Vision of how informatics enables a transformed health system

1. Vision of how informatics enables a transformed health system Joyce Sensmeier MS, RN-BC, CPHIMS, FHIMSS, FAAN Vice President, Informatics, HIMSS President, IHE USA Nursing Knowledge: Big Data Research for Transforming Healthcare

2. Advancing the vision of a transformed health system Informatics and health IT have the potential to reshape the healthcare delivery system, transitioning to: A more coordinated structure where information can be easily and safely shared among patients, consumers and providers to enable improved outcomes, quality of care and lower costs.

3. To reach this vision • All providers, health systems, hospitals, patients and consumers must have access to real-time, accurate and actionable health information

4. Key drivers for informatics role in enabling a transformed health system • Adaptation to the Affordable Care Act • Business and clinical intelligence elicit outcomes, using advanced analytics • Value driven implementation/optimization of systems • Meaningful use of systems to improve healthcare delivery and outcomes • Advances in mobility, cloud-based solutions • Clinical decision support, usability and evidence-based care

5. Interoperability is essential • Infrastructure is still fragmented which contributes to inefficient, uncoordinated care • Need to bridge gaps between entities, organizations, settings • Need to understand impact on patients, end-users • Need comparable, consistent data • Advances in EHR –> Patient Care Device –> EHR integration • Moving to ICD10, Meaningful Use Stage 3

6. Consumer engagement is critical • Portable, accessible personal health information will provide an essential foundation • Mobile advances are an accelerator • Growing focus on preventive care • # of home-based devices is increasing • Access to genomics information, family history requires guidance, education • Transparency of cost and quality will inform choice

7. What is the role of the health record? It is not simply data, or even a repository into which data are poured. It is.. information that has been transformed by the knowledge, skill, and experience of clinicians, motivated by the healing impulse, into an understanding of human experience that makes the care of the patient possible. Foote, R.S. 2013. The Challenge to the Medical Record. JAMA Internal Medicine, 173 (13), 1171-2.

8. What is the purpose of a health record? • Recording/aid to memory • Each patient presents many pieces of information • Guiding thought • By the nature of it’s form it forces clinicians to edit information, organize it in a specific way and present it in a specific order • Communicating • It communicates information to others caring for the patient • Teaching • It is a tool for teaching as it reveals not only the nature of the patient’s illness but also the thought process of the clinician that created it Foote, R.S. 2013. The Challenge to the Medical Record. JAMA Internal Medicine, 173 (13), 1171-2.

9. Nursing’s role in the transformation • Leverage the EHR to optimize workflow and support clinical decision making • Tell the patient’s story • Gather information from throughout the EHR • Present and update it in an interactive, inter-professional summary • Collaborate to foster knowledge translation • Leverage analytics to extract actionable knowledge • Build evidence out of practice

10. In a transformed healthcare system… • Our focus is on patient satisfaction, patient safety, health promotion, and quality of care • The healthcare experience is personalized • Consumers are engaged in their health and healthcare, with their care team • Evidence-based care is improving outcomes and promoting health And informatics will help lead the way!