Technology Informatics Guiding Education Reform Nine TIGER Collaboratives

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Technology Informatics Guiding Education Reform
Nine TIGER Collaboratives

• Donna DuLong, BSN, RN
• Program Director, The TIGER Initiative
• Denver, Colorado
• Marion Ball, EdD
• Professor, Johns Hopkins University School of
  Nursing
• Columbia, MD

Monday, February 25, 2008 Session 53
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Technology Informatics Guiding Education Reform

• The focus of the TIGER Initiative is to better
  prepare our nursing workforce (all practicing
  nurses and nursing students) to use technology
  and informatics to improve the delivery of
  patient care.
• We believe that necessary skills for nurses
  portfolio in 2007 includes basic computer
  competencies, information literacy and
  informatics skills.
• The TIGER Initiative is a program not an
  organization.
• TIGER has been a grass-roots effort to engage
  with all stakeholders that are committed to a
  common vision of ideal EHR-enabled nursing
  practice. Today, more than 120 diverse
  organizations have joined this effort.

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TIGER Vision

• Allow informatics tools, principles, theories and
  practices to be used by nurses to make healthcare
  safer, effective, efficient, patient-centered,
  timely and equitable
• Interweave enabling technologies transparently
  into nursing practice and education, making
  information technology the stethoscope for the
  21st century

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Background

• Converging forces that are serving as a catalyst
  for transforming nursing practice
• Rising cost and disparity of U.S. Healthcare
  system demands transformation
• IOM studies and reports
• Emerging technologies
• Growing consumerism
• Impending nursing shortage
• Disaster recovery preparedness

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U.S. Health Care Workforce - Nursing

• Nearly 3 million practicing nurses in the U.S.
• More than 55 of all health care workers
• Nurses are knowledge workers
• Average age of nurse is 47
• Estimated severe shortage of nurses by 2014
• Nursings workforce must be capable of
  innovating, implementing, and using health
  communications and information technologies

There is no aspect of our profession that will
be untouched by the informatics revolution in
progress. Angela McBride Distinguished
Professor and University Dean Emeriti Indiana
University School of Nursing
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IOM Vision

• While clinicians are trained to use an array of
  cutting-edge technologies related to care
  delivery, they often are not provided a basic
  foundation in informatics (Gorman et al.,2000
  Hovenga, 2000).
• All health professionals should be educated to
  deliver patient-centered care as members of an
  interdisciplinary team, emphasizing
  evidence-based practice, quality improvement
  approaches and informatics.

IOM - Health Professions Education A Bridge
to Quality, 2003.
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Building the Work Force for HIT

• A work force capable of innovating, implementing
  and using health communications and information
  technologies will be critical to healthcares
  success.
• For health Information Transformation
• AHIMA and AMIA
• http//www.ahima.org/emerging_issues/Workforce_web
  .pdf

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National Efforts In Alignment with the TIGER
Initiative

• Groundbreaking Reports
• To Err is Human (2000)
• Crossing the Quality Chasm (2001)
• Health Literacy A Prescription to Ending
  Confusion (2004)
• Building a Better Delivery System A New
  Engineering/HealthCare Partnership (2005)
• Building the Workforce for Health Information
  Transformation (2006)
• Mandates/Executive Orders (President Bush,
  4/2004)
• Electronic Health Records for all Americans in 10
  years
• Appointment of a National Coordinator for
  Healthcare Informatics Technology (ONC/HHS)

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The Decade of Health Information Technology

• The Decade of Health Information Technology
  Delivering consumer-centric and information-rich
  health care
• http//www.hhs.gov/onchit/framework/
• Four Cornerstones
• Inform clinical practice
• Interconnect clinicians
• Personalize care
• Improve population health

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ONC Efforts In Alignment with the TIGER
Initiative

• http//www.hhs.gov/healthit/onc/mission/
• Developing a Strategic Framework
• Inform Clinical Practice
• Interconnect Clinicians
• Personalize Care
• Improve Public Health
• Defining Elements of Success for HIT
• Policy
• Governance
• Technology
• Adoption

