Technology Informatics Guiding Education Reform Nine TIGER Collaboratives

Donna DuLong, BSN, RNProgram Director, The TIGER InitiativeDenver, Colorado

Marion Ball, EdDProfessor, Johns Hopkins University School of NursingColumbia, MD

Monday, February 25, 2008

Session 53

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Technology Informatics Guiding Education Reform

The focus of the TIGER Initiative is to better prepare our nursing workforce (all practicing nurses and nursing students) to use technology and informatics to improve the delivery of patient care.

We believe that necessary skills for nurses’ portfolio in 2007 includes basic computer competencies, information literacy and informatics skills.

The TIGER Initiative is a program; not an organization.

TIGER has been a grass-roots effort to engage with all stakeholders that are committed to a common “vision” of ideal EHR-enabled nursing practice. Today, more than 120 diverse organizations have joined this effort.

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• Allow informatics tools, principles, theories and practices to be used by nurses to make healthcare safer, effective, efficient, patient-centered, timely and equitable

• Interweave enabling technologies transparently into nursing practice and education, making information technology the stethoscope for the 21st century

TIGER Vision

Background

Converging forces that are serving as a catalyst for transforming nursing practice

1. Rising cost and disparity of U.S. Healthcare system demands transformation

2. IOM studies and reports

3. Emerging technologies

4. Growing consumerism

5. Impending nursing shortage

6. Disaster recovery preparedness

U.S. Health Care Workforce - Nursing

• Nearly 3 million practicing nurses in the U.S.• More than 55% of all health care workers• Nurses are knowledge workers• Average age of nurse is 47• Estimated severe shortage of nurses by 2014• Nursing’s workforce must be capable of innovating,

implementing, and using health communications and information technologies

“There is no aspect of our profession that will be untouched by the informatics revolution in progress.”

Angela McBrideDistinguished Professor and University Dean EmeritiIndiana University School of Nursing

IOM Vision

While clinicians are trained to use an array of cutting-edge technologies related to care delivery, they often are not provided a basic foundation in informatics (Gorman et al.,2000; Hovenga, 2000).

“All health professionals should be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice, quality improvement approaches and informatics.”

IOM - Health Professions Education: A Bridge to Quality, 2003.

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Building the Work Force for HIT

A work force capable of innovating, implementing and using health communications and information technologies will be critical to healthcare’s success.

For health Information Transformation

AHIMA and AMIA

http://www.ahima.org/emerging_issues/Workforce_web.pdf

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National Efforts In Alignment with the TIGER Initiative

• Groundbreaking Reports– To Err is Human (2000)– Crossing the Quality Chasm (2001)– Health Literacy: A Prescription to Ending Confusion (2004)– Building a Better Delivery System: A New Engineering/HealthCare

Partnership (2005)– Building the Workforce for Health Information Transformation (2006)

• Mandates/Executive Orders (President Bush, 4/2004)– Electronic Health Records for all Americans in 10 years– Appointment of a National Coordinator for Healthcare Informatics

Technology (ONC/HHS)

The Decade of Health Information Technology

The Decade of Health Information Technology: Delivering consumer-centric and information-rich health carehttp://www.hhs.gov/onchit/framework/

Four Cornerstones:1. Inform clinical practice2. Interconnect clinicians3. Personalize care4. Improve population health

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ONC Efforts In Alignment with the TIGER Initiative

• http://www.hhs.gov/healthit/onc/mission/• Developing a Strategic Framework

– Inform Clinical Practice– Interconnect Clinicians– Personalize Care– Improve Public Health

• Defining Elements of Success for HIT– Policy– Governance– Technology– Adoption

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TIGER Summit – Phase I

• October 31 -November 1, 2006

• Held at the Uniformed Services University for Health Sciences (USUHS) in Bethesda, MD

• 100 participants representing all stakeholders

• Created a collective vision for nursing practice and education within 10 years if nurses were fully enabled with IT resources

• Developed a 3-year action plan required to achieve this vision

• Summary Report published at www.tigersummit.com

10 Year Vision and 3 Year Action Plan Accomplished

3-Year Action Plan

• Based on a common “vision” of ideal EHR-enabled nursing practice

• Focused on identifying the “gaps” in nursing preparedness to practice in an EHR-enabled environment

