My mother was a wonderful person. She was funny, generous, loving, attractive, creative…and one of my best friends. Alzheimer’s disease changed everything.

As an RN, I have been prepared to take care of patients and respond to physical, emotional and spiritual needs. I was not prepared to be a daughter losing her mother over a period of 10 years to a cruel disease. I cannot adequately describe what it feels like to watch someone you love lose all of those special qualities that made her the person that she was. I was grieving her loss while she was still alive. As a nurse, I knew that this disease was following the expected course. However, the daughter part of me struggled. It was devastating the first time she forgot my name. As time went on, she forgot how to do even the simplest things…changing her clothes, brushing her teeth, taking a shower. She forgot that she was a mother and looked at me as a rival…not as her daughter. She forgot that she was married and did not remember my father. Home was no longer a comfort for her…it was unfamiliar. She came to refuse my efforts to help her and care for her. Although I knew it was the disease, the pain was still there for me.

One thing she did not lose was her love of God. Even in her last months of life, she retained that love and talked about God. It was pretty amazing. Our faith has been a central part of all of our lives. God provided strength for my father and I to be on the journey with my mother and He continued to care for her. I lost my mother to this dreadful disease in 2010. I still miss her, but she is at peace. I would never wish her back as she was in the later years of her life, but I am so thankful and blessed to have had her as my mother…and one of my best friends.

Michelle has been employed by CPM for nearly 7 years. She is a graduate of Butterworth School of Nursing, holds a BSN from University of Detroit/Mercy and a Master’s Degree in Management from Aquinas College. Michelle’s clinical experience has been in several different areas of Obstetrics, including Antepartum, Antenatal Testing, Labor & Delivery and Postpartum.  She also has experience in case management within the ambulatory OB/GYN clinic setting.  Michelle contributes her expertise to many evidence-based content development projects with her specialty focus being Obstetrics and Newborn care. She currently holds the position of Product Director for both CPM CarePoints Guidelines™ and CarePoints Emergency™ products.

In getting ready to put 2011 away as another successful year, we at CPM are excited about what 2012 will have in store for the field of health care.

Looking at McNickle’s article regarding EMR usability, we believe, wholeheartedly, in the statement that “usability should be considered more than just user satisfaction”.  With the upcoming ARRA Stage 2 and 3 criteria, the movement for health care provider and hospitals to realize that their current systems may not be perfect is facing many organizations.

The parallel benefits of supportiveness, flexibility, ease of learning, effectiveness and efficiency, all mentioned by McNickle, are tenets we hold to be true at CPM.  It’s been said that quality is in the patient’s eyes and with our business supporting humanity; we have not only a great opportunity to deliver this quality, but also a great responsibility.

With the EMR evolution lying in the users’ hands, we at CPM look to have all of the intended audiences work together to make the future; consumer and quality driven.    Realizing that EMR implementation and the CPM Framework are just tools to help healthcare organizations accomplish their patient care goals I would like to draw attention to what Dr. Steve Waldren, MD states in a recent Healthcare IT News article:

“Most people think an EMR solves problems, but an EMR will only amplify problems that already exist in the practice”.

CPM has based the intentional design of the EMR on knowing, at a deep level, the professional practice and workflow needs of an interdisciplinary care team, and has continued to evolve the depth and breadth of that design as the needs of patients, clinicians and organizations evolve.  As 2012 approaches we look forward to a great year for us in terms of continually supporting our consortium clients and welcoming new hospitals and other healthcare settings into our transformation science methodology of creating better usability and care coordination across the continuum of care.

We support this week’s announcement by Health and Human Services which moves the start date for Stage 2 of the meaningful use program from 2013 to 2014.  While this decision will relieve burdens for those who attested to meaningful use in 2011, it also provides more time for vendors and providers/hospitals to prepare to meet the new proposed rules (Stage 2 meaningful use Notice of Proposed Rulemaking (NPRM) which is scheduled to be published in February of 2012.  At CPM, it is our hope that this delay will also help us, our consortium, and our HIT partners focus on improved usability to best support clinicians and patients thereby creating meaningful care.  There is no question that we all want to “get it right”.

