies fit with population health
Helping those lacking health and digital literacy and access
The future is bright for Personal Connected Health
"Competencies to Practice Toolkit: A Repository of Workforce Development Resources for Public Health" presentation from the American Public Health Association's Annual Meeting.
When the Human Genome Project was declared complete back in 2003, there were high expectations set for genomic medicine. However, it has taken over a decade to begin moving from vision to reality. Today, the number of success stories remains relatively small, but they do stretch across the healthcare ecosystem, incorporating the prediction of drug responses, the diagnosis of diseases and the identification of targeted therapies. Stakeholders ranging from patients, healthcare providers and payers, researchers, diagnostic companies, policy-makers, life sciences businesses and governments now believe genomic medicine to be a potential game-changer
June 27/2017 - SPOR-PIHCI Network presentations from the pre-CAHSPR conference day in Toronto, Ontario
Sharing Practical Advances in Research Knowledge-
Translating Findings to Action from PIHCIN Research
The 2021 Guide to Fully Integrating Telehealth and Eliminating No-ShowsMichael Dillon
Telehealth is here to stay! Easily integrate it with your practice and reduce administrative overhead and patient no-shows.
A Must Read Guide to Eliminating No Shows in Healthcare Organizations.
Patient Engagement in Healthcare Improves Health and Reduces CostsM2SYS Technology
It’s been said that patient engagement develops naturally when there is a regular, focused communication between patient and provider and it leads to behaviors that meet or more closely approach treatment guidelines. It is also believed that patients engaged in their own care make fewer demands on the health care system and more importantly, they experience improved health. Patients who are educated about both their condition and their care are also patients who are most likely to get and stay healthy. In fact, many believe that empowering patients to actively process information, decide how that information fits into their lives, and act on those decisions is a key driver to improving care and reducing costs.
Research shows that informed and engaged patients take a more active role in their own care and furthermore, health care organizations are slowly discovering how patient engagement contributes to their financial and quality objectives. Patient engagement essentially revolves around the theory that if patients understand their condition, know the symptoms to watch for, know why they’re taking medication for example and how to implement the necessary lifestyle changes, the chances of them getting and staying healthy are significantly improved and when you proactively engage patients in their care, the quality of that care improves.
Listen in to our latest podcast with Brad Tritle, Director of Business Development for Vitaphone Health Solutions, chair of the HIMSS Social Media Task Force and contributing editor of the HIMSS book Engage! Transforming Healthcare through Digital Patient Engagement as we discuss the current state of patient engagement in healthcare, how it is defined, whether it really does have a significant impact on improving health and reducing the cost of care, what engagement initiatives are providers using and what the future of patient engagement may look like.
Patient Engagement Presentation - MPN Network Forum April 18, 2017Alexandra Enns
April 18, 2017
In April we held a Network Forum on engaging policymakers and patients/public effectively and appropriately. We would like to give a warm thanks to both Carolyn Shimmin, Patient Engagement expert of CHI's Knowledge Translation team, and Marcia Thomson, Assistant Deputy Minister of Manitoba Health, Seniors and Active Living for their presentations. Below you can see Carolyn's presentation - to see more of her work on patient engagement and to learn more about knowledge translation at CHI, please check out the blog Knowledge Nudge here. If you would like more information, helpful tools or advice about patient/public engagement in research, please contact Carolyn Shimmin at cshimmin@exchange.hsc.mb.ca
Patient Engagement is growing in importance as consumer expectations of healthcare providers change and as portals and other technologies improve. Early studies show affects on outcomes for patient engagement technologies
Primary Health Care Strategy:
Key Directions for the Information Environment. Case study report and composite success model.
Steve Creed & Philip Gander
Quality Improvement Strategies: quality improvement tools, factors that help to create and sustain Healthcare Informatics as a new field. quality improvement cycle: PDCA (Plan, Do, Check, Act) Cycle.
NHS Improving Quality was invited to take part in a recently held event that celebrated the work that is being done in partnership between the Pennine Acute Hospitals NHS Trust and AQuA to deliver a Quality Improvement Methodologies Programme (QuIMP).
Gillian Phazey, Learning and Organisational Development Manager at Pennine Acute Hospitals NHS Trust explains:
'The Learning and Organisational Development and Governance teams at the Pennine Acute Hospitals NHS Trust have been working collaboratively with AQuA to deliver a Quality Improvement Methodologies Programme (QuIMP) to support staff in developing knowledge and skills in this topic. The programme has been specifically designed to support colleagues wanting to gain an introduction to the fundamentals and concepts of quality improvement. So far, two cohorts of staff, from clinical and non-clinical areas of the Trust have completed the programme, and have completed quality improvement projects in their own work area to apply their knowledge. On 17th July a celebration event was held for cohort 2 where staff presented their work in poster or presentation form, the aim of which is to share and spread learning across the Trust. Projects were wide ranging, from introducing new processes to reduce complaints and drug errors, to improving patient experience by implementing new tools and techniques. The day was a great success with the Chief Executive and Chief Nurse in attendance. The Trust is highly supportive of this approach in equipping staff with these important techniques, and the programme supports not only our internal quality agenda and objectives, but more widely responds to the recommendations of the Berwick report. The next cohort is starting in September this year.'