• Agree to take actions within the next 3 years that can close these gaps

• Main focus of deliverables is on the creation of educational tools and resources that can be shared with entire healthcare community

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Report Format

• Executive Summary• Action Plan with Specific Goals• Background – Overview of the

topic including key projects, publications, and subject experts

• Recommendations for significant gaps

• Case Studies/Exemplars• Recommendations• Resource lists/tools• Participants/Affiliates/Sponsors• Distribution

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Organizational Commitment• 70 organizations were represented at the Summit• Each committed to creating action plans aligned with the

TIGER vision within their organization/membership• TIGER following organizational progress on these action plans

over the next 3-years• Examples of organizational actions taken to date:

– Distribution of TIGER Summary report to all professional members (AONE)– Presentations of TIGER at National and International Conferences (AMIA,

ANIA/CARING, HIMSS, STTI, HIMSS-AsiaPac, SINI, I-MIA/MedInfo, ONS)– Regional presentations of TIGER (BANIC, State-HIMSS e.g., Colorado, Michigan,

Wisconsin, N. California)– Professional organization presentations of TIGER (ASPAN, AORN, AWHOHN,

MONE)– State-wide initiatives supporting TIGER vision (Minnesota, Massachusetts,

Tennessee)

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• Enabled by the Alliance for Nursing Informatics (ANI) – a collaboration between AMIA and HIMSS

• Continue to support progress of each participating organization’s 3-year action plan

• Formalize cross-organizational activities/action steps into collaborative TIGER Teams (9 identified)

• Define measurable outcomes of each collaborative team• Provide the infrastructure and support to facilitate the

development and dissemination of the activities of the collaborative

• Develop educational materials that can be distributed to all practicing nurses and nursing students

Matrix Approach – Phase II

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9 Collaborative Teams

1. Standards and Interoperability

2. Healthcare IT National Agenda/HIT Policy

3. Informatics Competencies

4. Education and Faculty Development

5. Staff Development/Continuing Education

6. Usability/Clinical Application Design

7. Virtual Demonstration Center

8. Leadership Development

9. Consumer Empowerment/Personal Health Record

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

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Measurable Outcomes of Each Collaborative1. Definition, Scope of Project2. An inventory and analysis of existing resources

• Publications• Research• Subject matter experts• Ongoing Projects

3. Identification and access to subject matter experts and constituent targets

4. Educational web-based audio conferences (target = 2)5. Conference presentations6. A comprehensive white paper-type document (modeled after

TIGER Summary Report)7. Define topic-specific evaluation criteria8. Submit articles for publication and dissemination amongst broader

TIGER audience9. Chapter in the 4th Edition of the Nursing Informatics Series Where

Caring and Technology Meet

1. Standards and InteroperabilityJoyce Sensmeier, MS, RN-BC, CPHIMS, FHIMSS, VP, Informatics, HIMSS

Elizabeth C. Halley, RN MBA, The MITRE Corporation • Identify the most relevant HIT standard setting efforts that are

important to the TIGER mission and ensure that there is adequate representation/input of the TIGER mission/perspective on said efforts.

• Communicate the existence and importance of HIT standards and initiatives to the broad nursing community.

• Create tutorials on standardizing data elements, implementing electronic health records, using nursing terminology, and using evidence-based practice tools.

TIGER Standards & Interoperabilityhttp://tigerstandards.pbwiki.com

WG#1 - Catalogue the most relevant Health IT standard setting efforts and related resources

• Currently developing a comprehensive framework that consists of data standards, terminologies, standards, standards organizations, transaction standards, and infrastructure standards

• Expand the framework to contain references, links, and relevant resources and contacts

WG#2 - Create tutorials related to standardized data elements, EHR implementation, nursing terminology, and the use of decision support and evidence-based practice tools

WG#3 – Create awareness campaigns to disseminate #2 and #3 to broader nursing community

WG#4 – Collect examples and case studies of interoperable systems to demonstrate the value of standards in various practice and education settings

TIGER Standards & InteroperabilityAccomplishments to Date

Educational webinars1. Leveraging Health Information Exchange to Improve Quality and

Efficiency – a review of the importance of HCIT standards in providing a foundation for interoperability, the current landscape for health information exchange, and the potential impact of HITSP specifications on consumers and healthcare systems

