Postdoctoral Research Fellowship in Health Informatics

Posted on February 20, 2012 by afernando

I received an email from my ANIA-CARING listserv seeking for someone to fill this postdoctoral opportunity in South Africa. I love sharing information so I thought I would post it on this blog in case one of my readers may be interested or may know someone. Postdoctoral

Research Fellowship in Health Informatics Institute for ICT Advancement, School of ICT, Nelson Mandela Metropolitan University, South Africa Position: An important reason for the failure of Health Information Technology (HIT) solutions is that the original design does not reflect the work practices and social relations amongst its users. This also leads to low utilization levels of ‘‘successful’’ HITs, which means that the solution is not utilized meaningfully. This has been shown to be inherent to the complex nature of the healthcare environment. This fellowship is focused on improving adoption and meaningful use of Health Information Technology (HIT) solutions, with special emphasis on Home-Based Healthcare (HBHC). Candidates with an information technology background, but strong interest / experience in health informatics are encouraged to apply. Candidates with a nursing background (or other relevant), but a strong interest

in HITs, can also apply. Research: The research will be conducted together with students in the Health Informatics research group within the School of ICT (www.nmmu.ac.za/sict). The postdoctoral researcher will be expected to contribute significantly to: a. The publication of research outputs from current and previous projects b. Daily supervision of undergraduate and postgraduate student projects c. Strengthening of collaboration with partners (eg healthcare providers); and d. Conducting and leading fieldwork at a local NGO (specifically in the HBHC context). Requirements: A Ph.D. Information Technology / Nursing Informatics / Medical Informatics or other relevant field, obtained within the past five years, with a strong background and/or interest in health information technologies (HITs). Applications: A covering letter and curriculum vitae, including all research outputs and experience should be sent to Prof Dalenca Pottas in electronic format at e-mail: dalenca@nmmu.ac.za.

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PhD Program Spotlight: University of Wisconsin – Milwaukee

Posted on February 16, 2012 by afernando

The University of Wisconsin – Milwaukee announces a new doctoral program in medical informatics. This is exciting news and the program will be the first Ph.D. program of its kind in Wisconsin, and one of only two currently available in the Midwest. The program is available on a part-time or full-time basis for people in the health care industry. Prospective students need to have completed a Master’s degree in Medical Informatics or a related area such as Computer Science, Electrical Engineering, Health Sciences, Business Administration, Nursing, or an MD degree.

Interested applicants will need to submit a two letters of recommendation, brief statement that identifies the preferred track, and scores from either the GRE, MCAT, or GMAT taken within the last five years.

This program boasts a unique feature of an interdisciplinary approach and combines coursework in information technology, medicine, nursing, and business.

Course work includes:

  • Human pathophysiology
  • Medical informatics
  • Database
  • Ethics

Students can also select from

the following tracks:

Knowledge based systems

Health Services Management and Policy

Health Information Systems

Medical Imaging and Information

 

Applications will be evaluated on an ongoing basis. For more information or to apply, go the the University of Milwaukee website.

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For additional information, contact: medinfphd@uwm.edu via email or by phone: 414) 229-4677.

 

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Ready to Become a Nurse Informaticist

Posted on February 13, 2012 by afernando

I appreciate all of the questions I am getting from my readers.  One reader specifically asked me how to find a job in informatics.  She is currently a nursing informatics student.  Unlike a nurse, there is no “typical” job a nurse informaticist can have.  There are a wide variety of positions that a nurse informaticist can hold.  Nurse informaticists can hold executive positions such as Chief Nursing Officer (CNO) to software application trainers.  I wrote about how I transitioned from bedside nursing to a nurse informaticist.

Finding a job as a nurse informaticist is a lot easier now than it was 10 years ago when I first started out in the field.  It’s because many hospitals want to qualify for meaningful use of the electronic medical record and are hiring as many people as they can to convert from paper to electronic.

