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Nursing Informatics Symposium

Leaders OptimizingHealthcare Outcomes Through Informatics

HIMSS 2009April 3-4

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Nursing Informatics Solutions – Unraveling the Complexity

Connie White DelaneyPhD, RN, FAAN, FACMI

Professor & DeanSchool of Nursing

University of Minnesota

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Nursing Informatics Solutions – Unraveling the Complexity

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Nursing Informatics Solutions – Unraveling the Complexity

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Health Care System

Nursing’s Workforce

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Nursing Informatics Solutions – Unraveling the Complexity

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Institute of Medicine (IOM) and the Information Technology (IT) Revolution

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IOM and the IT Revolution –moremore……

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Use of health IT will:

Improve health care qualityPrevent medical errorsReduce health care costs Increase administrative efficiencies Decrease paperwork Expand access to affordable care

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Health IT Strategic Framework

Goal 1: Inform Clinical PracticeGoal 2: Interconnect CliniciansGoal 3: Personalize CareGoal 4: Improve Population Health

Office of National Health Information

Technology2004-2006

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Health IT Strategic Framework

Goal 1: Patient-focused health careGoal 2: Population Health

Privacy & SecurityInteroperabilityAdoptionCollaborative governance

Office of National Health Information

Technology2008-2012

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CMS Policy Quality Agenda-“Present on Admission”

Places NURSES in key leadership position

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Nurses are Knowledge Workers who manage data, information & knowledge

American Nurses Association, Scope and Standards, Nursing Informatics, 2007

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Technology Informatics Guiding Education Reform

Donna DuLong - TIGER Initiative -donna@tigersummit.com

Final summary reports on Phase II available February 2009

TIGER website: www.tigersummit.com

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Technology Informatics Guiding Education Reform

3-Year Program

Year 1 – Define and publish the 10-year vision and 3-year action plan to raise awareness of the need for informatics

competencies for all nurses

Year 2 – Facilitate collaboration to accelerate progress on action plan and leverage best practices

Year 3 – Drive dissemination through nursing professional organizations

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9 Collaborative Teams www.tigersummit.com

Standards and InteroperabilityAMIA, HITSP

Healthcare IT National Agenda/HIT PolicyONC, AHIC, CCHIT, TIGR, Obama Agenda

Informatics CompetenciesAHIMA Workforce Commission (AHRQ),DPRC (AMIA), HITS(HIMSS)

Education and Faculty DevelopmentNLN website

Staff Development/Continuing EducationNNSDO

Activities anticipated to continue beyond 2008

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9 Collaborative Teamswww.tigersummit.com

Usability/Clinical Application DesignAcademy (TD2)

Virtual Demonstration CenterHIMSS, AHRQ

Leadership DevelopmentMagnet, AONE, Academy

Consumer Empowerment/Personal Health RecordAHIMA, ONC

Activities anticipated to continue beyond 2008

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PerioperativeNursingData Set

Clinical Care

Classification (CCC) System

Omaha System

SNOMED ICNP

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PATIENT Clinic, Hospital, Nursing

Home

PERSONALPatients & the Public

POPULATIONCommunity Records

Data Banks Repositories

Interlocking electronic Health Communications & Records with knowledge support: ‘just-in-time’ ‘just-for-me’ ‘every time’

First-classHealth Care

Infostructure Best Knowledge

& Delivery

Education

Research

& Development

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Information Big Bang

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Informatics Leadershipfor the Future

Consider the following

How will you ensure that the systems that you are implementing today are positioned for the future?

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eful

for

characterizing

and

monitoring

the

spatial

and

temporal

p

Remote Sensing &Human Health: New Sensors & Opportunities

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eful

for

characterizing

and

monitoring

the

spatial

and

temporal

p

Remote Sensing &Human Health: New Sensors & Opportunities

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When matter is manipulated on the atomic scale, optical, electrical, magnetic, and other characteristics of materials change.

The ability to control these characteristics provides a wide range of opportunities in Healthcare and Life Sciences.

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What do the futurists say?

Everything you say and do will be recorded by 2030.

Gene Stephens, "Cybercrime in the Year 2025," July-Aug 2008, p. 34

Bioviolence will become a greater threat as the technology becomes more accessible.

Barry Kellman, "Bioviolence: A Growing Threat," May-June 2008, p. 25 et seq.; Antonietta M. Gatti and Stefano Montanari, "Nanopollution: The Invisible Fog of Future Wars," May-June 2008, p. 32

Futurist, 2009

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Professional knowledge will become obsolete almost as quickly as it’s acquired. An individual’s professional knowledge is becoming outdated at a much faster rate than ever before.Marvin J. Cetron and Owen Davies, "Trends Shaping Tomorrow’s World, Part Two," May-June 2008, p 41

The race for biomedical and genetic enhancement will-in the twenty-first century-be what the space race was in the previous century.Gregory Stock quoted in "Thinking Globally, Acting Locally, Living Personally," Nov-Dec 2007, p. 57

What do the futurists say?

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OutlookFuturist 2009

2010-2014

2015-2019

2020-2024

2025-2029

2030-2039

2040-beyond

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Outlook (Futurist 2009) 2010-14

Behavior alarms based on human mistake recognition (2010)

Software that is trained, not written (2010)

Artificial nervous systems for autonomous robots (2010)

Retinal implants linked to external cameras (2010)

Optical neurocomputer (2012)

DNA computer (2014)

Voice activated interface for home appliances (2010)

Computer screens in clothes (2010)

Computers linked to biological sensory organs (2012)

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Outlook (Futurist 2009) 2015-19

Artificial heart (lab-cultured or entirely synthetic) (2015)

All technology imitates thinking processes of human brain (2018)

Self diagnosing, self-repairing robots (2015)

Robots for almost any job in homes and hospitals (2015)

Spectacles that translate signs, labels (2015)

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Outlook (Futurist 2009) 2020-24

Machine knowledge exceeds human knowledge (2020)

Artificial liver (2020)

Nanobots in toothpaste that attack plaque (2020)

Desktop computing as fast as human brain (2021)

Experience-recording technology developed (2023)

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Outlook (Futurist 2009) 2025-29

Only 15% of deaths world-wide due to infectious diseases (2025)

Individualized educational programs for all students (and Patients) (2025)

Direct brain link (2025)

Robot population surpasses human population in developed world (2025)

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Outlook (Futurist 2009) 2030

Artificial brain implants (2030)

Robots physically and mentally superior to humans (2032)

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Outlook (Futurist 2009) 2040- beyond

Moon base the size of a small village (2040)

Use of human hibernation in space travel (2052)

Teleportation of a human being (2040)

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Informatics Leadershipfor the Future

How will you ensure that the systems that you are implementing today are positioned for the future?

Terminology changes?Interoperability implications?

Types of data?Future of data entry?

Knowledge synthesis?Knowledge management?

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Embrace technology to preservethe sacred, gentle gifts of nursing