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Page 2. Technology Informatics Guiding Education Reform. The focus of the TIGER Initiative is to better prepare our nursing workforce (all practicing nurses and nursing students) to use technology and informatics to improve the delivery of patient care. We believe that necessary skills for nurse
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1. Technology Informatics Guiding Education Reform Nine TIGER Collaboratives Donna DuLong, BSN, RN
Program Director, The TIGER Initiative
Denver, Colorado
Marion Ball, EdD
Professor, Johns Hopkins University School of Nursing
Columbia, MD
2. Page 2 Technology Informatics Guiding Education Reform
The focus of the TIGER Initiative is to better prepare our nursing workforce (all practicing nurses and nursing students) to use technology and informatics to improve the delivery of patient care.
We believe that necessary skills for nurses’ portfolio in 2007 includes basic computer competencies, information literacy and informatics skills.
The TIGER Initiative is a program; not an organization.
TIGER has been a grass-roots effort to engage with all stakeholders that are committed to a common “vision” of ideal EHR-enabled nursing practice. Today, more than 120 diverse organizations have joined this effort.
3. Page 3 Allow informatics tools, principles, theories and practices to be used by nurses to make healthcare safer, effective, efficient, patient-centered, timely and equitable
Interweave enabling technologies transparently into nursing practice and education, making information technology the stethoscope for the 21st century
4. Background Converging forces that are serving as a catalyst for transforming nursing practice
Rising cost and disparity of U.S. Healthcare system demands transformation
IOM studies and reports
Emerging technologies
Growing consumerism
Impending nursing shortage
Disaster recovery preparedness
5. U.S. Health Care Workforce - Nursing Nearly 3 million practicing nurses in the U.S.
More than 55% of all health care workers
Nurses are knowledge workers
Average age of nurse is 47
Estimated severe shortage of nurses by 2014
Nursing’s workforce must be capable of innovating, implementing, and using health communications and information technologies
6. IOM Vision While clinicians are trained to use an array of cutting-edge technologies related to care delivery, they often are not provided a basic foundation in informatics (Gorman et al.,2000; Hovenga, 2000).
“All health professionals should be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice, quality improvement approaches and informatics.”
7. Building the Work Force for HIT A work force capable of innovating, implementing and using health communications and information technologies will be critical to healthcare’s success.
For health Information Transformation
AHIMA and AMIA
http://www.ahima.org/emerging_issues/Workforce_web.pdf
8. National Efforts In Alignment with the TIGER Initiative Groundbreaking Reports
To Err is Human (2000)
Crossing the Quality Chasm (2001)
Health Literacy: A Prescription to Ending Confusion (2004)
Building a Better Delivery System: A New Engineering/HealthCare Partnership (2005)
Building the Workforce for Health Information Transformation (2006)
Mandates/Executive Orders (President Bush, 4/2004)
Electronic Health Records for all Americans in 10 years
Appointment of a National Coordinator for Healthcare Informatics Technology (ONC/HHS) Reports –
Conclusion - information technology and a competent/proficient workforce holds the promise for transforming healthcare practice to achieve foundational aims, such as, safety, effectiveness, patient family centeredness, timeliness, efficiency, and equity.
Executive Order, April 2004:
The President created the National Coordinator position
To achieve the President’s goal of widespread adoption of interoperable electronic health records (EHR) by 2014
To advance the vision of developing a nationwide interoperable health information technology infrastructure
Key Role for ONC:
Provide leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve
The quality and efficiency of health care and
The ability of consumers to manage their health
Reports –
Conclusion - information technology and a competent/proficient workforce holds the promise for transforming healthcare practice to achieve foundational aims, such as, safety, effectiveness, patient family centeredness, timeliness, efficiency, and equity.
