University of Maryland School of Nursing 18th Annual Summer Institute in Nursing Informatics BUILDING CONNECTIONS FOR PATIENT-CENTERED RECORDS

University of Maryland School of Nursing18th Annual Summer Institute in Nursing Informatics BUILDING CONNECTIONS FOR PATIENT-CENTERED RECORDS Pre-Conferences: July 14 – 16, 2008Conferenc

University of Maryland School of Nursing

18th Annual Summer Institute in Nursing Informatics

BUILDING CONNECTIONS FOR PATIENT-CENTERED

RECORDS

Pre-Conferences: July 14 – 16, 2008Conference: July 16 – 19, 2008

OVERVIEW

From the electronic health record to the personal health record, healthinformation is increasingly centered on the patient, not the provider or theinstitution Patient-centered records are necessary for efficiently andeffectively sharing personal health information across providers andservices in increasingly complex health care environments These recordscan be a valuable tool for managing one’s own health and that of familymembers

Patient-centered records can be a resource for research and a means ofsupporting evidence-based practice However, using records for suchpurposes raises a number of issues: Who owns and controls the records?What ethical standards and policies should apply to the reuse of patientdata? How can we assure the quality of the data? How trustworthy is thedata source? How can we maintain the privacy and security of informationwhile maximizing the benefits of sharing and reusing it?

The 2008 Summer Institute in Nursing Informatics (SINI) will address theseand other related questions Experts and leaders who are developingpolicies, creating networks, reusing clinical data, and developing andimplementing new kinds of patient-centered records will inform a diverseaudience of nurses and other health care professionals about the latestadvances in patient-centered records

WHO CAN BENEFIT?

Informatics Nurse Specialists will advance their knowledge and skills in

both the technical and organizational domains

Nurse Executives will discover how to use information technology to

support leadership and organizational transformation for better, safer careand wiser use of resources

Systems Analysts and Programmers will gain a nursing perspective on

practice and workflow, and attendant system requirements

Nurse Clinicians will learn more about how to use information technology

to support care processes and improve patient outcomes

Educators will learn essential information that all nursing students must

have about informatics, and will discover how informatics is transformingpractice

Researchers will learn how they can use informatics tools for advancing

the science of nursing

CONFERENCE TRACKS ARE DESIGNED TO MEET ALL LEVELS OF EXPERIENCE:

 Novice

For those who have less than two years of informatics experience,but are comfortable in their parent domain (e.g., ICU nursing).Presentations at this level provide clear, concise, and basicintroductions to a variety of “hot” topics

 Intermediate

For those with two or more years of informatics experience and asolid informatics background Participants will be able to applyinformatics successfully in their clinical domain Presentations areclinically based, but theory driven

 Expert

These scholarly sessions with industry and educational leaders willtake attendees to the next level in their knowledge and profession

Founded in 1889, the University of Maryland School of Nursing is a

nationally ranked, top-tier school of distinction The School enrolls morethan 1,400 students in its baccalaureate, master’s, and doctoral programs.Additionally, thousands of participants attend professional developmentprograms annually The School emphasizes the integration of research,teaching, and clinical practice, and serves regional, national, andinternational audiences The University of Maryland School of Nursing wasthe first in the nation to offer graduate degrees in nursing informatics, and itcontinues to be a leader in this specialized field The program’s nearly 500alumni hold prestigious positions in health care systems and serve asnursing informatics faculty members throughout the nation Please see theSINI schedule for informative sessions regarding the School of Nursing’sgraduate and post-master’s programs

The School of Nursing’s Office of Professional Development providesinnovative, timely, and highly professional programs that serve more than3,000 professionals each year This office is accredited as a provider ofcontinuing nursing education by the American Nurses CredentialingCenter’s (ANCC) Commission on Accreditation

Note: To qualify for contact hours, you must complete a Continuing Education and Verification of Attendance Form and a Conference Evaluation Form, and submit these forms at the end of the conference Contact hours are calculated based on your attendance at daily

Contact hour offerings for SINI:

