Register online: www.ania-caring.org

2010 ANIA-CARING ConferencePlanning Committee

Conference ChairJames J. Finley, MBA, BSN, RN-BC

San Francisco, CALisa Anne Bove, MSN, RN-BC

Raleigh, NCVictoria Bradley, DNP, RN, FHIMSS, CPHIMS

Lexington, KYDebra Fortin, M.Ed, RNC, CNOR

Boston, MADaniel Gracie, MSN, RN

Charleston, SCLibertad (Liberty) Rovira, MN, RN-BC, CPHIMS

Melbourne, FLSally S. Russell, MN, CMSRN, CPP

Anthony J. Jannetti, Inc. Education Director

Pitman, NJPatrick Shannon, MS, RN, CPHIMS

Alexandria, VA

This educational activity is co-provided by Anthony J. Jannetti, Inc.Anthony J. Jannetti, Inc. is accredited as a provider of continuingnursing education (CNE) by the American Nurses’ CredentialingCenter’s Commission on Accreditation (ANCC-COA).Anthony J. Jannetti, Inc. is also a provider approved by theCalifornia Board of Registered Nurses, provider number CEP 5387.Licensees in the state of CA must retain this certification for fouryears after the CNE activity is completed.Accreditation status does not imply endorsement by the provideror ANCC of any commercial product.

Continuing Nursing Education/AccreditationPre-Conference Full Day Workshops

6.5 – contact hoursPre-Conference Half Day Workshops

3.75 – contact hoursDay 1 – 6.0 contact hoursDay 2 – 7.0 contact hoursPoster Presentations – 2.0 contact hours

Maximum total contact hours available: 20.5

Poster Presentations – 2 Contact HoursOver 35 Poster Presentations will be available for viewing and networking. It is exciting to see the work beingaccomplished across the nation. Please join these individuals as they share their accomplishments and les-sons learned.“People’s Choice Award!” Attendees will have the opportunity to vote for the poster that best represents thisyear’s theme, and the winning poster will be announced at Saturday’s closing session and awarded with onecomplimentary registration for the 2011 ANIA CARING Conference in Las Vegas, Nevada.

Conference ObjectivesAt the conclusion of the conference, atten-dees will be able to:1. Discuss the opportunities and challenges

for nursing informatics as a result of theHealth Care Stimulus Package.

2. Identify opportunities in education andcareer development for nurse informati-cists.

3. Discuss strategies for improving systemimplementations and adoption.

4. Describe methods to measure the impactclinical information systems have on clini-cians and patients.

5. Discuss innovations in nursing informatics.

Re-Evolution in NursingInformatics

Westin Boston WaterfrontBoston, MA • April 22-24, 2010

Greetings and Welcome to the 2010 ANIA-CARINGAnnual Nursing Informatics Educational Conference!

As many of our members already know, the merging of ANIA and CARING into a single organiza-tion in 2010 is architected to revolutionize and strengthen the commitment to advance our field ofnursing informatics. Each organization has a history of advancing our field through communication,education, research, and professional activities. Following this mission, the ANIA-CARING AnnualConference continues to serve as one of our major events toward fostering professional develop-ment though education. We are excited to host this year’s conference in Boston, MA, on April 22-24,2010, and it only seems fitting that we have themed this year’s event as a Re-Evolution in NursingInformatics. Participants will have opportunities to learn and share ways to “re-evolve” or transformour health care systems. In the spirit of this celebration, we invite all attendees to our ANIA-CARINGBoard Welcome Reception on Thursday evening and the first official regional membership meeting ofthe merged organization.

This year’s conference will be held in the incredible Westin Boston Waterfront. New this year will bean optional networking event on Friday, April 23rd, where we expect many to connect with peersfrom across our community and exchange ideas in an entertaining, historic, and scenic milieu.

This meeting also coincides that with the call for meaningful use of information technology fromthe U.S. HITECH Act provisions of the American Recovery and Reinvestment Act of 2009. This legisla-tion supports our belief in the critical role of information technology and the role of nursing infor-matics in the successful creation, selection, deployment, implementation, and evaluation of HIT. Ourkeynote and special session speakers have been chosen specifically because of their ability to reflectthe importance of nursing informatics in these endeavors.

We have again expanded the pre-conference session offerings on April 22nd, by repeating two oflast years’ successful sessions and adding new half day sessions. These are significant interactiveopportunities to gain additional breadth and depth in core topics, as well as have the chance tomeet colleagues through group activities and exercises.

More than 20 continuing nursing education hours are available, and there are four key tracks:Education/Career Development, Innovations in Nursing Informatics, Improving SystemsImplementations, and Contributions to Patient Care. We will have supplementary poster sessions andask all attendees to participate in a peer-judging for our People’s Choice Poster scholarship award.Our exhibitors will showcase the latest developments and allow you time to share and provide feed-back on how the industry is meeting your needs.