Fiona Thow, Patient Safety Collaborative Delivery Lead at NHS Improving Quality delivered a keynote speech, (link to presentation slides) providing a national perspective on the plans for improving patient safety and took the opportunity to introduce the national safety collaboratives. She also highlighted the need for organisations and individuals to think differently about safety for both patients and staff.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGEWALDEN U.docxaudeleypearl
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the key stakeholders who need to provide the hospitals with funds for purchase of cancer screening machines and hiring of enough oncologists.
The risk involved with this change is the cancer screening costs which might not be affordable to all people.
Organization Description and Readiness for Change
Recommending an Evidence-Based Practice Change
Increasing cancer screening awareness can be done in the community especially in various institution where many people come together.
Cancer screening awareness can also be increased by passing the information on importance of screening in social media and also for every patient that visits the hospital.
Cancer screening services should also be done freely to attract more people to go for screening services.
The facility can implement these changes by training all the nursing staffs and physicians on cancer screening information so they can pass the information to all the people they interact with and attend.
*
Recommending an Evidence-Based Practice Change
One of the measurable outcomes that can be achieved with the implementation of cancer screening awareness is the early detection of different types of cancers like colorectal, breast, cervical, prostate, among others (Alfa Scientific Designs, 2017).
The second outcome is the education on prevention strategies that people could adopt to help prevent cancer by educating the people on some of the cancer risk factors (Alfa Scientific Designs, 2017).
The awareness can also help in acknowledging the existence of screening services in the healthcare facility.
Knowledge of the early signs associated among the public could also be achieved through awareness campaigns.
Overall Quality Improvement in Processes: Continuous quality improvement initiat ...
Presentations from the patient safety conference held at Teesside University on 1 and 2 September 2014 - Students at the forefront of continuing and improving our culture of safe care
2021-2022 NTTAP Webinar: Fundamentals of Comprehensive CareCHC Connecticut
Join us as we discuss the core concepts of team-based care and introduce elements of team-based care that builds upon these basics to support your teams in advancing their capability to provide satisfying and effective care to complex patient populations. .
We will be joined by Margaret Flinter, Senior Vice President/Clinical Director for Community Health Center, Inc., and both Thomas Bodenheimer, MD, Physician and Founding Director, and Rachel Willard Grace, Director, from the Center for Excellence in Primary Care.
Getting Knowledge into Action for Best Quality HealthcareNHSScotlandEvent
NHS Education for Scotland and Healthcare Improvement Scotland are working with NHS Boards to define new approaches to implementing and sharing knowledge which support practitioners to get knowledge into action at the frontline. This shift in focus from accessing to applying knowledge will integrate knowledge management more closely with quality improvement. This interactive workshop will use creative knowledge management techniques to challenge the way we apply knowledge in practice.
Jim Warren
National Institute for Health Innovation (NIHI)
The University of Auckland
The presentation was accompanied by this video:
http://www.youtube.com/watch?v=jbvmGqmIxXY
Webinar on Quality Improvement Strategies in a Team-Based Care Environment CHC Connecticut
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance. Many positions in primary care now require QI training as part of employees' professional development.
Our expert faculty discuss tools you can use to build and implement a QI infrastructure within your team-based setting to improve patient care.
Panelists:
• Deb Ward, RN, Senior Quality Improvement Manager, Community Health Center, Inc.
• Kathleen Thies, PhD, RN, Consultant, Researcher, Weitzman Institute
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https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
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CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
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Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
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This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
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Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
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Making our practice open and transparent: the potential of electronic data capture
1. Improving outcomes through community health research and development
Making our practice open and
transparent: the potential of
electronic data capture
NZICHC Director: Dr Chris Hendry RN, RM, BA, MPH, DM.
2. Improving outcomes through community health research and development
www.nzichc.org.nz
We are a NFP collaboration of clinician researchers (mainly
nurses and midwives) who form research teams around
specific projects with the aim of contributing to best practice
and improved patient outcomes in community health care
through the integration of education, research and clinical
practice.
3. Improving outcomes through community health research and development
We are now in a phase of transparency by default.
Nurses are fast becoming the main contributors of data captured.
Who is interpreting the data?
Do we know how this data is being used?
1. Henke, Kelsey & Whately 2011.
Transparency - the most powerful
driver of health improvement1.
4. Improving outcomes through community health research and development
The impact (and potential) of data transparency can be
categorised within the following six domains:
1. Accountability
2. Choice
3. Productivity
4. Care quality and clinical outcomes
5. Social innovation
6. Economic growth
Why should nurses and midwives
be interested?
5. Improving outcomes through community health research and development
1. Accountability
Data is used in investigation and audit often by those removed from the
workplace. Sources include:
Staffing Systems based
− Trendcare .- Incident reporting
− Payroll - e-booking /scheduling systems
Client based - service feedback
− Diagnostics timing and results - telephone and computer timing
− E-referral - e-access to spaces and technology
− Admission data
− Electronic health records
− Discharge data.