We hope the rest of 2011 will be good for everyone and we look forward to being a part of your 2012.  For those of you that will be attending Institute for Healthcare Improvement’s (IHI’s) 23^rd Annual National Forum, please stop by our Storyboard Presentation Achieving Meaningful Use in Healthcare: The Road to Meaningful Care.  The CPM Consortium has been an active IHI National Node since 2005 and I look forward to seeing many of our consortium members there who are sharing in the mission to create the best practices to improve quality in healthcare.

Blessing to you and yours,

Michelle

Grand Rapids, November 15 2011 - Elsevier (www.elsevier.com), the leading global provider of scientific, technical, and medical information products and services announced that Bonnie Wesorick, Founder and Chairman Emeritus, Clinical Practice Model Resource Center (CPMRC), is this year’s recipient of the Edith Moore Copeland Award for Excellence in Creativity. CPMRC is an Elsevier-owned company that has brought healthcare providers together to co-create and sustain the best places to practice and receive care.

“Bonnie is a true visionary and her creative models, conceptual frameworks and strategies have been ahead of their time, providing future direction in healthcare quality improvement,” said Michael Hansen, Chief Executive Officer of Elsevier Health Sciences. “It’s great to see Bonnie recognized for helping to create the movement toward point of care integration and scope of practice clarity in the clinical setting.”

The Copeland Award is one of six Founder’s awards bestowed by The Honor Society of Nursing, Sigma Theta Tau International (STTI) and is one of the highest honors bestowed by STTI. The award celebrates the advancement of nursing through creativity in education, practice and research. Award criteria include demonstrating creative activity in nursing education, practice or research, participating in creative activity that serves as a stimulus for research, practice and education; and fostering creativity in people such as colleagues, students, clients and other health care providers.

Bonnie received the award for creating a Clinical Practice Model (CPM) Framework to help guide advancements in nursing. She soon expanded the Framework to include other disciplines and the entire care team at a time in healthcare when hospital organizations were accustomed to working in silos. With the CPM Framework, core beliefs, principles, theories, and healthcare best practices have all been synthesized into concise models that help clinicians and leaders affect sustainable change across the healthcare organization. Hallmarked at the award ceremony was Bonnie’s leadership and vision for bringing the first evidence-based automated clinical documentation system to healthcare designed to serve patients and clinicians. This transformation leads to positive outcomes for patients and their families, caregivers and the healthcare community at large.

###

About CPMRC

The CPM Resource Center (CPMRC) offers content, processes, tools and services that support practice advancement, cultural transformation, infusion of evidence-based care, and interdisciplinary integration at the point of care. CPMRC’s evidence-based products and professional services assist healthcare organizations in creating a healthy work culture and interdisciplinary integration using the CPM Framework™ that supports cultural and professional practice for sustainable healthcare transformation. The International Consortium of over nearly 300 rural, community and university settings connects clinicians and leaders to advance clinical scholarship and research. Practice-Education Partnerships bridge the transition from education to practice in schools of Nursing and Allied Health focusing on interprofessional education (IPE) and interdisciplinary collaborative practice. CPMRC is a business unit of Elsevier. For more information on CPMRC, please visit www.cpmrc.com.

About Elsevier

Elsevier is a world-leading provider of scientific, technical and medical information products and services. The company works in partnership with the global science and health communities to publish more than 2,000 journals, including The Lancet (www.thelancet.com) and Cell (www.cell.com), and close to 20,000 book titles, including major reference works from Mosby and Saunders. Elsevier’s online solutions include SciVerse ScienceDirect (www.sciencedirect.com), SciVerse Scopus (www.scopus.com), Reaxys (www.reaxys.com), MD Consult (www.mdconsult.com) and Nursing Consult (www.nursingconsult.com), which enhance the productivity of science and health professionals, and the SciVal suite (www.scival.com) and MEDai’s Pinpoint Review (www.medai.com), which help research and health care institutions deliver better outcomes more cost-effectively.