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TIGER Summit Phase I

• October 31 -November 1, 2006
• Held at the Uniformed Services University for
  Health Sciences (USUHS) in Bethesda, MD
• 100 participants representing all stakeholders
• Created a collective vision for nursing practice
  and education within 10 years if nurses were
  fully enabled with IT resources
• Developed a 3-year action plan required to
  achieve this vision
• Summary Report published at www.tigersummit.com

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10 Year Vision and 3 Year Action Plan Accomplished
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3-Year Action Plan

• Based on a common vision of ideal EHR-enabled
  nursing practice
• Focused on identifying the gaps in nursing
  preparedness to practice in an EHR-enabled
  environment
• Agree to take actions within the next 3 years
  that can close these gaps
• Main focus of deliverables is on the creation of
  educational tools and resources that can be
  shared with entire healthcare community

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Report Format

• Executive Summary
• Action Plan with Specific Goals
• Background Overview of the topic including key
  projects, publications, and subject experts
• Recommendations for significant gaps
• Case Studies/Exemplars
• Recommendations
• Resource lists/tools
• Participants/Affiliates/Sponsors
• Distribution

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Organizational Commitment

• 70 organizations were represented at the Summit
• Each committed to creating action plans aligned
  with the TIGER vision within their
  organization/membership
• TIGER following organizational progress on these
  action plans over the next 3-years
• Examples of organizational actions taken to date
• Distribution of TIGER Summary report to all
  professional members (AONE)
• Presentations of TIGER at National and
  International Conferences (AMIA, ANIA/CARING,
  HIMSS, STTI, HIMSS-AsiaPac, SINI, I-MIA/MedInfo,
  ONS)
• Regional presentations of TIGER (BANIC,
  State-HIMSS e.g., Colorado, Michigan, Wisconsin,
  N. California)
• Professional organization presentations of TIGER
  (ASPAN, AORN, AWHOHN, MONE)
• State-wide initiatives supporting TIGER vision
  (Minnesota, Massachusetts, Tennessee)

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Matrix Approach Phase II

• Enabled by the Alliance for Nursing Informatics
  (ANI) a collaboration between AMIA and HIMSS
• Continue to support progress of each
  participating organizations 3-year action plan
• Formalize cross-organizational activities/action
  steps into collaborative TIGER Teams (9
  identified)
• Define measurable outcomes of each collaborative
  team
• Provide the infrastructure and support to
  facilitate the development and dissemination of
  the activities of the collaborative
• Develop educational materials that can be
  distributed to all practicing nurses and nursing
  students

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9 Collaborative Teams
Created from combining all 3-year action steps
into common themes/topics

1. Standards and Interoperability
2. Healthcare IT National Agenda/HIT Policy
3. Informatics Competencies
4. Education and Faculty Development
5. Staff Development/Continuing Education
6. Usability/Clinical Application Design
7. Virtual Demonstration Center
8. Leadership Development
9. Consumer Empowerment/Personal Health Record

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Measurable Outcomes of Each Collaborative

• Definition, Scope of Project
• An inventory and analysis of existing resources
• Publications
• Research
• Subject matter experts
• Ongoing Projects
• Identification and access to subject matter
  experts and constituent targets
• Educational web-based audio conferences (target
  2)
• Conference presentations
• A comprehensive white paper-type document
  (modeled after TIGER Summary Report)
• Define topic-specific evaluation criteria
• Submit articles for publication and dissemination
  amongst broader TIGER audience
• Chapter in the 4th Edition of the Nursing
  Informatics Series Where Caring and Technology
  Meet

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Standards and InteroperabilityJoyce Sensmeier,
MS, RN-BC, CPHIMS, FHIMSS, VP, Informatics, HIMSS
Elizabeth C. Halley, RN MBA, The MITRE
Corporation

• Identify the most relevant HIT standard setting
  efforts that are important to the TIGER mission
  and ensure that there is adequate
  representation/input of the TIGER
  mission/perspective on said efforts.
• Communicate the existence and importance of HIT
  standards and initiatives to the broad nursing
  community.
• Create tutorials on standardizing data elements,
  implementing electronic health records, using
  nursing terminology, and using evidence-based
  practice tools.