Executive Order, April 2004:
The President created the National Coordinator position
To achieve the President’s goal of widespread adoption of interoperable electronic health records (EHR) by 2014
To advance the vision of developing a nationwide interoperable health information technology infrastructure
Key Role for ONC:
Provide leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve
The quality and efficiency of health care and
The ability of consumers to manage their health
9. The Decade of Health Information Technology The Decade of Health Information Technology: Delivering consumer-centric and information-rich health care
http://www.hhs.gov/onchit/framework/
Four Cornerstones:
Inform clinical practice
Interconnect clinicians
Personalize care
Improve population health
10. ONC Efforts In Alignment with the TIGER Initiative http://www.hhs.gov/healthit/onc/mission/
Developing a Strategic Framework
Inform Clinical Practice
Interconnect Clinicians
Personalize Care
Improve Public Health
Defining Elements of Success for HIT
Policy
Governance
Technology
Adoption
11. Page 11 TIGER Summit – Phase I October 31 -November 1, 2006
Held at the Uniformed Services University for Health Sciences (USUHS) in Bethesda, MD
100 participants representing all stakeholders
Created a collective vision for nursing practice and education within 10 years if nurses were fully enabled with IT resources
Developed a 3-year action plan required to achieve this vision
Summary Report published at www.tigersummit.com
13. 3-Year Action Plan Based on a common “vision” of ideal EHR-enabled nursing practice
Focused on identifying the “gaps” in nursing preparedness to practice in an EHR-enabled environment
Agree to take actions within the next 3 years that can close these gaps
Main focus of deliverables is on the creation of educational tools and resources that can be shared with entire healthcare community
14. Report Format
Executive Summary
Action Plan with Specific Goals
Background – Overview of the topic including key projects, publications, and subject experts
Recommendations for significant gaps
Case Studies/Exemplars
Recommendations
Resource lists/tools
Participants/Affiliates/Sponsors
Distribution
15. Organizational Commitment 70 organizations were represented at the Summit
Each committed to creating action plans aligned with the TIGER vision within their organization/membership
TIGER following organizational progress on these action plans over the next 3-years
Examples of organizational actions taken to date:
Distribution of TIGER Summary report to all professional members (AONE)
Presentations of TIGER at National and International Conferences (AMIA, ANIA/CARING, HIMSS, STTI, HIMSS-AsiaPac, SINI, I-MIA/MedInfo, ONS)
Regional presentations of TIGER (BANIC, State-HIMSS e.g., Colorado, Michigan, Wisconsin, N. California)
Professional organization presentations of TIGER (ASPAN, AORN, AWHOHN, MONE)
State-wide initiatives supporting TIGER vision (Minnesota, Massachusetts, Tennessee)
16. Page 16 Enabled by the Alliance for Nursing Informatics (ANI) – a collaboration between AMIA and HIMSS
Continue to support progress of each participating organization’s 3-year action plan
Formalize cross-organizational activities/action steps into collaborative TIGER Teams (9 identified)
Define measurable outcomes of each collaborative team
Provide the infrastructure and support to facilitate the development and dissemination of the activities of the collaborative
Develop educational materials that can be distributed to all practicing nurses and nursing students
17. Page 17 9 Collaborative Teams Standards and Interoperability
Healthcare IT National Agenda/HIT Policy
Informatics Competencies
Education and Faculty Development
Staff Development/Continuing Education
Usability/Clinical Application Design
Virtual Demonstration Center
Leadership Development
Consumer Empowerment/Personal Health Record
18. Page 18 Measurable Outcomes of Each Collaborative
Definition, Scope of Project
An inventory and analysis of existing resources
Publications
Research
Subject matter experts
Ongoing Projects
Identification and access to subject matter experts and constituent targets
Educational web-based audio conferences (target = 2)
Conference presentations
A comprehensive white paper-type document (modeled after TIGER Summary Report)
Define topic-specific evaluation criteria
Submit articles for publication and dissemination amongst broader TIGER audience
Chapter in the 4th Edition of the Nursing Informatics Series Where Caring and Technology Meet
19. Standards and InteroperabilityJoyce Sensmeier, MS, RN-BC, CPHIMS, FHIMSS, VP, Informatics, HIMSS Elizabeth C. Halley, RN MBA, The MITRE Corporation Identify the most relevant HIT standard setting efforts that are important to the TIGER mission and ensure that there is adequate representation/input of the TIGER mission/perspective on said efforts.
