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