 Wednesday, July 16, 2008 1.5 hours

 Thursday, July 17, 2008 5.25 hours

 Friday, July 18, 2008 5.50 hours

 Saturday, July 19, 2008 2.75 hours

Total contact hours: 15.0 contact hours

Baltimore has it all: great cuisine, sports teams, a wide array of shopping, astunning waterfront, and sites for the entire family to enjoy From local crabcakes, to the Inner Harbor, Edgar Allan Poe House, National Aquarium andMaryland Science Center, Baltimore offers historical, educational, and fun-filled attractions that appeal to everyone For more information on sporting,

cultural, or social events, please visit www.baltimore.org

ATTEND VIA SINI WEBCAST

Attend SINI 2008 from your home or office! Keynote, plenary, anddistinguished lectures will be available via webcast, as well as a widevariety of concurrent sessions and paper presentations You have theoption to participate in the program live, as well as view archived portions

of the conference via the Internet for two weeks following SINI Webcastpresentations are identified in this brochure and on the SINI 2008 Website.Software requirements to view the webcast are also included on the SINIWebsite

Conference Objectives

Those who attend SINI 2008 will be able to:

1 Analyze the risks and benefits of sharing patient information amongproviders and agencies through health information exchanges

2 Examine the challenges of maintaining continuity of patient recordsover time and across locations in context of current efforts toovercome these challenges

3 Assess methods through which patient-centered records in anelectronic healthcare records system can contribute to patient-sensitive, evidence-based care

4 Identify factors critical to achieving the benefits of evidence-basedcare from patient-centered records

5 Compare and contrast different approaches to using patient-centeredrecords to promote and support personal and family healthmanagement, including challenges and strategies to overcome them

6 Summarize benefits, risks, and policy issues related to re-use of datafrom patient-centered records Include consideration of questionsregarding data quality and accuracy

SINI 2008 PRE-CONFERENCES

Preconference Schedule

Monday, July 14 7:30 a.m – 8:00 a.m (Check-in)

8:00 a.m – 5:00 p.m

Tuesday, July 15 8:00 a.m – 5:00 p.m

Wednesday, July 16 8:00 a.m – 12:00 noon

Meals

Breakfast is included and will be served 7:30 a.m each day

Lunch is included on Monday and Tuesday

Continuing Education: 18.5 Nursing Contact Hours

Preconference Fee: $600 (After July 1: $650)

Please Note: All preconferences are limited to 50 participants Please register early.

Pre-Conference 1: PROJECT MANAGEMENT IN HEALTH CARE INFORMATION TECHNOLOGY

Overview

This is an intensive 2.5 day workshop designed to give participants theessential principles and tools for effective Health Care InformationTechnology (HIT) Project Management Informatics nurse specialistsworking on HIT projects for providers, consultants, suppliers, and academiawill benefit from the program The presenters will explore the systemslifecycle and strategies to ensure success when implementing clinicalsystems, particularly when there is workflow impact Content will focus onimplementation phases, tips that will positively impact implementationeffectiveness and efficiency, and project management methodology The

five workshop exercises will use a real life example of an Electronic

Medication Administration Record (eMAR) Implementation Project and give

participants the opportunity to work on project teams and practice the skillsdiscussed

At the completion of this course, each participant will be able to:

1 Effectively run a health care IT project using a disciplined approach

2 Explain the seven steps in the systems implementation lifecycle

3 Describe the four process groups in project managementmethodology, and identify key inputs and outputs for each

4 Illustrate the “triple constraint” relationship between scope, cost, andtime and how it can impact project quality

5 Discuss how a clinical system project is initiated, along with the role

of the project charter

6 Use the Work Breakdown Structure to create time, cost, and resourceestimates for a project

7 Demonstrate how to define the critical path of a project

8 Explain the use of automated tools for project planning, executing,and controlling

9 Identify five techniques that will positively impact the quality,efficiency, and effectiveness of a clinical system implementation