The ANIA-CARING 2010 Annual Conference is an excellent venue for communicating and connect-ing with your peers, attending educational events to bring back new knowledge pertinent to yourrole, discussing the latest research and developments related to our field, as well as fostering yourprofessional development and promoting your involvement as a nursing informatics leader. We lookforward to seeing you in Boston!

Victoria Bradley, DNP, RN, FHIMSS, CPHIMS Jerry Chamberlain, MS, RN-BCPresident, ANIA-CARING Vice President, ANIA-CARING

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Thursday, April 22, 2010

7:30 a.m. – 7:00 p.m. Registration Open 8:00 a.m. – 4:00 p.m. Full-Day Pre-Conference Workshop

6.5 Contact Hours(Lunch Not Included)

010 Writing for Publication TutorialCarlene Anteau, MS, RNKathleen Kimmell, RN, MHA, FHIMSS

This session is designed to combat common barriers by offering practicalknowledge and skills, as well as proven techniques to help informatics pro-fessionals author insightful and publishable manuscripts. Informatics pro-fessionals are at the cutting edge of transforming health care and of innova-tions in care delivery using information systems and technology. By helpingparticipants share best practices and accomplishments, the standard ofexcellence in health care can be elevated worldwide. This workshop beginswith practical application of writing theory and concludes with group writingexercises designed to jump-start the writing process. All disciplines are wel-come.

8:00 a.m. – 12:00 p.m. Half-Day Pre-ConferenceWorkshops – 3.75 Contact Hours

020 Substantiating Value: Evaluation Tools in HIT Implementation –Questionnaires and Focus GroupsVictoria Bradley, DNP, RN, FHIMMS, CPHIMSSteve Shaha, PhD, DBA

This session will provide participants with guidance and tools for obtainingquantitative (questionnaire) and qualitative feedback (focus groups) fromusers of HIT. Participants will gain an appreciation of how feedback loops ofinformation can increase implementation effectiveness, clinician adoption,and achievement of desired outcomes. Acceptance models will be reviewedas a basis for determining survey and focus group topics. Questionnaireexamples of clinician acceptance and satisfaction for HIT projects will be pro-vided, along with a review of strengths and limitations of these tools. Focusgroup techniques are also included as a useful technique to obtain rich infor-mation about user likes and dislikes with HIT. Small group work will be usedto draft questionnaires on CPOE, barcode medication administration, anddocumentation that participants can deploy at their sites. Groups will alsopractice analysis of focus group feedback to uncover meaningful themes toguide current and future implementations. Barriers and strategies to incorpo-rate measurement into implementation project plans will be reviewed.030 Program Management

Lisa Anne Bove, MSN, RN-BCSusan M. Houston, MBA, RN-BC, PMP

Join the authors of the book Project Management for Healthcare Informatics(2008) as they discuss the similarities and differences between program andproject management. This session is intended for those who are comfort-able with the basics of project management and want to build on thoseskills. Program management focuses on managing the interaction andimpact of multiple related projects. Topics to be covered include skills, tools,and tips to successfully manage these associated activities.

1:00p.m. – 5:00 p.m. Half-Day Pre-ConferenceWorkshops – 3.75 Contact Hours

040 Making Change: Understanding the Team MindsetMarina Douglas, MS, RN

In the fast-paced world of clinical systems implementation, change is a con-stant. The impact of change affects projects both from a fiscal as well as apsychological perspective. This workshop is designed for project leaders,project managers, and team leaders to learn and apply the theories ofchange to clinical systems implementations. Discussion of behavior styleswithin teams, and the ability to recognize and channel those behaviorsimpacting project success will be explored. Didactic exercises based on real-world examples and lessons learned will provide participants a supportiveenvironment to apply the content and sharpen their skills.

050 Nursing Informatics Impact on the National HIT AgendaRosemary Kennedy, RN, MBA, FAAN

Connie White Delaney, PhD, RN, FAAN, FACMIJudith J. Warren, PhD, RN, BC, FAAN, FACMI

Three dynamic presenters, with roles at the national policy level, willdescribe their involvement on the National Committee for Vital and HealthStatistics, the HIT Policy Committee, and the HIT Standards Committee.Using their committee work as a backdrop, they will discuss nursing infor-matics contribution to addressing key HIT policy issues today and going for-ward. They will pay special attention to identifying the role that ANIA-CAR-ING and other nursing informatics organizations' members can play. Issuesto be covered will include the American Reinvestment and Recovery Act,meaningful use, health information exchange, interoperability, and stan-dards.