2. Introduction to the Standards Lifecycle and HITSP Harmonization Process – a detailed explanation of the lifecycle of standards development within the national HCIT agenda and how nurses can get involved in the interoperability effort

Facilitated Review of Specifications and Use Cases1. Medication Management HITSP Interoperability Specification2. Consultations and Transfers of Care Use Case

2. Health IT National Agenda/HIT Policy

CDR Alicia Bradford MS, RN-BC, Department of Health and Human Services, Office of the National Coordinator for Health ITDr. Carolyn Padovano PhD, RN, Director, SNOMED-CT

• Identify the most relevant HIT agendas and policies that are important to the TIGER mission and ensure that there is adequate representation/input of the TIGER mission/perspective on said policy issues.

• Communicate the existence and importance of the National HIT agenda and policies to the broad nursing community.

• Create communication strategies that enable nursing participation in strategic HIT policy-setting efforts and disseminate policies back to the nursing community.

Engage Nursing participation to facilitate input and help disseminate information regarding national HIT initiatives in the following four areas:

WG#1 - Standards and interoperability efforts (ANSI-HITSP)

WG#2 - Clinical and policy initiatives generated by the AHIC/ONC

workgroups, including use cases, clinical scenarios

WG#3 - Participate in the certification process for the electronic health

record (such as reviewing/commenting on CCHIT work products)

WG#4 - Develop a communication and outreach strategy for which those

materials can be widely disseminated to the TIGER and Nursing

Community.

TIGER National Health IT Agendahttp://tigerhitagenda.pbwiki.com

TIGER National HIT AgendaAccomplishments to Date

Educational webinarsNational Health Information Technology Agenda – a review of the Office of

the National Coordinator (ONC), strategic framework, timeline of activities, and opportunities for nursing involvement in these activities.

Invited presentation to the AHIC/Sec. Leavitt re: National Health Workforce Preparedness Dr. Carole Gassert, RN, PhD

Facilitated Discussion of HITSP Medication Management Interoperability Specification and AHIC Use Case on Consultations & Transfers of Care

Participate in AHIC meeting on Tuesday, February 26, 2008 from 10:15 a.m. – 4:00 p.m. at HIMSS (Rosen Center Rooms 9 &10) - meet at 9:45 a.m. outside the Rosen Center Room 9

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

• Harmonize and set informatics competencies for all levels of nursing education: nursing assistants, associate degree, diploma, undergraduate and graduate.

• Harmonize and set informatics competencies for nursing practice.

• Advocate for and support adding informatics competencies into nursing specialty certifications.

• Include informatics competencies in the scope and standard statements (and like documents) of nursing specialties.

WG#1 – Define the scope of this collaborative and adopt a framework for competencies within nursing and healthcare – Collect select non-informatics competency exemplars used

within nursing (both practice and education) healthcare, and other industries

WG#2 – Develop a comprehensive inventory of competencies and resources gathered from the literature and ongoing programs

WG#3 – Develop a comprehensive inventory of competencies and resources gathered from practice and educational settings

 

TIGER Informatics Competencieshttp://tigercompetencies.pbwiki.com

Integration Team (HSG) – Harmonize the competencies collected from WGs 1-3 and synthesize into framework with proposed recommendations for the other TIGER teams to implement (Education, Staff Development, and Leadership)

Draft Recommendations – 4 Categories of Competencies:1. Computer Competencies

2. Information Literacy Competencies

3. Information Management/Informatics Competencies

4. Attitudes & Awareness

TIGER Informatics CompetenciesAccomplishments to Date

Informatics Competencies Categories

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Basic Computer Competencies

• Recommend adopting the International Computer Driving License (ICDL)* (*Also called the European Computer Driving License)

• Used by 7 million users across industries – not specific to health care• Well developed and validated syllabus, tests, and training centers• Also recommended by American Medical Informatics Association (AMIA)

and….• Learning modules mirror basic computer competencies gathered by the

TIGER team– Module 1 – Concepts of Information Technology (IT)– Module 2 – Using the Computer and Managing Files– Module 3 – Word Processing– Module 4 – Spreadsheets– Module 5 – Database– Module 6 – Presentation– Module 7 – Information and Communication

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Information Literacy Competencies

