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Setting the Stage – Healthcare Information Technology Initiatives and Nursing

Setting the Stage – Healthcare Information Technology Initiatives and Nursing. CNPE Meeting September 18, 2006. Panel Members. Lillee S. Gelinas, MSN, RN, FAAN, Vice President, Clinical Performance, VHA

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Setting the Stage – Healthcare Information Technology Initiatives and Nursing

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  1. Setting the Stage – Healthcare Information Technology Initiatives and Nursing CNPE Meeting September 18, 2006

  2. Panel Members • Lillee S. Gelinas, MSN, RN, FAAN, Vice President, Clinical Performance, VHA • Judith J. Warren, PhD, RN,BC, FAAN, FACMI, Director of Nursing Informatics, KUMC Center for Healthcare InformaticsUniversity of Kansas School of Nursing • Joyce Sensmeier, MS, RN,BC, CPHIMS, Vice President, Informatics, HIMSS

  3. ATMs E-bay Automobiles Smart toilets Dishwashers Handheld games Amazon.com and e-Bay Netflix Distance learning Medication Dispensers PDAs Patient monitors Telehealth Simulation laboratories Webcasts Cinahl, PubMed Online journals, books, digital library Decision support Almost Ubiquitous Computers

  4. Definition of Nursing Nursing is the • protection, promotion, and optimization of health and abilities, • prevention of illness and injury, • alleviation of suffering through the diagnosis and treatment of human response, and • advocacy in the care of individuals, families, communities, and populations. (Nursing’s Social Policy Statement, Second Edition, p. 6) (Nursing: Scope and Standards of Practice, p. 7)

  5. Nursing Within Such A World • Patient centered care that includes context, health, and whole person • Standardized nursing languages not well integrated into practice and information systems, notable exceptions • PNDS in perioperative systems • OMAHA System in home health and visiting nurse applications

  6. Federal Initiatives Changing Landscape • Gore invented the Internet • HIPAA • DHHS Secretary Thompson’s electronic health record (EHR) initiatives • President Bush established Office of National Coordinator for Health Information Technology (ONCHIT, now ONC) • DHHS Secretary Leavitt established American Health Information Community (AHIC)

  7. Federal, State, and Local Issues • Population health, emergency preparedness, and biosurveillance activities • Regional health information organizations (RHIOs) and interoperability • E-prescribing • Interstate practice by clinicians • Increasing healthcare costs, uninsured, safety net • Quality and evidence-based practice

  8. Who Advocates for the Healthcare Consumer?Where Are the Nurses?Who Represents Nursing at the Many, Many Decision-making Tables?

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