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TIGER Standards Interoperabilityhttp//tigersta
ndards.pbwiki.com

• WG1 - Catalogue the most relevant Health IT
  standard setting efforts and related resources
• Currently developing a comprehensive framework
  that consists of data standards, terminologies,
  standards, standards organizations, transaction
  standards, and infrastructure standards
• Expand the framework to contain references,
  links, and relevant resources and contacts
• WG2 - Create tutorials related to standardized
  data elements, EHR implementation, nursing
  terminology, and the use of decision support and
  evidence-based practice tools
• WG3 Create awareness campaigns to disseminate
  2 and 3 to broader nursing community
• WG4 Collect examples and case studies of
  interoperable systems to demonstrate the value of
  standards in various practice and education
  settings

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TIGER Standards InteroperabilityAccomplishments
to Date

• Educational webinars
• Leveraging Health Information Exchange to Improve
  Quality and Efficiency a review of the
  importance of HCIT standards in providing a
  foundation for interoperability, the current
  landscape for health information exchange, and
  the potential impact of HITSP specifications on
  consumers and healthcare systems
• Introduction to the Standards Lifecycle and HITSP
  Harmonization Process a detailed explanation of
  the lifecycle of standards development within the
  national HCIT agenda and how nurses can get
  involved in the interoperability effort
• Facilitated Review of Specifications and Use
  Cases
• Medication Management HITSP Interoperability
  Specification
• Consultations and Transfers of Care Use Case

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2. Health IT National Agenda/HIT PolicyCDR
Alicia Bradford MS, RN-BC, Department of Health
and Human Services, Office of the National
Coordinator for Health ITDr. Carolyn Padovano
PhD, RN, Director, SNOMED-CT

• Identify the most relevant HIT agendas and
  policies that are important to the TIGER mission
  and ensure that there is adequate
  representation/input of the TIGER
  mission/perspective on said policy issues.
• Communicate the existence and importance of the
  National HIT agenda and policies to the broad
  nursing community.
• Create communication strategies that enable
  nursing participation in strategic HIT
  policy-setting efforts and disseminate policies
  back to the nursing community.

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TIGER National Health IT Agendahttp//tigerhitage
nda.pbwiki.com

• Engage Nursing participation to facilitate input
  and help disseminate information regarding
  national HIT initiatives in the following four
  areas
• WG1 - Standards and interoperability efforts
  (ANSI-HITSP)
• WG2 - Clinical and policy initiatives generated
  by the AHIC/ONC workgroups, including use cases,
  clinical scenarios
• WG3 - Participate in the certification process
  for the electronic health record (such as
  reviewing/commenting on CCHIT work products)
• WG4 - Develop a communication and outreach
  strategy for which those materials can be widely
  disseminated to the TIGER and Nursing Community.

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TIGER National HIT AgendaAccomplishments to Date

• Educational webinars
• National Health Information Technology Agenda a
  review of the Office of the National Coordinator
  (ONC), strategic framework, timeline of
  activities, and opportunities for nursing
  involvement in these activities.
• Invited presentation to the AHIC/Sec. Leavitt re
  National Health Workforce Preparedness
• Dr. Carole Gassert, RN, PhD
• Facilitated Discussion of HITSP Medication
  Management Interoperability Specification and
  AHIC Use Case on Consultations Transfers of
  Care
• Participate in AHIC meeting on Tuesday, February
  26, 2008 from 1015 a.m. 400 p.m. at HIMSS
  (Rosen Center Rooms 9 10) - meet at 945 a.m.
  outside the Rosen Center Room 9

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3. Informatics Competencies Connie White
Delaney, PhD, RN, FAAN, FACMI, Professor and
Dean, School of Nursing University of
Minnesota Brian Gugerty DNS, RN, Clinical
Informatician, Principal Consultant

• Harmonize and set informatics competencies for
  all levels of nursing education nursing
  assistants, associate degree, diploma,
  undergraduate and graduate.
• Harmonize and set informatics competencies for
  nursing practice.
• Advocate for and support adding informatics
  competencies into nursing specialty
  certifications.
• Include informatics competencies in the scope and
  standard statements (and like documents) of
  nursing specialties.