A global business headquartered in Amsterdam, Elsevier (www.elsevier.com) employs 7,000 people worldwide. The company is part of Reed Elsevier Group PLC (www.reedelsevier.com), a world-leading publisher and information provider, which is jointly owned by Reed Elsevier PLC and Reed Elsevier NV. The ticker symbols are REN (Euronext Amsterdam), REL (London Stock Exchange), RUK and ENL (New York Stock Exchange).

Within the CPM Framework™ and its Health Informatics Model, we address the entry of not only data but taking that data and making it something meaningful for all members of the interdisciplinary team. At the top of this hierarchy of data entry and utilization is wisdom, which is really the foundation for the meaningful use movement at the center of ARRA’s HITECH Act. Without wisdom driven by data, data for data’s sake is pretty much worthless as a driver of outcomes. I liken it to trying to drive a car without an engine. You could have the latest automobile import with all the bells and whistles, but without the engine you aren’t going anywhere (see, a metaphor!). In this case the engine is the wisdom that is the ultimate outcome of gathering data within any HIT software system.

Where wisdom is concerned we need to think of how we get to this level of data utilization. CPM’s evidence-based documentation and care planning within the CPM Framework™ is designed intentionally to drive outcomes by data entry grounded on the foundations of content and practice interoperability. Content interoperability involves the use of consistent professional data (content) that is exchanged accurately and effectively within the technological systems across the continuum of care.  Practice interoperability supports utilizing a professional practice framework with tagged-data to guide care and exchange patient information amongst the interdisciplinary team across all clinical settings (2009, 2010, 2011; CPM Resource Center).

What if I, as an RN, document a respiratory assessment that both shares, as well as documents, the same information (same row/observation/result) with the RT? Historically disciplines have documented their own assessments, evaluations, and interventions in a silo—with neither of the two concepts ever meeting. This was not uncommon in the paper world or even poorly designed online documentation systems already in use. Often the patient suffers from this design, as he or she has to live through numerous respiratory assessments over the course of the day since the RN and the RT don’t use the same set of data to capture the assessment detail. This same issue is pervasive with historical data about the patient. The CPM Framework™ and intentionally designed automation (IDA™) dictates that regardless of what member of the interdisciplinary team enters the data, the data is shared both with content AND practice interoperability. This paradigm shifts for many organizations can be challenging, but behind the movement is taking data and using it to drive wisdom for the patient and indeed outcomes related to overall interdisciplinary patient care. When all members of the care team are on the same page we actually begin to put the patient at the center, rather than centering on our individual disciplines activities dictated throughout the shift or episode of care.

To address the bewildering title and why I chose this metaphor “Practice and Documentation in the 4^th Dimension”, let me explain the first two dimensions. When we used to document on paper it was limited in that we entered data physically on the paper and signed/dated so we could locate the assessments and interventions we performed (documenting two dimensionally). This is usually done by each and every member of the healthcare team and often, if not always, was siloed and kept in different tabs in the same chart or in another chart. Many organizations have moved these two dimensional concepts online with flowsheets or notes functionality. Often with this migration we take common observations/rows/results and share them between documents so we minimize duplication within nursing documentation (most of the time allied health isn’t invited to the party)—this could be thought of documenting in the 3^rd dimension. What is different with CPM documentation and care planning is that it driven practice and documentation to the fourth dimension, which helps clinicians live practice interoperability. This fourth dimension is where few others have ventured. It’s sort of like “going where no one has gone before” to quote a famous pop vernacular. So, to all those have ventured to the 4^th dimension—“Second star to the right…and straight on ’til morning.”

Cheers,

Chad

GRAND RAPIDS, MI – October 24, 2011 – Elsevier / CPM Resource Center (CPM), a leader in developing clinical decision support tools for healthcare, announced today the availability of CPM CarePoints Emergency™. The product is a new component of the CPM CarePoints™ collection, a pre-built, implementation-ready solution that provides a framework for evidence-based care and documentation tools across clinical domains.

With more than 125 evidence-based clinical practice guidelines, CPM CarePoints Emergency is organized through utilization of the CPM Framework™ and is designed to integrate evidence-based content into practice in order to support clinical decision-making within an emergency department setting. The solution contains content for the adult and pediatric population, as guidelines range from abdominal pain to upper extremity injury, while content includes information on triage, patient profile, risk screening, primary and secondary clinical assessment and procedure/intervention summaries.