Although I can give tips and advice to how to get into the nurse or healthcare informatics field, I cannot help you actually get a position.  Before you quit your present job as a clinician, ask yourself these five questions:

1.)  Why do you want to leave your current position? 

2.)   Do you want to leave your current position for more money?

3.)  Are you ready to give up patient care? 

4.)   Are you ready for a different type of stress? 

5.)  Is your mind open to learn new information and technology?

Answer these questions honestly and see if you still want to move from your current position to information technology.  I’ve seen nurses who thought they were ready to transition from the clinical side to the corporate side and failed. 

Everyone have different experiences as a nurse informaticist and transitioning from bedside to the administrative side.  I can only write from my own experiences from my previous positions.  I have held positions such as trainer analyst, nurse informaticist, healthcare consultant, Apache coordinator, and clinical analyst.

I personally had an easy transition as a clinical nurse to a nurse informaticist because I was ready for the change.  In addition, I had the passion for technology and for helping patients in a different way.  I didn’t make the career change because I wanted more money.   I had the opposite effect.  But because I had the passion, I didn’t care.

You may be wondering what the salary of a nurse informaticist is.  According to a 2011 Healthcare Information and Management Systems Society (HIMSS) survey, the average nurse informaticist salary in the country was $98, 702.  The salary has increased in recent years as many healthcare systems are recognizing the value for nurse informaticists.  In 2007, the average salary was $83, 675.  In 2004, the average salary was $69, 500.   The regions with the highest salaries are in the New England ( $123, 611) and Pacific ($116, 716 )areas.  It was also reported that nurses with advance degrees and certifications (ANIA or HIMSS) made more money than their counterparts who did not have a degree or certifications. It obviously pays to enroll in an advanced degree program and to get certified in nursing informatics.

 

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13 Resources for Future Nurse Informaticists

Posted on February 9, 2012 by afernando

Below are resources and educational information for future nurse informaticists.

Masters in Nursing:  Guide to accredited programs offering a Masters Degree in Nursing http://www.mastersinnursing.com/

RN to MSN:  http://www.bestnursingdegree.com/programs/masters-in-nursing/

Loyola University Chicago Niehoff School of Nursing

MSN degree in Health Systems Management which has two tracks:  one in Healthcare Informatics and one in Outcomes Performance Management.  The MSN is a 41 semester hour program.  This program can be completed almost exclusively online.  In addition, they offer a post baccalaureate 12 semester hour online certificate program in Healthcare Informatics as well as an online certificate program in Outcomes Performance  Management.  For more information, please go to the website for more information:   http://www.luc.edu/nursing/graduate_hsm.shtml

Duke University School of Nursing:  Duke University offers a distance-based program that uses both synchronous and asynchronous teaching methods for nurses who wish to specialize in nursing informatics. The program offers a Master’s of Science in Nursing and a Post-Master’s Certificate in Nursing. Students can complete the 39 credits required for a master’s degree in approximately two years. Post-master’s students complete the informatics courses in four semesters. The school accepts applications for both January and September start dates for the Master’s degree and a January start date for the Post-Master’s Certificate.

Case Western Reserve University/Frances Payne Bolton School of Nursing

http://fpb.case.edu/MSN/Informatics.shtm

Students in Case Western Reserve University (Cleveland, OH) MSN in Nursing Informatics program will specialize in an area of interest within Nursing Informatics. These areas include but are not limited to: systems analysis and design, emerging technologies, database management, and organizational implementation of information systems. An internship of one semester will provide an opportunity for the student to obtain practical experience as a Nursing Informatics Specialist (NIS) in a variety of clinical, educational, research, and administrative settings. The program includes 500 hours that may be credited toward the required 2,000 hours for certification as a Nursing Informatics Specialist through the ANCC.

Excelsior College-Master of Science in Nursing – Major in Clinical Systems Management

Master’s program is 44 credits with a large informatics component and is administered almost exclusively online.