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TIGER Informatics Competencieshttp//tigercompete
ncies.pbwiki.com

• WG1 Define the scope of this collaborative and
  adopt a framework for competencies within nursing
  and healthcare
• Collect select non-informatics competency
  exemplars used within nursing (both practice and
  education) healthcare, and other industries
• WG2 Develop a comprehensive inventory of
  competencies and resources gathered from the
  literature and ongoing programs
• WG3 Develop a comprehensive inventory of
  competencies and resources gathered from practice
  and educational settings
•  

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TIGER Informatics CompetenciesAccomplishments to
Date

• Integration Team (HSG) Harmonize the
  competencies collected from WGs 1-3 and
  synthesize into framework with proposed
  recommendations for the other TIGER teams to
  implement (Education, Staff Development, and
  Leadership)
• Draft Recommendations 4 Categories of
  Competencies
• Computer Competencies
• Information Literacy Competencies
• Information Management/Informatics Competencies
• Attitudes Awareness

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Informatics Competencies Categories
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Basic Computer Competencies

• Recommend adopting the International Computer
  Driving License (ICDL) (Also called the
  European Computer Driving License)
• Used by 7 million users across industries not
  specific to health care
• Well developed and validated syllabus, tests, and
  training centers
• Also recommended by American Medical Informatics
  Association (AMIA) and.
• Learning modules mirror basic computer
  competencies gathered by the TIGER team
• Module 1 Concepts of Information Technology
  (IT)
• Module 2 Using the Computer and Managing Files
• Module 3 Word Processing
• Module 4 Spreadsheets
• Module 5 Database
• Module 6 Presentation
• Module 7 Information and Communication

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Information Literacy Competencies
Source  http//www.nsula.edu/watson_library/shrev
e/curri_enhanct.ppt270,32,Slide 32
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Information Management/Informatics Recommend
adopting the ANSI HL7 Electronic Health Record
System Functional Model
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Sample Topics from HL7s EHR-S Functional Model

• DC.1 (Care Management)
• DC.1.1 (Record Management)
• DC.1.2 (Manage Patient History)
• DC.1.3 (Preferences, Directives, Consents and
  Authorizations)
• DC.1.4 (Summary Lists) i.e. Manage Allergy,
  Intolerance and Adverse Reaction List
• DC.1.5 (Manage Assessments)
• DC.1.6 (Care Plans, Treatment Plans, Guidelines,
  and Protocols)
• DC.1.7 (Orders and Referrals Management)
• DC.1.8 (Documentation of Care, Measurements and
  Results)
• DC.1.9 (Generate and Record Patient-Specific
  Instructions)
• DC.2 (Clinical Decision Support)
• DC.2.1 (Manage Health Information to Provide
  Decision Support)
• DC.2.2 (Care and Treatment Plans, Guidelines and
  Protocols)
• DC.2.3 (Medication and Immunization Management)
• DC.2.4 (Orders, Referrals, Results and Care
  Management)
• DC.2.5 (Support for Health Maintenance
  Preventive Care and Wellness)
• DC.2.6 (Support for Population Health)
• DC.2.7 (Support for Knowledge Access)
• DC.3 (Operations Management and Communication)

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Attitudes and Awareness Competencies

• A precursor to effective adoption of all
  competencies
• Competency encompasses more than just a
  psychomotor skill. The team competency in these
  contexts now describes the attributes of
  knowledge, abilities, skills and attitudes that
  underlie competent performance. (Gonczi et al.,
  1990 62).
• Currently evaluating the European Computer
  Driving License-Health model for correlation to
  awareness competencies
• Overlapping concepts with the other three
  categories (basic computer competencies,
  information literacy, and information
  management/informatics)
• Alspatch, 1984 "a simultaneous integration of
  knowledge, skill and attitudes that are required
  for performance in a designated role or setting."

