Description:
Attitudes are changing in practice settings: management and staff realize that they must be on board with information technology and standards. That realization is leading to dramatic modifications in practice, documentation, and information management.

Speaker Information:
Karen Martin, RN, MSN, FAAN
Health Care Consultant, Martin Associates
Kathy Lesh, EdM, MS, RN-BC
Lead Multidiscipline Systems Engineer, The MITRE Corporation
Sue Moorhead, RN, PhD
Associate Professor, College of Nursing, University of Iowa

Objectives:

• - Summarize the standardized terminologies recognized by American Nurses Association
• - Identify a range of experiences implementing standardized terminologies and information technology
• - Describe strengths, barriers, and strategies when transforming data into information and knowledge
• - Summarize the relationship of standards and interoperability to users and vendors

Location:
Convention Center

Room:
303 A

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Description:
The evidence explosion is driving how we measure performance in our acute-care hospitals. Both regulatory organizations such as The Joint Commission and CMS, and voluntary organizations such as the Institute for Health Care Improvement and the National Quality Form, are proposing evidence-based performance measures. This presentation will address implementation and evaluation of these measures.

Speaker Information:
Colleen Goode, RN, PhD, FAAN
Vice President Patient Services & Chief Nursing Officer, University of Colorado Hospital

Objectives:

• Describe the evidence explosion for hospital performance
• Identify nursing infrastructure for evidence-based nursing performance
• Describe measurement of nurse-sensitive outcomes
• Describe work environment measures

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Description:
The overall objective of this session is to explore the current and future use of informational technology to drive quality. The following questions will be discussed. To what extent can knowledge of importance to nursing care be imbedded in an electronic decision support and documentation system? Are these data acquired in a clinical repository? Can this documented nursing data be retrieved from a data warehouse to measure practice, create quality reports and carry out research? Can the nursing data be correlated with other essential data; such as, patient outcomes, CMS Indicators and National Quality Forum Indicators?

Speaker Information:
Norma Lang, FAAN, FRCN, RN
University of Wisconsin Regent Distinguished Professor and Aurora Distinguished Professor of Healthcare Quality and Informatics, University of Wisconsin-Milwaukee College of Nursing and Aurora Health Care

Objectives:

• Explore a future where information technology provides "real time" decision, documentation support, and good data and information
• Discuss the successes and challenges of acquiring essential clinical nursing data
• Review how the clinical data repository and data warehouse of an organization can be used to answer queries about quality
• Describe an information system that provides essential clinical data across venues of care

Room:
304 A

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Description:
This interdisciplinary will explore errors that can be generated by HIT systems and how the impact on workflow can affect quality. These unintended consequences recently, defined as E-iatrogenesis, can be associated with any aspect of a comprehensive HIT system and may involve errors of commission or omission.

Speaker Information:
Lyle Berkowitz, MD
Associate Professor of Clinical Medicine and Medical Director of Clinical Information Systems, Northwestern University's Feinberg School of Medicine
Paul Conlon, PharmD, JD
Sr.V.P. Clinical Quality and Patient Safety, Trinity Health
Pamela Griffith, RN, MBA
Director of Applications, UC Irvine Medical Center
Blackford Middleton, MD, MPH, MSc
Clinical Informatics R&D, Partners Healthcare

Objectives:

• Discuss how the introduction of HIT can lead to unintended consequences
• Describe the clinician's role in systems design and implementation to minimize the negative impact of automation
• Review the key aspects of process redesign in a paper world vs. working together in an electronic world

CEUs Information:
CNE (Continuing Nurses Education )
CPHIMS (CPHIMS Certification)

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Description:
This session describes how technology can help an organization meet Magnet standards and demonstrate the Magnet Forces. A five-hospital health system's experience in a journey to both Magnet and enhanced quality is discussed. The role of nursing and nursing informatics is critical in this journey.