University of Phoenix: The Master of Science in Nursing (MSN) program, accredited by the Commission of Collegiate Nursing Education (CCNE), enhances the knowledge and skills of registered nurses with baccalaureate-degree preparation. The program prepares advanced practice nurses to function in leadership roles in practice and educational settings. Advanced nursing theory and research provide the foundation for nurses to influence the future of nursing and health care.

Students complete core courses in advanced nursing content and process, as well as on leadership skills. Specializations assist students to concentrate on developing increased knowledge and/or skills in a specific area of informatics. The specialization in Informatics degree is for those who want to add the role and skill of information technology implementation. Thirty-nine credits are required for completion of the degree.

Website:  http://www.phoenix.edu/

University of Missouri: http://web.missouri.edu/~nursing/academics/leader.php

The University of Pittsburgh  http://informatics.nursing.pitt.edu

 Robert Woods Johnson  Executive Nurse Fellows Program 

For more information about the program, please visit www.enfp-info.org.

Jefferson School of Nursing has a Graduate Nursing Informatics program that is offered online. The curriculum is predicated on the belief that professional nursing is an art and a a science incorporating theory, research and clinical practice. All students enrolled in the M.S.N. program share a core curriculum. The Nursing Informatics specialty requires 36 credits. Full-time students can complete the course of study in 15 months beginning with a summer semester. Part-time options are also available.

Walden University is offering nursing informatics programs entirely online, and is intended to fit into the schedules of working professionals who are continuing their higher education. The curriculum of the Nursing Informatics program combines nursing science, computer science and information science as proposed by experts in the field. The specialization offers nurses information technology skills to enhance the safety and quality of patient care.

 

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10 Schools Offering Health Informatics Certificate

Posted on February 6, 2012 by afernando

I’ve compiled a list of schools that offers the health informatics certificate. Each school is unique. Depending on your career goals, I encourage you to research and read the the school’s website.

University of Illinois at Chicago

The University of Illinois at Chicago Master of Science in Health Informatics degree program will equip you to lead the planning, implementation and optimization of health information systems that directly impact the nursing discipline

http://healthinformatics.uic.edu/health-informatics/nurses/

Northeastern University

Now offers the Master of Science in Health Informatics. The Master of Science in Health Informatics focuses on improving health care through interdisciplinary education in healthcare and technology. More information about this program is on their website.

UC Davis Extension Health Informatics Certificate Program

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An online interdisciplinary program benefiting from the University of California, Davis’ rich expertise in medicine, nursing, public health, veterinary medicine and computer engineering. This 18-unit certificate program provides a meaningful option for working professionals who can’t commit to a full-time graduate program or need to get up to speed quickly. For more information, check out the website.

The University of Washington Clinical Informatics and Patient Centered Technologies (CIPCT) Online Master of Science program prepares nurses and other health professionals to provide leadership and expertise in the selection, implementation, management and evaluation of information technology used to support clinical practice. This program features enhanced distance learning technologies to support learners nation-wide. All required courses are on the web. In addition to online course requirements, CIPCT students will attend a 2-3 day session on the UW Seattle campus once per year. The CIPCT Master of Science can be completed in 15 months of full-time study (part-time study also available). Learn more at www.Clinical-Informatics.uw.edu.

University of Victoria, Distance Master’s in Health Informatics

The School of Health Information Science at the University of Victoria (BC, Canada) offers an online Master’s degree in Health Informatics,

with courses in areas such as Patient Care Information Systems, Information Management and Technology, Clinical Decision Support Systems, and Epidemiology in Health Services Management. Our courses use a combination of synchronous and asynchronous teaching methods, and all are taught at a distance, with the exception of a two-week workshop on campus at the University of Victoria in May of each year. The School accepts applications for September, January and May start dates. For more information, go to http://hinf.uvic.ca/