7:30 p.m. – 9:00 p.m. Regional Meetings, Dessert, andWelcome Reception

Friday, April 23, 20106.0 contact hours

7:00 a.m. – 6:00 p.m. Registration Open7:00 a.m. – 8:00 a.m. Continental Breakfast

View Posters8:00 a.m. – 8:15 a.m. Opening Ceremony and Welcome

Address

8:15 a.m. – 9:15 a.m. Opening Keynote Address101 A Boston IT Party – International Re-Evolutions in Nursing

InformaticsPeter J. Murray, PhD, RN, FBCS CITP

Has nursing informatics truly represented its own nature and objectives asa discipline, or has it always been taxed to respond to developments drivenby other disciplines and by political agendas? Can a re-evolution of the dis-cipline contribute to promoting health globally, nationally, and locally? Thispresentation explores a range of issues and developments – societal, scien-tific, technological, and health and disease-related – that affect the nature ofhealth and health care, and thus, nursing and informatics, both internation-ally and in individual countries. It provides an exploration of and raises ques-tions around the future nature of nursing informatics and its relevance tonurses, patients, and people worldwide. Does nursing informatics need arevolution, throwing overboard the dogma of the past 50 years, or an evo-lution, building on its most successful elements?

9:15 a.m. – 11:00 a.m. Coffee Break in Exhibit HallExhibits Open/View Posters

11:00 a.m. – 12:00 p.m. Concurrent Sessions111 The Nurse Informaticist as Uber Tester: One Head, Many HatsECD Terry Lockhart, BSN, RN, MSN

Janet Grennell, RN More and more health care institutions are installing enterprise-wide clinicalinformation systems. This session will provide knowledge of basic testingprinciples, and discuss strategies for testing new and updated software priorto implementation, thereby improving patient safety, providing better clinicaloutcomes, improving overall patient and staff satisfaction, and increasingefficiency. The power of the nurse informaticist in the role of the “UberTester” is to understand the big picture, the team approach, and the com-plexity of the interdependent ecosystem that makes up the health care envi-ronment. An effective testing process engages many hats, many strategies,and ongoing collaboration to predict, as closely as possible, the outcomesof new functionality before it is deployed.

Session TracksECD = Education and Career DevelopmentISI = Improving System Implementation

CPC = Contributions to Patient CareINI = Innovations in Nursing Informatics

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Hub Freeman, BSN, BS, MSA, RN-BC Virginia Riehl, Health Care Manager

The Veterans Health Administration (VHA) has long been a leader in theadoption of electronic health records. VHA is now developing and imple-menting systems that build on the EHR infrastructure to manage the flow ofpatients throughout their inpatient facilities. This presentation will describea nationwide program that provides training, support, and methodologies toenable VA Medical Center staff to study their unique patient flow bottlenecks,identify solutions, and measure their impacts. The organizational changeprocesses that were implemented and the analytic methods used will bedescribed. Lessons learned from VHA's experience and anticipated nextsteps will be discussed. 113 Impacting Patient Care Through the Use of Health InformationCPC Technology

Margaret Mullen-Fortino, MSN, RNCarmelita LeBlanc, BSN, RN Mary Collins

Health information technology has the potential to transform the delivery ofcare through people and organizations, making meaningful use of electron-ic health records. The focus is on the use of the technology to achieve qual-ity outcomes and control costs rather than the technology itself. This pres-entation will describe the process of using information from a critical caretelemedicine electronic health record to improve outcomes of cardiothoracicpatients. A comparison between two hospitals facilitated the development ofbest practices and the emergence of streamlined processes when caring forthe cardiothoracic surgical patient. While collection of data is more efficientwith the use of technology, it is the communication of data back to bedsidepractitioners that provides opportunity for changes in practice and improve-ment in patient care outcomes.114 Data Sharing and Re-Use: Are We There Yet?INI Diane Bedecarre, MS, RN-BC

Murielle S. Beene, BSN, MS, MPH, MBA, RN, PMPBonny Collins, PA-C, MPAPatty Greim, MS, RN-BCJanet Morris, BSN, RN

The Veterans Health Administration employs approximately 75,000 nursingstaff in over 153 medical centers, 750 outpatient clinics, 135 nursing homes,and various other settings. These nurses provide care to over 5.5 million vet-erans. All too often, nurses document the same patient information in mul-tiple places because systems lack a technical solution for informationexchange. Three applications in development for clinical documentation andready to roll out to VA nurses would create additional data silos and dupli-cate documentation. This session will provide an overview of terminologyand detailed clinical models were created to provide consistent representa-tion of meaning, and how clinician review validated the accuracy and com-pleteness of these models.

12:00 p.m. – 1:30 p.m. ANIA-CARING ConferenceAfter the Tea Party Luncheon

1:30 p.m. – 2:30 p.m. Concurrent Sessions131 Connecting the Providers...HIEs, RHIOs, EtceteraECD John Delaney, BSN, RN The ARRA legislation of 2009 declared that to receive federal stimulus funds,organizations/providers shall be "meaningful users" of a certified EMR. Asthe definition of “meaningful use” is developed, it is clear the interoperabili-ty of clinical systems and the ability to exchange clinical data between usersand systems will be required. The ARRA legislation will define required ele-ments to be exchanged that are increasingly difficult to achieve as the yearsprogress. There are many difficult questions to answer and relationships todevelop. This presentation will provide information regarding meaningfuluse requirements as it relates to health information exchange (HIE), statis-tics regarding current state of organized HIEs, risks and rewards of partici-

pation in an HIE, how patients will benefit (can they access their ownrecords?), and nursing informatics opportunities within an HIE organization.132 Clinical Information System Implementation Readiness toISI Support Nursing in Hospital Settings