Communicate the existence and importance of HIT standards and initiatives to the broad nursing community.
Create tutorials on standardizing data elements, implementing electronic health records, using nursing terminology, and using evidence-based practice tools.
20. TIGER Standards & Interoperabilityhttp://tigerstandards.pbwiki.com WG#1 - Catalogue the most relevant Health IT standard setting efforts and related resources
Currently developing a comprehensive framework that consists of data standards, terminologies, standards, standards organizations, transaction standards, and infrastructure standards
Expand the framework to contain references, links, and relevant resources and contacts
WG#2 - Create tutorials related to standardized data elements, EHR implementation, nursing terminology, and the use of decision support and evidence-based practice tools
WG#3 – Create awareness campaigns to disseminate #2 and #3 to broader nursing community
WG#4 – Collect examples and case studies of interoperable systems to demonstrate the value of standards in various practice and education settings
21. TIGER Standards & InteroperabilityAccomplishments to Date Educational webinars
Leveraging Health Information Exchange to Improve Quality and Efficiency – a review of the importance of HCIT standards in providing a foundation for interoperability, the current landscape for health information exchange, and the potential impact of HITSP specifications on consumers and healthcare systems
Introduction to the Standards Lifecycle and HITSP Harmonization Process – a detailed explanation of the lifecycle of standards development within the national HCIT agenda and how nurses can get involved in the interoperability effort
Facilitated Review of Specifications and Use Cases
Medication Management HITSP Interoperability Specification
Consultations and Transfers of Care Use Case
22. 2. Health IT National Agenda/HIT PolicyCDR Alicia Bradford MS, RN-BC, Department of Health and Human Services, Office of the National Coordinator for Health ITDr. Carolyn Padovano PhD, RN, Director, SNOMED-CT Identify the most relevant HIT agendas and policies that are important to the TIGER mission and ensure that there is adequate representation/input of the TIGER mission/perspective on said policy issues.
Communicate the existence and importance of the National HIT agenda and policies to the broad nursing community.
Create communication strategies that enable nursing participation in strategic HIT policy-setting efforts and disseminate policies back to the nursing community.
23. Engage Nursing participation to facilitate input and help disseminate information regarding national HIT initiatives in the following four areas:
WG#1 - Standards and interoperability efforts (ANSI-HITSP)
WG#2 - Clinical and policy initiatives generated by the AHIC/ONC workgroups, including use cases, clinical scenarios
WG#3 - Participate in the certification process for the electronic health record (such as reviewing/commenting on CCHIT work products)
WG#4 - Develop a communication and outreach strategy for which those materials can be widely disseminated to the TIGER and Nursing Community.
TIGER National Health IT Agendahttp://tigerhitagenda.pbwiki.com
24. TIGER National HIT AgendaAccomplishments to Date Educational webinars
National Health Information Technology Agenda – a review of the Office of the National Coordinator (ONC), strategic framework, timeline of activities, and opportunities for nursing involvement in these activities.
Invited presentation to the AHIC/Sec. Leavitt re: National Health Workforce Preparedness
Dr. Carole Gassert, RN, PhD
Facilitated Discussion of HITSP Medication Management Interoperability Specification and AHIC Use Case on Consultations & Transfers of Care
Participate in AHIC meeting on Tuesday, February 26, 2008 from 10:15 a.m. – 4:00 p.m. at HIMSS (Rosen Center Rooms 9 &10) - meet at 9:45 a.m. outside the Rosen Center Room 9
25. 3. Informatics Competencies Connie White Delaney, PhD, RN, FAAN, FACMI, Professor and Dean, School of Nursing University of Minnesota Brian Gugerty DNS, RN, Clinical Informatician, Principal Consultant Harmonize and set informatics competencies for all levels of nursing education: nursing assistants, associate degree, diploma, undergraduate and graduate.