Source:  http://www.nsula.edu/watson_library/shreve/curri_enhanct.ppt#270,32,Slide 32

Information Management/Informatics Recommend adopting the ANSI HL7 Electronic Health Record – System Functional Model

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Sample Topics from HL7’s EHR-S Functional ModelDC.1 (Care Management)

DC.1.1 (Record Management)

DC.1.2 (Manage Patient History)

DC.1.3 (Preferences, Directives, Consents and Authorizations)

DC.1.4 (Summary Lists) i.e. Manage Allergy, Intolerance and Adverse Reaction List

DC.1.5 (Manage Assessments)

DC.1.6 (Care Plans, Treatment Plans, Guidelines, and Protocols)

DC.1.7 (Orders and Referrals Management)

DC.1.8 (Documentation of Care, Measurements and Results)

DC.1.9 (Generate and Record Patient-Specific Instructions)

DC.2 (Clinical Decision Support)

DC.2.1 (Manage Health Information to Provide Decision Support)

DC.2.2 (Care and Treatment Plans, Guidelines and Protocols)

DC.2.3 (Medication and Immunization Management)

DC.2.4 (Orders, Referrals, Results and Care Management)

DC.2.5 (Support for Health Maintenance: Preventive Care and Wellness)

DC.2.6 (Support for Population Health)

DC.2.7 (Support for Knowledge Access)

DC.3 (Operations Management and Communication)

DC.3.1 (Clinical Workflow Tasking)

DC.3.2 (Support Clinical Communication) i.e. Support for Inter-Provider Communication

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Attitudes and Awareness Competencies

• A precursor to effective adoption of all competencies

• Competency encompasses more than just a psychomotor skill. The team competency in these contexts now describes the attributes of knowledge, abilities, skills and attitudes that underlie competent performance. (Gonczi et al., 1990: 62).

• Currently evaluating the European Computer Driving License-Health model for correlation to awareness competencies

• Overlapping concepts with the other three categories (basic computer competencies, information literacy, and information management/informatics)

• Alspatch, 1984: "a simultaneous integration of knowledge, skill and attitudes that are required for performance in a designated role or setting."

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Attitudes and AwarenessExample competencies• Understands concepts and processes regarding computer systems and impact on practice (1015, 859, 857, 852, 853, 954, 657, 671,

392, 969, 970, 123, 779, 9, 781, 649, 652, 792)

– data integrity

– ethics

– legalities

– economics

– professional practice standards/trends/issues

– improved quality/safety

– societal/technological trends/issues

• Scholarly process (632, 840, 668)

– publication

– evidence-based practice

• Benefits/limitations of communication technologies and impact on health care (791, 870, 675)

– bulletin/discussion boards

– chat rooms

– wikis

– blogs

– newsgroups

– email

• Understands the advantages of electronic tools for consumer health (849, 858, 862, 798)

– telehealth

– home monitoring/alert equipment

– medication aides/reminders

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

Professional Development, National League for Nursing

• Use the informatics competencies, theories, research and practice examples throughout nursing curriculums.

• Create programs and resources to develop faculty with informatics knowledge, skill and ability and measure the baseline and changes in informatics knowledge among nurse educators and nursing students.

• Develop a task force to examine the integration of informatics throughout the curriculum.

4. Education and Faculty Development (cont.)

• Improve and expand existing Nursing/Clinical/Health Informatics education programs.– Encourage existing Health Services Resources Administration

Division of Nursing to continue and expand their support for informatics specialty programs and faculty development.

– Encourage foundations to start programs that provide funding for curriculum development, research, and practice in nursing informatics and IT adoption.

• Develop strategies to recruit, retain, and train current and future nurses in the areas of informatics education, practice, and research.

• Collaborate with industry and service partners to support faculty creativity in the adoption of informatics technology and offer informatics tools within the curriculum.

TIGER Education and Faculty Development Work Groupshttp://tigereducation.pbwiki.com

State Initiatives

National Org For

Assoc. DegreeNursing

HRSA Faculty

Dev Grants AACN

DNPTask Force

Accrediting Bodies

Other Specialty Education

Organizations

State Boards Of Nursing

NLN Task Force

CORE

5. Staff Development/Continuing Education Elizabeth O. Johnson, MSN, BSN, RN, FHIMSS, Vice President of Clinical

Informatics, Tenet Health SystemJoan M. Kiel, Ph.D., C.H.P.S., Chairman, University HIPAA Compliance

Associate Professor, Duquesne University, Pittsburgh, PA

• Create educational resources and affordable programs within the practice setting that foster IT innovation and adoption.