Instructors

Judy Murphy, RN, BSN, FACMI, FHIMSS has been in systems work for

over 23 years, involving extensive experience with all levels of projectmanagement in both custom program development and purchased vendorproducts, and is responsible for the 150 analyst and programming staffsupporting Aurora’s EHR implementation Ms Murphy is on the Board ofDirectors for the American Medical Informatics Association, is a Fellow inboth the American College of Medical Informatics and the HealthcareInformation and Management Systems Society, and was the recipient ofthe 2006 HIMSS Nursing Informatics Leadership Award She was namedone of the “20 People Who Make Healthcare Better” in 2006 by

HealthLeaders magazine She has published and lectured nationally and

internationally on the use of computers in nursing and in healthcare

Patricia C Dykes, DNSc, MA, RN is the Senior Nurse Informatician with

the Clinical Informatics Research & Development group, where she usesproject management in her role as consultant for acute caredocumentation, and conducts informatics and patient safety research tostudy the feasibility of emerging technologies and facilitate data captureand reuse in the electronic medical record Dykes served as thechairperson of the Health Information Management Systems Society's

governing director for the Alliance for Nursing Informatics (ANI) from 2005

to 2007 She has presented and published her work nationally andinternationally and is the author of two books on interdisciplinary clinicalpathways

Pre-Conference 2: WINI: WEEKEND IMMERSION IN NURSING INFORMATICS

Overview

This course focuses on practice trends and issues facing the nursingprofession and provides a comprehensive examination of nursinginformatics theories, the impact of human factors, systems analysis, anddesign approaches Introductions to managing information databases andsystems are included, as well as the evaluation of information technologiesand systems Case studies and question and answer sessions providenumerous problem solving opportunities The program is designed fornurses who want to clarify or expand their working knowledge of nursinginformatics The course is conducted by certified informatics nurses andpermits individuals to complete a personal assessment of their knowledge,skills, and abilities to prepare them to sit for the ANCC Nursing InformaticsCertification Exam

Objectives

At the completion of the pre-conference, participants will be able to:

1 Identify current professional practice trends and emerging issuesfacing the nursing profession

2 Discuss theories used in nursing informatics

3 Analyze the human factors that affect nursing informatics

4 Identify methods of managing information and databases

5 Plan for implementation and support of a computer system

6 Review essential information about computer systems, theirfunctions, and basic terminology related to hardware and software

7 Discuss systems testing and evaluation techniques

8 Review key test-taking strategies to facilitate success in taking theANCC Certification Exam

All course materials are included in the registration fee, and each

participant will receive a one-year subscription to the Computers,

Informatics, and Nursing journal.

Instructors

Carol Bickford, PhD, RN-BC has more than 30 years experience in

diverse medical-surgical, ambulatory care, administrative, and informaticspositions Dr Bickford is a senior policy fellow in the Department of NursingPractice and Policy at the American Nurses Association She has publishedand presented both nationally and internationally Dr Bickford is an activecontributing member of numerous organizational informatics committees,workgroups, and special interest groups

Kathleen Smith, MScEd, RN-BC, FHIMSS, has extensive experience as

an educator and instructional designer and more than 30 years experience

in a variety of nursing positions She is also on the Board of Directors andacts as Webmistress for the District 5 Maryland Nurses Association Ms.Smith, who has an independent nursing informatics consulting practice, haspresented nursing informatics seminars at local, national, and internationalmeetings She is an active member of a variety of nursing informaticscommittees and workgroups

Dr Carol J Bickford and Ms Kathleen Smith are board certified in

nursing informatics They are both recipients of the 2001 InformationTechnology Award for Knowledge Advancement from Sigma Theta Tau,the international honor society in nursing, and the 2003 Outstanding NurseEducator Award from the Maryland Nurses Association Together, they aremanaging partners of Informatics Consulting and Continuing Education,LLC

Pre-Conference 3: Nursing and the Healthcare Information Systems Lifecycle Process

Overview

The implementation of information technology systems brings exciting newcapabilities to the nurse, but also introduces change in the complexenvironment in which nurses work The changes that arise can create anunanticipated impact on the technical, social, cultural, economic, andpolitical aspects of the point of care, and bring high risk to patients andnurses alike One way to mitigate the risk is through nursing involvement,empowerment, and leadership during the entire Information Systems LifeCycle process This intensive 2.5 day workshop will provide non-informatics nurses with the tools and knowledge they need to be fullparticipants and leaders in all phases of an information systemimplementation