Oregon Institute of Technology’s Bachelor Degree program in Health Informatics

The OIT program is an accredited program in the School of Engineering, Technology and Management. The program offers in class and distance education that is ideal for nurses who desire to gain knowledge in health informatics and information technologies at the baccalaureate level. Further information is located at http://www.oi

University of Colorado Denver College of Nursing -Master of Science in Health Care Informatics – Online Degree

The University of Colorado Denver, College of Nursing offers a 34 credit Master of Science program for nurses to practice as informatics specialists. We also offer a 16 credit Post-Master’s Certificate, a 16 credit Certificate in Health Care Informatics and a 9 credit Educator’s Certificate in Health Care Informatics. These programs are available totally online. For additional information, please see our web page: http://www.nursing.ucdenver.edu/informatics

Masters or Certificate in Public Health Informatics On-Line

The University of Illinois at Chicago is offering the only completely online accredited program in the country relating to this field. Details are available at www.uic.edu/sph/phi

Loyola University Chicago School of Law

Now offers an Online Master of Jurisprudence (MJ) in Health Law – within the program there is the opportunity to focus on (1) Quality, Patient Safety, Risk Management and Compliance, (2) Health Informatics, and (3) Health Law Strategy and Policy.

University of Maryland, College Park Graduate Certificate in Public Health Informatics

The University of Maryland Department of Public & Community Health, a leader in the public health sciences, is offering a new online graduate program in Public Health Informatics. For more information, go to www.onlinestudies.umd.edu/phi

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Evolution of Informatics

Posted on February 2, 2012 by afernando

I’d like to thank my readers who emailed me for information about informatics. I thought I would write a post for everyone to read instead of emailing everyone with the same information. The term informatics is confusing to some people as many healthcare disciplines have their own specific definition of informatics. There are healthcare informatics, medical informatics, nursing informatics, consumer informatics, bioinformatics, dental informatics, bioinformatics, clincial health informatics, and public health informatics. It’s easy to become confused and will decipher the differences between all of these disciplines. What is Informatics? Informatics is the science and art of turning data into information. The term informatics orginated in France and is from the French term informatique, which means computer milieu (Saba 2001). The broad definition of informatics is “the study of the application of computer and statistical techniques to the management of information”. The term informatics has been applied to various disciplines such as medicine, nursing, dental, and public health just to name a few. Healthcare informatics is a broad term for all fields using technology. Health informatics is the general terminology to describe educational technology for healthcare clients or the general public. Medical informatics is used as a broad term to refer to all disciplines in the field of medicine with

specific health-related areas beneath it including nursing informatics and consumer informatics. Discipline specific definitions of informatics Medical informatics: refers to the application of information science and technology to acquire, process, organize, interpret, store, use, and communicate medical data in medical education, practice, research, patient care, and health management Nursing informatics: specialty that integrates nursing science, computer science and information science to manage and communicate data , information, knowledge, and wisdom in nursing practice. Nursing informatics faciliates the integration of data, information, knowledge, and wisdom to support patients, nurses, and other providers in their decision making in all roles and settings. This support is acccomplished through the use of information structures, information procesess, and information technology (ANA, 2007). Health informatics: application of computer and information science in all basic and applied biomedical services to facilitate the acquistion, processing, interpretation, optimal use, and communication of health related data. The patient is at the center and the process of care. The goal is to enhance the quality and efficiency of care provided. Bioinformatics: application of computer and information technology to the management of biological information including the development of databases and algorithms to faciliate research. Consumer health informatics: branch of medical informatics that studies the use of electronic information and communication to improve medical outcomes and the healthcare decision-making process form the patient/consumer perspective (AMIA, 2007) Dental informatics: computer and information sciences to improve dental practice, research, education, and management Clinical health informatics: multidisciplinary field that focuses on the enhancement of healthcare through clinical information management; improvement of information processes, implementation of clincial information systems; the use of clinical decision support tools to improve the effectiveness, quality, and the value of services rendered Public health informatics: application and information and computer science and technology to public health practice, research, and learning I hope these definitions of informatics help you decipher through the healthcare terminology jungle. There are other informatics disciplines that I did not mention such as radiology informatics but fall under the umbrella of medical informatics.