“CarePoints Emergency strategically serves healthcare organizations and professionals as they manage patients and document processes in the emergency department, all of which are necessary to achieve meaningful care goals,” said Diane Hanson, RN, BSM, MM, Executive Vice President and General Manager of CPM. “With this comprehensive solution, healthcare professionals can continue to work towards overall improvement of quality of care, data interoperability and seamless longitudinal care coordination for patients.”

CarePoint Emergency can be integrated with other “CarePoints” within the CPM CarePoints solution –inpatient, pediatrics, obstetrics and critical care – to provide a key benefit of a comprehensive, seamless workflow between departments and care venues. When integrated, the overall solution offers clinical decision support, advancing the use of health information technology, making meaningful the risk screening, planning, recording and tracking of recommended care steps and monitoring a patient’s condition meaningful.

Other key benefits include:

• Potential reduction in re-admission rates
• Improvement in quality of care and patient safety
• Strategic decision making regarding a patient’s admittance
• Seamless transition of care and interoperability
• Support of standardization and consistency of care between departments

For more information about CPM CarePoints Emergency and CPM CarePoints, including purchasing information, visit http://www.cpmrc.com/solutions/cpm-carepoints/

###

About Elsevier CPM Resource Center

For more than 25 years, Elsevier CPM Resource Center (CPM) has been offering evidence-based, interdisciplinary clinical practice guidelines, care planning and documentation at the point of care.  Based on the CPM Framework™, these EMR compatible and web-based solutions are developed and maintained by expert interdisciplinary colleagues, and tested/validated through a Consortium of nearly 300 member hospitals. In addition, the company offers Practice Transformation services to assist organizations with clinical practice advancement, team-based care and EMR implementation and adoption.  CPM is a business unit of Elsevier, the world’s leading provider of science and health information.  For more information, visit www.cpmrc.com.

About Elsevier

Elsevier is a world-leading provider of scientific, technical and medical information products and services. The company works in partnership with the global science and health communities to provide more than 2,000 journals, including The Lancet (www.thelancet.com) and Cell (www.cell.com), and close to 20,000 book titles, including major reference works from Mosby and Saunders. Elsevier’s online solutions include SciVerse ScienceDirect (www.sciencedirect.com), SciVerse Scopus (www.scopus.com), Reaxys (www.reaxys.com), MD Consult (www.mdconsult.com) and Nursing Consult (www.nursingconsult.com), which enhance the productivity of science and health professionals, and the SciVal suite (www.scival.com) and MEDai’s Pinpoint Review (www.medai.com), which help research and health care institutions deliver better outcomes more cost-effectively.

A global business headquartered in Amsterdam, Elsevier (www.elsevier.com) employs 7,000 people worldwide. The company is part of Reed Elsevier Group PLC (www.reedelsevier.com), a world-leading publisher and information provider, which is jointly owned by Reed Elsevier PLC and Reed Elsevier NV. The ticker symbols are REN (Euronext Amsterdam), REL (London Stock Exchange), RUK and ENL (New York Stock Exchange).

The Elsevier Clinical Practice Model (CPM) Resource Center submitted written comments on September 23, 2011 on the advanced notice of proposed rulemaking (ANPRM) entitled, “Metadata Standards to Support Nationwide Electronic Health Information Exchange” posted in the Federal Register on August 9, 2011.

Building off of CPM’s comments on the President’s Council of Advisors on Science and Technology (PCAST) Report submitted on January 19, 2011, we believe there is a need to “think differently” about a universal exchange language in order to expedite the exchange of meaningful patient information both between professionals and between healthcare settings.

CPM’s interest in the PCAST Report and the Office of the National Coordinator for Health Information Technology’s (ONC’s) subsequent work to develop metadata standards stems from our work as the only provider of evidence-based clinical content solutions and services that are built on a proven professional practice framework.  Elsevier CPM Resource Center works with a growing healthcare consortium to develop standardized tools and resources to minimize duplication and repetition and to prevent potential medical problems for patients.  The CPM Framework™ consists of six clinical practice models that can be applied across the continuum of care.  These practice models are:  (1) Health and Healing Model; (2) Applied Evidence-Based Practice Model (with evidence-based guidelines for chronic care); (3) Health Informatics Model (with integrated care processes and documentation); (4) Partnership Culture Model; (5) Interdisciplinary Integration Model; and (6) International Consortium Model.