Speaker Information:
Joan Wessman
Chief Nursing Officer, Moses Cone Health System

Objectives:

• Describe information technology opportunities in the Magnet journey
• Discuss the Magnet Forces important to successful IT implementation
• Discuss how IT adoption can facilitate quality improvement efforts

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Description:
As systems evolve over time, their natural tendency is to become increasingly more complex. The exponential rise in healthcare system complexity requires new approaches to problem-solving. New analytical tools designed to identify relationships that aren't apparent with traditional data analysis have been developed by other disciplines such as engineering, biology, and physics. This session will broaden the participant's paradigm of clinical analytics by reviewing results of the application of these tools in a hospital environment such as: identifying the source of variability of length of stay for heart failure patients, predicting the resource utilization impact of a hospitalist program, improve "door-to-balloon" time in patients diagnosed with acute myocardial infarction and optimizing operating room schedules.

Speaker Information:
Thomas Clancy, PhD, RN
Vice President of Professional Services and Clinical Professor, School of Nursing, The University of Minnesota

Objectives:

• Discover chaos in length of stay for patients diagnosed with heart failure using pattern recognition software
• Predict the impact of a hospitalist program on resource utilization for patients diagnosed with heart failure using computational modeling
• Utilize social network analysis to discover knowledge hubs and bridges in cardiology referral networks
• Analyze bottlenecks in surgical scheduling through mass collaboration and wikis
• Integrate simulation based, LEAN Six Sigma to improve emergency department "door-to-balloon" time in patients diagnosed with acute myocardial infarction

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Description:
Electronic medical record adoption has been on the forefront of many medical providers minds since the federal government strongly recommended that most clinics and hospitals have this technology. Several barriers to EMR adoption exist such as financial constraints, provider resistance to EMR adoption, and finally lack of patient privacy/HIPPA concerns. This session will feature a nurse practitioner from New Orleans and her experience with an EMR post Katrina and a physician who implemented an EMR in an ambulatory setting and how he used it in his practice to drive change. It will describe their creative use of technology, how they accomplished it, the challenges of implementation, the benefits and outcomes, and how their practices improved.

Speaker Information:
Scharmaine Lawson-Baker, MSN, FNP-C
President, Advanced Clinical Consultants, LLC
Eric Poon, MD, MPH
Corporate Manager for Information Systems and Associate Physician, Partners Healthcare

Objectives:

• Review the implementation of an EMR into their current practice
• Discuss the advantages of EMR adoption
• Discuss how to overcome barriers to EMR adoption

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Description:
Children's Hospital and Regional Medical Center is an academic, 250 bed regional medical center with over 170,000 specialty outpatient visits per year. The presenters will discuss how this medical center has adopted the Toyota Production System principles to redesign work processes to improve patient and family experiences as well as patient care process outcomes. Concepts that will be discussed include the removal of waste, standardization, use of transparency, and use of iterative improvement to create culture change. The presenters will provide examples that show work process redesign that has included front line staff, physicians and families as the agents of change. They will also show how their health care information technology has been used to support the work redesign rather than drive the redesign.

Speaker Information:
Susan Heath
Chief Nursing Officer and Senior Vice President, Patient Care Management, Children's Hospital and Regional Medical Center
Mark Del Beccaro, MD
Pediatrician in Chief and Chief Medical Information Officer/ Vice Chair for Clinical Affairs, Department of Pediatrics, Children's Hospital and Regional Medical Center/ Seattle Children's Hospital

Objectives:

• Detail the principles of lean methodology and its use to change culture
• Discuss how standard work improves quality as measured by the IOM dimensions of quality
• Discuss how health information technology is an accelerator of standardization and hence quality

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Description:
Presentation of awards.

Speaker Information:
Joyce Sensmeier, MS, RN, BC, CPHIMS, FHIMSS
Vice President, Informatics, HIMSS
Charlotte Weaver, RN PhD, VP and Executive Director
Nursing Research, Cerner Corporation

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Description:
This session will provide results from a national, multi-site study of medical surgical units in 36 hospitals. The objective of this study was to identify specific environmental variables of the acute care nursing workplace that can be altered to positively impact nursing direct care activity and ultimately, patient safety.

Speaker Information:
Ann Hendrich, RN, MS, F.A.A.N
Robert Wood Johnson Fellow, Vice President, Clinical Excellence Operations, Ascension Health System

Objectives:

• Describe how medical surgical nurses spend their time in value added and non-value added activities
• Compare and contrast the relationship and association of unit characteristics (including technology) between the various unit types and layouts
• Discuss the study implications as it relates to technology and the Electronic Health Record (EHR)

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