The Nursing Curriculum in the Information Age

Informatics Nurse Specialists (INSs)

- formally prepared at the graduate level in informatics

TIGER Expected Outcomes

- publish a summit report, including summit findings and exemplars of excellence - establish guidelines for organizations to follow as they integrate informatics knowledge, skills, and abilities into academic and practice settings - set an agenda whereby the nursing organizations specify what they plan to do to bridge the quality chasm via information technology strategies

Dr. David Brailer

1st National Health Information Technology Coordinator

1. Increasing the TIGER vison/mission across international borders. 2. Engage interprofessional colleagues in education and practice

2 Strategic Priorities of International and Interprofessional Expansion

1. Provide patient-centered care 2. Work in interdisciplinary teams 3. Employ evidence-based practice 4. Apply quality improvement 4. Utilize informatics

5 Core Competencies for health professionals

TIGER Initiative

Aims to fully engage in practicing nurses and nursing students in electronic era of healthcare

Computers on Wheels

COWs

Computer literacy Information literacy Professional development/Leadership

Competencies contained in the NI scope and standard matrix:

Healthcare Information Technology

HIT

revolutionized

Information technology has ____________ current healthcare.

Evidence-based Practice (EBP)

Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care

Meaningful use???

MU??

Quality and Safety Education for Nurses

QSEN

1. Basic computer competencies 2. Information literacy 3. Information management

TIGER NI competencies model consists of the following 3 areas:

Refreshed TIGER vision

To enable nurses and interprofessional colleagues to use informatics and emerging technologies to make healthcare safer, more effective, efficient, patient-centered, timely and equitable by interweaving evidence and technology seamlessly into practice, education and research fostering a learning healthcare system.

Virtual Learning Environment

VLE

Knowledge, Skills, Attitudes

What does KSA stand for?

Technology Informatics Guiding Education Reform

What does TIGER stand for?

phase 2

What phase? Competencies for graduate and advanced practice nurses

Inter-disciplinary Collaboration

as emphasized by the NHI Roadmap initiative, the advancement of science can be made more effective by combining inter-disciplinary knowledge and skills

2005

birth TIGER INITIATIVE (when?)

Professional development/Leadership

competencies address ethical, procedural, safety, and management issues for informatics solutions in the nursing practice and nursing education, research and administration

10 years

timeframe for the benefits of EHR

Foundations of practice

usually include the scope and standards of informatics practice, ethics, privacy and confidentiality, regulations of policy, management of data

1. Standards and interoperability 2. Healthcare IT National Agenda/HIT Policy 3. Informatics competencies 4. Education and Faculty Development 5. Staff Development/Continuing Education 6. Usability/Clinical Application Design 7. Virtual Demonstration Center 8. Consumer Empowerment/Personal Health Record

9 Collaborative TIGER Teams

Nursing Informatics

A specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice

Leadership Imperative Report

Addresses the need to focus on both practice and technology as well as provide valuable information, tools, and resources for leaders to access and utilize as they integrate technology into practice and education

Refreshed TIGER Mission

Advancing the integration of health informatics to transform practice, education and consumer engagement.

TIGER Vision

Allow informatics tools, principles, theories, and practices to be used by nurses to make healthcare safer, effective, efficient, patient-centered, timely, and equitable.

TIGER Initiative

Epitomizes nurse's efforts to translate high-level initiatives on nursing reform to a practice level

Teamwork and Collaboration

Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.

Office of the National Coordinator of Health Information Technology

George Bush created what?

To address the competencies that is necessary to continuously improve the quality and safety of healthcare system in which they work.

Goal of QSEN

- American Nurses Association - Nursing Informatics - Competencies contained in the NI scope and standard matrix

Informatics Competencies for Clinicians:

Healthcare Information Technology

It allows healthcare providers to deliver safer and efficient care

TIGER Initiative

It's goal is to create and disseminate action plans that can be duplicated with the nursing and other multi-disciplinary healthcare training and workplace setting

1. Foundations of practice 2. System design life cycle 3. Data management and healthcare technology

Main content of nursing informatics certification exam includes:

Safety

Minimize risk of harm to patients and providers through both system effectiveness and individual performance.