CPM has unique experience with an updated and unified relational database that stores tagged data elements for comprehensive care planning/coordination and documentation of clinical services by a diverse interdisciplinary team.  This database can be used in virtually any health information technology system.  The result is standardized clinical documentation support that is evidence-based and designed to capture individual details at the patient level.  The content of the database is available in XML, and each data element is tagged to allow integration into a facility’s EHR.  In addition, each tagged data element supports practice and content interoperability by supporting common terminology and language for comprehensive patient information exchange.  Today, nearly three hundred healthcare settings use the CPM Framework™ embedded within their health information technology systems with proven results of increased care coordination, reduced medical complications and decreased costs. 

Elsevier CPM Resource Center also urged ONC to consider using metadata to tag evidence-based clinical content and the National Quality Forum (NQF) e-quality measures related to specified diagnostic conditions to achieve performance-related standards.  We also advocated for the inclusion of NQF’s ten care coordination performance measures (2010) and the nurse sensitive outcomes as delineated by the American Nurses Association (ANA) on pressure ulcers as key performance indicators.

We hope to see some of our hundreds of consortium sites engaged in future piloting of metadata standards and patient information exchange because of the robust and standardized CPM content.  Together we can demonstrate how the PCAST vision can be realized and play a significant role in expediting what could be a long and lengthy process.  In so many ways we are living the future today and we hope to serve in creating paths to the future of healthcare tomorrow. 

Cheers!

Michelle

GRAND RAPIDS, MI – September 12, 2011 – Elsevier / CPM Resource Center (CPM), a leader in developing clinical decision support tools for healthcare, announced today that it will integrate its evidence-based clinical practice guidelines and documentation solution into the electronic medical record (EMR) system at Medcenter One, a non-profit integrated health system located in central and western North Dakota. CPM CarePoints, a pre-built, ready-to-implement clinical decision support solution, will be optimally designed and deployed within Medcenter One’s McKesson EMR.

“As we fully utilize our EMR system we wanted to ensure that we had high quality, clinical documentation and clinical practice guidelines built right into the system,” said Jan Kamphuis, Medcenter One’s chief nursing officer. “We already have a relationship with CPM, and we knew that evidence-based clinical content organized to support professional practice would be an even greater value to the overall organization if it was integrated into our EHR and available electronically throughout our health system.”

An industry-proven solution that can be integrated into any EHR system, CPM CarePoints provides an all-inclusive framework for implementing evidence-based care and documentation tools for nursing and allied health professionals. CPM CarePoints offers several functions, including automated electronic documentation and tools that make planning, assessing, recording and tracking recommended care steps efficient and evidence-based. Organizations can be assured they are meeting the most current quality standards and regulations to ensure compliance and improve patient outcomes.

“Through use of evidence-based medicine that is integrated seamlessly within the EMR, we will move  Medcenter One closer toward meaningful use of health information technology and meaningful care of patients,” said Diane Hanson, executive vice president and general manager for CPM. “Our solution is designed as an interdisciplinary patient care tool, so clinicians can utilize the applications for care coordination, communication and as a source of care guidance in the scope of clinical responsibility.”

CPM CarePoints can be easily built into any existing EHR system, so hospitals such as Medcenter One are able to work with CPM directly to guarantee the highest quality content and optimal electronic care planning and clinical documentation solution for their organization.

For more information about CPM CarePoints, visit: http://www.cpmrc.com/solutions/cpm-carepoints/

About Medcenter One

Medcenter One is a non-profit, integrated health system that consists of a 232-bed hospital in Bismarck, N.D., a multi-specialty clinic, a college of nursing, six primary care clinics, three occupational health clinics, three kidney dialysis centers, four long-term care facilities and a comprehensive group of ancillary health services in western and central North Dakota. Key accreditations and quality awards include: Joint Commission, American College of Surgeons Level II Emergency and Trauma Center and Magnet Recognition Program®.