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Attitudes and AwarenessExample competencies

• Understands concepts and processes regarding
  computer systems and impact on practice (1015,
  859, 857, 852, 853, 954, 657, 671, 392, 969, 970,
  123, 779, 9, 781, 649, 652, 792)
• data integrity
• ethics
• legalities
• economics
• professional practice standards/trends/issues
• improved quality/safety
• societal/technological trends/issues
• Scholarly process (632, 840, 668)
• publication
• evidence-based practice
• Benefits/limitations of communication
  technologies and impact on health care (791, 870,
  675)
• bulletin/discussion boards
• chat rooms
• wikis
• blogs
• newsgroups
• email
• Understands the advantages of electronic tools
  for consumer health (849, 858, 862, 798)

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4. Education and Faculty Development Diane J.
Skiba. PhD, FAAN, FACMI, Professor, UCDHSC
Chair, Task Force Faculty Development
related to informatics, National League for
Nursing Mary Anne Rizzolo, EdD, RN, FAAN,
Senior Director, Professional Development,
National League for Nursing

• Use the informatics competencies, theories,
  research and practice examples throughout nursing
  curriculums.
• Create programs and resources to develop faculty
  with informatics knowledge, skill and ability and
  measure the baseline and changes in informatics
  knowledge among nurse educators and nursing
  students.
• Develop a task force to examine the integration
  of informatics throughout the curriculum.

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4. Education and Faculty Development (cont.)

• Improve and expand existing Nursing/Clinical/Healt
  h Informatics education programs.
• Encourage existing Health Services Resources
  Administration Division of Nursing to continue
  and expand their support for informatics
  specialty programs and faculty development.
• Encourage foundations to start programs that
  provide funding for curriculum development,
  research, and practice in nursing informatics and
  IT adoption.
• Develop strategies to recruit, retain, and train
  current and future nurses in the areas of
  informatics education, practice, and research.
• Collaborate with industry and service partners to
  support faculty creativity in the adoption of
  informatics technology and offer informatics
  tools within the curriculum.

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TIGER Education and Faculty Development Work
Groupshttp//tigereducation.pbwiki.com
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5. Staff Development/Continuing Education
Elizabeth O. Johnson, MSN, BSN, RN, FHIMSS, Vice
President of Clinical Informatics,
Tenet Health SystemJoan M. Kiel, Ph.D.,
C.H.P.S., Chairman, University HIPAA
Compliance Associate Professor, Duquesne
University, Pittsburgh, PA

• Create educational resources and affordable
  programs within the practice setting that foster
  IT innovation and adoption.
• Create competency-based, cost-effective staff
  development and continuing education programs and
  training strategies specifically for informatics
  knowledge, skill and ability.
• Improve and expand existing Nursing/Clinical/Healt
  h Informatics education programs by collaborating
  with industry, service and academic partners to
  support and enhance the use of technology and
  informatics in practice.

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TIGER Staff Development/Continuing Education
http//tigerstaffdev.pbwiki.com

• WG1 - Collect case studies, practice examples,
  models of staff development programs from
  nursing, healthcare, other industries and develop
  a framework to categorize the models (e.g.,
  web-based, face-to-face, etc.)
• WG2 - Review, inform and integrate work from the
  TIGER Competencies Collaborative into Staff
  Development Collaborative
• WG3 Complete comprehensive literature review
  of staff development and field-based training
  models
• WG4 - Develop recommendations for
  Industry/Academic Partnerships e.g., with
  technology partners, academic institutions,
  professional organizations, and others
• WG5 Collaborate with the TIGER Leadership
  Development team to evaluate the impact of
  leadership development on staff development
  programs

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TIGER Staff Development/Continuing Education
Accomplishments to Date

• Completed a survey to gather general information
  on the state of staff development/continuing
  education e.g., who delivers the education,
  how computer literate are nursing staff as well
  as to help identify organizations that have
  innovative models of staff development and
  continuing education for case studies.
• Currently collecting case studies from various
  practice environments
• Comprehensive literature search evaluation in
  progress
• Currently evaluating recommendations from the
  informatics competencies for implementation into
  staff development/continuing education programs

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6. Usability/Clinical Application DesignNancy
Staggers, PhD, RN, FAAN, Associate Professor,
Informatics and Interim Director, Informatics
Program, College of Nursing, University of Utah
Michelle R. Troseth, RN, MSN, Executive Vice
President and Chief Professional Practice
Officer, Clinical Practice Model Resource Center
(CPMRC)

