Application: Subscribing to a Newsletter
Many of today’s health care organizations utilize digital communications to keep professional communities up to date on latest trends, technologies, and evidence-based practices. As you progress through your informatics specialization, the communications can support your professional growth as a scholar practitioner.
For this Assignment, you will subscribe to a daily newsletter from Fierce Healthcare.
To prepare:
Access the Fierce Healthcare website at http://www.fiercehealthcare.com/.
Enter your e-mail address into the “sign up for our newsletter” section of the website. You will receive a confirmation e-mail shortly after signing up. Copy and paste this confirmation into a Word document. If you are having trouble copying the e-mail in its entirety, you may also utilize the “print screen” button on your keyboard and then paste the copy of your screen into your Word document. Save this confirmation document, as you will submit this with your final paper.
Over the next weeks, make time to regularly browse the newsletters that you receive, selecting two informatics articles that are of particular interest to you. Each of the articles that you select must come from a different newsletter. SEE ATTACHED FILES
To complete:
Submit a 3-page paper Due by Thursday 8/04/2016 and 5 references that addresses the following:
1) Summarize the key points of each article you have selected (See attached files). In your summary, include how the informatics topic, trend, initiative, etc. is impacting nursing practice and/or health care settings. In addition, explain how nursing practices, the needs of patient populations, and society in general are influencing the informatics topics being discussed.
2) Explain how (or if) you found the Fierce Healthcare newsletters to be beneficial to your studies and/or your professional growth as a scholar practitioner. In your explanation, include whether or not you intend to continue your subscription (YES),and whether or not you are considering signing up for any other digital communications from professional organizations (YES). Explain your rationale.
3) Provide a copy of your confirmation e-mail at the end of your paper. (Note that this does not contribute towards your page count.) (Don’t worry about this part)
Reminder:The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references.
PS. The introduction must include a purpose statement. The last sentence must begin with “The purpose of this paper is …”
Required Resources
Readings
American Nurses Association. (2015). Nursing informatics: Scope and standards of practice (2nd ed.). Silver Spring, MD: Author.
Read the following Chapter:
“Functional Areas for Nursing Informatics”
This section details nine distinct functional areas that nurse informaticists often fulfill in their various job titles and specific positions. These functional areas include administration, analysis, integrity management, consultation, and others.
Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.
Chapter 48, “Information Literacy and Computerized Information Resources”
In this chapter, the authors focus on electronic sources that are easily accessible to nurses and how vital they are to professional credibility and growth. They elaborate on three main points: staying up-to-date with the published literature, developing and maintaining a list of resources, and collaborating and networking with your colleagues.
Ericksen, A. B. (2009). Informatics: The future of nursing. RN, 72(7), 34–37.
Retrieved from the Walden Library databases.
This article explores the use of technology in the nursing field and how the informatics specialty came into existence. The article also discusses the role of informatics in patient safety, its use in today’s technological sphere, and the future role it may play in health care.
Huryk, L.A. (2011). Interview with an informaticist. Nursing Management, 42(11), 44–48.
Retrieved from the Walden Library databases.
The author of this article interviews an experienced informatics nurse specialist (INS) to acquire a nurse’s perspective on electronic health records. The interviewee highlights common topics that future informatics nurses need to consider such as improved patient safety, evidence-based practices, legal/ethical implications, and health care reform.
Murphy, J. (2011). The nursing informatics workforce: Who are they and what do they do? Nursing Economic$, 29(3), 150–153.
Retrieved from the Walden Library databases.
The author of this article details roles within the nursing informatics workforce. The article also examines the chief nursing informatics officer position.
Rimmerman, C., Heidenreich, D., & Appel, D. (2009). The role of a clinical operations analyst in implementing a successful electronic medical record. Physician Executive, 35(6), 34–39.
Retrieved from the Walden Library databases.
This article describes electronic medical record (EMR) implementations and their associated benefits. The authors list goals and challenges of EMRs and also discuss how clinical operations analysts can help to increase the probability of a successful implementation.
American Medical Informatics Association. (n.d.f). Working group: Nursing informatics. Retrieved October 17, 2012 from http://www.amia.org/programs/working-groups/nursing-informatics
This web page lists a variety of job descriptions that are applicable to the nursing informatics specialty. You should review how the American Medical Informatics Association (AMIA) defines nursing informatics. Scroll down the page and use the left navigation bar to browse the hyperlinks under the “Informatics Core” and “Informatics Areas” for more information on this. You will also need to explore the hyperlinks under the “Related Working Groups” and “Cross-cutting Working Groups” headings on the right-hand side of the page for more information, as well. (Note: You will use this resource for this week’s discussion, so make sure to explore these links thoroughly.)
