United Kingdom Nursing Informatics

Leadership US (Chicago)

Immersion Study 17thJune – 21stJune 2013

Feedback/Learning Points

Frances Cannon

Aim of Informatics Study Trip

Culmination of year long partnership HIMSS &Nursing informatics leaders from England

• To promote the role of UK Nurses in leading the way in the implementation and use of information technology in the delivery of Health Care/focus on nursing

• Aims of Immersion study– Explore the use of innovative technology– Meet with US Nursing Executive Leaders– Have dialogue with nursing informatics colleagues

both in US and with colleagues on study trip

Hospitals Visited

Advocate Healthcare Medical Center

North Western Memorial Hospital

Lurie Children's Hospital

Magnet Status

performance driven

recognition accreditation

Shared Governance:

criteria within magnet status: empowers clinicians to make decisions share accountability & have influence over practice “safety huddles”

Advocate Medical CenterConnecting the Community through

Informatics

One of states largest non profit medical centres

Offers a range of medical specialists

Nationally recognised for expertise in cardiac care

Part of Advocate Healthcare committed to community health and wellness programmes-some aspects of community care through physicians but minimal

DAISY Nurses – celebrating nursing sucess

• http://www.advocatehealth.com

Northwestern Memorial Hospital• The Connected Patient

• Obstetrics Focus- 15,000 births pa

• Premier teaching hospital in USA

• EMR since 2003

• Information flows with patient*

• Substantial IT spend

• Substantial telemetry*

• Robust Clinical Nurse leadership

• Clinical staff use data for clinical audit/research- to refine nursing practice

• http://www.nmh.org/nm/home

Lurie Children's Hospital

Technology Architecture & Design • 1 year old hospital

• USA Children's hospital of year

• Hospital designed around children's needs

• Family involvement in design

• At fore front of providing care to most critically ill children

• IT integrated into design

• EHealth Nurse leadership

• https://www.luriechildrens.org

Electronic Medical Record – including nursing documentation; electronic prescribing/medication administration

Integrated patient call and phone system/Nurses carrying -Smart phones

Patient portals used to deliver individually targeted health information

Emergency Department Care Management -Triage and Tracking

Point of Care Medical Adminstration

Use of Information Technology to monitor quality indicators /change practice – Real time

X Factors

Take Home Messages

• Informatics integral to Healthcare delivery

• Vision/Leadership /Team Working• Lead Informatics Nurses• Informatics, safety, quality, process

change, education and research• Design first / then apply technology• Substantial investment / hardware/

IT companies/ infrastructure to ensure maximum productivity and efficiency of IT systems

• Nurse sensitive indicators are collated, monitored and analysed to improve practice and patient care

Useful Contacts

• http://blog.himss.org/author/christelanderson/

• www.himss.org/ni• http://www.advocatehealth.com• http://www.nmh.org/nm/home• https://www.luriechildrens.org• www.daisyfoundation.org