Nursing Informatics for the Advanced Practice Nurse: Patient Safety, Quality, Outcomes, and Interprofessionalism

744 Pages·2015·5.17 MB·English

by  Mari Tietze

NURSING INFORMATICS
for the
Advanced
Practice Nurse
Susan McBride, PhD, RN-BC, CPHIMS, FAAN, is a clinical nursing informaticist at the
Texas Tech University Health Sciences Center. As a professor at Texas Tech, she teaches DNP
courses, including statistics, informatics, epidemiology, and population health at the orga-
nizational and public policy level. She is also the director of the master’s and postmaster’s
nursing informatics programs. Dr. McBride’s clinical expertise also includes perioperative
and cardiovascular nursing, with a research focus on methods development for implement-
ing, evaluating, and utilizing large health care datasets and health information technology
(HIT) to improve patient safety and quality within the health care delivery system. She has
developed and deployed software and services with executive oversight in the for-profit and
not-for-profit arenas. Most recently, she supported operational activity and administra-
tive oversight of the West Texas Health Information Technology Regional Extension Center
(WTxHITREC) under the F. Marie Hall Institute for Rural and Community Health in a senior
leadership role. Her focused activities include advising practices and hospitals on workflow
redesign, clinical decision support, strategies to assist providers in meeting meaningful use of
electronic health records (EHRs), quality measures, and analytics using certified EHR tech-
nology. Her current research involves an EHR-enhanced simulation program to develop best-
practice competencies in the use of EHRs for interprofessional teams and evaluation of the
use of social media initiatives in improving population health.
Mari Tietze, PhD, RN-BC, FHIMSS, is an associate professor at Texas Woman’s Univer-
sity College of Nursing, where she teaches nursing research and informatics. She also sup-
ports the statistics component of capstone projects. Previously, she worked as senior manager,
Center for Research and Innovation, VHA Inc., in Irving, Texas. She also served as director
of nursing research and informatics in the Dallas–Fort Worth Hospital Council’s Education
and Research Foundation. In that role, Dr. Tietze was responsible for deployment of the Coun-
cil’s 3-year technology implementation project on behalf of the Small Community, Rural
Hospitals Research Grant, a National Institutes of Health grant funded by the Agency for
Healthcare Research and Quality. She was a key member on a team that was awarded an
$8.4 million grant for a Regional Extension Center in North Texas. Dr. Tietze directed work-
force center nursing research and data initiative informatics projects, and is board certified
by the American Nurses Credentialing Center in informatics nursing. She is fellow of the
Healthcare Information and Management Systems Society (FHIMSS) certified by the Health
Information Management Systems Society. Since 2010, Dr. Tietze has been an associate
professor at the Houston J. and Florence A. Doswell College of Nursing at Texas Woman’s
University. In 2014, she became the program director of the graduate certificate program in
interprofessional informatics at Texas Woman’s University.
NURSING INFORMATICS
for the
Advanced
Practice Nurse
Patient Safety, Quality, Outcomes,
and Interprofessionalism
Susan McBride,
PhD, RN-BC, CPHIMS, FAAN
Mari Tietze,
PhD, RN-BC, FHIMSS
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Library of Congress Cataloging-in-Publication Data
Nursing informatics for the advanced practice nurse : patient safety, quality, outcomes, and
interprofessionalism / Susan McBride, Mari Tietze, authors.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-8261-2488-3 (hard copy : alk. paper) — ISBN 978-0-8261-2489-0 (ebook)
I. McBride, Susan, 1957– , editor. II. Tietze, Mari, editor.
[DNLM: 1. Nursing Informatics. 2. Advanced Practice Nursing. WY 26.5]
RT50.5
610.730285—dc23
2015026693
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To my amazing family, who always stand in support of all the work I am committed to
doing to improve health and the health care delivery system. Thank you, dear family!
—Susan McBride
To my Mom, Pauline L. Bruschi, who was proud to be on my right side . . . through it
all. Thanks, Mom!
—Mari Tietze

