nursing clinical informatics - suzanne brown

Suzanne Brown MSc HI, BNS (HONS), RGN, RM, Mater Misericordiae University Hospital

Nursing/Clinical Informatics Nursing/Clinical Informatics Leadership within a hospital Leadership within a hospital

setting – a beneficial setting – a beneficial relationshiprelationship

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Presentation Overview

• Hospital background

• Information Management Services Department

• Systems in use by nursing

• Conclusion

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Hospital Overview

• Central Dublin hospital

• 600 beds

• 3000 employees

• National specialties

• Regional specialties

• Dublin Acadamic Medical Centre (DAMC)

• Acute Medicine Programme

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

• New Adult Development – Opening 2012– Proposed bed capacity 120 single rooms (replacement)– Emergency Department– Outpatient Department– 12 new Operating Theatres & 36 bedded ICU/HDU– Radiology Department– Catering Department– Soft Landing/Lean Processes

• National Paediatric Hospital– Proposed opening 2016– Location – Mater Campus

Hospital Overview – New Development

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Information Management Services (IMS) Department

• Head of Information Management Services• System Analysis & Development• Applications Support• Network / Technical Support• Internet / Email Services• Web Services Manager• Management Information Reporting• Nursing Informatics/Development• Help Desk / Reception• Healthlink

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

ResourceScheduling/Monitoring

Quality/Metrics

Information and Workflow Model

Cost

PerformanceBudgeting

Outcomes

Integrated Nursing Information System - INISINIS

WorkloadDetermination/Allocation

Clinical DataDiagnosis/PlanHIS/EPRProtocolsGuidelinesResearchEducationPolicyFinancePlanning

Risk Management/Assessment Trends

Analysis

Review

CareDetermination/Planning

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

PatientCentre

A HIS system with the capacity to deliver a fully Electronic Patient Record (EPR)

A means of collecting and displaying all patient orders, results, images, documents etc.. Easily

September 2011 – NIMIS integration

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Nurse Specialist Referrals

Breast Care 745Prosthetic Advice 10Patient Education 283New diagnosis breast cancer 43Post-Op Review 59Medication Advice 40Patient/Family Advice/Support 250Discharge planning 24Pre-Op Care 36

Grand Total 745

Number of Referrals by Reason

0

50

100

150

200

250

300

350

I/P Visit NURSE-LEDCLINIC

O/P Visit PHONE FROM PHONE TO

Cum ulative Tim e Spent on Visits by Visit Types

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Nurse Specialists Using Referrals• Breast Care• Chest Pain Service• CTHDU• Diabetes/Endocrinology• ED Respiratory CNS’s• ENT Surgery• Gastroenterology• GI Oncology Upper• GI Oncology Lower• Heart Failure• Infectious Diseases• Lung Oncology

• Nephrology• Neurology• OPAT Service• Pain Management• Rapid Access Prostate

Service• Renal Day Unit• Respiratory• Rheumatology• Smoking Cessation• Stoma Care• Urodynamics

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Rostering System

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Bank Management System

• Developed in-house• Accessed throught Reports Module• Vacant ward shifts communicated to Bank office• Staff notify Bank office of their availability to work

overtime• Vacant shifts are filled by synchronising available

staff & ward vacancies as they occur

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Workload Determination

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Nursing Documentation

• Nursing documentation review group

• Assessment Form & Discharge Care Plan

• 2 month Pilot now completed

• Pre & Post pilot documentation audits

• Post pilot evaluation

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Conclusion

• Lots going on

• Looking forward to busy 2012

Mater Misericordiae University Mater Misericordiae University Hospital Hospital

Thank You