Nursing Informatics 101
Melissa F. Barthold, MSN, RN, BC, CPHIMS, FHIMSS
Tammy Duecker, RN
Patty Guinn, BS, RN, CPHIMS
Ruth MacCallum, BS, RN-BC
© HIMSS 2009
Nursing Informatics 101
Author Contact Information
Tammy Duecker, RN
Melissa F. Barthold, MSN, RN-BC,
CPHIMS, FHIMSS
Baptist Health South Florida
Corporate Manager, Nursing Informatics
MelissaFo@[Link]
Patty Guinn, BS, RN, CPHIMS
Director of Nursing Informatics
PGuinn@[Link] Ruth MacCallum, BS RN-BC
Senior Associate
Aspen Advisors, LLC
rmaccallum@[Link]
HIMSS Nursing Informatics Community
• The first “official community” within HIMSS for
Nursing Informatics formed in 2004 – now
represents 2,000 individuals
• Community Framework:
– Clinical Informatics
– Leadership
– National Initiatives
• [Link]/ni
WARNING!
This presentation is not
intended for education of
nurses already “seasoned” in
the informatics field!
NI 101 OBJECTIVES
• Define nursing informatics
• Demonstrate how NI supports nursing
process
• Explain value of NI to nursing practice and
healthcare
• Identify roles for NI practice
• Identify practice areas and settings
• Identify education paths and certifications
Nursing Informatics Defined
Nursing informatics is the integration of
nursing, its information, and information
management with information processing and
communication technology, to support the
health of people world wide.
International Medical Informatics Association –
Nursing Informatics Special Interest Group (IMIA-NI),
adopted August 1998, Seoul, Korea
Nursing Informatics Defined
Nursing informatics is a specialty that integrates
nursing science, computer science and information
science to manage and communicate data,
information, knowledge and wisdom in nursing
practice. NI supports patients, nurses and other
providers in their decision-making in all roles and
settings. This support is accomplished through the
use of information technology and information
structures, which organize data, information and
knowledge for processing by computers.
Nursing Informatics: Scope and Standards of Practice. Silver
Spring, MD: American Nurses Association; 2008.
The Benefits of Nursing
Informatics
• In the practice of professional nursing
• In the delivery of patient care in the
healthcare continuum
Nursing Practice
• Nursing Process is the cornerstone of
Professional Nursing Practice
Defines the “What” and “How” of
professional practice
The steps of the process are measurable
The process steps can also be used by
other clinical disciplines
Nursing Process
Evaluation Assessment
Implementation Planning
Nursing Process
• Each step supports
– Actual Delivery of
Evaluation Assessment
patient care
– Management of each
patient’s care
– Is patient centered
Implementation Planning
Nursing Process
Enables the
professional nurse
to be the
Evaluation Assessment “Coordinator” of
each patient’s care
– Communicate & coordinates care
with ALL other clinical disciplines
– Coordinate discharge planning,
Implementation Planning
education & teaching, transition of
care
– Manages ALL information related to
the nursing process and patient
care
Nursing Process
Because
information management
is integrated into the Nursing
Process and Practice,
some Nursing Communities
identify a 5th step in Nursing
Process
¾DOCUMENTATION
Nursing Process
Well-documented information provides:
• What care has been provided and what is outstanding
• Outcomes of care provided and responses to the plan of care
• Current patient status & assessments
• Support decisions based on assessments to drive new plans
of care
Nursing Process
Assessment Planning
• As the 5th step of
nursing process,
Documentation Documentation
becomes the core
of Nursing Process
along with the
patient
Evaluation Implementation
Automation of Documentation
Why automate documentation – not
only for nursing but for all of patient
care?
Up-to-date, accurate information of
each step of the Nursing Process
is the Power behind safe, high
quality patient-centered care!
Successful Automation
• Successful implementation of Information
Systems requires
Well designed systems that support Nursing
Process within the culture of an organization
and/or specific care providers
Acceptance & integration of information systems
into the regular workflow of nursing process &
patient care
Resources that can support the above
One of the BEST
resources to drive a
successful
implementation is a
Nurse Informaticist!
Nurse Informaticists
• Are expert clinicians with extensive clinical practice background
– Experience in utilizing and implementing the nursing process
• Are expert nursing clinicians in utilizing the Nursing Process
– Expert analytical & critical thinking skills
– Understand patient care delivery workflow & integration points for automated documentation
• Have additional education & experience with Information Systems
– Are excellent Project Managers because of the similarity between the Project Management
Process & the Nursing Process
The Value of Nurse Informaticists
Nurse
Informaticists
are
bi-lingual!
The Value of Nurse Informaticists
• Support nursing work processes using
technology
– Design systems to match clinical workflows
Telehealth
Home health
Ambulatory care
Long-term care
Acute care – all specialties
Outpatient settings
Software development
Redesign work flows
The Value of Nurse Informaticists
• Increase the accuracy and completeness
of nursing documentation
• Improve the nurse’s workflow
– Eliminate redundant documentation
• Automate the collection and reuse of nursing data
• Facilitate analysis of clinical data
– JCAHO indicators, Core Measures, federal or state
mandated data and facility specific data
The Value of Nurse Informaticists
• Provide nursing content to standardized
languages
NIC/NOC, NANDA
SNOMED
Linkage to other nomenclatures
ICD-9’s
CPT’s
The Benefits of Nurse Informaticists
• Nurse Informaticists
promote and facilitate
– Access to resources and references
• for nurses and the entire interdisciplinary team
• in both clinical and administrative settings
• Change
The Benefits of Nurse Informaticists
• Benefits for nurses and the interdisciplinary team:
Support for their mission to deliver high quality,
evidence-based care
Support for better service by facilitating true
interdisciplinary care
Promotes improvement in key relationships with
¾ physicians
¾ peers
¾ interdisciplinary care team members
¾ patients
¾ families
The Benefits of Nurse Informaticists
• Benefits in the administrative setting
– Support for cost savings and productivity goals
– Facilitate change management
The Many Roles of a
Nurse Informaticist
Vendors
Acute care - Hospital Systems
Consultant
Education/Research
Long-term care
Ambulatory
Home care
The Many Roles of a
Nurse Informaticist
• Vendors:
Sales
Software development
Implementation
Education to train clients/users
The Many Roles of a
Nurse Informaticist
• Hospital Systems
Staff Nurse Super User
Analyst – Support/Implement Systems
Directors/Managers of Nursing Informatics
Project Managers
CIO (Chief Information Officer)
The Many Roles of a
Nurse Informaticist
• Consultant
– Software Implementation
– Software/System Solution Selection
– Process Improvement
– Project Management
The Many Roles of a
Nurse Informaticist
• Other
Education/Research
Compilation/Analysis of
Data
Public Policy
Government HealthCare IT
initiative
Insurance organizations
The Road to NI…..
OJT (on the job training)
Being in the right place
at the right time!
The Road to NI…..
Education
Sources for educational programs:
AMIA [Link]
University of North Carolina [Link]
HIMSS [Link]/ni
The Road to NI…..
Certifications
American Nurses’ Association Credentialing Center
Board Certification in Nursing Informatics
[Link]
HIMSS - Certified Professional in Healthcare Information and
Management Systems (CPHIMS)
[Link]
The Road to NI…..
Professional Organizations
The Alliance for Nursing Informatics is a
collaboration of over 25 organizations, representing
a unified voice for nursing informatics. Join one
today!
[Link]
References
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