Transcription
NI Fellowship: Developing Future NurseInformaticistsSession #19, February 12, 2019Meg Furukawa MN, RN-BC, CNS; Angela Amucha BSN, RN-BCNurse Informaticists, UCLA Health1
Conflict of InterestMeg Furukawa MN, RN-BC, CNSAngela Amucha BSN, RN-BCHave no real or apparent conflicts of interest toreport.2
Agenda Nursing Informatics Overview Nursing Informatics Fellowship Outcomes Challenges/Barriers Lessons Learned Future Plans3
Learning Objectives Describe the logistics of developing a nursinginformatics fellowship Identify three benefits gained from developing anursing informatics fellowship Discuss challenges and strategies whendeveloping a nursing informatics fellowship Design an effective nursing informaticsfellowship4
Nursing Informatics (NI)5
Nursing Informatics Specialty that integrates nursing science withmultiple information management andanalytical sciences to identify, define, manage,and communicate data, information,knowledge and wisdom in nursing practiceNursing Informatics: Scope and Standards of Practice, 2nd Edition, ANA 20156
Nursing Informatics Supports nurses, consumers, patients, theinterprofessional healthcare team and otherstakeholders in their decision-making in all rolesand settings to achieve desired outcomes Accomplished through the use of informationstructures, information processes andinformation technologyNursing Informatics: Scope and Standards of Practice, 2nd Edition, ANA 20157
Nurse Informaticists Opportunities for nurses to learn andexperience the NI role outside offormal education are rare Vital to the successful use oftechnology Need for NIs has increasedsignificantly Increase in NI degree programs8
UCLA Nurse Informaticists Majority are masters-prepared and boardcertified Responsible for a wide range of inpatient andoutpatient areas Usually work independently from each other9
Development of NI Fellowship Created in response to multiplerequests for information aboutnursing informatics What do you do? How can I learn more about nursinginformatics? I am interested in informatics, but I am notsure it is the right degree/program for me Collaborative project for the NIteam10
NI Fellowship Opportunities Provide staff nurses with an opportunity to learnmore about the NI role Classes Practical experience Mentoring Work on optimization projects to benefit theorganization Increase insight into how nurses use technology11
NI Fellowship Opportunities Identify opportunities to use technology forimprovement Enable Fellows to make a more informed choiceabout pursuing formal degrees or positions ininformatics Prepare nurses who could assist our team withprojects or fulfill NI roles in the future12
NI Fellowship Goals Provide nurses with an opportunity to experience andlearn about nursing informatics Mentoring from NIs Practical experience Completing an informatics project Improve electronic health record (EHR) and/orworkflows by developing and implementingoptimization projects Provide NIs with the opportunity to share expertise13
NI Fellowship 1 year program Monthly classes Project Informatics experiences 8 hours per month 3 Fellows14
Eligibility Criteria Minimum of 3 years nursingexperience Minimum of 1 year of employment atUCLA Health Employed at 50% or more time base Demonstrates readiness forleadership15
Eligibility Criteria Strong interest in Nursing Informatics Must be able to attend 90% of all NIFellowship classes Able to complete a Nursing Informaticsrelated project Support from manager to participate16
Online Application Process Interest in informatics and the Fellowship Identify goals for Fellowship Informatics experience (not required) Committee/activities/project work Plans for professional development Identify an EHR or workflow issue to solve Identify areas of interest in informatics17
Online Application Process Resume May be asked to interview Information about the Fellowship given to theManagers first Information about the Fellowship emailed to staffwith link to the application Applications open for 2 weeks18
Application Review Rubric created based onapplication requirements NIs reviewed and scored eachapplication independently Completeness of application Depth of responses Project ideas19
Application Review Team reviewed andranked applicants Manager input20