Harmonize and set informatics competencies for nursing practice.
Advocate for and support adding informatics competencies into nursing specialty certifications.
Include informatics competencies in the scope and standard statements (and like documents) of nursing specialties.
26. WG#1 – Define the scope of this collaborative and adopt a framework for competencies within nursing and healthcare
Collect select non-informatics competency exemplars used within nursing (both practice and education) healthcare, and other industries
WG#2 – Develop a comprehensive inventory of competencies and resources gathered from the literature and ongoing programs
WG#3 – Develop a comprehensive inventory of competencies and resources gathered from practice and educational settings
TIGER Informatics Competencieshttp://tigercompetencies.pbwiki.com
27. Integration Team (HSG) – Harmonize the competencies collected from WGs 1-3 and synthesize into framework with proposed recommendations for the other TIGER teams to implement (Education, Staff Development, and Leadership)
Draft Recommendations – 4 Categories of Competencies:
Computer Competencies
Information Literacy Competencies
Information Management/Informatics Competencies
Attitudes & Awareness TIGER Informatics CompetenciesAccomplishments to Date
28. Informatics Competencies Categories Page 28
29. Basic Computer Competencies Recommend adopting the International Computer Driving License (ICDL)* (*Also called the European Computer Driving License)
Used by 7 million users across industries – not specific to health care
Well developed and validated syllabus, tests, and training centers
Also recommended by American Medical Informatics Association (AMIA) and….
Learning modules mirror basic computer competencies gathered by the TIGER team
Module 1 – Concepts of Information Technology (IT)
Module 2 – Using the Computer and Managing Files
Module 3 – Word Processing
Module 4 – Spreadsheets
Module 5 – Database
Module 6 – Presentation
Module 7 – Information and Communication
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30. Page 30 Information Literacy Competencies
31. Information Management/Informatics Recommend adopting the ANSI HL7 Electronic Health Record – System Functional Model Page 31
32. Sample Topics from HL7’s EHR-S Functional Model DC.1 (Care Management)
DC.1.1 (Record Management)
DC.1.2 (Manage Patient History)
DC.1.3 (Preferences, Directives, Consents and Authorizations)
DC.1.4 (Summary Lists) i.e. Manage Allergy, Intolerance and Adverse Reaction List
DC.1.5 (Manage Assessments)
DC.1.6 (Care Plans, Treatment Plans, Guidelines, and Protocols)
DC.1.7 (Orders and Referrals Management)
DC.1.8 (Documentation of Care, Measurements and Results)
DC.1.9 (Generate and Record Patient-Specific Instructions)
DC.2 (Clinical Decision Support)
DC.2.1 (Manage Health Information to Provide Decision Support)
DC.2.2 (Care and Treatment Plans, Guidelines and Protocols)
DC.2.3 (Medication and Immunization Management)
DC.2.4 (Orders, Referrals, Results and Care Management)
DC.2.5 (Support for Health Maintenance: Preventive Care and Wellness)
DC.2.6 (Support for Population Health)
DC.2.7 (Support for Knowledge Access)
DC.3 (Operations Management and Communication)
DC.3.1 (Clinical Workflow Tasking)
DC.3.2 (Support Clinical Communication) i.e. Support for Inter-Provider Communication
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33. Attitudes and Awareness Competencies A precursor to effective adoption of all competencies
Competency encompasses more than just a psychomotor skill. The team competency in these contexts now describes the attributes of knowledge, abilities, skills and attitudes that underlie competent performance. (Gonczi et al., 1990: 62).
Currently evaluating the European Computer Driving License-Health model for correlation to awareness competencies
Overlapping concepts with the other three categories (basic computer competencies, information literacy, and information management/informatics)
Alspatch, 1984: "a simultaneous integration of knowledge, skill and attitudes that are required for performance in a designated role or setting."
