Call to Action: Realize Sharable,

Comparable Big Data

Bonnie L. Westra, PhD, RN, FAAN, FACMIAssociate Professor & Director, Center for Nursing

Informatics University of Minnesota, School of Nursing

DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

Share findings from a national action to create sharable/ comparable nursing data to transform health and healthcare

Encourage adoption of SNOMED-CT and LOINC as national standards for clinical data, with linkage to nursing terminologies through mappings

Advocate for participation in standards organizations and policy initiatives to ensure a nursing voice

Objectives

AcknowledgmentPlanning Committee/ Presenters at:

Connie Delaney, PhD, RN, FAAN, FACMI

Susan Matney, MS, RN, PhD-C, FAAN

Joyce Sensmeier MS, RN-BC, CPHIMS, FHIMSS, FAAN

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

John Welton, PhD, RN

Bonnie Westra, PhD, RN, FAAN, FACMI

Nursing Knowledge: Big Data Research for Transforming Healthcare

University of Minnesota School of Nursing

Nurses Call to ActionNursing information is not captured in ways that make it sharable and comparable – essential for “big data” for quality improvement and research to improve patient safety outcomes

Nursing has a long history of informatics development, but implementation lags

Primary Goal is…..To guide consistent documentation and data collection to support big data research for transforming healthcare

Created an Action Plan for:Prepare nurses to meet informatics

competencies

Integrating nursing information into health and healthcare knowledge systems

Optimizing nursing language and healthcare information

Creating a clinical data warehouse to use EHR data to Influence policy

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

Make information easily and safely shared among patients, consumers and providers

Enable improved outcomes, quality of care and lower costs

To Reach this VisionAll providers, health systems, hospitals, patients

and consumers must have access to real-time, accurate and actionable health information

10

Clinical Data Repository/ Warehouse

Clinical DataNMDS

Management Data

NMMDS

Other Data Sets

Continuum of Care

Action Plan to Achieve the Vision

Develop a strategy/campaign for educating front line nurses, students, and faculty on informatics

competencies & the value of standardized nursing data

CompetenciesSources

AACN – requires informatics Essentials for BSN, MS, and DNP

TIGER Initiative – all nurses

ChallengeFaculty preparation

to teach informaticsQSEN Informatics

Deep Dive

Action Plan to Achieve the Vision

Advocate for the adoption of SNOMED-CT and LOINC as national standards for clinical data, and

link them with nursing terminologies through mappings

Missing Educational LinkImplementation of standardized nursing

languages

Shared resources for mapping local terms to national standards

Commitment to a standard for health information exchange for nursing data

Standardized Terminologies

Health Information Exchange

Action Plan to Achieve the Vision

Demonstrate the value of a nursing knowledge model to advance big data research and improve

patient outcomes

The Nursing Process – Nursing Knowledge Model

Susan Matney, MSN, PhD(c), RN-C, FAAN

Action Plan to Achieve the Vision

Advocate for participation in standards organizations and policy initiatives to ensure a

nursing voice

Nursing’s Role in Standards

Leverage the EHR to optimize workflow and support clinical decision making

Tell the patient’s storyGather information from throughout the EHRPresent 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

Participate

Questions?

Thank You! Bonnie L. Westra PhD, RN, FAAN, FACMI

Email: westr006@umn.edu