MNIA Introduction to Health Informatics: Session II

1. MNIA Introduction to Health Informatics: Session II Nursing Informatics: Opportunities Abound November 19, 2007 Pat Rothney Dr. Dawn-Marie Turner RN BN BN PhD

2. At the end of this session you will have been introduced to: Brief recap of Informatics Data to knowledge Knowledge Management Process Nursing Informatics Role of the Informatician Educational Preparation Options Obtaining Experience Roles in Informatics Practice Opportunities in Manitoba Learning Objectives

3. Information Data Knowledge Data ….. To ….. Knowledge

4. Data to Knowledge Differentiation Information Management Knowledge Management Data Management • Data Definition • Data Collection • Data Normalization • Filing/Storage • Access/ Transmission • Data Coupling • Indicator Development • Performance Tracking • Outcome Measurement • Information Coupling • Diagnosing • Benchmarking • Querying • Simulating (Collecting) (Measuring) (Learning) Irene Podolak, Deloitte Inc

5. Knowledge Management Process KNOWLEDGE Decisions Best Practices Benchmarks INFORMATION ACCESS INFORMATICS ANALYZE COLLECT Clinical Data Financial Data PROCESS AdministrativeData Policy/GovernanceData Socio-DemographicData Irene Podolak, Deloitte Inc

6. Informatics • Informatics includes the science of information, the practice of information processing, and the engineering of information systems. Informatics studies the structure, behavior, and interactions of natural and artificial systems that store, process and communicate information. It also develops its own conceptual and theoretical foundations. • Since computers, individuals and organizations all process information, informatics has computational, cognitive and social aspects. Wikipedia

7. focuses on computer applications that address medical data (collection, analysis, representation). Clinical informatics is a combination of information science, computer science, and clinical science designed to assist in the management and processing of data, information and knowledge to support the practice and delivery of clinical care (Shortliffe and Perreault, Medical Informatics: Computing applications in health care and biomedicine) Wikipedia Clinical Informatics

8. Nursing Informatics …“ integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice. Nursing informatics facilitates the integration of data, information, and knowledge to support clients, nurses, and other providers in their decision-making in all roles and settings."(Staggers & Bagley-Thompson, 2002)

9. Focused on the full scope of transforming data into knowledge and then using the knowledge to influence, deliver and manage nursing care. NI … More than Technology

10. Goal of Nursing Informatics To improve the health of populations, communities, families and individuals by optimizing information management and communication. ANA May 2002 Scope and Standards of Nursing Informatics Practice CNA policy statement – “information concerning aspects of nursing care that affect client outcomes must be included in existing and future databases on client centered information” http://www.cna-nurses.ca/CNA/documents/pdf/publications/PS87-Nursing-info-knowledge-e.pdf

11. “Specialized knowledge in identifying, naming, organizing, grouping, collecting, retrieving, analyzing, storing or managing data and information” ANA Scope and Standards of Nursing Informatics Practice The Nurse Informatician

12. MNDS Standard language Document and track nursing’s unique contribution to the health of individuals, families and communities (CNA) Outcome measurement Enhanced decision making Evidence based practice Informatics influence on Nursing

13. To identify areas of nursing/clinical practice that could benefit from better information management To assist with the management and processing of nursing/clinical data To develop new information management structures and processes to support nursing/clinical practice and patient care, education, administration, & research Focus of the Nurse Informatician

14. 5 Key Nursing Informatics Functions • Advocate for the patient and clinician during the design, implementation, and evaluation of a clinical systems initiative • Bridge between clinical best practice and the systems solutions • Translate: make the technology and systems solutions understandable to the clinicians and communicate the needs of clinicians to the technical team • Understand clinical workflow and how it will be impacted by the proposed solutions • Support the design, preparation for activation, activation and post activation to sustain the change

15. Enhanced emphasis on patient safety Electronic Health Record (enhanced ability to provide care beyond individual encounters) Quality and accountability (outcome measures) Consumer empowerment (access to information) Privacy and security Resource utilization Evidence based medicine Resource constraints Healthcare Trends and Nursing Informatics

16. Formal Education Undergraduate University of Victoria Masters Health Informatics Dalhousie University of Victoria Diploma Health Informatics Waterloo University Courses Athabasca Informal/Related Education Canada Project Management Certificate Red River College University of Winnipeg Certificate in Business Analysis Red River College Diploma in Software Development Red River College Educational Preparation Options

17. Obtaining Experience • Most Informaticians: • did not identify Informatics as a career path • within their workplace were asked to contribute to an informatics project • became an experienced knowledge source • were asked to lead additional informatics efforts • Now: • Informatics is a recognized field of practice • Education exists to support the Informatician • Practice is being defined and standards developed • Currently in Canada we’re using the ANA Scope and Standards of Nursing Informatics Practice

18. Roles in Informatics Practice • Director of Nursing Informatics • Clinical Informatics Specialist • Consultant • Chief Information Officer • Clinical/Business Analyst • Project Management • Clinical Adoption/Change Management

19. Roles in Informatics Practice • Director of Information Systems & Telecommunications • Application Specialist • Clinical Documentation Systems Analyst • Informatics Nurse Specialist • Informatics Nurse

20. Manitoba eHealth Manitoba Telehealth WRHA Project & Informatics positions Project and Informatics site based positions Consulting firms Vendors Self-Employed consulting Informatics Opportunities in Manitoba

21. Electronic Patient Record (EPR) Emergency Department Information System (EDIS) Hospital Information System Project (HISP) Minimum Data Set: Long Term Care (MDS: LTC) Minimum Data Set: Home Care (MDS: HC) Community Services Information System (CSIS) Utilization Management Tool (UM Tool) Surgical Information Management System (SIMS) Brandon Regional Health Authority EPR (Siemens) Provincial Radiology Information System/Picture Archiving & Communication System (RIS/PACS) Provincial integrated Electronic Health Record (iEHR) Clinical Information Systems in Manitoba

22. Q ? www.mnia.ca