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CPM and Evidence Based Practice

Posted on January 30, 2012 by afernando

The Clinical Practice Model (CPM) is a third party software that can be utilized with any electronic application and is also evidence based practice. CPM is evidence based clinical content. In addition, care plans and patient education are seamlessly integrated into the electronic medial record. Evidence based practice is hot right now. One of the leaders in evidence based practice is the company Clinical Practice Model Resource Center (CPMRC). This company was founded by Bonnie Wesorick over 25 years ago and is located in Grand Rapids, Michigan. In our fast paced world in healthcare, many nurses become task oriented just to get the job done. Ms. Wesorick felt there

was an incongruency between what is believed to be how care is supposed to be delivered in an individualized, quality health care to what was being lived everyday in a systems driven fast paced world of medical care. A pattern of performing tasks led to a strong task dominated, hierarchical and dehumanized work culture interfered with the health of providers and recipients of care. Bonnie Wesorick founded the CPM Resource Center framework to create a new reality. This framework for culture and professional practice was designed to sustain healthcare transformation over time. The CPM resource center framework is designed to have the patient in the center along with their families, community, and caregivers. From the center, are six clinical practice guidelines. These clinical guidelines are:

  • Health and Healing Care Model: Patient focused/family centered model of care assures health and healing across the life span and in all settings where healing occurs. This model assures a safe, respectful caring environment which supports those who give and receive care
  • Partnership Culture Model: This model represents both the infrastructure and the cultural environment necessary to deliver professional healthcare in a transformed world.
  • Interdisciplinary Integration Model: This partnering model represents integrated processes of care for the interdisciplinary team as evidenced by coordinated, integrated services across the continuum.
  • Applied Evidence -based practice model: This model is designed to support the care providers in clinical inquiry, reasoning and judgement and apply best practice as the point of care. Evidence based clinical documentation and over 200 clinical practice guidelines (CPG’s) are available to the practitioner.
  • Health Informatics Model: brings the science of Health Informatics to the CPM framework by applying the theoretical concepts of data/information/knowledge/wisdom to intentionally designed documentation tools.
  • International Consortium Model: gathers a group or like-minded organizations who unite a common vision for sustainable healthcare transformation

As you can see from the six different clincial models that CPM is very robust and that is why there are two people including myself that manages the CPM content in our institution. Two of my colleagues and I attended the CPM training course last October and we are now certified in CPM. What does that mean and how does it apply to informatics? We manage the CPM information in the electronic medical record. There are numerous CPM flowsheet templates, groups, and rows, patient education records and the care plan records that we keep track of. In addition, we analyze the CPM content to see if the department will need the information or not. If you would like more information about CPM or CPM Resource Center, website information can  

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311 Days til Go-Live

Posted on January 26, 2012 by afernando

 

Every other week we have workflow sessions with our end users to demonstrate the future state workflows. This week was a workflow week for us and its 311 days til go-live. For those of you who have not heard of the word “go-live,” its when the new electronic medical record (EMR) is turned on and the old one is turned off. Since the hospital levitra side effects duration I am working at already has an EMR, it has been a challenging process. Our end users are computer savvy and have been through a big bang implementation already five years ago. Some hospitals are still on paper charts and to implement a system from paper to electronic is alot easier.

