Nursing Midwifery Leadership & Health Informatics Alison Patrick: Executive Director Nursing & Midwifery Mercy Health Services
Nursing Midwifery Leadership & Informatics A very brief history.. Mercy Health s EMR journey What Nurses & Midwives can bring to the health informatics discussion Why Nursing & Midwifery Leadership in this space is critical 16 April 2013 2
A (very) brief History lesson: 1838 The first trained nurses arrived in Sydney, 1860 In July 1860 probationers entered the Nightingale Training School 1893 - New Zealand granted women the right to vote (1902 Australia) 1928 - United Kingdom granted the vote to all women over 21 1965 The establishment of the first nurse practitioner (NP) role 2002 Australia/ New Zealand's first Nurse Practitioner appointed in NZ 16 April 2013 3
A (very) brief History lesson (continued): 1992 - American Nurses Association (ANA) defined the nursing informatics role 1995 - A.C.E.N.D.I.O: Association for common European Nursing Diagnosis, Interventions & Outcomes. 2004 A Framework for Nursing Informatics in Australia (NIA) 2015 - ANMF National Informatics standards for Nurses & Midwives 16 April 2013 4
Nursing Midwifery Leadership & Informatics Mercy Health s EMR journey 2012 > Restructure 2014 > NSQHS 2015 > EMRDA 16 April 2013 5
What Nurses & Midwives bring to the discussion? 2016 Accenture report: > 98% of patients want access to their medical record information > 97% of consumers trust Nurses (94% GP s, 93% Medical specialists). > 94% of patients would trust their GP with their Electronic health data > 78% of consumers agree they get better care when Dr s can access electronic medical record information Health Workforce in Australia: ABS data : 360,000 Nurses & Midwives (2015 total) 16 April 2013 6
Nursing Informatics Internationally USA: The American Nursing Informatics Association (ANIA) The American Organization of Nurse Executives (AONE) CNIO/ CMIO roles well established Post graduate courses well established Nursing Informatics jobs ++ 16 April 2013 7
Nursing Informatics Internationally EUROPE: Pre BREXIT! ACENDIO: Association for common European Nursing Diagnosis, Interventions & Outcomes Established 1995: Membership includes health services Universities from : Ireland, England, Wales, Finland, Norway, Switzerland, Germany, Portugal, Spain, Italy, Turkey Brazil, Australia 16 April 2013 8
EMR internationally? USA : The U.S. Department of Health and Human Services released final "meaningful use" rules on how health care providers can access $27 billion in federal economic stimulus money by using electronic medical records. http://www.eweek.com/c/a/health-care-it/new-federal-rules-govern-funding-for-electronic-records-419485 UK: To help improve the sharing of important information about you, the NHS in England is using an electronic record called the Summary Care Record (SCR) http://www.nhs.uk/nhsengland/thenhs/records/healthrecords/pages/overview.aspx Europe: Electronic Medical Records has been established in several European countries for the last decade or so. However, establishment of EMRs in several countries has been difficult.. http://www.kaloramainformation.com/emr-europe-7171192/ New Zealand: Independent review into Single EMR benefits https://www.health.govt.nz/publication/independent-review-new-zealands-electronic-health-record-strategy 16 April 2013 9
Where to now? 1. What should we as the NI community be doing to drive innovation and improvement in this space? 2. What could we be doing to engage more Nurses, Midwives & Consumers in the informatics space? 3. How do we ensure the Nursing Informatics community and clinical nurses and midwives are more engaged in this space and able to influence the National strategy? 16 April 2013 10
Where to now? 4. Is the use of standardised Nursing Midwifery language in health records important and how do we better use this information to influence improved care for patients? 5. Europe, UK and USA appear to have very close links between the academic informatics and health leadership communities. How do we as a NI community influence and encourage opportunity for this to grow in Australasia? 16 April 2013 11