HIMSS Nursing Informatics Awareness Task Force. (2007). An emerging giant: Nursing informatics. Nursing Management. Retrieved from http://s3.amazonaws.com/rdcms-himss/files/production/public/HIMSSorg/handouts/An%20Emerging%20Giant%20Nursing%20Informatics.pdf
This foundational piece created by the Healthcare Information and Management Systems Society (HIMSS)Task Force examines the ever-growing need for nurse informaticists. The authors also specify the roles that are associated with nursing informatics, as well as relevant education programs and certification processes.
Media
Laureate Education, Inc. (Executive Producer). (2012g). The role of nurse informaticists. Baltimore: Author.
Note: The approximate length of this media piece is 15 minutes.
In this week’s media presentation, Gail Latimer, Dr. Patricia Button, and Dr. Roy Simpson share their professional experiences in the informatics field, as well as their perceptions about the evolution of nursing informatics. Each also outlines the varied roles that informatics professionals can play within health care settings.
Optional Resources
American Medical Informatics Association. (n.d.a). Informatics areas: Clinical informatics. Retrieved October 17, 2012 from http://www.amia.org/applications-informatics/clinical-informatics
American Medical Informatics Association. (n.d.b). Informatics areas: Clinical research informatics. Retrieved October 17, 2012 from http://www.amia.org/applications-informatics/clinical-research-informatics
American Medical Informatics Association. (n.d.c). Informatics areas: Consumer health informatics. Retrieved October 17, 2012 from http://www.amia.org/applications-informatics/consumer-health-informatics
American Medical Informatics Association. (n.d.d). Informatics areas: Public health informatics. Retrieved October 17, 2012 from http://www.amia.org/applications-informatics/public-health-informatics
American Medical Informatics Association. (n.d.e). Informatics areas: Translational bioinformatics. Retrieved October 17, 2012 from http://www.amia.org/applications-informatics/translational-bioinformatics
Anderson, C., Barthold, M. F., Duecker, T., Guinn, P., MacCallum, R., & Sensmeier, J. (2012). Nursing informatics 101. Retrieved from http://www.himss.org/files/HIMSSorg/handouts/NI101.pdf
Elsevier Clinical Solutions
CASE STUDY
Elsevier Order Sets
How Elsevier helped University of Kentucky HealthCare® bring order to their order sets.
EXECUTIVE SUMMARY
With more than 9,000 healthcare workers across four hospitals, 80 specialized clinics and over 140 outreach programs, University of Kentucky HealthCare® struggled with an inefficient order set management process. The clinicians had to maintain thousands of scattered order sets, search for applicable evidence, and navigate through complex workflows.
In February 2013, UKHC began using Elsevier Order Sets, a solution that allows order sets to be easily authored, reviewed, and managed in a collaborative environment.
Today, UKHC creates order sets in a fraction of the time, and workflow and management has significantly improved for all users.
Elsevier’s cloud-based order set solution addressed University of Kentucky HealthCare’s core challenges.
CASE STUDY: University of Kentucky HealthCare ®
2 Elsevier Clinical Solutions Order Sets
“The order sets are now evidence- based. This provides consistent, quality care.”
JULIAN STEELE, RN
Information Technology – Informatics
UKHC FACED ORDER SET REDUNDANCY
and format variances, which made authoring and upkeep difficult.
As a matter of fact, 81% of hospitals agree that integrating order sets into clinical workflows is a challenge.1
With its large number of healthcare providers across numerous locations, UKHC was struggling with an immense number of order sets in place.
“We were facing countless, [even] thousands of poorly maintained and poorly designed order sets,” said Dr. Joseph Bobadilla.
In addition, UKHC lacked a schedule to review or revise orders. “It was always a challenge to get teams of providers together to review order sets,” said Julian Steele, RN, Information Technology – Informatics.
UKHC is not alone in these challenges: 74% of hospitals say that the order set authoring, approval, and maintenance process is difficult to manage.1
BY USING ELSEVIER’S SOLUTION, Order
Sets, UKHC was able to import their existing order sets and catalog them to a single database, which allowed the clinicians to work with their unique formulary and vocabulary.
“They are in a central location with easy access to make updates. Order Sets put [the process of] building the content in the hands of the providers, allowing for collaboration across disciplines,” said Steele.
