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New Approaches to Primary Care Informatics Education

This article explores the essentials for primary care informatics education, including data standards, data management, workflow, and data access and analysis. It also discusses the use of electronic health records (EHRs) and their role in care coordination, decision support, and population health. Additionally, the article highlights the importance of data management, workflow mapping, and data access and analysis skills in primary care informatics education.

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New Approaches to Primary Care Informatics Education

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  1. New Approaches to Primary Care Informatics Education Melinda L. Jenkins, PhD, FNP Rutgers University & Northwestern University Melinda.jenkins@rutgers.edu

  2. Disclosure • No relevant financial relationships with commercial interests from the past 12 months.

  3. Primary Care Informatics • Providers use EHRs for • clinical practice • QI • HIE • Vendors • understand primary care practice • Patients • manage their data • exchange data

  4. Essentials for Primary Care Informatics in our Learning Health System • Data standards • Data management • Workflow • Data access & analysis

  5. EHRs: Data standardsin documentation and design • Terminologies • SNOMED-CT • LOINC • RX Norm • Nursing terminologies • Data exchange • HL7 • CDS, guidelines

  6. Data standards enable • Information exchange • Care coordination • Decision support • Data aggregation • Population health • QI • Performance • Clinical research (someday)

  7. IT for EBP • Required graduate course • Data entry Standards • Quality Improvement processes, PDSA • Identify Problems, data sources • Map and modify workflow • Data for Care coordination • New care models, Patient-generated data • Basic data analysis with Excel

  8. Data standards assignments • Translate SOAP note to standardized terminology • Link note to eCQM • Link note to national guidelines • Compare population health indicators

  9. Data Management • Users’ Data needs • Data • Collection tools • Reporting • Quality assurance • Storage • Analysis • Confidentiality • Integration • Governance • https://www.measureevaluation.org/resources/publications/ms-15-99

  10. Workflow • Select a real problem • Map the current workflow • Map a new workflow • http://asq.org/learn-about-quality/process-analysis-tools/overview/flowchart.html

  11. Data access and analysis • Database basics • Administrative and clinical datasets • Excel self-assessment • Excel assignments with webinars • Basic • Intermediate • Advanced

  12. Excel assignments with webinars Basic self assessment and online lessons • Intermediate • Sort column C from A to Z • Using the COUNTIF function • Using a pivot table • Using a pivot graph make a pie graph • Advanced • Dataset for Clinical QI Vignettes • Create spreadsheet • Analyze • Make visualization for quick understanding of results

  13. Doctor of Nursing Practice • Adds informatics, leadership, and quality improvement skills to Nurse Practitioner clinical education • Practice-focused graduates • Innovate practice change • Translate evidence • Implement quality improvement processes (AACN, 2015, p.2)

  14. DNP Project • Impact a healthcare outcome(s) • Have a systems or population focus • Demonstrate implementation • Plan for realistic sustainability • Evaluate processes and/or outcomes • Provide a foundation for future practice & scholarship

  15. Quality Improvement Projects Aim to improve services, directly or indirectly, to improve an outcome in • Healthcare delivery, • Healthcare policy, or • Program development and evaluation • http://www.ihi.org/education/ihiopenschool/courses/Pages/default.aspx

  16. DNP ProjectContents

  17. Patient Education in Informatics • Mobile communication with patients and other care sites • Patient-entered data, including Patient Reported Outcome Measures PROMIS • Open Notes • Value-driven and team-based care • New care models

  18. References • https://www.sabacare.com/about/seminars-and-presentations/(nursing terminology) •  http://www.omahasystem.org/casestudies.html(nursing terminology) • https://www.guideline.gov/ • https://ecqi.healthit.gov/eligible-professional-eligible-clinician-ecqms • https://wwwn.cdc.gov/CommunityHealth/homepage.aspx?j=1 • http://www.ihi.org/education/ihiopenschool/courses/Pages/default.aspx • https://qpp.cms.gov/mips/improvement-activities • https://www.medicare.gov/hospitalcompare/Data/Overview.html • https://www.measureevaluation.org/resources/publications/ms-15-99 (Guidelines for Data Management Standards)

  19. References • http://www.hon.ch/HONcode/Patients/HealthEvaluationTool.html • https://www.pcori.org/sites/default/files/PCORI-JHU-Users-Guide-To-Integrating-Patient-Reported-Outcomes-in-Electronic-Health-Records.pdf • https://www.patientslikeme.com/ • https://www.ncsbn.org/3874.htm (social media) • https://qpp.cms.gov/mips/overview • http://www.lmu.edu/AssetFactory.aspx?did=53607 (excel skills) • https://excelexposure.com/ (comprehensive excel lessons)

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