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Reflections on the QSEN Nursing Informatics Deep Dive Workshop

by Michelle Troseth

I am flying home from San Francisco, California after participating in a transformational invitational conference focusing on integrating quality, safety, and education (QSEN) strategies into nursing competencies. This was a first-ever event moving a local experience to a national import. I was joined my local and national leaders to boldly embrace transformation of health and healthcare in how to leverage informatics of bridging clinical practice and academia.

The workshop was co-sponsored by the Gordon & Betty Moore Foundation, University of Minnesota, University of Maryland, and the American Colleges of Nursing. It was 3 days of bold conversations – to learn, challenge, and co-create the next strategies for the future of informatics and practice.

The workshop engaged nationally recognized informatics and policy leaders poised to engage regional leaders into their curriculums and educational programs. I had the privilege of teaching one of seven modules on “Roles, Competencies, Skills, Organizations and Legislatives Aspects”:

Objectives

Describe the history of nursing informatics as an emerging field in the nursing profession
Discuss evolving roles, competencies and skills impacting nursing informatics practice
Identify key nursing informatics organizations shaping nursing informatics impact in healthcare
Identify key nursing reports, journals and books shaping nursing informatics impact in healthcare
Describe key legislative aspects impacting nursing informatics

Introduction

This module provides an overview of the historical development of nursing informatics as well as critical factors shaping the profession (roles, competencies and skills) and landmark legislative acts providing future direction on the significance of nursing informatics. Each objective will be met by providing information and resources for nursing faculty and educators to incorporate into their respective school and health system curriculums. This is an exciting time as healthcare becomes “digitalized” and our healthcare system becomes a “learning healthcare system”, therefore, the roles, competencies and skills that nursing brings to integrate informatics into education and practice has never been more important. A key takeaway of this module is not only how to provide methods for integrating knowledge, skills and actions (KSAs) necessary for training nursing informatics competencies but how faculty, educators, students and practicing nurses can engage in the shaping of the future of nursing informatics as well as healthcare education and practice transformation.

I am pleased to tell you all how well received my module and others were embraced. It was also great to introduce and discuss the importance of interprofessional competencies as they relate to informatics competencies.

All presentations and curricular materials for each presenter will be available for download from the AACN.QSEN Deep Dive Workshop website. To access, go to www.aacn.nche.edu/qsen-informatics/2012-workshop

We are all called to shape the future! My closing reflections are that it will take many individuals and many organizations to step-up and step-together to shape our future.

Cheers,

Michelle

Posted in: Accountable Care Organizations, Clinical Informatics, CPM Consortium, Evidence-Based Practice, Health Policy, Health Reform, HIT Partnerships, Interdisciplinary Practice, Interprofessional Education, Nursing Informatics, Polarity Management, Quality, TIGER Updates 0 comments

Celebrating Nurses Week 2012!

by Michelle Troseth

NATIONAL NURSES WEEK 2012 is a cause for celebration of all the major contributions nurses have made to advance the profession. It is also a cause of celebration of all that is still yet to be as we experience a sharper focus on professional practice to ensure that health information technology is designed to serve the “professionalism” of nursing and all clinical disciplines.

Why Professional Practice?

The hope of technology is to elevate clinicians to their fullest practice potential as well as creating an integrated health care experience as an interdisciplinary team including the patient and family. Without technology this would be impossible to achieve in its highest form – one that brings a professional practice platform that is as equally significant as a healthcare technology platform. Why Professional Practice? Because without clarity on the professional practice of nurses we are at risk as a profession to ensure technology captures the professional value-added contributions we make as the largest healthcare provider in the U.S. If we are not clear on “professional practice” we are at risk to perpetuate “institutional practice” – where technology can reduce nursing professional services to tasks and routines.

My nursing mentor and colleague, Bonnie Wesorick said this well: “Technology has the potential to humanize or dehumanize care, enhance or interfere with professional scope of practice, interdisciplinary partnership and clinical integration. It can ensure evidence-based practice or lead to institutional, task-driven practice. It has the potential to transform education of nursing students and bridge the gap between the desired practice reality and the inadequate present-day institutional realities loved at the point of care. It has the ability to assure that health care, not just medical care will be available for this society”. (2011) – Bonnie Wesorick, MSN, RN, FAAN founder; CPM Resource Center, Grand Rapids, MI USA

The Emerging Role of Nursing Informatics

The past year has also been a year where we have seen great momentum behind the role of the nurse in informatics. I recently had the opportunity to summarize the momentum and significant events in the field in an article, Informatics & the Future of Nursing Practice: How technology will be integrated into every area of healthcare http://nursing.advanceweb.com/Features/Articles/Informatics-the-Future-of-Nursing-Practice.aspx. Nurses that choose careers in informatics need to be strong advocates for professional practice as well as interdisciplinary integration of the professional processes of care. May 12th has been designated Nursing Informatics Day by the American Nurses Association and the HIMSS Nursing Informatics Community. To recognize the significant role of nursing informatics, HIMSS will also be hosting daily stories this week on the HIMSS Blog.