“Now that we have multiple disciplines involved, we can eliminate unused order sets,” said Steele.
UKHC users now have more time with their patients. They save time authoring or updating, they can quickly realize the impact, and they can get rid of unused or redundant order sets in a collaborative environment.
THEIR NEXT CHALLENGE was connecting specific quality measurements to their order sets.
In every healthcare system, clinicians need a way to standardize care delivery to reduce preventable complications for the most common complaints.2
Dr. Bobadilla, Director of Clinical Decision Support at UKHC, and Steele agreed that evidence-based order sets are necessary to provide consistent, quality care.
In fact, 55% of clinicians place evidence- based content as a top priority, yet 52% of hospitals don’t have adequate access to reliable content.1
Providing clinicians with agreed-upon standardized orders can help them select appropriate doses, routes, and other parameters when prescribing medications.3
Finally, limited collaboration and communication capabilities on the previous platform hindered clinician usability.
ELSEVIER ORDER SETS HELPED UKHC
improve adherence to quality standards of care with its collaborative environment and evidence-based content for clinical decisions.
UKHC has enlisted clinical teams to ensure that order sets are supported by appropriate medical evidence.2 This gives staff an opportunity to have open conversations about patient-centered care.
“We’re seeing definite trends of improved adherence to quality metrics,” said Dr.
Bobadilla. Steele added, “[Ultimately], our patients benefit.”
CASE STUDY: University of Kentucky HealthCare ®
32%
of Order Set users said a top need was simplicity in the author, manage, and collaborate functions.1
87%
of hospitals feel that their internal IT and informatics resources are inadequate.1
UKHC’S FINAL CHALLENGE involved
development inconsistencies, which made authoring a slow and disconnected process for users.
“We previously spent 8 hours on a simple order set on the technical side,” said Brig Wakeland, Information Technology – Patient Care Services.
Not only is time a pressing issue, but the sheer amount of people it takes to
create, approve and maintain an order set lengthens the entire process, leading to dwindling physician engagement.
As a result, accuracy has also improved. “We have identified numerous [miscalculations], like using expensive tests when better and cheaper alternatives are present,” said Dr.
Bobadilla. “Previously, these would likely have made their way through the system.”
The combination of these challenges caused gaps in understanding and consistency across disciplines. UKHC lacked a central governing body to pull all of these ends together.
UKHC needed a system that sped up the process while delivering quality, consistent care.
ELSEVIER ORDER SETS allow “faster time [from creation] to resolution and completion,” said Dr. Bobadilla.
“UKHC has reduced completion time from eight hours to two hours per order set.”
In addition, a Clinical Decision Support committee was created to develop a communication plan, and establish goals, rules, and processes for new work requests.
The team, led by Dr. Kevin Hatton, set benchmark goals to clean the entire catalog and annually review each order set.
By implementing this structure, they increased physician engagement and crafted a plan with the clinicians in mind.
CASE STUDY: University of Kentucky HealthCare ®
OVERALL, ELSEVIER ORDER SETS solution
has created a sense of routine and urgency within a standardized platform.
UKHC’s immense number of order sets has been consolidated to a central location and unused ones have been eliminated. “Now that they are driven by evidenced-based standards, it empowers clinicians to provide consistent, quality care,” said Steele.
The collaborative environment Elsevier’s solution provides has benefitted UKHC in a number of ways. “Collaborative efforts have improved team dynamics,” said Dr. Bobadilla.
The technical management and authoring of workflows has also become more efficient. Elsevier’s solution “does about 80% of the
technical configuration. We do about 20%.” said Wakeland.
Dr. Hatton stands by the fact that a governing body dedicated to Order Sets is improving clinician effectiveness throughout the enterprise. He urges those tackling similar issues to:
· redesign processes to align with administrative goals for safety and efficiency
· define governance issues early on
· design the style guide with clinicians in mind
· engage physicians and users throughout
The organizational and technological improvements that Elsevier Order Sets provides have successfully impacted the quality of care at University of Kentucky HealthCare.
1 Elsevier. (2013). [A More Practical Approach to Order Sets]. [Infographic].
2 (2014). “The Four Essential Steps to Effective Order Set Management and Their Implementation at University of Kentucky HealthCare.”
3 (2015). Value Selling Workflow: Sales Training on Value Trees and Battle Cards for Order Sets and Care Planning.
Elsevier Clinical Solutions
Order Sets
www.elsevier.com/clinical-solutions
© Copyright Elsevier 2016. All rights reserved. 4
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