Nursing informatics and the foundation of knowledge Discussion Post

Interaction Between Nurse Informaticists and Other Specialists Discussion Post
Week 3 Discussion Post

I work in an outpatient primary care/ specialty care (geriatrics) practice that is part of a large accountable care organization within a large hospital system. The practice operates based on value-based repayment that is achieved through care coordination efforts, wellness initiatives, and preventative care. According to Donatelli and Meyers (2014), “value-based care, informed by data, interpreted and applied by expert nurses, is best care for our patients” (p. 35). Improvement specialists are nurse informaticists within the organization that help the individual practices track, manage, and predict care utilization, health maintenance activities, and goal progress.

Typically, interactions with improvement specialists occur via pre-scheduled virtual meetings in which data is analyzed and reviewed. In addition to data review, the improvement specialists also provide suggestions for how to incorporate new initiatives into daily workflows and how new or existing functions within the EHR can be utilized to improve patient interactions. Elsayed et al. (2016) recognize the topics covered during these interactions as critical functions for nursing informaticists that lead to improved nursing care. While these interactions provide a lot of useful information, the meetings are not specific to individual practices which can lead to unnecessary information overload. Some of the strategies I would suggest to improve the interactions with the improvement specialists are meeting with practices individually rather than presenting to groups of practices and providing data information to practices ahead of time for review.

Nursing informaticists proved to be invaluable during the COVID-19 pandemic due to the rapid changes needed in healthcare to continue to provide patient care safely. The evolution of nursing informatics as a specialty is expected to continue to improve quality of patient care through improved clinical decision-making tools and integration of evidence-based practice in EHRs (McGonigle & Mastrian, 2017). Additional roles that can be taken on as the specialization continues to expand include policymakers, educators, and operational owners, as these nurses are well prepared to find, analyze, and integrate data to improve healthcare and operations (Schoenbaum & Carroll, 2021). As new technologies continue to be developed, I would expect to see more team-based care and improved continuity of care through virtual communications.

References

Donatelli, D. & Meyers, E. (2014). Nursing analytics: Using cost and quality information to improve patient care. Patient Safety & Quality Healthcare, 11(2), 32-37.

Elsayed, I. A., El-Nagger, N., & Mohamed, H. A. A. (2016). Evolution of nursing informatics: A key to improving nursing practice. Research Journal of Medicine and Medical Sciences, 11, X-X7.

McGonigle, D. & Mastrian, K. (2017). Nursing informatics and the foundation of knowledge. (4th ed). Jones & Bartlett Learning.

Schoenbaum, A. E. & Carroll, W. M. (2021). Nursing informatics key role in defining clinical workflow, increasing efficiency, and improving quality. Healthcare Information Management and Systems Society. https://www.himss.org/resources/nursing-informatics-key-role-defining-clinical-workflow-increasing-efficiency-and

Discussion: Interaction Between Nurse Informaticists and Other Specialists
Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.
By Day 3 of Week 3
Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

By Day 6 of Week 3
Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

This is an interesting topic to dive into; sometimes, we do not realize that the shift in reimbursement has gone from a fee-for-service matrix to one that is service-based and value-driven. There is rapid change occurring in the U.S. healthcare system. Under the changes instituted in 2015, the switch to a performance-based fee system was begun( Squitieri, Bozic, & Pusic, 2017). I believe that is what you are referring to in your post. Do the information specialists track visits and satisfaction within your clinic? I know I work in an outpatient wound care clinic Once a week, and there are times where corporate team members come and analyze our process for the clinic from check-in time to discharge. In your workplace, do providers get reimbursed at a higher rate if their scores go up? I know that this, at one point, led to providers overprescribing pain medication to get a good patient score. I know that informatics is implementing change and improving flows within nursing and the medical field. I assume that the informatics team members in your facility are implementing EBP and screening tools into your workflow (McGonigle & Mastrian 2017)to determine the amount of time each patient could require or flag certain patients who may need their annual bloodwork, be missing diagnostic testing. That is good that you guys at least interact with your Data department; I am not sure how I would contact mine; however, I am sure this is cause I work the night shift, and if there was a need, I could track down the appropriate person. Good Post, thank you!

References:

McGonigle, D. & Mastrian, K. (2017). Nursing informatics and the foundation of knowledge. (4th ed). Jones & Bartlett Learning.

Squitieri, L., Bozic, K. J., & Pusic, A. L. (2017). The role of patient-reported outcome measures in value-based payment reform. Value in Health, 20(6), 834-836.

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