Objectives

At the completion of the conference, each participant will be able to:

1 Gain an understanding of the Information System Life Cycle as amethodology used in system implementation

2 Learn the tasks and activities of the five phases of the Life Cycle

3 Discuss the implications and involvement of nurse management inthe tasks and activities

4 Discuss the implications and involvement of nurse end users in thetasks and activities

5 Practice lessons learned through brief group project activities

Instructors

Marisa L Wilson DNSc, MHSc, RN

Assistant Professor

University of Maryland School of Nursing

Denise O'Brien, MSN, APRN, BC, CPAN, CAPA, FAAN

Clinical Nurse Specialist UMH

Postanesthesia Care Unit Department of OR/PACU

University of Michigan Health System

Lyn Stankiewicz Murphy, PhD, MBA, MS, RN

Director of Professional Development

2008 SUMMER INSTITUTE IN NURSING INFORMATICS

WEDNESDAY, JULY 16, 2008

12:00 – 2 p.m.

PARTICIPANT REGISTRATION AND CHECK-IN

School of Nursing Lobby

1:00 – 2 p.m.

TIPS FOR A SUCCESSFUL SINI PRESENTATION

A Workshop for Peer-Reviewed Paper and Poster Presenters

Kathleen Charters, PhD, RN, CPHIMS, CNE

Clinical Information Systems Specialist

Creative Computing Solutions, Inc

2:15 – 3:00 p.m.

INTRODUCTIONS AND WELCOME Webcast

Janet D Allan, PhD, RN, FAAN

Dean and Professor

University of Maryland School of Nursing

Judy G Ozbolt, PhD, RN, FAAN, FACMI, FAIMBE

Program Chair, 2008 Summer Institute in Nursing Informatics

Professor and Program Director of Nursing Informatics

University of Maryland School of Nursing

3:00 – 4:30 p.m.

PROMOTING PATIENT-CENTERED CARE THROUGH

A PERSONAL HEALTH RECORD

Stanlie Daniels, RN

Deputy Chief Officer

Director of Strategic Planning and Measurement

Office of Patient Care Services

Veterans Health Administration

There are various methods for advancing patient self-managementcompetency that enable patients to share in decision-making and improvehealth outcomes The Veterans Health Administration provides severalelectronic mechanisms promoting patient-centered care, such as apersonal health record and patient-focused electronic care delivery toolsthat support care coordination processes, telehealth, clinical reminders,and a weight reduction program called MOVE!

4:30 – 5:30 p.m.

MEET THE KEYNOTE SPEAKER: Stanlie Daniels, RN

Please join us for a “meet and greet” with our distinguished keynotespeaker, Stanlie Daniels, RN This will provide a valuable opportunity forparticipants to interact and exchange ideas with Ms Daniels following herpresentation

WALKING TOUR OF BALTIMORE

Hosted by Dean Krimmel

Learn more about Baltimore’s dynamic West Side by participating in aneducational walking tour led by Baltimore Historian Dean Krimmel Ticketswill be available at the registration desk

R ADAMS COWLEY SHOCK TRAUMA CENTER TOUR

Hosted by Vicky Stewart

The R Adams Cowley Shock Trauma Center is the nation’s only TraumaHospital It is dedicated to treating the severely injured and employsgroundbreaking research and innovative medical procedures with one goal

in mind: to save lives! Learn more about this innovative and excitingapproach to health care Tickets will be available at the registration desk

VISIT THE VISIONARY ARTS MUSEUM

A dynamic exhibit worth viewing is All Faiths Beautiful: From Atheism to

Zoroastrianism, a collection of more than 500 works dealing with the

personal subject of belief and faith (Baltimore Examiner, 2008) Shuttle bus

service to the museum will be available from the School of Nursing and theconference hotel Tickets will be available at the registration desk

SIMULATION LABORATORIES TOUR AND DEMONSTRATION

The University of Maryland School of Nursing’s Clinical SimulationLaboratories will be used to demonstrate the application of clinicalsimulation to nursing education at all levels Tickets will be available at theregistration desk

SCHOOL OF NURSING MUSEUM: A LIVING HISTORY

The University of Maryland School of Nursing Museum is one of the onlymuseums of its type in the nation The fascinating story of health care’sunsung heroes is captured in hundreds of photographs, personal items,and the written and spoken words of the nurses themselves, including theretired nurses who volunteer as museum docents Tickets will be available

at the registration desk

6:00 – 9:00 p.m.