Ronald Piscotty, MS, RNHuey-Ming Tzeng, PhD, RNGail Keenan, PhD, RN

This study examined the clinical information system (CIS) implementationreadiness activities adopted by chief nurse executives (CNEs) in hospital set-tings. CIS is defined as any electronic database and graphical user interfacethat enables clinicians to streamline, document, and retrieve patient infor-mation. The implementation of CISs has a profound impact on nurses andtheir productivity. Consequently, CNEs must have adequate knowledge toaddress nurses’ concerns related to CIS. Findings of the CIS ImplementationReadiness Model suggest key areas that CNEs should consider when deter-mining readiness of nursing staff for successfully implementing a CIS andwill be discussed.133 Quality Outcomes Data Using a Nursing TerminologyCPC Virginia Saba, EdD, RN, FAAN, FACMI

Luann Whittenburg, MSN, RN-BC, FNP-BCToday’s clinical information systems will measure quality outcomes and theimpact of health care delivery on patient care. This “meaningful use” of elec-tronic health systems will only be achieved within a framework designed fornursing that allows retrieval of atomic-level data concepts into meaningfuloutcomes analysis. The Clinical Care Classification (CCC) System terminol-ogy is the first National Nursing Terminology Standard and represents nurs-ing through coded structured atomic concepts at the smallest and mostgranular level of actions and interventions. This presentation will provide anoverview of the CCC System, which consists of two interrelated nursing ter-minologies – the CCC of Nursing Diagnoses and Outcomes, and the CCC ofNursing Interventions and Actions classified by Care Components. 134 Is Health 2.0 Creating a New Generation of EmpoweredINI Consumers?

Ramona Nelson, PhD, BC-RN, FAAN, ANEF Bonnie B. Anton, MN, RN Debra M. Wolf, PhD, RN

The Internet has opened a new level of access to health care information forboth providers and consumers. In 2009, the Pew Internet and Family LifeProject reported that 61% of the adult population now uses the Internet asa resource in answering their health-related questions. This presentationdescribes different types of social networking tools now being used on theInternet, including specific health-related examples that illustrate how healthcare providers are using these tools. Issues arising from this usage will beexplored, along with suggested guidelines for maintaining appropriate andprofessional relationships with colleagues and consumers.

2:30 p.m. – 3:30 p.m. Dessert in Exhibit HallExhibits Open/View Posters

3:30 p.m. – 4:30 p.m. Concurrent Sessions141 Refueling and Retooling the Nurse: How Online Technology CanECD Be Used to Explore the Educational Need

Christie Griffin-Jones, MBA, BSN, RN Today’s nurses are challenged with enormous complexities while caring forand meeting the needs of the 21st century patient. Likewise, institutions arealso challenged with caring for and meeting the needs of their staff. Healthcare institutions must be able to provide the necessary tools required forstaff to stay abreast, informed, and skilled as they care for today’s patient.Using online technology is the link to help bridge the gap between identify-ing, analyzing, and evaluating the real verses perceived educational needs ofstaff. This presentation will explore how administering an Online EducationalNeeds Assessment Survey has helped a 912 bed tertiary teaching hospitaluncover the true educational needs of their nurses. The learner will be ableto utilize online technology to construct and administer a customized NeedsAssessment Survey, interpret the results, and develop an action plan.

Session TracksECD = Education and Career DevelopmentISI = Improving System Implementation

CPC = Contributions to Patient CareINI = Innovations in Nursing Informatics

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142 Successful EMR Training: Using Research to Decrease Costs andISI Increase Nursing Adoption

Brenda Kulhanek, PhD(c), MSN, RN, CPHIMSThe implementation of an EMR system represents a significant investmentin organizational time and resources. However, the initial introduction ofhealth information technology into a hospital is very likely to decrease staffproductivity and create organizational turbulence. The costs of traininghealth care staff during the implementation of an EMR system include stafftime away from patient care, design and development of the training pro-gram, and other related training costs. A well-planned and executed EMRtraining plan can help minimize the impact of the EMR implementation onthe nursing staff, potentially reducing costs associated with decreased pro-ductivity, patient safety risks, and non-productive nursing time. Coupledwith the real-life training experiences of a mid-sized hospital, these newstudy results will provide insight into how to create successful and cost-effective EMR training for nurses.143 High Performance Healthcare: An Agenda for ChangeCPC Dana Alexander, MSN, RN, MBAAs an industry, health care IT faces unprecedented change. We're not entire-ly sure where that change will take us, but we know it's coming. We alsoknow only some of us are ready for it. This presentation will provoke thoughtand suggestion for what is needed to achieve high performance health carein order to succeed in future health care delivery.144 Utilizing Clinical Decision Support to Enhance Evidence-Based INI Practice across the System