• Design requirements and/or goals
• Support evidence-based practice
• Enables collaborative and interdisciplinary care
• Provide seamless access to published literature,
  knowledge
• Support the creation of new knowledge (knowledge
  discovery requirements)
• Speed the translation of research into practice
• Usability requirements and/or goals
• Informed by and/or positively transforms nursing
  workflows
• Systems designed using principles of human
  factors
• Work with system developers to maximize clinical
  system effectiveness and efficiency for nurses

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TIGER Usability Clinical Application
Designhttp//tigerusability.pbwiki.com

• WG1 Develop a comprehensive literature review
  on topics related to usability and clinical
  application design. Obtain resources from
  nursing and other disciplines (e.g., Human
  Factors, Engineering, etc.)
• WG2 - Collect case studies and examples that
  illustrate usability/clinical application design
  from your experience/environment
• Exemplars (good, replicable examples)
• Lessons to be learned (bad examples that can help
  to inform others what to avoid)
• WG3 - Summarize recommendations for
• Highly usable applications
• Good clinical application design
• WG4 - Develop recommendations for vendors for
  usability and good clinical application design
• WG5 - Develop a usability/clinical application
  toolkit for healthcare providers and
  organizations

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TIGER Usability Clinical Application
DesignAccomplishments to Date

• Completed extensive literature searchin process
  of synthesizing the results
• Currently collecting case studies and examples
  that illustrate usability/clinical application
  design from various practice experience/environmen
  t
• Will start to synthesize and summarize
  recommendations in March for
• Highly usable applications
• Good clinical application design

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Virtual Demonstration CenterTeresa McCasky, RN,
MBA, Chief Nursing Strategist, McKessonMarion J.
Ball, Ed.D., FHIMSS, CHIME, IBM Research, Fellow,
Center for Healthcare Management, Professor
Emerita, Johns Hopkins University School of
NursingJeanine Martin, Microsoft Corporation, US
Provider Healthcare Industry

• Provide visibility to the 10 year vision of
  IT-enabled nursing practice and education to
  broader healthcare audience by demonstrating how
  integrated IT systems impact nurses and the
  quality and safety of patient care.
• Demonstrate the breadth and depth of IT resources
  in use by nurses to enhance their practice and
  educational environments.
• Demonstrate collaboration between industry,
  healthcare organizations academic institutions,
  and professional organizations to create
  educational modules for nurses that are based
  upon informatics competencies.
• Provide universal accessibility to this
  demonstration for all nursing stakeholders.
• Use practice examples from different practice
  environments that can demonstrate best practices,
  results of research, case studies and lessons
  learned by partnering with nursing professional
  organizations.

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TIGER Virtual Demonstration Centerhttp//tigervir
tualdemo.pbwiki.com

• Work Group 1 Johns Hopkins/IBM physical
  simulation lab
• Work Group 2 Future state scenarios based on
  the context of global trends (e.g., staff
  shortages, globalization, increases in chronic
  diseases, consumer empowerment, etc.). These will
  focus more on the abstractor art of the
  possible.
• Work Group 3 Technology currently available
  today A scenario-approach allows us to utilize
  current technologies (that are available today)
  and expand their use into the future. 

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TIGER Virtual Demonstration CenterActivities to
Date

• Site visits to IBMs Hawthorne Demonstration
  Center
• Site visits to Johns Hopkins Center of Excellence
  Simulation Lab
• Selected demonstration platform working with
  HIMSS Virtual Conference team visit
  http//www.himssvirtual.org/
• Demonstration Platform
• Distribution of reports, recommendations, white
  papers
• Educational Center
• Social Networking/lounge
• Starting to develop clinical scenarios/vignettes

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8. Leadership Development Dana Alexander, RN,
MSN, MBA, Chief Nurse Officer, GE Healthcare
Integrated IT Solutions Judy Murphy, RN,
FACMI, FHIMSS, Vice President, Information
Services, Aurora Health Care, Milwaukee, WI

• A relatively small investment of TIGER
  effort with nursing leaders will be multiplied
  many times due to the leaders power and
  influence in their organizations and the
  profession.
• Develop programs for nurse executives that stress
  the value of information technology and empower
  them to use IT knowledgeably, giving the leaders
  of the profession a strong and identifiable
  voice.
• Facilitate nursing leadership to understand,
  promote, own, and measure the success of IT
  projects.