• Create competency-based, cost-effective staff development and continuing education programs and training strategies specifically for informatics knowledge, skill and ability.

• Improve and expand existing Nursing/Clinical/Health Informatics education programs by collaborating with industry, service and academic partners to support and enhance the use of technology and informatics in practice.

TIGER Staff Development/Continuing Education http://tigerstaffdev.pbwiki.com WG#1 - Collect case studies, practice examples, models of staff development

programs from nursing, healthcare, other industries and develop a framework to categorize the models (e.g., web-based, face-to-face, etc.)

WG#2 - Review, inform and integrate work from the TIGER Competencies Collaborative into Staff Development Collaborative

WG#3 – Complete comprehensive literature review of staff development and field-based training models

WG#4 - Develop recommendations for Industry/Academic Partnerships – e.g., with technology partners, academic institutions, professional organizations, and others

WG#5 – Collaborate with the TIGER Leadership Development team to evaluate the impact of leadership development on staff development programs

TIGER Staff Development/Continuing Education Accomplishments to Date

Completed a survey to gather general information on the “state of staff development/continuing education” — e.g., who delivers the education, how computer literate are nursing staff as well as to help identify organizations that have innovative models of staff development and continuing education for case studies.

Currently collecting case studies from various practice environments

Comprehensive literature search – evaluation in progress

Currently evaluating recommendations from the informatics competencies for implementation into staff development/continuing education programs

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

Design requirements and/or goals– Support evidence-based practice – Enables collaborative and interdisciplinary care– Provide seamless access to published literature, knowledge– Support the creation of new knowledge (knowledge discovery

requirements)– Speed the translation of research into practice

Usability requirements and/or goals– Informed by and/or positively transforms nursing workflows – Systems designed using principles of human factors– Work with system developers to maximize clinical system

effectiveness and efficiency for nurses

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WG#1 – Develop a comprehensive literature review on topics related to usability and clinical application design. Obtain resources from nursing and other disciplines (e.g., Human Factors, Engineering, etc.)

WG#2 - Collect case studies and examples that illustrate usability/clinical application design from your experience/environment– Exemplars (good, replicable examples)– Lessons to be learned (bad examples that can help to inform

others what to avoid)WG#3 - Summarize recommendations for:

– Highly usable applications– Good clinical application design

WG#4 - Develop recommendations for vendors for usability and good clinical application design

WG#5 - Develop a usability/clinical application “toolkit” for healthcare providers and organizations

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

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Completed extensive literature search—in process of synthesizing the results

Currently collecting case studies and examples that illustrate usability/clinical application design from various practice experience/environment

Will start to synthesize and summarize recommendations in March for:

– Highly usable applications– Good clinical application design

TIGER Usability & Clinical Application DesignAccomplishments to Date

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

• Provide visibility to the 10 year vision of IT-enabled nursing practice and education to broader healthcare audience by demonstrating how integrated IT systems impact nurses and the quality and safety of patient care.

• Demonstrate the breadth and depth of IT resources in use by nurses to enhance their practice and educational environments.

• Demonstrate collaboration between industry, healthcare organizations academic institutions, and professional organizations to create educational modules for nurses that are based upon informatics competencies.

• Provide universal accessibility to this demonstration for all nursing stakeholders.

• Use practice examples from different practice environments that can demonstrate best practices, results of research, case studies and lessons learned by partnering with nursing professional organizations.

• Work Group 1 – Johns Hopkins/IBM – physical simulation lab

• Work Group 2 – Future state scenarios based on the context of global trends (e.g., staff shortages, globalization, increases in chronic diseases, consumer empowerment, etc.). These will focus more on the abstract—or “art of the possible”.

• Work Group 3 – Technology currently available today – A scenario-approach allows us to utilize current technologies (that are available today) and expand their use into the future. 

