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Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November 19, 2007 Pat Rothney Dr. Dawn-Marie Turner RN BN BN PhD

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Page 1: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

MNIA Introduction to Health Informatics:

Session IINursing Informatics:

Opportunities AboundNovember 19, 2007

Pat Rothney Dr. Dawn-Marie Turner RN BN BN PhD

Page 2: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Learning Objectives At the end of this session you will have

been introduced to: Brief recap of Informatics

Data to knowledge Knowledge Management Process Nursing Informatics

Role of the Informatician Educational Preparation Options Obtaining Experience Roles in Informatics Practice Opportunities in Manitoba

Page 3: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Data ….. To ….. Knowledge

Data Information

Knowledge

Page 4: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Data to Knowledge Differentiation

Data Management

Data Management

Information ManagementInformation Management

Knowledge ManagementKnowledge

Management

Data Definition

Data Collection

Data Normalization

Filing/Storage

Access/ Transmission

Data Coupling

Indicator Development

Performance Tracking

Outcome Measurement

Information Coupling

Diagnosing

Benchmarking

Querying

Simulating

(Collecting) (Measuring) (Learning)

Irene Podolak, Deloitte Inc

Page 5: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Knowledge Management Process

AdministrativeData

Clinical Data

Socio-DemographicData

Policy/GovernanceData

BenchmarksBest Practices

INFORMATICS COLLECTANALYZE

PROCESS

ACCESS

Financial Data

KNOWLEDGE

Decisions

INFORMATION

Irene Podolak, Deloitte Inc

Page 6: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Informatics

Informatics includes the science of information, the practice of information processing, and the engineering of information systems. Informatics studies the structure, behavior, and interactions of natural and artificial systems that store, process and communicate information. It also develops its own conceptual and theoretical foundations.

Since computers, individuals and organizations all process information, informatics has computational, cognitive and social aspects.

Wikipedia

Page 7: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Clinical Informatics

• focuses on computer applications that address medical data (collection, analysis, representation).

• Clinical informatics is a combination of information science, computer science, and clinical science designed to assist in the management and processing of data, information and knowledge to support the practice and delivery of clinical care

• (Shortliffe and Perreault, Medical Informatics: Computing applications in health care and biomedicine) Wikipedia

Page 8: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Nursing Informatics

…“ integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice. Nursing informatics facilitates the integration of data, information, and knowledge to support clients, nurses, and other providers in their decision-making in all roles and settings." (Staggers & Bagley-Thompson, 2002)

Page 9: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

NI … More than Technology

Focused on the full scope of transforming

data into knowledge and then using the

knowledge to influence, deliver andmanage nursing care.

Page 10: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Goal of Nursing Informatics

To improve the health of populations, communities, families and individuals by optimizing information management and communication. ANA May 2002 Scope and Standards of Nursing Informatics Practice

CNA policy statement – “information concerning aspects of nursing care that affect client outcomes must be included in existing and future databases on client centered information”

http://www.cna-nurses.ca/CNA/documents/pdf/publications/PS87-Nursing-info-knowledge-e.pdf

Page 11: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

The Nurse Informatician

“Specialized knowledge in identifying, naming, organizing, grouping, collecting, retrieving, analyzing, storing or managing data and information”

ANA Scope and Standards of Nursing Informatics Practice

Page 12: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Informatics influence on Nursing

MNDS Standard language Document and track nursing’s unique

contribution to the health of individuals, families and communities (CNA)

Outcome measurement Enhanced decision making Evidence based practice

Page 13: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Focus of the Nurse Informatician

To identify areas of nursing/clinical practice that could benefit from better information management

To assist with the management and processing of nursing/clinical data

To develop new information management structures and processes to support nursing/clinical practice and patient care, education, administration, & research

Page 14: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

5 Key Nursing Informatics Functions

Advocate for the patient and clinician during the design, implementation, and evaluation of a clinical systems initiative

Bridge between clinical best practice and the systems solutions

Translate: make the technology and systems solutions understandable to the clinicians and communicate the needs of clinicians to the technical team

Understand clinical workflow and how it will be impacted by the proposed solutions

Support the design, preparation for activation, activation and post activation to sustain the change

Page 15: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Healthcare Trends and Nursing Informatics

1. Enhanced emphasis on patient safety 2. Electronic Health Record (enhanced ability to provide

care beyond individual encounters)

3. Quality and accountability (outcome measures)

4. Consumer empowerment (access to information)

5. Privacy and security6. Resource utilization 7. Evidence based medicine 8. Resource constraints

Page 16: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Educational Preparation Options

Formal Education Undergraduate

University of Victoria Masters Health

Informatics Dalhousie University of Victoria

Diploma Health Informatics Waterloo University

Courses Athabasca

Informal/Related Education Canada

Project Management Certificate Red River College University of Winnipeg

Certificate in Business Analysis Red River College

Diploma in Software Development Red River College

Page 17: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Obtaining Experience

Most Informaticians: did not identify Informatics as a career path within their workplace were asked to contribute to an informatics project became an experienced knowledge source were asked to lead additional informatics efforts

Now: Informatics is a recognized field of practice Education exists to support the Informatician Practice is being defined and standards developed Currently in Canada we’re using the ANA Scope and Standards of Nursing Informatics Practice

Page 18: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Roles in Informatics Practice

Director of Nursing Informatics Clinical Informatics Specialist Consultant Chief Information Officer Clinical/Business Analyst Project Management Clinical Adoption/Change

Management

Page 19: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Roles in Informatics Practice

Director of Information Systems & Telecommunications

Application Specialist Clinical Documentation Systems

Analyst Informatics Nurse Specialist Informatics Nurse

Page 20: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Informatics Opportunities in Manitoba

Manitoba eHealth Manitoba Telehealth WRHA Project & Informatics positions Project and Informatics site based

positions Consulting firms Vendors Self-Employed consulting

Page 21: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Clinical Information Systems in Manitoba

Electronic Patient Record (EPR) Emergency Department Information System (EDIS) Hospital Information System Project (HISP) Minimum Data Set: Long Term Care (MDS: LTC) Minimum Data Set: Home Care (MDS: HC) Community Services Information System (CSIS) Utilization Management Tool (UM Tool) Surgical Information Management System (SIMS) Brandon Regional Health Authority EPR (Siemens) Provincial Radiology Information System/Picture

Archiving & Communication System (RIS/PACS) Provincial integrated Electronic Health Record (iEHR)

Page 22: Nursing Informatics : Opportunities Abound 2007-11-19 MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November

Nursing Informatics : Opportunities Abound

2007-11-19

Q?www.mnia.ca