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Partnership in Practice: Nursing Informatics and Models of Nursing Practice Ruth Schleyer, MSN, RN BC, CPHIMS M. Kathy Johnson, BSN, RN, MBA Providence Health System ... – PowerPoint PPT presentation

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Title: Partnership in Practice: Nursing Informatics and Models of


1
Partnership in PracticeNursing Informatics and
Models of Nursing Practice
  • Ruth Schleyer, MSN, RN BC, CPHIMS
  • M. Kathy Johnson, BSN, RN, MBA

Providence Health System, Oregon 22 February 2004
2
Providence Health SystemOverview
Prov Anchorage MC
Prov Seward H
Prov Kodiak H
  • 18 hospitals
  • 5,000 acute and long-term licensed beds
  • Served more than 750,000 people through managed
    care plans
  • Primary care visits 1,523,286
  • Outpatient facility visits 2,873,246
  • Inpatient admissions 159,259
  • Employees (FTE) 36,000
  • Revenue 3.8 billion

Providence Everett MC
Providence Olympia MC
Providence Centralia H
Prov Seaside H
Providence Portland MC
Prov St. Vincent MC
Providence Hood River H
Prov Newberg H
Providence Milwaukie H
Providence Pacific Communities H
Providence Medford MC
Providence Holy Cross MC
Providence St. Joseph MC
Providence Little Company of Mary
Providence South Bay
3
Providence Hood River Memorial Hospital
Providence St. VincentMedical Center
Providence Portland Medical Center
Providence Milwaukie Hospital
ProvidenceSeaside Hospital
Providence Newberg Hospital
  • Integrated Delivery System
  • 7 Hospitals 3 urban, 5 rural
  • Home Care/Hospice 1,500 patients
  • PPO Health Plan 600,000 people
  • Employed Medical Group 210 employed primary care
    MDs
  • 2,000 private affiliated physicians
  • 4,500 registered nurses

Providence Medford Medical Center
4
High Tech for High TouchBuilding a Nursing
Informatics Program
  • Director of Nursing Informatics position created,
    reporting to CIO
  • Why then and now?
  • Maximize opportunities for statewide Nursing and
    IS synergies
  • Use IT tools to assist Nursing with top priority
    patient safety and quality initiatives
  • Provide practice support tools that automate
    nursing processes for greater efficiency
  • Maximize IT investments of finite resources
  • Develop Nursing partnership in global PHS Oregon
    clinical systems strategy, collaborating with
    CMIO

5
High Tech for High TouchBuilding a Nursing
Informatics Program
2000
  • Organizational education
  • What is Nursing Informatics?
  • Formation of Nursing Informatics Council (NIC)
  • Acute care focus
  • Vision, goals, ANA Scope and Standards
  • Current state assessment
  • Nursing information map
  • Interviews with Oregon Nurse Executives
  • Sharing the findings and ONE priorities
  • Start with the basics benefits to nurses and
    nurse execs
  • Then, focus on educational resources/referencesan
    d clinical practice strategies

6
Current State Assessment 12/00
Summary Findings Nursing Information Map
Currently installed
Installation pending
No funded plans
7
High Tech for High TouchBuilding a Nursing
Informatics Program
2003
  • Organizational education
  • Nursing Informatics role at each facility and
    other program areas
  • Evolution of Nursing Informatics Council (NIC)
  • Cross continuum representation
  • CARE Model (Clinical, Administrative,
    Research/Quality, Education) developed to
    encompass vision, goals, and revised ANA Scope
    and Standards
  • Current state assessment
  • Nursing systems matrix
  • Continuing dialogue with Oregon Nurse Executives
  • ONE priorities
  • Links with expanded Nursing leadership team -
    Oregon Nursing Center of Excellence
  • How can informatics help achieve outcomes?

8
High Tech for High TouchBuilding a Nursing
Informatics Program
Herrmann/SchleyerCARE Model of Nursing
InformaticsSupport
9
Current State Assessment 12/03
Summary Findings Nursing Systems Matrix
Currently installed
Installation pending
No funded plans
10
Current State Assessment 12/00
Summary Findings Nursing Information Map
Currently installed
Installation pending
No funded plans
11
(No Transcript)
12
Focus on Our Future Creating a Nursing Center
of Excellence
  • Oregon Regional Nurse Executive position created,
    reporting to Chief Executive Officer, Oregon
    Region
  • Why? Within PHS Oregon . . .
  • Facilitate the benchmark integrated experience
    for patients and Nursing staff
  • Create a unified Nursing culture and system of
    care
  • Advocate for patients and Nursing in strategic
    decision-making
  • Achieve efficiencies within Nursing by
    eliminating duplicative efforts

13
Focus on Our Future Creating a Nursing Center
of Excellence
  • How?
  • Develop common vision, philosophy and conceptual
    framework
  • Operationalize through key strategies, tactics,
    metrics, and timelines
  • Develop a process and structure to organize,
    support, and sustain our work
  • Identify key partners and strengthen
    collaborative relationships

14
Providence Health System Oregon Nursing Center of
Excellence
15
Focus on Our Future Creating a Nursing Center
of Excellence
Vision for Nursing
  • Nursing achieves outstanding patient
    experiencesand outcomes guided by excellence in
    practicewithin an environment of supportive
    systems.

Nursing Philosophy Values
We believe the work of the profession of
nursingis centered on the patient/family and is
facilitatedby a supportive environment.
Patient
Nurse
Environment
16
Focus on Our Future Actualizing the Nursing
Center of Excellence - Strategies
  • The patient/family experience comprehensive and
    personalized nursing care.
  • Nurses practice at the expert level.
  • Benchmark clinical, service and financial
    outcomes are achieved by implementing consistent
    operational and evidence-based Nursing practice
    standards.
  • Physical environment and organizational culture
    enable personalized care and excellence
    innursing practice.
  • Information is managed and communicated
    effectively

17
Focus on Our Future Actualizing the Nursing
Center of Excellence - Tactics
18
Focus on Our Future Actualizing the Nursing
Center of Excellence - Metrics
19
Nursing COE-Informatics Links
  • C Clinical
  • Complete Charting Convergence project Phase 1
  • Implement integrated point-of-care computerized
    system which includes an individualized and
    interdisciplinary plan of care
  • A Administrative
  • Complete implementation of Nurse Executive
    Database
  • R Research/Quality
  • Without starting over, develop reliable and
    automated measurement system for nursing
    documentation and initiatives such as NICHE
  • E Education for Nursing Excellence
  • Complete HealthStream current pilots. Determine
    recommendations for use throughout PHS-OR
    Nursing. Add to 2005 budget prn.

20
Nursing COE-Informatics Links
  • Internet/Intranet initiatives
  • Statewide Web page integrating Nursing Center of
    Excellence
  • Showcase Nursing and provide a common toolset
  • Development of a Nursing plan to inform the
    capital action planning process
  • Six Sigma tools to create and apply criteria for
    project planning and funding requests

21
Next Steps
22
Partnership in Practice
The work of nursing is at the heart of
nursing informatics and informatics tools and
methods only facilitate this work.
Scope and Standards of Nursing Informatics
Practice, ANA 2001
23
Thank you!
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