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Patient Safety and Quality Healthcare
Posted April 16, 2009

Patient Safety and Quality Healthcare: News

Informatics Nurses Drive IT Adoption, Patient Safety

The HIMSS 2009 Nursing Informatics Impact Survey, sponsored by McKesson, reveals the significant influence of informatics nurses on quality of care.

Chicago, April 2, 2009 — Informatics nurse professionals regularly use their expertise to promote the adoption of more effective, higher quality clinical applications in their healthcare organizations. In addition, they contribute significantly to patient safety, change management and usability of systems.

These findings are just a few of the results from the 2009 HIMSS Nursing Informatics Impact Survey, conducted by the Healthcare Information and Management Systems Society and sponsored by McKesson.

The number of informatics nurses in the U.S. is estimated to be about 8,000, according to the U.S. Dept of Health & Human Services - Health Resources & Services Administration preliminary findings of the 2004 National Sample Survey of Registered Nurse.

Designed to evaluate the impact that informatics nurses have on the healthcare environment, survey respondents reported an average score of 6.29 on a 7-point scale regarding the value informatics nurses bring to the IT systems implementation process. The research also looked at the impact of informatics nurses on workflow, user/clinician acceptance and screen flow, areas that each received an average score of 6.0 or higher.

"Informatics nurses have always been critical to increasing the adoption of healthcare information technology," said Merrie Wallace, RN, MN, vice president, solution line manager, nursing and clinical marketing, McKesson. "Their input and support is particularly vital as healthcare organizations look for ways to achieve meaningful use of IT in light of the economic stimulus package."

The survey also found that most hospitals, care delivery, healthcare IT vendor and consulting organizations represented in the research employ informatics nurses. These healthcare professionals hold a variety of roles in their organizations that include:

  • User education

  • System implementation

  • User support

  • Workflow analysis

  • Gaining buy-in from end-users

Other key survey results include:

Involvement of Informatics Professionals: Eighty-five (85) percent of respondents noted that individuals with a clinical background are employed in the Information Services (IS) department at their organization. The vast majority of these organizations employ individuals with a nursing background.

Role of Informatics Nurses: Informatics nurses are involved in a wide variety of job responsibilities relating to IT. Nearly all respondents noted that informatics nurses play a significant role in user education, and user support was identified by 86 percent of respondents, emphasizing the importance of this role to successful change management and process improvement.

Value and Impact of Informatics Nurses: Respondents believe that informatics nurses involved in system analysis, design, selection, implementation and optimization of IT have the greatest impact on patient safety (6.21), workflow (6.17) and user/clinician acceptance (6.15). The area with the least impact was integration with other systems (6.03).

Success of Informatics Nurses: Making sure that IT does no harm (5.83) was the concept with the highest average rating relative to the area of impact in which informatics nurses have the most success.

Involvement of Informatics Nurses with Emerging Technologies: Eighty-one percent of respondents whose organization was pursuing medical device integration indicated that informatics nurses were involved with this initiative. Informatics nurses are also highly involved with smart devices and remote monitoring.

HIMSS received 432 useable responses for this web-based survey, with data collected between Dec. 8, 2008 and Feb. 10, 2009. Respondents also provided demographic data that includes the following information.

Almost 75 percent of the respondents work for either a hospital or healthcare systems with another 11 percent employed with a vendor organization or consulting firm.

The majority of respondents have nursing-related titles, with 18 percent of the representing a nurse executive, such as Chief Nursing Informatics Officer (CNIO), Director of Nursing/Director of Nursing Informatics or Chief Nursing Officer (CNO).

Another 10 percent of the respondents are comprised of non-nursing executives, such as Chief Information Officers (CIOs), Chief Operating Officers (COOs) and Presidents/Chief Executive Officers (CEOs).

Some 37 percent holding a bachelor's degree in nursing; another 30 percent reported that they have a master's degree in nursing, while 23 percent have a master's degree in another specialty area.

In 2003, HIMSS founded the Nursing Informatics Community in response to the increased recognition of the role of the informatics nurse in healthcare information and management systems. Since its formation, this community of nursing informatics professionals has increased to just over 2,000 nurses, representing more than 10 percent of HIMSS members. Visit www.himss.org/ni to learn more.

"With the economic stimulus incentives now confirmed, nurses in clinical informatics become even more vital to technology management as healthcare organizations implement the electronic medical record," said Joyce Sensmeier MS, RN-BC, CPHIMS, FHIMSS, vice president, informatics, for HIMSS. "As clinicians who touch almost all points of care, nurse informaticists provide their expertise to ensure the highest quality care."

For the complete survey report, visit the HIMSS Web site.

About HIMSS
The Healthcare Information and Management Systems Society (HIMSS) is the healthcare industry's membership organization exclusively focused on providing global leadership for the optimal use of healthcare information technology (IT) and management systems for the betterment of healthcare. Founded in 1961 with offices in Chicago, Washington D.C., Brussels, Singapore, and other locations across the United States, HIMSS represents more than 20,000 individual members and over 350 corporate members and organizational affiliates that collectively represent organizations employing millions of people. HIMSS frames and leads healthcare public policy and industry practices through its advocacy, educational and professional development initiatives designed to promote information and management systems' contributions to ensuring quality patient care.

About McKesson
McKesson Corporation, currently ranked 18th on the FORTUNE 500, is a healthcare services and information technology company dedicated to helping its customers deliver high-quality healthcare by reducing costs, streamlining processes, and improving the quality and safety of patient care. McKesson is the longest-operating company in healthcare, marking its 175th anniversary last year. Over the course of its history, McKesson has grown by providing pharmaceutical and medical-surgical supply management across the spectrum of care; healthcare information technology for hospitals, physicians, homecare and payors; hospital and retail pharmacy automation; and services for manufacturers and payors designed to improve outcomes for patients. For more information, visit http://www.mckesson.com/nursing


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