SINI SOCIAL EVENT: GOOD FOOD, GOOD FUN and NETWORKING

American Visionary Arts Museum

800 Key Highway

Baltimore, MD 21230

www.avam.org

Join us for an exciting evening of music, dining, and networking A

“Baltimore Jazz” theme will highlight the City’s jazz and blues tradition.Business casual attire is suggested This program is included with yourSINI registration It is also offered to guests who have not registered for acost of $99 per guest Shuttle bus service to the museum will be availablefrom the School of Nursing

SUMMER INSTITUTE IN NURSING INFORMATICS

THURSDAY, JULY 17, 2008

8:00 – 8:30 a.m.

CONTINENTAL BREAKFAST

8:30 – 9:30 a.m

PUTTING THE PATIENT IN PATIENT-CENTERED CARE:

WHAT IT CAN DO

Roy L Simpson, RN, C, FNAP, FAAN

Vice President, Nursing

9:30 – 10:00 a.m.

MORNING BREAK

CONCURRENT SESSIONS INFORMATION

To facilitate your SINI experience, tracks have been created to addresscurrent themes in Nursing Informatics for all concurrent sessions Trackdesignations are for informational and organizational purposes only Youare 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 CareTrack 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

Director of Operations and Privacy and Security Officer

University at Buffalo Associates

This presentation will review the history of HIPAA Privacy and Securityregulations, the current impact to health care operations, examples of realworld implications, and the protection of privacy and security in the land ofRHIOs

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 onclinical workflow when implementing electronic order entry, computerizedprovider order entry, and nursing documentation In addition, it will presentmethods for standardizing nursing orders and mapping the workflow

practices and benefits through exemplars from a variety of healthcareorganizations.

1C WEB-BASED HAZARD AND NEAR-MISS REPORTING AS PART

OF A PATIENT SAFETY CURRICULUM

New York Presbyterian Hospital

This presentation will describe a curricular innovation project in which wedeveloped a web-based dangerous situation and near miss reportingsystem for baccalaureate nursing students (N=339) To promotemindfulness during clinical education, students were required to submit onereport for each of their clinical days The most commonly reported hazards

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 revolvearound the patient, rather than the patient rotating around the hospital?Considering a patient-centric point of view when designing andimplementing health care information technology provides newperspectives on the meaning of “integrated” health care

1E COGNITIVE BARRIERS TO OPTIMAL DATA QUALITY AND USE (Expert Level)

Professor

Department of Biomedical Informatics

Arizona State University

The quality of data collected, plus its storage, retrieval, representation andinterpretation, all affect the way that information is used for makingdecisions Problems at one of these steps can lead to suboptimaldecisions, resulting in clinical errors This presentation will discuss some ofthese 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 healthinformation network, describe the clinical use case for HIE, discuss in detail

10 public health use cases for HIE, and then discuss other secondary useand re-use scenarios for data though HIE

11:00 – 1:00 p.m.

LUNCH (on your own)

Chief Executive Officer

eHealth Initiative and eHealth Initiative Foundation

This presentation will provide an overview of activities occurring at thenational, state, and local levels related to the use of health IT.Multi-stakeholder consensus on principles and strategies for engagingconsumers, transforming care delivery, and improving population health,through the use of health IT will be addressed Aligning incentives andeffectively managing privacy and security, drawing from the recently

released eHealth Initiative Blueprint: From Consensus to Common Action

Moderator:

Marisa L Wilson DNSc., MHSc., RN

Assistant Professor

University of Maryland School of Nursing

Nancy Staggers, PhD, RN, FAAN