Carolyn Richardson, MBA, BSN, RNDeene Dunstan, BSN, RNLori Rutledge O'Brien, MSN, RN

Incorporating evidence into practice is critical in delivering safe, high quali-ty care in any organization. Incorporating evidence and standardizing prac-tice at a system level requires vision, strong leadership, and partnering witha clinical decision support content vendor. Ascension Health is the nation’slargest Catholic and nonprofit health system and is composed of many acutecare hospitals. Ascension Health’s Clinical Foundation Suite (CFS) projectunites IT and clinical leadership in pursuit of implementing an electronichealth record. Goals and outcomes from this project will be shared duringthis informative session

4:45 p.m. – 5:45 p.m. Concurrent Sessions151 After the Battle Is Over, the Revolution Begins: Stories from theECD Field Optimizing Implementations

James J. Finley, MBA, BSN, RN-BCThe period of time spent implementing a clinical information system (CIS)may at times feel like a battle. At the outset of implementation, initial goalsare intended to be revolutionary. Typically, once an implementation is com-pleted, the “armies” of the project team retreat to their home bases, and thebattle is considered finished. However, as in any battle, how the immediatepost-war period is spent determines how well the peace is sustained. Thispresentation will review the speaker’s experience over many years workingon numerous projects in the initial post-implementation period of both sin-gle department and large integrated CISs. Scenarios (including the role ofthe nurse informaticist) illustrating many common similarities in the experi-ences in the challenges and success and ease of implementation and therate of success of achieving adoption will be shared, and post-implementa-tion strategies will be outlined.

152 A Real World Success – Assimilation of Coded Care Plans into ISI Every Day Practice

Debbie Raposo, BSN, RNC-NIC, BC-NI, LNCMarina Douglas, MS, RN

Though many have talked of embedding a structured terminology into auto-mated systems, SouthCoast has successfully accomplished the task utiliz-ing a commercial-off-the-shelf hospital information system and the ClinicalCare Classification System (open source clinical classification system devel-oped by Dr. Virginia Saba and recognized by the ANA). Following a 10-month implementation, the structured terminology is now utilized daily in 3hospitals by 5,911 professional staff, including licensed allied health profes-sionals. This presentation will review the project’s mission, constraints, andsuccess.

153 Concurrent Clinical Review: Is More Data, Faster Actually Better?CPC Paulette DiAngi, PhD, RN, CPHQCurrent trends in health care to increase electronic data collection, transmis-sion, and monitoring of data are creating multiple pressure points for hos-pitals. The CMS and Joint Commission mandatory quality measures withincrease between 2009 and 2011 by 423% (from 30 in 2009 to 127 in2011). In addition, there is the added dimension of the definition of ‘mean-ingful use’ that will no doubt add another layer of data collection, analysis,and reporting. This presentation will focus on lessons learned from provid-ing feedback to clinicians while they cared for their patients letting themknow what “best practice”’ components of care were already accomplishedand which were outstanding. 154 Re-Evolution of Nursing Documentation:INI From Pen to Keyboard to Voice

Nancy Rimer, MEd, BSNDebra Waddell, MSN, BSN, RN, CPHIMS-Col (Ret)Debra Wolf, PhD, MSN, BSN, RN

The word “revolution” originally evolved between 1615 to 1625 and impliedan unrolling or opening. Today, re-evolution can be interpreted to mean areopening or a redesign of some process illustrating gradual, peaceful pro-gressive change or development, as in social or economic structure or insti-tutions. Nursing documentation using voice is an excellent example of oneprocess that has re-evolved: from a pen to a keyboard to using one’s voice.This presentation will share critical steps used to redesign the IV teams’process of documentation using a pen and a keyboard to using one’s ownvoice, mapping of the current processes to future processes, and the gapanalysis used to educate staff. Key outcomes will be presented that reflectthe impact voice documentation had over current method of documentation.

6:00 p.m. – 7:00 p.m. General Session161 Keys to ‘Meaningful Use’ Success: TIGER Initiative Phase III’s

Virtual Learning and Interdisciplinary CollaborationPatricia Hinton Walker, PhD, RN, FAAN, CMC

TIGER Phase III is extending the work of the nine collaboratives in Phase IIbeyond nursing to interdisciplinary, rural health, and minority partners.Goals of TIGER Phase III include dissemination of the work of TIGER PhaseII to nurses and other colleagues through an invitational symposium; devel-opment and implementation of a virtual learning environment designed toserve all disciplines and enhance the adoption of Health IT, and preparing totake the TIGER initiative to the international community (Montreal in 2012).This presentation will also highlight how TIGER is involved with corporatepartners using “innovation as social disruption” to impact the broader adop-tion of Health IT through direct involvement of the consumers using the per-sonal health record.

