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

Learning Objectives At the end of this session you will have been introduced to: 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 Nursing Informatics : Opportunities Abound 2007 -11 -19

Data …. . To …. . Knowledge Information Data Knowledge Nursing Informatics : Opportunities Data …. . To …. . Knowledge Information Data Knowledge Nursing Informatics : Opportunities Abound 2007 -11 -19

Data to Knowledge Differentiation Data Management Information Management Knowledge Management v Data Definition v. Data to Knowledge Differentiation Data Management Information Management Knowledge Management v Data Definition v. Data Coupling v. Information Coupling v Data Collection v. Indicator Development v. Diagnosing v Data Normalization v. Performance Tracking v. Benchmarking v Filing/Storage v. Outcome Measurement v. Querying v Access/ Transmission (Collecting) v. Simulating (Measuring) (Learning) Nursing Informatics : Opportunities Abound Irene Podolak, Deloitte Inc 2007 -11 -19

Knowledge Management Process KNOWLEDGE Decisions Best Practices Benchmarks INFORMATION ACCESS Clinical Data ANALYZE INFORMATICS Knowledge Management Process KNOWLEDGE Decisions Best Practices Benchmarks INFORMATION ACCESS Clinical Data ANALYZE INFORMATICS COLLECT Financial Data PROCESS Administrative Data Policy/Governance Data Socio-Demographic Data Nursing Informatics : Opportunities Abound Irene Podolak, Deloitte Inc 2007 -11 -19

Informatics § Informatics includes the science of information, the practice of information processing, and 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 Nursing Informatics : Opportunities Abound 2007 -11 -19

Clinical Informatics • focuses on computer applications that address medical data (collection, analysis, representation). 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 Nursing Informatics : Opportunities Abound 2007 -11 -19

Nursing Informatics …“ integrates nursing science, computer science, and information science to manage and 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) Nursing Informatics : Opportunities Abound 2007 -11 -19

NI … More than Technology Focused on the full scope of transforming data into NI … More than Technology Focused on the full scope of transforming data into knowledge and then using the knowledge to influence, deliver and manage nursing care. Nursing Informatics : Opportunities Abound 2007 -11 -19

Goal of Nursing Informatics To improve the health of populations, communities, families and individuals 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/PS 87 -Nursing-infoknowledge-e. pdf Nursing Informatics : Opportunities Abound 2007 -11 -19

The Nurse Informatician “Specialized knowledge in identifying, naming, organizing, grouping, collecting, retrieving, analyzing, storing 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 Nursing Informatics : Opportunities Abound 2007 -11 -19

Informatics influence on Nursing § MNDS § Standard language § Document and track nursing’s 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 Nursing Informatics : Opportunities Abound 2007 -11 -19

Focus of the Nurse Informatician § To identify areas of nursing/clinical practice that could 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 Nursing Informatics : Opportunities Abound 2007 -11 -19

5 Key Nursing Informatics Functions § Advocate for the patient and clinician during the 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 Nursing Informatics : Opportunities Abound 2007 -11 -19

Healthcare Trends and Nursing Informatics 1. Enhanced emphasis on patient safety 2. Electronic Health Healthcare Trends and Nursing Informatics 1. Enhanced emphasis on patient safety 2. Electronic Health Record (enhanced ability to provide care beyond individual encounters) 3. 4. 5. 6. 7. 8. Quality and accountability (outcome measures) Consumer empowerment (access to information) Privacy and security Resource utilization Evidence based medicine Resource constraints Nursing Informatics : Opportunities Abound 2007 -11 -19

Educational Preparation Options Formal Education § Undergraduate § University of Victoria § Masters Health 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 Nursing Informatics : Opportunities Abound 2007 -11 -19

Obtaining Experience Most Informaticians: §did not identify Informatics as a career path § within 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 Nursing Informatics : Opportunities Abound 2007 -11 -19

Roles in Informatics Practice § § § § Director of Nursing Informatics Clinical Informatics Roles in Informatics Practice § § § § Director of Nursing Informatics Clinical Informatics Specialist Consultant Chief Information Officer Clinical/Business Analyst Project Management Clinical Adoption/Change Management Nursing Informatics : Opportunities Abound 2007 -11 -19

Roles in Informatics Practice § Director of Information Systems & Telecommunications § Application Specialist Roles in Informatics Practice § Director of Information Systems & Telecommunications § Application Specialist § Clinical Documentation Systems Analyst § Informatics Nurse Specialist § Informatics Nurse Nursing Informatics : Opportunities Abound 2007 -11 -19

Informatics Opportunities in Manitoba e. Health Manitoba Telehealth WRHA Project & Informatics positions Project Informatics Opportunities in Manitoba e. Health Manitoba Telehealth WRHA Project & Informatics positions Project and Informatics site based positions § Consulting firms § Vendors § Self-Employed consulting § § Nursing Informatics : Opportunities Abound 2007 -11 -19

Clinical Information Systems in Manitoba § § § § § Electronic Patient Record (EPR) 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 (i. EHR) Nursing Informatics : Opportunities Abound 2007 -11 -19

? Q www. mnia. ca Nursing Informatics : Opportunities Abound 2007 -11 -19 ? Q www. mnia. ca Nursing Informatics : Opportunities Abound 2007 -11 -19