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34. Attitudes and AwarenessExample competencies Understands concepts and processes regarding computer systems and impact on practice (1015, 859, 857, 852, 853, 954, 657, 671, 392, 969, 970, 123, 779, 9, 781, 649, 652, 792)
data integrity
ethics
legalities
economics
professional practice standards/trends/issues
improved quality/safety
societal/technological trends/issues
Scholarly process (632, 840, 668)
publication
evidence-based practice
Benefits/limitations of communication technologies and impact on health care (791, 870, 675)
bulletin/discussion boards
chat rooms
wikis
blogs
newsgroups
email
Understands the advantages of electronic tools for consumer health (849, 858, 862, 798)
telehealth
home monitoring/alert equipment
medication aides/reminders
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35. 4. Education and Faculty Development Diane J. Skiba. PhD, FAAN, FACMI, Professor, UCDHSC & Chair, Task Force Faculty Development related to informatics, National League for Nursing Mary Anne Rizzolo, EdD, RN, FAAN, Senior Director, Professional Development, National League for Nursing Use the informatics competencies, theories, research and practice examples throughout nursing curriculums.
Create programs and resources to develop faculty with informatics knowledge, skill and ability and measure the baseline and changes in informatics knowledge among nurse educators and nursing students.
Develop a task force to examine the integration of informatics throughout the curriculum.
36. 4. Education and Faculty Development (cont.) Improve and expand existing Nursing/Clinical/Health Informatics education programs.
Encourage existing Health Services Resources Administration Division of Nursing to continue and expand their support for informatics specialty programs and faculty development.
Encourage foundations to start programs that provide funding for curriculum development, research, and practice in nursing informatics and IT adoption.
Develop strategies to recruit, retain, and train current and future nurses in the areas of informatics education, practice, and research.
Collaborate with industry and service partners to support faculty creativity in the adoption of informatics technology and offer informatics tools within the curriculum.
37. TIGER Education and Faculty Development Work Groupshttp://tigereducation.pbwiki.com
38. 5. Staff Development/Continuing Education Elizabeth O. Johnson, MSN, BSN, RN, FHIMSS, Vice President of Clinical Informatics, Tenet Health SystemJoan M. Kiel, Ph.D., C.H.P.S., Chairman, University HIPAA Compliance Associate Professor, Duquesne University, Pittsburgh, PA Create educational resources and affordable programs within the practice setting that foster IT innovation and adoption.
Create competency-based, cost-effective staff development and continuing education programs and training strategies specifically for informatics knowledge, skill and ability.
Improve and expand existing Nursing/Clinical/Health Informatics education programs by collaborating with industry, service and academic partners to support and enhance the use of technology and informatics in practice.
39. TIGER Staff Development/Continuing Education http://tigerstaffdev.pbwiki.com WG#1 - Collect case studies, practice examples, models of staff development programs from nursing, healthcare, other industries and develop a framework to categorize the models (e.g., web-based, face-to-face, etc.)
WG#2 - Review, inform and integrate work from the TIGER Competencies Collaborative into Staff Development Collaborative
WG#3 – Complete comprehensive literature review of staff development and field-based training models
WG#4 - Develop recommendations for Industry/Academic Partnerships – e.g., with technology partners, academic institutions, professional organizations, and others
WG#5 – Collaborate with the TIGER Leadership Development team to evaluate the impact of leadership development on staff development programs
40. TIGER Staff Development/Continuing Education Accomplishments to Date Completed a survey to gather general information on the “state of staff development/continuing education” — e.g., who delivers the education, how computer literate are nursing staff as well as to help identify organizations that have innovative models of staff development and continuing education for case studies.