TIGER Virtual Demonstration Centerhttp://tigervirtualdemo.pbwiki.com

TIGER Virtual Demonstration CenterActivities to Date• Site visits to IBM’s Hawthorne Demonstration Center• Site visits to Johns Hopkins Center of Excellence Simulation

Lab• Selected demonstration platform – working with HIMSS Virtual

Conference team – visit http://www.himssvirtual.org/ – Demonstration Platform– Distribution of reports, recommendations, white papers– Educational Center– Social Networking/lounge

• Starting to develop clinical scenarios/vignettes

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

A relatively small investment of TIGER effort with nursing leaders will be multiplied many times due to the leaders’ power and influence in their organizations and the profession.

• Develop programs for nurse executives that stress the value of information technology and empower them to use IT knowledgeably, giving the leaders of the profession a strong and identifiable voice.

• Facilitate nursing leadership to understand, promote, own, and measure the success of IT projects.

WG#1 - Complete a comprehensive review of the literature, ongoing research, publications, subject experts, programs and other materials related to nursing leadership,  leadership qualities, transformation and technology, leadership development programs, etc.

WG#2 – Incorporate informatics competencies into leadership development

programs

WG#3 - Determine strategy for working with the magnet program

WG#4 - Complete an assessment of nursing leadership development needs

WG#5 – Synthesize the results from WG1-4 and develop the recommendations and summary report

TIGER Leadership Developmenthttp://tigerleadership.pbwiki.com

TIGER Leadership DevelopmentActivities to Date• Cataloguing leadership development programs by type, e.g.,

academic, organizational fellowships, industry network programs, vendor-sponsored, self-education, etc.

• Developed a survey to assess nursing leadership development needs by role and competency category

• Integrating the work of the competencies into leadership programs

• Developing a strategy for working with magnet programs and ANCC

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9. Patient-Focus/Personal Health Record Charlotte Weaver, RN, PhD, Vice President and Executive Director for

Nursing Research, Cerner Corporation Rita D. Zielstorff, RN MS, PricewaterhouseCoopers LLP

Consumers are becoming more empowered healthcare participants. Informatics can mediate consumers drive for improved health and healthcare as well as broker the relationship between nurse and client.

• Establish efforts to develop health information literacy with the public and healthcare consumers.

• Work with Personal Health Record (PHR) advocates and developers to optimize PHRs as they relate to nursing.

TIGER Consumer Empowerment/PHRhttp://tigerphr.pbwiki.com

• Work Group 1 - Develop recommendations for standards that impact consumer empowerment and personal health records

• Work Group 2 - Develop recommendations for usability and application design principles for consumer-oriented tools such as the personal health record

• Work Group 3 - Prepare an overview of the "state of the science" for consumer empowerment and personal health records (see outline on work group page)

• Work Group 4 - Identify current usage of personal health records and how nurses are using these tools to impact patient care

• Work Group 5 - Identify case studies and exemplars for practice related to personal health records and consumer empowerment strategies

• Work Group 6 - Develop an awareness campaign for nursing related to consumer empowerment and personal health records

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TIGER Consumer Empowerment/PHRActivities to Date• Educational Webinar: Everything nurses need to know

about Personal Health Records – March 25, 2008 – details/registration link on wiki

• Content outline for recommendations on wiki – requesting all participants to upload content

• Short-term work groups focused on cross-collaboration:– Standards relevant to consumer use/PHR– Usability considerations for consumer-focused applications

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Summary

1. Target audience for all deliverables is all practicing nurses and nursing students

2. Multi-stakeholder collaboration

3. Currently developing core recommendations/actions for each of the 9 critical topics

4. Urgent/time-sensitive – deadline to complete by end of 2008

5. Inclusive and transparent – encouraging participation from all nursing organizations

6. Impactful

7. Focused on dissemination to broader nursing community Page 53

TIGER Deliverables (Fall 2008)

• 12-15 Webinars (free to all nurses and nursing students – will provide CEU credit)

• Summary Report for each Collaborative Team will include overview of issue, why important to nursing, case studies and examples, and recommendations for the industry

• Virtual (on-line) Demonstration Center• Virtual Conference (demos, summary reports, interaction

with industry experts, educational sessions, social networking)

• Nursing Informatics 4th Edition: Where Caring and Technology Meet (available in print late 2009)

Thank You!If you would like to get more

involved or stay informed, please register at the TIGER website:

www.tigersummit.com

QUESTIONS?