About Elsevier CPM Resource Center

For more than 25 years, Elsevier CPM Resource Center (CPM) has been offering evidence-based, interdisciplinary clinical practice guidelines, care planning and documentation at the point of care.  Based on the CPM Framework™, these EMR compatible and web-based solutions are developed and maintained by expert interdisciplinary colleagues, and tested/validated through a Consortium of nearly 300 member hospitals. In addition, the company offers Practice Transformation services to assist organizations with clinical practice advancement, team-based care and EMR implementation and adoption.  CPM is a business unit of Elsevier, the world’s leading provider of science and health information.  For more information, visit www.cpmrc.com.

About Elsevier

Elsevier is a world-leading provider of scientific, technical and medical information products and services. The company works in partnership with the global science and health communities to provide more than 2,000 journals, including The Lancet (www.thelancet.com) and Cell (www.cell.com), and close to 20,000 book titles, including major reference works from Mosby and Saunders. Elsevier’s online solutions include SciVerse ScienceDirect (www.sciencedirect.com), SciVerse Scopus (www.scopus.com), Reaxys (www.reaxys.com), MD Consult (www.mdconsult.com) and Nursing Consult (www.nursingconsult.com), which enhance the productivity of science and health professionals, and the SciVal suite (www.scival.com) and MEDai’s Pinpoint Review (www.medai.com), which help research and health care institutions deliver better outcomes more cost-effectively.

A global business headquartered in Amsterdam, Elsevier (www.elsevier.com) employs 7,000 people worldwide. The company is part of Reed Elsevier Group PLC (www.reedelsevier.com), a world-leading publisher and information provider, which is jointly owned by Reed Elsevier PLC and Reed Elsevier NV. The ticker symbols are REN (Euronext Amsterdam), REL (London Stock Exchange), RUK and ENL (New York Stock Exchange).

 The National Conference of State Legislatures (NCSL) has formed a committee through the NCSL Foundation for State Legislatures Partners Project for Transforming Health Care through Technology.  The committee is co-chaired by Senator Richard Moore, Massachusetts and Representative David Clark, Utah – with steering committee members from state legislatures and private partners including Reed Elsevier.  The NCSL Legislative Summit was held in San Antonio, TX August 8-11 where the committee had a face-to-face meeting as well as went on a site visit showcasing Elsevier’s CPM Framework™ and Models with an electronic health record.  University Health System (UHS) utilizes CPM as part of their clinical documentation to provide evidence-based care planning and clinical care coordination as well as support their Magnet Recognition.

The NCSL Committee members were welcomed by UHS Executive Leaders including George Hernandez Jr, President; Bill Phillips, VP/Chief Information Officer; and Nancy Ray, VP/Chief Nursing Officer.  The focus of the meeting was to share information about UHS – as well as their technology and practice transformation journey.  From there the committee split up into 3 groups, touring a Surgical Intensive Care Unit, a Transplant Unit, and a Neonatal Intensive Care Unit where bedside nurses showed their electronic health record and spoke to the benefits of having evidence-based guidelines at their finger tips as well as plan and document individualized care for each patient and family.  UHS uses Allscripts as their HIT vendor and their product Knowledge-Based Charting™  is a combination of CPM CarePoints™ (evidence-based content) within the Allscripts Sunrise Clinical Manager platform. 

It is very important to educate those serving in healthcare policy roles as to the significance of not only health information technology, but also the significance of clinical decision support infrastructures and content, interdisciplinary coordination, and cultures that support patient-centered meaningful care. The NCSL committee focused on learning more about health information technology as a transformational tool and was extremely pleased with the visit – to read more about it please read the NCSL Press Release.   The visit concluded with a photo on the UHS helipad in very HOT weather! 

Special thanks to University Health System team members (George Hernandez Jr, Leni Kirkman, Bill Phillips, Nancy Ray, Evelyn Swenson-Britt, Susan Gerhardt, Rachel Rivas, Michael Payne, Ogla Giddens, Irene Lopez, Natalie Davis and Eva Balboa) for hosting this very significant site visit.  I also would like to thank Caroline Carlson (NCSL), Beth Cooley (Reed Elsevier), Diane Hanson (Elsevier CPM Resource Center) and Diane Bradley (Allscripts) for supporting the event.

