Thursday, July 17 Schedule

Continental Breakfast

Distinguished Lecture Web Cast

Putting the Patient in Patient-Centered Care: What IT Can Do

Roy L. Simpson, RN, C, FNAP, FAAN

Vice President, Nursing
Cerner Corporation

This lecture will help participants better define patient-centered care in the Information Age. Recognizing the influence of politics and the public arena on patient care and health information technology deployment, identifying patient technologies, and understanding nursing’s role in enabling patient-centered care will also be discussed.

Morning Break

Concurrent Sessions

To facilitate your SINI experience, concurrent sessions are organized into thematic tracks that reflect contemporary issues in nursing informatics.Track designations are for informational and organizational purposes only.You are free to select any concurrent session in each time slot.

Concurrent Session Tracks:

Track A Privacy, Security, & Communication of Patient-Centered Records
Track B Continuity of the Patient-Centered Record
Track C Implementation of Patient-Centered, Evidence-Based Care
Track D Facilitation of Personal and Family Health Management
Track E Data Quality and Accuracy in Patient-Centered Records
Track F Secondary Use and Re-Use of Data from Patient-Centered Records

1A. HIPAA IN THE LAND OF REGIONAL HEALTH INFORMATION ORGANIZATIONS (RHIO)
(All Levels)

Tak Nobumoto, CHPS

Director of Operations and Privacy and Security Officer
University at Buffalo Associates

This presentation will review the history of HIPAA Privacy and Security regulations, the current impact to health care operations, examples of real world implications, and the protection of privacy and security in the land of RHIOs.

1B. WORKFLOW AND NURSING ORDERS: BUILDING CONNECTIONS FOR PATIENT-CENTERED RECORDS

(Intermediate Level)

Stuart Staggs, MSIE

Process Consultant
McKesson Provider Technologies
Clinical Consulting Services

Jean Coates, MS, RN-BC, PMP

Senior Engagement Manager
McKesson Provider Technologies
Clinical Consulting Services

Teresa McCasky, MBA, RN-BC

Chief Nursing Strategist
McKesson Provider Technologies

This presentation will discuss the impact of standardized nursing orders on clinical workflow when implementing electronic order entry, computerized provider order entry, and nursing documentation. In addition, it will present methods for standardizing nursing orders and mapping the workflow process associated with nursing orders. Finally, it will demonstrate best practices and benefits through exemplars from a variety of healthcare organizations.

1C. WEB-BASED HAZARD AND NEAR-MISS REPORTING AS PART OF A PATIENT SAFETY CURRICULUM

(Novice Level)

Leanne M. Currie, DNSc, RN

Assistant Professor
Columbia University School of Nursing
Nurse Researcher
New York Presbyterian Hospital

This presentation will describe a curricular innovation project in which we developed a web-based dangerous situation and near miss reporting system for baccalaureate nursing students (N=339).To promote mindfulness during clinical education, students were required to submit one report for each of their clinical days.The most commonly reported hazards and near misses will be presented.

1D. THE COPERNICAN SHIFT:THE PATIENT AS CENTER OF THE UNIVERSE

(Intermediate Level)

Judy Murphy, RN, FACMI, FHIMSS

Vice President, Information Services
Aurora Health Care
Milwaukee,Wisconsin

Just as Copernicus proposed that the sun was the center of the universe – so do we need to consider how the health care system should revolve around the patient, rather than the patient rotating around the hospital? Considering a patient-centric point of view when designing and implementing health care information technology provides new perspectives on the meaning of “integrated” health care.

1E. COGNITIVE BARRIERS TO OPTIMAL DATA QUALITY AND USE Web Cast

(Expert Level)

Vimla L. Patel, PhD, DSc

Professor
Department of Biomedical Informatics
Arizona State University

The quality of data collected, plus its storage, retrieval, representation and interpretation, all affect the way that information is used for making decisions. Problems at one of these steps can lead to suboptimal decisions, resulting in clinical errors.This presentation will discuss some of these barriers within the context of electronic medical record and computer-based provider order-entry systems.

1F. PUBLIC HEALTH AND OTHER USES: CASES FOR HEALTH INFORMATION EXCHANGE DATA

(All Levels)

Jason Shapiro, MD, MA

Assistant Professor
Department of Emergency Medicine
Mount Sinai Medical Center

Postdoctoral Research Scientist
Department of Biomedical Informatics
Columbia University

This presentation will present an overview of health information exchange (HIE), regional health information organizations and the nationwide health information network, describe the clinical use case for HIE, discuss in detail 10 public health use cases for HIE, and then discuss other secondary use and re-use scenarios for data though HIE.