Saturday, April 24, 20107.0 contact hours

7:30 a.m. – 5:00 p.m. Registration Open7:00 a.m. – 8:00 a.m. Continental Breakfast

View Posters8:00 a.m. – 9:00 a.m. General Session201 Ten Steps for Creating your Roadmap to EHR Meaningful Use

Judy Murphy, RN, FACMI, FHIMSSIn this session, Ms. Murphy will outline the federal initiatives and agenciesfocused on increasing the widespread adoption of electronic health records(EHRs). She will define the key funding streams from ARRA aimed to accel-erate EHR adoption and describe the key components that comprise the def-inition of EHR "meaningful use" required for access to the ARRA funds in2011. She will explain the maturation model of "meaningful use" criteriathrough 2015, and discuss how to create a roadmap for your organizationto achieve EHR meaningful use and receive the federal incentives.

9:00 a.m. – 10:30 a.m. Coffee Break in Exhibit HallExhibits Open/View Posters

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rg10:30 a.m. – 11:30 a.m. Concurrent Sessions211 Online Journal Clubs: The Use of a Collaborative Web-Based ECD Program to Promote Evidence-Based Practice

Daniel Gracie, MSN, RNIn studies of evidence-based practice (EBP) utilization, nurses cite the mostfrequent barrier to using research in practice as the inability to locate andunderstand findings relevant to their clinical interests. Journal clubs areoften proposed to make evidence more available, suggesting group discus-sions of studies promote critical appraisal skills, and many hospitals viewnursing journal clubs as an asset for Magnet status. However, lack of time,inflexible schedules, shift conflicts, patient obligations, and off-site cliniclocations hinder many journal clubs from being launched. A literature reviewidentified a variety of mechanisms for computer-mediated virtual journalclubs. Customizing of the SharePoint template enabled a platform to discussthe review of EBP skills, organize locations of key features, facilitate use ofsupplemental resources, announce events, and post current studies. Pastdiscussions could also be archived. Screen shots and participant commentswill demonstrate its use.212 Impact of Electronic Health Record (EHR) on Nursing PracticeISI Kate Dejuras, MSN, RN

Patricia Murphy, MSN, RNKathleen Linn, RN

The Institute of Medicine’s recommendation to improve safety includes theuse of information technology to automate medication delivery systems,collect patient clinical data, and provide clinical decision support. These fea-tures are key components of electronic health records (EHRs) and addincentive for hospitals to adopt EHR systems. As a result, all health careagencies are expected to have EHRs in place in the near future to ensuresafety and better documentation of care. The EHR may enhance the safety,quality, and patient-centeredness of care, but what impact has it had on ournurse care providers practice? Results of a current study describing theimpact of technology in nursing practice and potential modifications will bepresented.213 The Emerging Role of Information Technology in Evidence-BasedCPC Practice: An Evaluation Among Frontline Nurses

Diane Doran, PhD, RNInformation technologies, such as portable computers, have the potential tomake research evidence accessible at times of decision making. This studyevaluated an Ontario Ministry of Health and Long-Term Care initiative thatprovided nurses with personal digital assistants (PDAs) to increase theiraccess to research evidence to support quality patient care. Objectives of theinitiative were: 1) describe organizational context variables (leadership, cul-ture, information sharing processes) that influence use patterns, 2) examineindividual nurse factors (demographics, attitudes, problem solving,burnout) that influence use patterns, and 3) examine the interaction amongthese variables in explaining variation in the use of PDAs to access informa-tion resources, perceived satisfaction with the information resources, andjob satisfaction. Results of this study will provide valuable information aboutthe critical success factors that support diffusion of technology, evidence-based practice, and workplace learning through e-resources.214 Innovative Strategies: Nurse Informaticists Make Their MarkINI at the Point of Care

Diane Humbrecht, MSN, RNCAutomation makes it possible for nurse informaticists to create innovativeways to enhance communication and resolve critical issues. Communicationwith patients and family is increasingly vital in our multifaceted health careenvironment. Development and implementation of an electronic healthrecord (EHR) adds complexities to this issue. This presentation will describeinnovative tools developed by one hospital utilizing the EHR to enhancecommunication, improve workflow, and aid in decision support at the pointof care. Ways to create a daily report regarding the plan of care to provideto patients and families, combine computer physician order entry and clini-cal documentation to create a handoff report for ancillary departments, andresolve difficult regulatory compliance issues after studying nursing work-flow and analyzing the potential of automation will be explored.