Application Rubric123Application incompleteApplication completeApplication complete first timeUnclear responsesResponses clearResponses clear, concise, thoughtfulUnclear interestsClear interestsClear interests focusing on NIUnclear goalsClear goals not necessarily aligned withNI/ISS/NursingClear goals aligned with NI/ISS/NursingNo committee/activity/projectparticipationSome committee/activity/projectparticipation in a staff roleMore committee/activity/project participationin a leadership role, not overcommittedUnclear plans for professionaldevelopmentClear plans for professional developmentClear plans for professional developmentfocusing on NINo CareConnect/workflow issueidentified or not developedCareConnect/workflow issue identifiedCareConnect/workflow issue identified with planor aligned with NIMany areas of interestMore focused areas of interestFocused area of interest aligned with issue orgoalsResume not current, well developed orfocusedResume current and organizedResume well developed with NI Fellowship focusNo or weak Manager supportManager supportEnthusiastic Manager support21
Curriculum Based on the NI Scope and Standards Reviewed foundation informatics courses forcontent Reviewed NI competencies Topics divided among team to develop based onexpertise and interest22
Curriculum Weekly meetings to review andedit Topics arranged from novice toexpert Classes taught by NIs with a fewguest speakers Offered continuing education units23
Curriculum Topics Introduction to Nursing Informatics System Design Life Cycle Technology Overview EHR Optimization/Governance Strategic Planning24
Curriculum Topics Data Analytics Clinical Decision Support, Population Health,Social Determinants of Health Mobile Health and Patient Engagement Privacy, Security and Downtime Nursing Informatics, Looking Ahead25
Projects NIs identified potential projects prior tofirst meeting Worked with Fellows to choose a project Of interest to the Fellow Aligned with clinical expertise Able to successfully complete in a year Aligned with operational goals26
Projects Followed system design life cycle Narrow scope of projectPlanningImplementation Developed metrics for successTestingAnalysisDesign Approved through usual governance process Most work done through existing nursingworkgroups27
ProjectsUnitProjectEmergency DeptDevelop and standardize ED protocolsAmbulatoryImplementation of medication and bloodbarcode scanning in 5 clinicsICUImprove handover tool, Streamlineadmission assessmentPerioperativeStandardization of preoperative checklistsPerioperativeImprovement of handover for IR patients28
Outcomes – NI Fellowship 70 applicants Expanded number of Fellows accepted to 5 Developed and taught 11 classes All Fellows successfully completed their projects NI Fellowship Project Symposium29
Outcomes – Fellows Increased knowledge of NI role and ITdepartment Gained insightful leadership experiences Networking within organization Practical experiences in informatics30
Outcomes – Fellows Fellowship helped them growprofessionally Confirmed choice for anadvanced degree program Experience presenting theirwork31
Outcomes – Nurse Informaticists Positive experiences mentoring and teaching Built relationships with clinical staff Gained insight from front-line clinicians Improved teaching and presentationdevelopment skills Team bonding32
Outcomes – Organization Positive changes impacting care Optimized workflows and EHR Improved nurse satisfaction Stories for Magnet redesignation Succession planning Boots on the ground33
Challenges/Barriers Time Competing priorities Budget Number of applicants Operational engagement Unplanned leaves34
Lessons Learned Use an electronic application form Point person during applicationperiod to answer questions andfollow up with incompleteapplications Allow plenty of time to reviewapplications35
Lessons Learned Don’t overcrowd the content of classes Allow time for dialog and real-life examples Allow sufficient time for developing curriculumand mentoring Modify curriculum as needed based onevaluations36
Lessons Learned Have operational partners or sponsors forprojects Consider budgetary needs very early in planning Be flexible37
Future Plans Encourage Fellows to present their work atprofessional conferences Publish program Second year of the Fellowship 46 applicants 25% currently in an informatics program Accepted 6 Fellows Continue to offer the Fellowship annually38
QuestionsMeg Furukawa MN, RN-BC, CNSMFurukawa@mednet.ucla.eduAngela Amucha BSN, RN-BCAAmucha@mednet.ucla.edu39
Prepare nurses who could assist our team with projects or fulfill NI roles in the future NI Fellowship Opportunities. 13 . Managers first Information about the Fellowship emailed to staff with link to the application Applications open for 2 weeks Online Application Process. 19
