Non traditional Nursing Informatics Roles and Responsibilities in Healthcare. Ellie Hunt, MSN, RN, BC Rebecca Kitzmiller, PhD, MHR, RN, BC

Transcription

1 Non traditional Nursing Informatics Roles and Responsibilities in Healthcare Ellie Hunt, MSN, RN, BC Rebecca Kitzmiller, PhD, MHR, RN, BC NCNA Council on Nursing Informatics September 20, 2013 Topics Describe current practice settings and roles 2011 Examine non traditional roles and settings Strategies to prepare for employment 1

2 Employment Settings Responsibilities 2

3 Non Traditional Health Systems Quality Improvement Lean/Six Sigma Business Intelligence Non Traditional Ambulatory Care Meaningful Use Ensuring Medicare, Medicaid payments Beacon Workflow analysis and integration 3

4 Up and Coming Hospice and homecare Skilled nursing facilities Accountable care organizations Academic Workforce development In person Online Research Content development Item writing Quality validation 4

5 Vendors Vendor Devices Device development Marketing & sales Account management Product management Implementation services Training services 5

6 Research & Policy Consulting Advisory Board Strategic planning Policy development Health analytics User Experience Meaningful Use Needs assessment Clinical transformation 6

7 Preparing for Non Traditional roles Network Network Network Employee vs non Travel vs non Flexible hours Nuts & Bolts: Initiating an agreement NDA, Master Consulting Agreement (contract), SOW (statement of work), W9, Business Associate agreement (HIPAA) Insurances to think about: Health, Disability, Life, Travel General liability, Commercial Car, Errors & Omissions Finishing a contract Termination or end of contract? Thank you Turn over all materials, equipment, passwords, etc. Follow up Consider a satisfaction survey? 7

8 Nuts & Bolts: Reporting Working Hours how reported Status report Weekly status reports/ s to direct report owner of SOW Stand up Monthly status report to contract company Work Habits self and employer habits Morning/afternoon/evening most productive 24x7 or M F business hrs; weekend? Introvert/Extrovert? Report Sample Nuts & Bolts 8

9 Nuts & Bolts Report Sample Nuts & Bolts: Check Contract & SOW for Non compete language Term of contract and rate/compensation Deliverables Expense instructions Insurance required and Length of time holding insurances Termination clause (ending of contract on your side and/or their side) Generally, contracts tend to benefit those who initiate them. No benefit of construction applies is language that is supposed to obviate this and is there so it can t be used as an excuse. Consider using a lawyer to ensure you are covered & represented. Ask to have parts changed that don t work for you 9

10 Nuts & Bolts: Compensation Overtime? Min hours? Max hours? Bonus? Tracking contract hours? Paycheck? (Salaried/Hourly or Exempt/non exempt) OR Invoicing/Billing? Frequency of submission/payment? How to submit an invoice or hours for paycheck? Travel & Expenses Billed through? Company credit card? When reimbursed? How should travel be booked? Without markup? Mileage reimbursed? Deposit? Meals & Incidentals: daily rate or actual? Notice given of dismissal or end of contract? Nuts & Bolts: Accounting Systems assist in tracking $$ ins/outs: (listed here in alphabetical order, not given as recommendation) AccountEdge Freshbooks KashFlow LessAccounting QuickBooks Waveapps.com Xero 10

11 References American Nurses Credentialing Center. (2011). American Nurses Credentialing Center 2010 Role Delineation Study: Informatics Nurse National Survey Results (pp. 50). Silver Spring, MD: American Nurses Credentialing Center. Healthcare Information and Management Systems Society. (2011) Nursing Informatics Workforce Survey (pp. 24). Chicago, IL: Healthcare Information and Management Systems Society. Personal conversations, stories and mentoring over the years with Deb Aldridge, Christine Barbrey, Jan Girard, Ellie Hunt, Andy Hunt, Rebecca Kitzmiller, Kelly Wiseman and more. 11