Currently collecting case studies from various practice environments
Comprehensive literature search – evaluation in progress
Currently evaluating recommendations from the informatics competencies for implementation into staff development/continuing education programs
41. 6. Usability/Clinical Application DesignNancy Staggers, PhD, RN, FAAN, Associate Professor, Informatics and Interim Director, Informatics Program, College of Nursing, University of Utah Michelle R. Troseth, RN, MSN, Executive Vice President and Chief Professional Practice Officer, Clinical Practice Model Resource Center (CPMRC) Design requirements and/or goals
Support evidence-based practice
Enables collaborative and interdisciplinary care
Provide seamless access to published literature, knowledge
Support the creation of new knowledge (knowledge discovery requirements)
Speed the translation of research into practice
Usability requirements and/or goals
Informed by and/or positively transforms nursing workflows
Systems designed using principles of human factors
Work with system developers to maximize clinical system effectiveness and efficiency for nurses
42. WG#1 – Develop a comprehensive literature review on topics related to usability and clinical application design. Obtain resources from nursing and other disciplines (e.g., Human Factors, Engineering, etc.)
WG#2 - Collect case studies and examples that illustrate usability/clinical application design from your experience/environment
Exemplars (good, replicable examples)
Lessons to be learned (bad examples that can help to inform others what to avoid)
WG#3 - Summarize recommendations for:
Highly usable applications
Good clinical application design
WG#4 - Develop recommendations for vendors for usability and good clinical application design
WG#5 - Develop a usability/clinical application “toolkit” for healthcare providers and organizations
TIGER Usability & Clinical Application Designhttp://tigerusability.pbwiki.com
43. Completed extensive literature search—in process of synthesizing the results
Currently collecting case studies and examples that illustrate usability/clinical application design from various practice experience/environment
Will start to synthesize and summarize recommendations in March for:
Highly usable applications
Good clinical application design
TIGER Usability & Clinical Application DesignAccomplishments to Date
44. Virtual Demonstration CenterTeresa McCasky, RN, MBA, Chief Nursing Strategist, McKessonMarion J. Ball, Ed.D., FHIMSS, CHIME, IBM Research, Fellow, Center for Healthcare Management, Professor Emerita, Johns Hopkins University School of NursingJeanine Martin, Microsoft Corporation, US Provider Healthcare Industry Provide visibility to the 10 year vision of IT-enabled nursing practice and education to broader healthcare audience by demonstrating how integrated IT systems impact nurses and the quality and safety of patient care.
Demonstrate the breadth and depth of IT resources in use by nurses to enhance their practice and educational environments.
Demonstrate collaboration between industry, healthcare organizations academic institutions, and professional organizations to create educational modules for nurses that are based upon informatics competencies.
Provide universal accessibility to this demonstration for all nursing stakeholders.
Use practice examples from different practice environments that can demonstrate best practices, results of research, case studies and lessons learned by partnering with nursing professional organizations.
45. Work Group 1 – Johns Hopkins/IBM – physical simulation lab
Work Group 2 – Future state scenarios based on the context of global trends (e.g., staff shortages, globalization, increases in chronic diseases, consumer empowerment, etc.). These will focus more on the abstract—or “art of the possible”.
Work Group 3 – Technology currently available today – A scenario-approach allows us to utilize current technologies (that are available today) and expand their use into the future.
TIGER Virtual Demonstration Centerhttp://tigervirtualdemo.pbwiki.com
46. TIGER Virtual Demonstration CenterActivities to Date Site visits to IBM’s Hawthorne Demonstration Center
Site visits to Johns Hopkins Center of Excellence Simulation Lab
Selected demonstration platform – working with HIMSS Virtual Conference team – visit http://www.himssvirtual.org/
Demonstration Platform
Distribution of reports, recommendations, white papers
Educational Center
Social Networking/lounge
Starting to develop clinical scenarios/vignettes
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47. 8. Leadership Development Dana Alexander, RN, MSN, MBA, Chief Nurse Officer, GE Healthcare Integrated IT Solutions Judy Murphy, RN, FACMI, FHIMSS, Vice President, Information Services, Aurora Health Care, Milwaukee, WI A relatively small investment of TIGER effort with nursing leaders will be multiplied many times due to the leaders’ power and influence in their organizations and the profession.
