The Value of Nursing Informatics. Julie D Luengas, RN-BC, BSN, MBA, FHIMSS

Transcription

1 The Value of Nursing Informatics Julie D Luengas, RN-BC, BSN, MBA, FHIMSS

2 Objectives Define integration strategies to improve Quality Identify opportunities to improve workflow optimization with automated solutions Understand impact of Healthcare policies and initiatives which impact Nursing Informatics

3 Nurse Informaticist Defined Nursing informatics (NI) is the specialty that integrates nursing science with multiple information management and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice. NI supports nurses, consumers, patients, the interprofessional healthcare team, and other stakeholders in their decision-making in all roles and settings to achieve desired outcomes. This support is accomplished through the use of information structures, information processes, and information technology. Nursing Informatics: Scope and Standards of Practice 2 nd Edition ANA 2015 Nursing Informatics is the "science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide. (AMIA)

4 Nursing Process Assessment Evaluation Diagnosis Critical Thinking Implementation Planning

5 Quality Improvement

6 Quality Defined Merriam Webster Dictionary How good or how bad is something High level of value or excellence Business Dictionary Measure of excellence, free from defects US Department of Health and Human Services Getting the right care to the right patient every time

7 Quality Improvement Informatics Strategies Organizational Goals Patient Improved Quality Clinical Experience Community Initiatives

8 Quality Improvement Initiative- Strategy: Reduce Central Line infections (CLABSI) Multidisciplinary team Situation, Background, Approach, Resolution Current metrics Desired goals Barriers Training Auditing Reporting process

9 Reduce CLABSI Initiative Nursing Informatics Approach Evidence Based Practice (EVP) defined Electronic Medical Record (EMR) Design Orders, Documentation, Decision Support Automated reports Patient identification Documentation supports EVP Monitor trends by units and specific clinicians Return on Investment (ROI) Decreased infections, Length of stay (LOS), manual chart reviews (time), Increased patient satisfaction

10

11 Healthcare Changes Focus on Population Health Patient Centric Comprehensive Care-Medical Home Healthcare Delivery System Value Based Purchasing Predictive Analytics Global Healthcare Patient Engagement

12 Nurse Informaticst Basic Principles Continuing Education Current trends, regulatory changes, internal and external barriers Managing Clarify business problem to be solved Researching Population served, global healthcare issues Reviewing Listening and confirmation the goals are unchanged Support Being helpful

13 Nursing Informaticist Being Helpful Humble Inquiry is the skill and the art of drawing someone out, of asking questions to which you do not already know the answer, of building a relationship based on curiosity and interest in the other person. Edgar H. Schein, Humble Inquiry: The Gentle Art of Asking Instead of Telling

14 Marketing Nursing Informatics Value Audience Venue Content Frequency

15 Future of Nursing Informatics? Acute Care Workflow Optimization Predictive Analytics, Decision Support Ambulatory Preventive Care, Decision Support One Patient Record Comprehensive, Integrated: Right Information, Right Time, Right Audience, Right Presentation Continuum of Care Setting Community, Patient Population (Portals, Mobile devices, Telehealth)

16