Upload
others
View
3
Download
0
Embed Size (px)
Citation preview
Nursing Knowledge: Big Data Research for
Transforming Healthcare
Joyce Sensmeier MS, RN-BC, CPHIMS, FHIMSS, FAAN Vice President, Informatics, HIMSS President, IHE USA
HIMSS NI Nurse Executive Workgroup January 9, 2014
Nurses Call to Action
In spite of our best collective efforts and after decades of implementing electronic records nurses still can’t consistently use EHR data for research, or for reporting quality and patient safety outcomes.
Nursing Knowledge: Big Data Research for Transforming Healthcare
National leaders in nursing, healthcare, and informatics came together to develop an action plan for shaping health policy and informatics initiatives that use a national nursing knowledge model.
Primary Goal is….. • To guide consistent
documentation and data collection to support big data research for transforming healthcare
Created an Action Plan for:
• integrating nursing information into health and healthcare knowledge systems;
• optimizing nursing language and healthcare information;
• influencing policy; and • modifying and standardizing the
informatics educational framework.
Advancing the vision of a transformed health system
Informatics and health IT have the potential to reshape the healthcare delivery system, transitioning to: A more coordinated structure where information can be easily and safely shared among patients, consumers and providers to enable improved outcomes, quality of care and lower costs.
Steps in the process
• Eliminating paper-based systems, manual processes
• Enhancing workflow • Identifying best practices through clinical
decision support and analytic algorithms.
To reach this vision
• All providers, health systems, hospitals, patients and consumers must have access to real-time, accurate and actionable health information
Current progress towards this vision
• HITECH Act • Federal government investment to encourage
EHR adoption and demonstrate meaningful use of these systems to improve healthcare delivery and outcomes
• Value of Health IT is being challenged • Need comprehensive evidence that health IT
and informatics are producing value in the delivery of the transformation of our health system
• http://www.himss.org/ValueSuite
HIMSS Value Suite
Key drivers for informatics role in enabling a transformed health system
• Adaptation to the Affordable Care Act • Business and clinical intelligence elicit outcomes,
using advanced analytics • Value driven implementation/optimization of
systems • Meaningful use of systems to improve healthcare
delivery and outcomes • Advances in mobility, cloud-based solutions • Clinical decision support, usability and evidence-
based care
A Health IT Framework for Accountable Care • Information sharing among clinicians, patients
and authorized entities; • Data collection and integration from multiple
clinical, financial, operational and patient-derived sources;
• HIT functions supporting patient safety; and • Strong privacy protections.
CCHIT (2013). A Health IT Framework for Accountable Care. https://www.cchit.org/hitframework
Interoperability is essential
• Infrastructure is still fragmented which contributes to inefficient, uncoordinated care
• Need to bridge gaps between entities, organizations, settings
• Need to understand impact on patients, end-users • Need comparable, shareable, consistent data • Advances in EHR –> Patient Care Device –> EHR
integration • Moving to ICD10, Meaningful Use Stage 3
Consumer engagement is critical
• Portable, accessible personal health information will provide an essential foundation
• Mobile advances are an accelerator • Growing focus on preventive care • Learning health system • # of home-based devices is increasing • Access to genomics information, family history requires
guidance, education • Transparency of cost and quality will inform choice
What is the role of the health record?
It is not simply data, or even a repository into which data are poured. It is..
information that has been transformed by the knowledge, skill, and experience of clinicians, motivated by the healing impulse, into an understanding of human experience that makes the care of the patient possible.
Foote, R.S. 2013. The Challenge to the Medical Record. JAMA Internal Medicine, 173 (13), 1171-2.
What is the purpose of a health record? • Recording/aid to memory
• Each patient presents many pieces of information • Guiding thought
• By the nature of it’s form it forces clinicians to edit information, organize it in a specific way and present it in a specific order
• Communicating • It communicates information to others caring for the
patient • Teaching
• It is a tool for teaching as it reveals not only the nature of the patient’s illness but also the thought process of the clinician that created it
Foote, R.S. 2013. The Challenge to the Medical Record. JAMA Internal Medicine, 173 (13), 1171-2.
Action plan to achieve the vision
• Develop a strategy/campaign for educating front line nurses, students, and faculty on informatics competencies and the value of standardized nursing data;
• Advocate for the adoption of SNOMED-CT and LOINC as national standards for clinical data, and link them with nursing terminologies through mappings;
Action plan to achieve the vision • Convene a consensus conference with leaders of
the major nursing organizations and interprofessional stakeholders to educate them, hear their views, and ultimately speak with one voice;
• Refresh and activate the ANA’s NIDSEC (Nursing Information & Data Set Evaluation Center) criteria to advance systems that represent and value nursing data; and
• Participate in standards and profile development to ensure a nursing voice.
Nursing’s role in the transformation
• Leverage the EHR to optimize workflow and support clinical decision making
• Tell the patient’s story • Gather information from throughout the EHR • Present and update it in an interactive, inter-
professional summary • Collaborate to foster knowledge translation • Leverage analytics to extract actionable
knowledge • Build evidence out of practice
In a transformed healthcare system…
• Our focus is on patient satisfaction, patient safety, health promotion, and quality of care
• The healthcare experience is personalized • Consumers are engaged in their health and
healthcare, with their care team • Evidence-based care is improving outcomes and
promoting health
And informatics will help lead the way!
• This is an opportunity to step outside of our comfort zone to make a difference
• Your participation is not only welcome, it is necessary
• We seek your help in further developing and executing the action plan
• We are perfectly poised to be the enablers • There are exciting times ahead!
Thank you!
Questions???? Joyce Sensmeier MS, RN-BC, CPHIMS, FHIMSS, FAAN Vice President, Informatics, HIMSS Email: [email protected]