Develop programs for nurse executives that stress the value of information technology and empower them to use IT knowledgeably, giving the leaders of the profession a strong and identifiable voice.
Facilitate nursing leadership to understand, promote, own, and measure the success of IT projects.
48. WG#1 - Complete a comprehensive review of the literature, ongoing research, publications, subject experts, programs and other materials related to nursing leadership, leadership qualities, transformation and technology, leadership development programs, etc.
WG#2 – Incorporate informatics competencies into leadership development programs
WG#3 - Determine strategy for working with the magnet program
WG#4 - Complete an assessment of nursing leadership development needs
WG#5 – Synthesize the results from WG1-4 and develop the recommendations and summary report TIGER Leadership Developmenthttp://tigerleadership.pbwiki.com
49. TIGER Leadership DevelopmentActivities to Date Cataloguing leadership development programs by type, e.g., academic, organizational fellowships, industry network programs, vendor-sponsored, self-education, etc.
Developed a survey to assess nursing leadership development needs by role and competency category
Integrating the work of the competencies into leadership programs
Developing a strategy for working with magnet programs and ANCC
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50. 9. Patient-Focus/Personal Health Record Charlotte Weaver, RN, PhD, Vice President and Executive Director for Nursing Research, Cerner Corporation Rita D. Zielstorff, RN MS, PricewaterhouseCoopers LLP Consumers are becoming more empowered healthcare participants. Informatics can mediate consumers drive for improved health and healthcare as well as broker the relationship between nurse and client.
Establish efforts to develop health information literacy with the public and healthcare consumers.
Work with Personal Health Record (PHR) advocates and developers to optimize PHRs as they relate to nursing.
51. TIGER Consumer Empowerment/PHRhttp://tigerphr.pbwiki.com Work Group 1 - Develop recommendations for standards that impact consumer empowerment and personal health records
Work Group 2 - Develop recommendations for usability and application design principles for consumer-oriented tools such as the personal health record
Work Group 3 - Prepare an overview of the "state of the science" for consumer empowerment and personal health records (see outline on work group page)
Work Group 4 - Identify current usage of personal health records and how nurses are using these tools to impact patient care
Work Group 5 - Identify case studies and exemplars for practice related to personal health records and consumer empowerment strategies
Work Group 6 - Develop an awareness campaign for nursing related to consumer empowerment and personal health records
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52. TIGER Consumer Empowerment/PHRActivities to Date Educational Webinar: Everything nurses need to know about Personal Health Records – March 25, 2008 – details/registration link on wiki
Content outline for recommendations on wiki – requesting all participants to upload content
Short-term work groups focused on cross-collaboration:
Standards relevant to consumer use/PHR
Usability considerations for consumer-focused applications Page 52
53. Summary Target audience for all deliverables is all practicing nurses and nursing students
Multi-stakeholder collaboration
Currently developing core recommendations/actions for each of the 9 critical topics
Urgent/time-sensitive – deadline to complete by end of 2008
Inclusive and transparent – encouraging participation from all nursing organizations
Impactful
Focused on dissemination to broader nursing community
54. TIGER Deliverables (Fall 2008) 12-15 Webinars (free to all nurses and nursing students – will provide CEU credit)
Summary Report for each Collaborative Team will include overview of issue, why important to nursing, case studies and examples, and recommendations for the industry
Virtual (on-line) Demonstration Center
Virtual Conference (demos, summary reports, interaction with industry experts, educational sessions, social networking)
Nursing Informatics 4th Edition: Where Caring and Technology Meet (available in print late 2009)
55. Thank You!
If you would like to get more involved or stay informed, please register at the TIGER website: www.tigersummit.com
QUESTIONS?