Patient-centered care Teamwork and collaboration Evidence-based Practice (EBP) Quality improvement (QI) Safety Informatics

QSEN Competencies:

Patient-centered Care

Recognize the patient or the designee as the source of control and full partner in providing compassionate and coordinated care

1. Nurses should practice to the full extent of their education and training. 2. Nurses should achieve higher levels of education and training 3. Nurses should be full partners w/ physicians and other healthcare professionals 4. Effective workforce planning and policy-making require better data collection and an improved information structure

Recommendations to transform the nursing profession to improve health:

- NI Certificate - Certified Professional in Healthcare Information and Management Systems - Registered Health Information Administrator - Physical Board - Project Management Certifications - Project Management Professional

Selected Certification Relevant to Nursing Informatics:

1. Improve quality, safety, efficiency, and reduce health disparities 2. Engage patients and family 3. Improve care coordination, and population and public health 4. Maintain privacy and security of patient health information

Specified Improvements:

2009-2014

The TIGER Initiative today (when?)

eHealth literacy

The ability to seek, find, understand, and appraise health information from electronic sources and apply the knowledge gained to addressing or solving a health problem

- Beginning nurse - Experience nurse - Informatics specialist/Informatics innovator - Administration analysis - Compliance and integrity management - Consultation - Coordination - Facilitation and professional development - Policy development and advocacy - Research and evaluation

The categories of educational and functional roles within the competency matrix:

Quality Improvement (QI)

Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of healthcare systems.

COW

WOW a.k.a?

Workstation on Wheels

WOWs

phase 3

What phase? Develop capacity of faculty engaged in pre-licensure nursing education

phase 4

What phase? Increasing number of nurses with advanced degree

phase 1

What phase? 6 competencies to be developed during prelicensure nursing education; knowledge, skills, and attitude

January 14, 2005

When was the 1st TIGER gathering held?

July 2004 ; Washington, D.C.

When was the 1st national health information technology summit? and where?

October 2006

When was the Invitational Summit held?

February 2012

When was the TIGER Initiative Foundation VLE officially launched?

2004

When was the decade of healthcare technology declared?

Montreal, Canada

Where was the Nursing Informatics 2012 Conference held?

US President George Bush

Who declared the healthcare technology?

John Hopkins University School of Nursing

Who hosted the 1st TIGER gathering?

Uniformed Services University of the Health Sciences ; Bethesda, MD

Who hosted the Invitational Summit? and where?

Computer literacy

addresses competencies in the area of the psychomotor use of computers and other technological equipment

Informatics Nurse (IN)

are generalists who have gained on-the-job training in the field but do not have the educational preparation at the graduate level in an informatics-related area

Informatics Competencies for Faculty Members

collaboration among disciplines and impacted both the clinicians' and researchers' paradigm in approaching research, practice, and education

Information literacy

competencies are related to the ability to identify the need for information as well as the ability to find, evaluate, organize, and use the information effectively

Data management and healthcare technology

includes the current evidence about data to knowledge, data mining, and management

System Design Life Cycle

it includes the phases and tasks contained within the SDLC and tasks contained within the SDLC process along with the NI leadership role in managing the process

3-year action plan

it was identified to achieve the 10-year vision of evidence and informatics transforming practice and education

Virtual Learning Environment (VLE)

provides an interactive web-based learning opportunity which includes information about HIT and related topics for healthcare professionals and consumers

Nursing Informatics

supports consumers, patients, nurses, and other providers in their decision-making in all roles and settings

2006

the TIGER Summit (when?)

Simulation-based Learning

the purpose of this in the clinical setting is to replicate the important aspects of a clinical situation where students or clinicians can work to gain knowledge and experience.

10-year vision

this evolved by doing collective work around seven pillars and then content streaming the patterns and most salient points

Informatics

use information and technology to communicate, manage knowledge, mitigate error, and support decision making

Simulation-based Learning

use of high-fidelity simulation has become the gold standard in current nursing education