Cheers,

Michelle

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

Greetings!  Welcome to my blog to update everyone on the many exciting things happening to advance Interprofessional Practice and Education in the United States as well as an important global event this fall.    Why is there so much attention being given to this at this point in time?  The Patient Protection and Affordable Care Act and models such as the Transitional Care Model, Accountable Care Organizations and the Medical/Healthcare Home are increasing awareness and interest in how teams of interprofessionals can be leveraged to enhance quality, safety and the efficiency of care and how we can prepare the health care workforce of tomorrow to actually deliver care in an interprofessional manner.

On May 10^th the Interprofessional Education Collaborative (IPEC) released the Core Competencies for Interprofessional Collaborative Practice.  These competencies were developed by an expert panel appointed by IPEC.  IPEC is comprised of the American Association of Colleges of Nursing (AACN), the American Association of Colleges of Osteopathic Medicine (AACOM), the American Association of Colleges of Pharmacy (AACP), the Association of American Medical Colleges (AAMC), the American Dental Education Association (ADEA) and the Association of Schools of Public Health (ASPH).  Click here to review the report.   When I reviewed the competencies put forth by IPEC I was thrilled to see how the CPM Framework™ and Models align with and supports these competencies.

The Core Competency general statements are as follows:

Values and Ethics for Interprofessional Practice: Work with individuals of other professions to maintain a climate of mutual respect and shared values.

Role and Responsibilities: Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needs of the patients and populations served.

Interprofessional Communication: Communicate with patients, families, communities, and other health professions in a responsive and responsible manner that supports a team approach to the maintenance of health and the treatment of disease.

Teams and Teamwork: Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient-/population -centered care that is safe, timely, efficient, effective and equitable.

Team-Based Competencies:  Building a Shared Foundation for Education and Clinical Practice conference was held in Washington, D.C. in February, 20ll.  This conference was convened by the Health Resources and Services Administration (HRSA), the Josiah Macy Jr. Foundation and the Robert Wood Johnson foundation (RWJF) and the ABIM Foundation  in collaboration with the Interprofessional Education Collaborative (IPEC).   During their two day conference more than 80 participants reviewed competencies for interprofessional collaborative practice being developed by IPEC and created an action plan for using the competencies to transform health professional education and health care delivery in the United States.    The action steps they identified for advancing interprofessional education and collaborative care include:

Action Strategy 1:  Communicate and Disseminate

Action Strategy 2:  Develop Interprofessional Faculty and Resources

Action Strategy 3:  Strengthen Metrics and Research

Action Strategy 4:  Develop New Collaborative Academic Practices and New Collaborations with Community Learning sites

Action Strategy 5:  Advance Policy Changes

Click here to access the full report from the conference proceedings.

The Collaborating Across Borders Conference (CAB) III will take place in Tucson, Arizona on November 19-21, 2011.  This is the third United States- Canada joint conference providing a venue for international dialogue around Interprofessional Education and Collaborative Practice.  The conference theme is Interprofessional Collaboration:  From Concept to Preparation to Practice.  Over 400 abstracts were submitted from 10 different countries.

The Elsevier CPM Resource Center will have a strong presence including the following five presentations:

• Interprofessional Education Overview and Readiness Assessment
• Managing the Interprofessional Education and Practice Polarity for Sustainable Change
• New Ways of Thinking and Relating for Interprofessional Healthcare Transformation
• The Electronic Health Record (EHR):  Implications for Interprofessional   Education and Practice
• Interdisciplinary Collaborative Practice Overview and Readiness Assessment

We hope to see you there!  Click here for more information about CAB III.

Lastly, the National Academies of Practice (NAP) will be holding its first Annual Interprofessional Conference, October 14-15, 2011 in Cleveland, OH on the grounds of The Cleveland Clinic Foundation.  Please stay tuned for updates on this important inaugural event!  This will be an open healthcare venue and more information can be found on the NAP website by clicking here.

Wishing you safe collaborative journeys!

Tracy