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National Tribal Best Practices Conference 2012. “Beginning an Informatics Program” Michelle Ruslavage, MSN, NE-BC United South & Eastern Tribes, Inc. - Health Informaticist. Michelle’s Words of Wisdom. “There’s no right or wrong way… But there’s your way.”. Learning Objectives.
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National Tribal Best Practices Conference 2012 • “Beginning an Informatics Program” • Michelle Ruslavage, MSN, NE-BC • United South & Eastern Tribes, Inc. - Health Informaticist
Michelle’s Words of Wisdom “There’s no right or wrong way… But there’s your way.”
Learning Objectives • Assess your local health IT infrastructure. • Play an active role in developing an informatics program.
Current & Future State • External and Internal environment • Technology Trends • Consumer Trends • Clinical Performance Trends • Economic Trends
Background • Informatics has been around for decades • Established programs conveyed a compelling vision to leadership that communicated the benefits and established an explicit link between promised benefits and informatics/IT as key enablers. • CHAOS Report
If : Then • IF • Facility (insert name) implements an informatics program • THEN • Inc. safety Inc. end-user satisfaction • Inc. efficiency Inc. quality of care • Inc. effectiveness Dec. costs • Inc timeliness • Inc. patient-centeredness • Inc. equitable care
Mission • Raise the physical, mental, social, and spiritual health of the (insert name) Facility/Tribe to the highest level through implementation of an informatics program. Values • In line with the organization’s values.
Program Design • Information gathering • Literature review • Colleagues • Inputs • Administration Clinical staff CQI/PI • IT staff Biomed staff Patients • Project manager
Program Design (cont.) • Throughputs • People who will do the work • Outputs • Short Intermediate Final
Program Design (cont.) • Services • Training • Information System Technical Support • Health Information Exchange • Telehealth • Communication Technologies
Program Design (cont.) • Services • Tablet and/or handheld devices • COOP Planning • New Space Design/Construction or Redesign • Ergonomic Consultation • Lifecycle Process
Program Design (cont.) • Governance Model ***Develop one that’s most effective for your organization. • CNIO, CMIO, CPIO, Biomed, IT, etc… • Reporting to CIO, CEO, CNO, CMO • Change Management • Standardization: RN’s, MD’s/DO’s/RX etc… • EBP
Strategic Plan • Program Goals • Outcome Objectives • 100% of EKG’s will be accessible in HER in the next 12 months. • Process Objectives • Develop and approve HIM paperless transition plan in the next 2 months.
Strategic Plan • Evaluation Strategies • Employee satisfaction surveys • Health IT related near misses, unintentional adverse events • Lessons Learned • CQI team • Project Manager • Communication to staff
Budget • Expenses • Staff • Training (time) • Equipment • Space • Revenue • Grants • In-Kind • Costs saved from improved efficiency