So, in celebration of the over 3,000,000 nurses in the USA and even more world-wide, I wish you a wonderful nurses week! May you find time to reflect on why you chose nursing as a career and on some of the patients and families that gave you your biggest lessons. If you are not a nurse, I hope you celebrate with a special nurse in your life as well as the joy of “partnership” when it comes to healing the body, mind and spirit.

CPM Consortium Summit 2012

I look forward to continuing the celebration with many of you at the CPM Consortium Summit 2012 next week in Arizona http://www.cpmrc.com/cpm-consortium-summit/. We will be sharing our collective progress on Dreams to Reality: Culture and Practice Transformation.

Cheers!

Michelle

Wesorick, B. (2011) – Beyond Technology: Making Machines the Servants of Health Care in The Power of Ten: Nurse Leaders Address the Profession’s TEN MOST PRESSING ISSUES (pgs 18 & 25).Sigma Theta Tau International, Indianapolis, IN.

Posted in: CPM Consortium, Interdisciplinary Practice, Nursing Informatics 0 comments

The Road More-Traveled: Life as Elsevier CPM’s CPPO

by Michelle Troseth

Do you ever wake up and wonder what city you are in? Let alone country!?

The past several weeks have been filled with non-stop travel for conferences, speaking engagements, meetings and connections that have been nothing short of timely and sometimes amazing. Seemed like a great idea to blog about some of my “road-warrior experiences” as Elsevier CPM’s chief professional practice officer (CPPO) since I have seemed to be “blog-challenged” with the back-to-back travel.

My travel journeys began back in July with Sigma Theta Tau International (STTI)’s 22^nd International Nursing Research Congress: Leading the Global-Research Interface in the New Millennium held in Cancun, Mexico. As always at the Research Congress there was great presentations and networking. There was a strong focus on Simulation this year in the tracks and concurrent sessions throughout the conference. I was pleased to present “Innovative Strategies to Incorporate Evidence-Based Practice and Health Information Technology” as well as be present with Elsevier colleagues to exhibit and share updates on the leadership development program sponsored and managed through a partnership between STTI and The Elsevier Foundation designed for aspiring nursing education leaders who are currently within the first four years of their academic career. Also exciting was the new book being featured, THE POWER OF TEN 2011-2013: NURSE LEADERS ADDRESS THE PROFESSIONS TEN MOST PRESSING ISSUES, in which me, Bonnie Wesorick, and several other colleagues are quoted for sharing perspectives on the top ten issues impacting nursing and healthcare today (great gift idea for colleagues!). Lastly, it was announced that the 23^rd International Nursing Research Congress will be in Australia in 2012!

A flight from Cancun, Mexico found my next stop in San Diego, CA to attend and present at the Health Forum and American Hospital Association Leadership Summit. There were several clients and speakers that were so good to connect with as well as present with Kaiser Permanente. Valerie Fong, MSN, RN from Kaiser and me presented a poster on “Shifting the Focus of Technology from Transactional to Transformational at the Point of Care.” Valerie and I presented the journey between Kaiser and CPM emphasizing the importance on partnerships to achieve sustainable transformation at the point of care.

Next stop Baltimore, MD for the University of Maryland’s School of Nursing Summer Institute for Nursing Informatics 21^st (SINI) Annual Conference: Real Meaningful Use – Evolution or Revolution? Highlights included friend and colleague Nancy Staggers announcing a $1 Million Dollar bequest for an endowed professorship in nursing informatics. There were several other highlights at SINI including a TIGER gathering at Dr Marion Ball’s home; CPM Consortium presentations by North Shore Long Island Jewish Health System, Baylor Health System, Blessing Hospital; my presentation on “Integrating Clinical Decision Support a the Point of Care: A Look into the Future”, and an Oriole’s baseball game.

My last trip as CPPO was to QuadraMed’s User Group Conference in San Antonio, TX. I had the privilege of opening QuadraMed’s Clinical Practice Council as a guest speaker and stay engaged with clinical leaders for the next several days. Elsevier CPM is an exclusive partner of QuadraMed’s in providing evidence-based interdisciplinary clinical documentation to diverse client settings. The Elsevier CPM exhibit was very busy with many opportunities to partner with hospitals around the country and world. In September I will be introducing the CPM Framework™ and Models to the QuadraMed Physician Advisory Board thanks to QuadraMed’s chief medical officer Joe Bormel, MD, MPH. Check out Joe’s blog on Healthcare Informatics blog site.

Later this week I will be sharing the recent visit of a legislative workgroup to a CPM hospital in Texas – stay tuned for more travel stories!

Cheers,

Michelle