How or are nurses
involved in making the
connections?
6. Improving outcomes through community health research and development
Hospital productivity becomes
transparent – no hiding spare capacity.
7. Improving outcomes through community health research and development
2. Choice
Availability of comparative information enables choice.
Variation in performance is identified.
www.eldernet.org.nz reporting availability in ARC facilities last week,
54 of the 87 facilities listed vacancies.
Many facilities are now becoming more engaged in quality benchmarking activities.
This added to the introduction of InterRAI within the ARC sector, will require nurses
to have IT literacy as an expected competency.
What can nurses do to raise their profile?
Consumers are becoming more aware of quality expected.
8. Improving outcomes through community health research and development
3. Productivity
This has been a key focus for ‘re-engineering’ of service pathways.
Data is being used and interpreted in a way far removed from the initial
purpose…………..all information entered/recorded in an electronic form will be
used in variety of ways for variety of different purposes.
9. Improving outcomes through community health research and development
4. Care quality and clinical
outcomes
Nursing sensitive indicators are increasingly being used for benchmarking
quality.
Indicators include:
• urinary tract infections,
• patient falls prevalence and injury,
• skin pressure ulcers,
• hospital acquired pneumonia,
• deep vein thrombosis/pulmonary embolism,
• wound infection
• failure to rescue.
How are we monitoring these? Where does the data come from?
Is incident reporting accurate and timely? Could this data be extracted
from existing systems for nurses to monitor and benchmark?
10. Improving outcomes through community health research and development
4. Care quality and clinical
outcomes
Do you know what is being
monitored?
How they are being monitored?
Where does the data come from?
Are you involving yourself with
these activities?
11. Improving outcomes through community health research and development
4. Care quality and clinical
outcomes
12. Improving outcomes through community health research and development
5. Social innovation
Will challenge old ways of working and rebalance relationships.
13. Improving outcomes through community health research and development
5. Social innovation
Innovations initiated and supported by the NZ Health IT Board
http://healthitboard.health.govt.nz/
14. Improving outcomes through community health research and development
6. Economic growth
Large sets of public data are becoming more available.
Provides potential to:
• Develop new products and services
• Increase safety and efficiency of current services
• Spot disease trends
• Impact of population changes on health service needs
• Career development opportunities in health
15. Improving outcomes through community health research and development
6. Economic growth
Immunisation Greater help for smokers to quit
17. Improving outcomes through community health research and development
Challenges for us:
Prioritising
http://healthitboard.health.govt.nz/
The National Health Information Technology Board (NHITB) supports the Ministry of
Health to improve the health of New Zealanders by providing trusted and secure
integrated health information systems and IT solutions that enable the delivery of
better and more convenient health care.
The Health IT Board has 2 nurse representatives among
the 8 members.
The National Information Clinical Leaders Group also
have nursing and midwifery representation.
18. Improving outcomes through community health research and development
Challenges for us:
Active participation
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Challenges for us:
influencing IT developments
There are opportunities for nurses and midwives to become more informed
about IT developments.
Once informed then become involved in the action.
There are real opportunities for nurses and midwives to
become involved in IT development…..after all we will likely
be the main users!
20. Improving outcomes through community health research and development
Challenges for us:
Terminology
Health information Standards Organisation
http://healthitboard.health.govt.nz/health-it-groups/health-
information-standards-organisation-hiso
Standards have been developed in:
• Mental health
• Clinical documentation
• Palliative care
• Consumer health identity
• Cancer core data set
• Others
A standard is an agreed and repeatable way of describing
something to achieve a common understanding.
21. Improving outcomes through community health research and development
Challenges for us:
Documentation
For nursing and midwifery, documentation provides evidence of decision
making, action taken and the impact/effectiveness of the actions.
We know what we do, how and why we do it.
We need to make that understood by others, visible and
measurable….… or it does not count.
23. Improving outcomes through community health research and development
Take control of your own data:
ending with a story from practice
The big question:
What is the value of the Nurse Specialist role?
DON response was to request data from the nurses (87 of
them) on their activities over the past 12 months to
develop a picture of their contributions.
Action: Work with the NS to identify indicators based on
the 6 domains of advanced nursing practice (Mick/Strong
Model).
There was very little transparency and in some cases no
e-data at all.
24. Improving outcomes through community health research and development
Take control of your own data:
A story from practice
Domains of advanced nursing practice
2 workshops and e-communication refined the indicators.
The new version of Trendcare contains a Nurse Specialist
module that will then be used to trial provision of data on
NS contribution to the service.
1. Provision of direct comprehensive care.
2. Involvement in support systems.
3. Research
4. Education
5. Publication and professional leadership
25. Improving outcomes through community health research and development
Any questions?
Interested in being involved and/or involving us in
any projects?
Chris.hendry@nzichc.org.nz
www.nzichc.org.nz
Thank you for listening.