Lunch

(on your own)

Concurrent Session 2

2A. USING INFORMATION AND INFORMATION TECHNOLOGY TO IMPROVE HEALTH CARE QUALITY AND EFFECTIVENESS: NATIONAL, STATE AND LOCAL TRENDS Web Cast

(Intermediate Level)

Janet M. Marchibroda

Chief Executive Officer
eHealth Initiative and eHealth Initiative Foundation

This presentation will provide an overview of activities occurring at the national, state, and local levels related to the use of health IT. Multi-stakeholder consensus on principles and strategies for engaging consumers, transforming care delivery, and improving population health through the use of health IT will be addressed. Aligning incentives and effectively managing privacy and security, drawing from the recently released eHealth Initiative Blueprint: From Consensus to Common Action will be discussed.

2B. CASE STUDIES IN USABILITY AND CLINICAL APPLICATION DESIGN

(Advanced Level)

Moderator:

Marisa L. Wilson, DNSc., MHSc., RN

Assistant Professor
University of Maryland School of Nursing

Nancy Staggers, PhD, RN, FAAN

Associate Professor and Interim Program Director
of Informatics
College of Nursing
University of Utah

Gregory L. Alexander, PhD, RN

Assistant Professor
Sinclair School of Nursing
University of Missouri

Kathleen Smith, MScEd, RN-BC, FHIMSS

Managing Partner
Informatics Consulting and Continuing
Education, L.L.C.
Gaithersburg, Maryland

Denise Tyler, RN-BC, MSN, MBA

Clinical Specialist, Information Systems
Kaweah Delta Health Care District

Excellent application design and usable, clinician-friendly applications are basics for adequate user adoption of clinical information systems. This interactive session presents case studies of optimal and sub-optimal application design and usability of clinical information technology solutions.The panel discusses and analyzes selected cases to outline best methods for the superb examples of usability and lessons learned from the less-optimal projects.

2C. USING PARTNERSHIPS TO INTEGRATE EVIDENCE-BASED NURSING INTO PROFESSIONAL EDUCATION PROGRAMS: SIX YEARS OF EXPERIENCE

(All Levels)

Judith J. Warren, PhD, RN, BC, FAAN, FACMI

Christine A. Hartley Centennial Professor
University of Kansas School of Nursing
Director of Nursing Informatics
Kansas University Medical Center, Center for Health Care Informatics

The University of Kansas School of Nursing’s six-year experience in initiating and evolving partnerships to integrate evidence-based nursing into the curriculum will be presented.The University of Kansas has partnered with individual faculty members, vendors, and other nursing schools to accomplish this integration. School partners
have leveraged the work in their own curricula with success. Challenges, strategies, and rewards of partnering will be explored.

2D. E-HEALTH AND TELEHEALTH FOR CONSUMER EMPOWERMENT: ISSUES AND TRENDS

(Intermediate Level)

Victoria L. Elfrick, PhD, RN-BC

Assistant Professor of Clinical Nursing
The Ohio State University College of Nursing
Senior Associate
iTelehealth, Inc.

As technology rapidly accelerates, nurses require knowledge of issues and answers related to guiding consumers and providers. This presentation will provide key considerations for adopting and safely leveraging emerging technologies such as wearable sensors, wireless video, and the Internet. Key aspects of developing/handling personal health records and personal health information will be presented, as well as leading edge applications
currently being delivered in the U.S. and Internationally.

2E. ASSESSING DATA COLLECTED BY MEANS OF RAPID NEEDS ASSESSMENTS FOR OPERATIONAL PLANNING DURING PUBLIC HEALTH EMERGENCIES

(Expert Level)

Kimberly Elenberg, MS, RN

Commander, USPHS
Director of Training
Office of Force Readiness and Deployment

Disasters are destructive events which often require a public health emergency response.The goal is to assist and ensure survival of stricken populations. Priorities for dealing with disasters are established by identifying predominant causes of morbidity and mortality in a particular disaster. Initial rapid assessments that offer efficient data provide a general depiction of the population’s condition for setting priorities.