11:30 a.m. – 1:00 p.m. Lunch on Your Own/Networking with Colleagues

1:00 p.m. – 2:00 p.m. Concurrent Sessions221 Preparing the New Provider: Virtual Simulations and NursingECD Informatics

Lena Sorensen, PhD, RNJames Parmentier, PhD

As we move into the 21st Century, we are seeing significant changes inhealth care, and technology is often the catalyst tool helping to make theseshifts possible. We must strive for a more complex eHealth literacy compe-tency of all users: competencies that expect knowledge and use of the com-puter technology as well as the knowledge and use of complex sources ofinformation. As these shifting practice models evolve, we must ensureproviders are competent to engage in these new environments. This pres-entation will describe how an interdisciplinary survey course in health careinformatics integrated the skills and knowledge of virtual simulated environ-ments as a way to enhance providers’ knowledge of informatics and expandtheir knowledge of and potential uses of emerging information communica-tion technologies into health care.222 Not a Tea Party – Challenges of Implementing Electronic ISI Medication History and Reconciliation

Elizabeth Berkowitz, MSN, RNLynetta Akins, BSN, RN

Accurately recording a patient’s home medications and then performingmedication reconciliation at admission, transfer, and discharge are criticalfor patient safety and also an important regulatory requirement. Creating acircular medication system that provides clinicians with the ability to recordand reconcile home medications and convert them into ambulatory andinpatient orders, and then reconcile those same medications at dischargeand convert them back into home medications is key to clinician adoption ofthe clinical information system. This presentation will describe one hospi-tal’s journey from paper processes into electronic medication history andreconciliation, including how we worked with our vendor to design, test, andimplement improved medication reconciliation functionality.223 How Well-Designed Tools Embedded in the EMR Help AdvanceCPC Nurse Sensitive Initiatives

Joon Saddul, MSN, MPA, RNBrett Hanlon, MA, RN

It is not uncommon for the executive sponsor for quality initiatives to be thechief nursing officer because a significant proportion of quality indicatorsthat need to be monitored and reported according to CMS’ Core Measuresor The Joint Commission’s National Patient Safety Goals are nurse-sensitive.This provides an opportunity for nurse informaticists to demonstrate theirskills in various aspects of the initiatives through tools embedded in theEMR. This session will describe how a five-facility health care organizationredesigned its committee structure and decision-making processes twoyears after EMR implementation to adapt to increasing and more complexchallenges to senior nurse leaders today. Several examples of how nurseinformaticists add value to nurse sensitive initiatives (reduction of CAUTI,CLABSI or pressure ulcers) will be provided.224 Building for the Future: Technology Assessment, Evaluation, andINI Selection for a New Hospital

Beth Kilmoyer, MS, RN-BCBeing involved in the planning of a new hospital is usually a once-in-a careeropportunity. Designing a new hospital is the ideal time to maximize clinicalworkflow processes through the use of the innovative technology solutions.Nurses must be at the forefront in all aspects of future technology planning.The role of the experienced nurse informaticist is to lead and facilitate nurs-ing teams to actively participate in the technology assessment and selectionprocess. Through the use of evidence-based best practice principles, sever-al technologies were evaluated and selected for the new hospital. The pur-pose of this presentation is to review the nurse informaticists’ role in thetechnology assessment, selection and implementation planning process offuture construction and discuss the challenges and rewards of being in thisrole.

Session TracksECD = Education and Career DevelopmentISI = Improving System Implementation

CPC = Contributions to Patient CareINI = Innovations in Nursing Informatics

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Westin Boston Waterfront • April 22-24, 2010R

egister online at ww

w.ania-caring.org

2:15 p.m. – 3:15 p.m. Concurrent Sessions231 Nursing Informatics Competencies: Evolving the Role of NI in ECD Today’s Health Care EMR Environment

Rhonda Struck, MS, BSN, RNTo evolve the nursing informatics (NI) role development, the UWHC NIdepartment developed a “functional practice” model during a team retreat.The UWHC Nursing Informatics Functional Practice Model visually maps thefunctional areas outlined in the NI scope and standards to Maslow’sHierarchy of Needs and translates theory into action. The UWHC NI compe-tencies have widespread implications for the development, evolution andunderstanding of nursing informatics practice as a whole, and this sessionwill highlight the efforts of this team initiative.232 Implementing an Electronic Acuity System Utilizing Synergy ISI Patient Characteristics

Kathy Topp, MSM, BSN, RN-BCLearn how Tri-City Medical Center implemented the Cerner ProfessionalJudgment Acuity Model, which drives staffing based on prospective patientneeds. Tri-City Medical Center cross referenced patient care attributes toacuity levels using the AACN Synergy Model for Patient Care. This innova-tive approach allows nurses to better match patients’ characteristics andneeds to nursing competencies. Utilization of an online staff assignmentmodule with integration to a staffing needs calculator helps shift supervisorsmore effectively manage staffing budgets and workforce requirements. Aninter-rater validation process was integrated into the workflow of the shiftsupervisor to ensure ongoing validation of nursing staff's acuity assign-ments.233 Making it happen! Informatics at Work: Use Model for CPC Documentation Prompts and Data to Drive

