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9/25/2017 1 NMC 2017 – Las Vegas Tech Savvy Nurse Leader Tech Savvy Nurse Leader DAndre T. Carpenter, DNP, MS-ISM, RN-BC Corporate Director, Clinical Informatics BaylorScott&White All Saints Medical Center BaylorScott&White Andrews Womens Hospital [email protected] Managing Technology & Patient Care NMC 2017 – Las Vegas Tech Savvy Nurse Leader BaylorScott&White Largest Integrated Delivery Network in TX Over 900 access points 5.1 patient encounter annually 48 Hospitals and 900+ Patient Care Site 40,000+ employee organization Internationally known for Quality STEEEP Program NMC 2017 – Las Vegas Tech Savvy Nurse Leader Course Objectives By the end of this session, you will understand: To understand technical implications to clinical practice across all levels of Nursing To understand metric driven components of Electronic Health Records (EHR) To understand maximum implications to having a clinical data strategy around finance, people, service, quality To understand multiple modalities of technology to include device integration, wearable devises, and emerging technology

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9/25/2017

1

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Tech Savvy Nurse Leader

D’Andre T. Carpenter, DNP, MS-ISM, RN-BCCorporate Director, Clinical Informatics

BaylorScott&White All Saints Medical CenterBaylorScott&White Andrews Women’s Hospital

[email protected]

Managing Technology & Patient Care

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

BaylorScott&White

• Largest Integrated Delivery Network in TX

• Over 900 access points

• 5.1 patient encounter annually

• 48 Hospitals and 900+ Patient Care Site

• 40,000+ employee organization

• Internationally known for Quality STEEEP Program

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Course Objectives

By the end of this session, you will understand:

• To understand technical implications to clinical practice across all levels of Nursing

• To understand metric driven components of Electronic Health Records (EHR)

• To understand maximum implications to having a clinical data strategy around finance, people, service, quality

• To understand multiple modalities of technology to include device integration, wearable devises, and emerging technology

9/25/2017

2

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

“Really?!” “I have to be Tech Savvy?”

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

9/25/2017

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NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

HIT vs. HIE vs. HII

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Meaningful Use

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NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Value Based Care

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Measured Based Model

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

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NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Precision Nursing

• Patient centered, highly reliable, evidence based and personalized nursing practice across the continuum of care that supports:– Quality outcomes

– Safety

– Decreased Costs

– Efficiency

– Nurse Satisfaction

– Length of Stay

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Domains- Clinical/Operational Data Strategy

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

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NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Components – Clinical/Operational Data Strategy

Planning & Discovery

Current State Assessment

Analysis, Prioritization, & Roadmap

Change Management

Activity

Clinical Operational Data Strategy

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

• Business Needs

• Clinical Needs

• Stakeholders

• Scope of Work

• Schedule Needs

• Frequency of Reporting

• Distribution

Planning &

Discovery

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

• Business Processes

• Origin & Data Sources

• Assets

• Capabilities

• Regulatory Implications

• Policies & Procedures

Current State

Assessment

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NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

• Gap Analysis

• Criteria for Priorities

• Planning & Construction of a Roadmap

• Anticipated Outcomes

• Anticipated Best Practice OutcomesAnalysis, Prioritization, & Roadmap

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

• Organization/Unit-Base Change

• Cultural Change Implications

• Incentives for Change

• Penalties for Change

• Data Governance Bodies

• Identification of Change Agents

• Definition of the role of a Change Agent

• Communication Plan

• Feedback Plan

Change Management

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

• Example Data Strategy

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NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

• Example Data Strategy

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

• Example Data Strategy

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

• Example Data Strategy

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NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

EMERGING TECHNOLOGIES

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Mobile Technology

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Mobile Technology

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NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Secure Encrypted Messaging

• Protects PHI

• Standardizes how data is transmitted

• Includes layers of data security

• Requirement of MU

• Example Tiger Text, AMION, Spok

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Health Trends in Mobile Tech

• Wearable Devices

• Mobile Clinical Documentation (clindoc)

• Mobile Physician Documentation (physdoc)

• Secure Encrypted Messaging of PHI

• GPS Location servicing for:– Marketing

– Education

– Clinical Documentation

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Mobile Apps Technology

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NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Artificial Intelligence

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

IBM Watson

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

PillCam

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NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

Telemedicine

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

NMC 2017 – Las Vegas

Tech Savvy Nurse Leader

D’Andre T. Carpenter, DNP, MS-ISM, RN-BCCorporate Director, Clinical Informatics

BaylorScott&White All Saints Medical CenterBaylorScott&White Andrews Women’s Hospital

[email protected]: 804-502-2151