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Nursing Informatic Strategic Planning and Implementation

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Nursing Informatics Symposium 2009. A View from Northern California. March 6, 2009 ... Business (ADT, billing, inventory tracking, HR, payroll ... – PowerPoint PPT presentation

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Title: Nursing Informatic Strategic Planning and Implementation


1
Nursing Informatic Strategic Planning and
Implementation Lessons Learned Nursing
Informatics Symposium 2009 A View from Northern
California March 6, 2009
  • Dennis Kneeppel, BA, MPA, RN
  • Vice President Patient Care Services
  • Chief Nursing Officer

2
DISCLAIMER
  • The opinions expressed in this presentation do
    not necessarily represent those of my current or
    former employers, colleagues past or present, nor
    current direct reports. -/
  • Dennis Kneeppel

3
Clinical Informatics
  • Goals
  • support the mission and vision of the
    organization
  • be aligned with the available financial resources
  • support evidenced based practice
  • improve patient outcomes
  • enhance communication, documentation and
    efficiency
  • improve patient safety

4
Clinical Informatics
  • Applications
  • Business (ADT, billing, inventory tracking, HR,
    payroll
  • Operations support (decision support, scheduling
    and staffing, time and attendance, communications
    (email))
  • Clinical (EMR, specialty (critical care,
    peri-op), results reporting ancillary )lab,
    pharmacy, rad, cardio), CPOE, MD documentation,
    barcoding

5
Clinical Informatics
  • Nursing leadership has a role in all and needs to
    be at the table as options are debated,
    priorities are set and decisions are made
  • Why?
  • each system either directly impacts the frontline
    staff or impacts how resources are allocated

6
Nursing Informatics
  • Clinical application adoption
  • will most likely involve clinical transformation
    or the adoption of new processes to improve
    clinical workflow and patient outcomes
  • if nursing leadership isnt involved in every
    phase of the clinical transformation process,
    there is a significant risk of organizational
    disruption or even failure

7
Clinical Transformation
  • Phases of clinical transformation
  • Strategic planning (what are we going to do and
    why and over what timeframe)
  • System selection (which vendor(s) will we use
    what can it really do?)
  • Contract negotiations (how much and whos
    accountable for what and when)
  • System deployment (rolling it out)
  • System support (on-going training, technical
    support, end user support)

8
Lessons Learned
  • Be mindful of the goal
  • Watch scope creep and the impact
  • Understand the true costs
  • current infrastructure is NEVER adequate
  • training costs are often underestimated
  • listen to the vendor - carefully
  • Support your nursing leaders too
  • they may not know what to expect either
  • be clear with what owing means

9
Lessons Learned
  • Involve your quality and regulatory experts
    very early
  • they should be present during the strategic
    planning discussions and goal setting
  • they should be present during the build process
  • they should be present during testing
  • they should provide system report requirements

10
Lessons Learned
  • Involve all levels of the clinical organization
    especially the staff RNs
  • build process
  • testing
  • training tool development
  • deployment strategy discussions
  • hardware strategy
  • provide clear framework
  • tell the truth

11
Lessons Learned
  • Keep an open mind and be willing to learn
  • assume that some decisions may have to change
  • know that you dont know it all
  • you dont always know what you dont know
  • listen to your experts
  • listen to your staff

12
Lessons Learned
  • Be an advocate for your nurses
  • just because it can be done, doesnt mean it
    should be done
  • put yourself in their place
  • most will never be technical experts they just
    want to take care of their patients
  • the value the nurse leader adds at the table is
    clinical knowledge and perspective dont forget
    that

13
Lessons Learned
  • Dont forget labor (union)
  • this is a change in working conditions and skill
    expectations be prepared to negotiate and do
    it early
  • If a new workflow is too complicated dont do
    it
  • error on the side of patient safety and common
    sense always
  • Communicate, communicate communicate

14
Lessons Learned
  • Celebrate and recognize often
  • Engage and partner with your MDs
  • Make sure that your training and support plan
    includes the physicians
  • they need real-time almost immediate support in
    order to be sold they do not want to waste time

15
Lessons Learned
  • Questions?
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