Nursing Informatic Strategic Planning and Implementation - PowerPoint PPT Presentation


PPT – Nursing Informatic Strategic Planning and Implementation PowerPoint presentation | free to download - id: 204b43-ZDc1Z


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation

Nursing Informatic Strategic Planning and Implementation


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

Number of Views:178
Avg rating:3.0/5.0
Slides: 16
Provided by: shayst
Learn more at:


Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Nursing Informatic Strategic Planning and Implementation

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

  • 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

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

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

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

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

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)

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

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

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

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

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

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
  • error on the side of patient safety and common
    sense always
  • Communicate, communicate communicate

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

Lessons Learned
  • Questions?