Cheryl Howington, RN-BCIn 2009, Athens Regional Medical Center, located in the Northeast Georgiacommunity of Athens, set forth to increase its baby-friendly care for moth-ers and normal newborns as suggested and reported by the CDC's NPINCguidelines. This presentation will review the process of initiating changethrough the use of the perinatal information system, review one example ofchange of how one hospital’s desire to become more baby-friendly, reviewthe CDC’s NPINC survey, review the areas in the system that prompted nurs-es to be more compliant in desired behavior, and review data and reportingtools from the information system showing an increase in compliance andchanged behavior. 234 Leading the Way to a Safer, More Efficient, and Integrated INI Specimen Collection Process

Jonathan Gecomo, BSN, RN, CVRN IIJessica Parsons, BSN, RN

One of the most critical steps in quality patient care is accurate specimenidentification. This is in line with the number-one national patient safety goalof The Joint Commission in improving the accuracy of patient identification.Accurate specimen identification is a challenge in all hospitals; most mis-takes are a result of human error occurring before the specimen reaches thelaboratory, and can lead to treatment of wrong patient for the wrong diseaseand worst case scenario, death. In a hospital where nurses and patient careassistants are responsible for drawing specimen, a new system was imple-mented to positively identify patient and specimen information, and it worksseamlessly with the current laboratory information system, which will behighlighted during this session.

3:15 p.m. – 3:30 p.m. Coffee Break

3:30 p.m. – 4:30 p.m. Closing General Session241 Re-Evolution of Quality Measurement Through Informatics

Rosemary Kennedy, RN, MBA, FAANQuality measurement that is patient-centric, longitudinal, and automated isan essential component of meaningful use. This requires the developmentof standardized quality data sets and workflows that enable automation ofquality measures through electronic health records. This session willexplore national priorities and goals related to meaningful use of electronichealth record (EHR) data for purposes of quality measurement and perform-ance improvement. The presenter will review requirements necessary toenable automated quality measurement as a byproduct of EHR data capture.Examples showing how standardized quality data sets can enable the powerof the EHR in quality measurement will be presented.

General InformationHotel Information

Westin Boston Waterfront425 Summer StreetBoston, MA 02210Phone: 617-532-4600

The Westin Boston Waterfront is the official hotel for the ANIA-CARINGConference. This hotel offers its guests all the finest amenities, and eachroom has a Heavenly Bed and Heavenly Shower. There is also a beautifulindoor swimming pool and a state-of-the-art health club with theWestinWORKOUT®.A block of rooms has been secured at a special rate of $193 single/dou-ble plus tax, currently 14%. To receive the conference rate, make yourreservation by calling 617-532-4600. Refer to the ANIA-CARING AnnualConference to receive the discounted hotel rate. Reservations made afterMarch 24, 2010, will be subject to space and rate availability. WeatherThe weather will still be a little chilly in Boston in April. The temperatureshould reach about 50°F during the day but will probably drop to about35° F in the evenings, so if you plan to explore the city at night, be sure topack your hat and gloves.Airport InformationThe hotel is located 3 miles from Logan International Airport. Cab faresaverage $25 to $30 one way. Boston also offers a great subway systemcalled the T, and the Silver Line runs to the hotel, dropping you off aboutone block from the hotel. You can board the T at the airport for $2.00 oneway. Airline InformationAmerican Airlines has been designated as the official carrier for the con-ference. Visit www.aa.com to make your reservations and refer to code7140AV. You may also call American’s Meeting Services Desk at 800-433-1790, but please be aware that there is a $10 ticketing charge for reserva-tions made via phone. Car RentalAVIS has been contracted for car rental service during the time of the con-ference. Please call 1-800-331-1600 or make your reservations onlinedirectly through the Web site and refer to the AWD code J818543.ParkingValet parking is available for a rate of $41 per day and self parking is avail-able for a rate of $31 per day. Both have in and out access. Prices are sub-ject to change.City HighlightsBoston is a city full of history. Because of its prevalent harbor, it becamethe primary shipping port during colonial times. Around almost every cor-ner in Boston, you can find a piece of history. Boston also offers manysights to enjoy, such as the Paul Revere House, Faneuil Hall, BostonCommon, and Public Gardens – which are most famous for their swanboats. To see all these sights and many more in a matter of hours, be sureto check out the Freedom Trail, which is a walking tour of the city’s mostfamous landmarks all connected by a red line. Information is available atwww.freedomtrail.orgDiscounted Member RatesTo receive the discounted conference rate, you must be a current memberof ANIA-CARING.

ANIA-CARING 2010 Annual ConferenceRegistration Form

Westin Boston Waterfront • Boston, MA • April 22-24, 2010

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Please write in your 1st and 2nd choices for Concurrent Sessions.

Friday, April 23, 2010 1st 2ndConcurrent Session 1 111 112 113 114ANIA-CARING Membership Luncheon 121Concurrent Session 2 131 132 133 134Concurrent Session 3 141 142 143 144Concurrent Session 4 151 152 153 154Saturday, April 24, 2010Concurrent Session 5 211 212 213 214Concurrent Session 6 221 222 223 224Concurrent Session 7 231 232 233 234

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