48
TIGER Leadership Developmenthttp//tigerleadershi
p.pbwiki.com

• WG1 - Complete a comprehensive review of the
  literature, ongoing research, publications,
  subject experts, programs and other materials
  related to nursing leadership,  leadership
  qualities, transformation and technology,
  leadership development programs, etc.
• WG2 Incorporate informatics competencies into
  leadership development programs
• WG3 - Determine strategy for working with the
  magnet program
• WG4 - Complete an assessment of nursing
  leadership development needs
• WG5 Synthesize the results from WG1-4 and
  develop the recommendations and summary report

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TIGER Leadership DevelopmentActivities to Date

• Cataloguing leadership development programs by
  type, e.g., academic, organizational fellowships,
  industry network programs, vendor-sponsored,
  self-education, etc.
• Developed a survey to assess nursing leadership
  development needs by role and competency category
• Integrating the work of the competencies into
  leadership programs
• Developing a strategy for working with magnet
  programs and ANCC

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9. Patient-Focus/Personal Health Record
Charlotte Weaver, RN, PhD, Vice President and
Executive Director for Nursing Research,
Cerner Corporation Rita D. Zielstorff, RN
MS, PricewaterhouseCoopers LLP

• Consumers are becoming more empowered
  healthcare participants. Informatics can mediate
  consumers drive for improved health and
  healthcare as well as broker the relationship
  between nurse and client.
• Establish efforts to develop health information
  literacy with the public and healthcare
  consumers.
• Work with Personal Health Record (PHR) advocates
  and developers to optimize PHRs as they relate to
  nursing.

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TIGER Consumer Empowerment/PHRhttp//tigerphr.pbw
iki.com

• Work Group 1 - Develop recommendations for
  standards that impact consumer empowerment and
  personal health records
• Work Group 2 - Develop recommendations for
  usability and application design principles for
  consumer-oriented tools such as the personal
  health record
• Work Group 3 - Prepare an overview of the "state
  of the science" for consumer empowerment and
  personal health records (see outline on work
  group page)
• Work Group 4 - Identify current usage of personal
  health records and how nurses are using these
  tools to impact patient care
• Work Group 5 - Identify case studies and
  exemplars for practice related to personal health
  records and consumer empowerment strategies
• Work Group 6 - Develop an awareness campaign for
  nursing related to consumer empowerment and
  personal health records

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TIGER Consumer Empowerment/PHRActivities to Date

• Educational Webinar Everything nurses need to
  know about Personal Health Records March 25,
  2008 details/registration link on wiki
• Content outline for recommendations on wiki
  requesting all participants to upload content
• Short-term work groups focused on
  cross-collaboration
• Standards relevant to consumer use/PHR
• Usability considerations for consumer-focused
  applications

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Summary

1. Target audience for all deliverables is all
   practicing nurses and nursing students
2. Multi-stakeholder collaboration
3. Currently developing core recommendations/actions
   for each of the 9 critical topics
4. Urgent/time-sensitive deadline to complete by
   end of 2008
5. Inclusive and transparent encouraging
   participation from all nursing organizations
6. Impactful
7. Focused on dissemination to broader nursing
   community

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TIGER Deliverables (Fall 2008)

• 12-15 Webinars (free to all nurses and nursing
  students will provide CEU credit)
• Summary Report for each Collaborative Team will
  include overview of issue, why important to
  nursing, case studies and examples, and
  recommendations for the industry
• Virtual (on-line) Demonstration Center
• Virtual Conference (demos, summary reports,
  interaction with industry experts, educational
  sessions, social networking)
• Nursing Informatics 4th Edition Where Caring
  and Technology Meet (available in print late 2009)

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• Thank You!
• If you would like to get more involved or stay
  informed, please register at the TIGER website
  www.tigersummit.com
• QUESTIONS?