2F. ALTERNATIVE METHODS FOR ACCESSING INDIVIDUALS UNCONNECTED WITH THE HEALTH CARE SYSTEM: DEVELOPING EXTANT NON-HEALTH COMMUNITY-BASED DATA FOR HEALTH SERVICES INTERVENTION PLANNING

(Expert Level)

John Crilly, PhD, MPH, MSW

Assistant Professor
University of Rochester Medical Center
Department of Psychiatry
Mental Health Services Research
Veterans Health Administration,VISN2,
Center of Excellence for Suicide Prevention

Individuals without health insurance have peripheral, often expensive, and irregular involvement in the health care system. Alternative methods are considered to better plan and evaluate preventive interventions for highneed/ high-risk groups. Discussion will focus on a community-oriented model seeking community-level data to identify non-health care venues of contacts (points/types) from which to deliver tailored interventions. We will present two studies currently in process.

Concurrent Sessions

3A. BIG BROTHER AND BIG DATA: PROTECTING PATIENT PRIVACY AND DATA QUALITY IN DATA MINING

(Expert Level)

Linda Goodwin, PhD, RN

Director of the Nursing Informatics Program
Duke University School of Nursing

Data mining is now a fact of life with broad application that includes diverse domains of weather prediction, fraud detection, cancer survival prediction, and even analyzing your spending patterns at the grocery store! What can we do to assure data quality and protect patient privacy when we mine clinical databases and use those results to make decisions? This presentation will explore the answers.

3B. HEALTH INFORMATION EXCHANGE IN A COMMUNITY: THE MIDSOUTH EHEALTH ALLIANCE REGIONAL DATA EXCHANGE

(Intermediate Level)

Rodney Holmes, CPA, MS

Senior Consultant
Regional Informatics Program
Vanderbilt Center for Better Health

The MidSouth eHealth Alliance (MSeHA) was formed in the Memphis region in the spring 2005. The purpose of the MSeHA is to improve the quality, safety, and efficiency of patient care across providers to the benefit of the patient, provider, payer, and community through the appropriate exchange of timely and relevant patient specific data.This presentation will cover the details of the start-up, roll-out, and continued use of the system by clinicians in the area.

3C. AUTOMATED CARE PLANNING: DRIVING PATIENT CARE WITH EVIDENCE-BASED PROFESSIONAL NURSING PRACTICE

(All Levels)

Mary L. Hook, PhD, APRN, BC

Research Scientist, System Nursing
Research Department
Aurora Health Care, Milwaukee,WI

In 2004, the Knowledge-Based Nursing Initiative began with a vision to infuse evidence-based knowledge into nursing practice through intelligent technology. The team quickly learned that these improvements required a major transformation in the clinical and information system workflow. A new automated care planning design was implemented to support nurses in driving evidence-based interventions based on assessments/diagnoses with retrievable data elements. This new design will be discussed in this presentation.

3D. INCREASING PATIENT HEALTH CARE SELF-MANAGEMENT THROUGH THE USE
OF INFORMATION TECHNOLOGY

(All Levels)

Oyweda Moorer, MSN, RN, CNA

Program Director of Technology/Health Systems
Office of Nursing Services
Department of Veterans Affairs (VA)

This presentation will describe how patients and families use MyHealtheVet (VA’s Personal Health Record) to participate in managing their care. MyHealtheVet focuses on health promotion and disease management to monitor health conditions and trends and to find and apply knowledge resources.We will explore the strengths and weaknesses of resources and pros and cons of using online support groups.

3E. USING SURVEY DATA FOR QUALITY MEASUREMENT:
COMPARISON OF REPORTS

(Intermediate Level)

Doris Lefkowitz, Ph.D.

Director of the Division of Survey Operations
Center for Financing, Access and Cost Trends
Agency for Healthcare Research and Quality

Dr. Lefkowitz will use data from the Medical Expenditure Panel Survey (MEPS) to discuss advantages and disadvantages of the use of survey data for quality measurement.The MEPS is an annual, nationally representative survey collecting information on health care use, cost, and quality. Comparisons will include patient and provider data, as well as comparisons across survey sources.

3F. PUBLIC HEALTH USE OF HEALTH DATA IS PRIMARY USE Web Cast

(Intermediate Level)

Thomas G. Savel, MD

Acting Associate Director for Science
National Center for Public Health Informatics
Office of the Director
Centers for Disease Control and Prevention (CDC)

Dr. Savel will review the CDC’s ongoing efforts to forge links between the clinical care system and federal, state, and local public health authorities. The presentation will focus on how the CDC’s Health Information Exchange initiative and the National Health Information Network will support surveillance to protect the public from bioterrorism, pandemics, and other health threats. We will also discuss how public health integration with clinical data streams will translate into better health for the individual.