CONTENTS
Contributors xi
Foreword xvii
Preface xix
Share Nursing Informatics for the Advanced Practice Nurse:
Patient Safety, Quality, Outcomes, and Interprofessionalism
Section I: Introduction to the National Health Information
Technology Strategy
1 Introduction to Health Information Technology in a Policy
and Regulatory Environment 3
Susan McBride and Mari Tietze
2 Advanced Practice Roles in Interprofessional Teams 29
Carol J. Bickford, Diane Pace, and Mari Tietze
3 Scientific and Theoretical Foundations for Driving Improvement 47
Richard Booth, Susan McBride, and Mari Tietze
4 National Health Care Transformation and Information Technology 81
David M. Bergman, Susan McBride, and Mari Tietze
5 Consumer Engagement/Activation Enhanced by Technology 103
Mari Tietze, Patricia Hinton Walker, and Elaine Ayres
Section II: Point-of-Care Technology (NEHI Model Component #1)
6 Computers in Health Care 123
Susan McBride, Richard Gilder, and Deb McCullough
7 Electronic Health Records and Point-of-Care Technology 153
Mary Beth Mitchell and Susan McBride
8 Systems Development Life Cycle for Achieving Meaningful Use 191
Susan McBride and Susan Newbold
9 Workflow Redesign in a Quality-Improvement Modality 225
Susan McBride, Terri Schreiber, and John Terrell
10 Evaluation Methods and Strategies for Electronic Health Records 245
Susan McBride and Mary Beth Mitchell
11 Electronic Health Records and Health Information Exchanges
Providing Value and Results for Patients, Providers, and
Health Care Systems 263
Susan McBride, Tony Gilman, Anne Kimbol, and George Gooch
viii Contents
12 National Standards for Health Information Technology 287
Susan H. Fenton and Susan McBride
13 Public Health Data to Support Healthy Communities
in Health Assessment Planning 309
Lisa A. Campbell, Susan McBride, and Sue Pickens
14 Privacy and Security in a Ubiquitous Health Information
Technology World 341
Susan McBride, Annette Sobel, and Helen Caton-Peters
15 Personal Health Records and Patient Portals 369
Mari Tietze, Cristina Winters, and Stephanie H. Hoelscher
16 Telehealth and Mobile Health 389
Mari Tietze and Georgia Brown
Section III: Data Management and Analytics to Lay the Foundation
for Quality Improvement (NEHI Model Component #2)
17 Strategic Thinking in Design and Deployment of Enterprise Data,
Reporting, and Analytics 411
Trish Smith and Susan McBride
18 Data Management and Analytics: The Foundations
for Improvement 435
Susan McBride and Mari Tietze
19 Clinical Decision Support Systems 461
Maxine Ketcham, Susan McBride, Mari Tietze, and Joni Padden
Section IV: Patient Safety, Quality, and Population Health
(NEHI Model Component #3)
20 Health Information Technology and Implications
for Patient Safety 493
Mari Tietze and Susan McBride
21 Quality-Improvement Strategies and Essential Tools 521
Susan McBride, Mari Tietze, and John Terrell
22 National Prevention Strategy, Population Health,
and Health Information Technology 535
Andrea Lorden, Mari Tietze, and Susan McBride
23 Developing Competencies in Nursing for an Electronic Age
of Health Care 557
Laura Thomas, Susan McBride, Sharon Decker, and Mari Tietze
Contents ix
Section V: New and Emerging Technologies
24 Genomics and Implications for Health Information Technology 577
Diane C. Seibert and Susan McBride
25 Nanotechnology and Implications for Health Care
Interprofessional Teams 599
Mari Tietze and Susan McBride
26 “Big Data” and Advanced Analytics 613
Susan McBride, Cynthia Powers, Richard Gilder, and Billy U. Philips, Jr.
27 Social Media: Ongoing Evolution in Health Care Delivery 643
Robert D. J. Fraser, Richard Booth, Mari Tietze, and Susan McBride
28 Electronic Clinical Quality Measures: Building an Infrastructure
for Success 661
Susan McBride and Itara K. Barnes
29 Interprofessional Application of Health Information Technology
in Education 691
Mari Tietze, Cindy Acton, and Stacey Brown
Index 707