So far the workflows demonstrated are admission, transfer, and discharge of a patient. In addition, other workflows demonstrated were blood administration, medication administration, ordering labs, resident sign-off, and OR to PACU (operating room to post anesthesia care unit) to name a few. The weeks that are non-workflow weeks we are preparing for the upcoming workflows weeks. How we prepare is to make sure all of the logistics are in places such as the rooms, hardware, and presentation equipment are in place. We also prepare the agenda, powerpoint presentation, and practice our demonstration. Practicing what we will say is key since we demonstrate with the computer while clomid dosage post cycle therapy we are talking to the audience. We need to maintain eye contact with our audience while showing the electronic medical record and maneuvering the mouse. In addition to all of this practicing, we actually need to design and build the system. Building the pieces of an electronic medical record is not easy. It was quite challenging and requires many hours of our time, especially when we need to troubleshoot something that is not working.

It was a good week for the project team since the clinicians liked the workflows and one of the nurse managers even commented how she was impressed with the content and the overall graphical user interface. This comment is something we are happy to hear! Our hard work is paying off.

The project team continues to be busy. I am the most happiest when I get something done off of my to-do list. I have met all of my build deadlines so far and have other deadlines looming.

For those of you who thrive on excitement, stress, and deadlines, I recommend finding a job implementing an electronic medical record. The next question may be how do I find a job implementing an electronic medical record? I suggest going to the Human Resource department at your local hospital and speaking to the hiring manager to see if there are any open positions as a systems analyst or trainer. Each hospital has different titles so its imperative to read the job description first. If this type kamagra oral jelly of job interests you and if you know someone in the field, ask them for an informational interview or if you can follow them for the day. Another recommendation is to join Linked In or other job search engines and search for either systems analysts or informaticists jobs to see what is available in your area.

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Countdown to Go-Live: 322 Days

Posted on January 16, 2012 by afernando

Incredible Countdown Clock

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This past week we had our kick-off to our workflow sessions. Our vice president explained the vision and goals of the hospital and why the hospital chose this particular vendor. This vendor is the top of the line in healthcare information systems. They provide the best integrated health information system from patient registration to hospital discharge. More importantly, the patient’s primary care physcian will be able to access their inpatient chart,resulting in higher quality of health care.

In addition, the vice president explained the importance of meaningful use, keansburg pharmacy real time documentation, medication barcode administration, third party content from Clinical Practice Model, patient education resources and becoming completely electronic, read – paperless. Real time documentation and becoming paperless will prove to be a challenge for our clinicians since they pharmacy online rely heavily on paper.

The project team demonstrated the functionality of the software by reviewing the most common workflows for patient admissions, transfers, and discharges. I believe it went extremely walgreen pharmacy well. The team worked so hard to present the workflows in a way that our clinicians – physicians, nurse practitioners, physician assistants, nurses, patient care associates, dieticians, physical therapists, occupational therapists, recreational therapists, speech pathologists, pharmacists, and other ancillary staff – can understand. We provided time at the end of our sessions for questions and comments and many of our clinicians are concerned how this new software will affect the way they work.

From a project team perspective, this new software we are implementing will change their current state of workflows and I don’t think the clinicians fully understand that. Of course, cialis the project team and hospital leadership will provide support. We have already provided content review sessions where the project team reviewed the content of the flowsheet templates and rows. In the future, we planned focus groups to help with gap analysis.

Being an informaticist for the past 8 years, I have faced many challenges and have seen clinicians overcome these challenges. I am confident enough that the clinicians and ancillary staff will overcome the challenges brought to them. In fact, it will help them embrace change as new technology arises. There is an inspirational quote that says it all from Deepak Chopra, “All generic cialis free shipping great changes are preceded by chaos”.

 

 

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Johns Hopkins Hospital – Applied Health Informatics

Posted on January 12, 2012 by afernando

I received an email from my former professor encouraging qualified applicants to apply for the Fall 2012 Applied Health Informatics program at Johns Hopkins. Additional funding has been received that will allow to fund up to THIRTY (30) ONC Health IT Scholars. Qualifications: This does female viagra work interdisciplinary program requires that you have a minimum of a pharmacy canada Bachelors degree and healthcare experience – but it does NOT require that you are a nurse. This is a 9-month post-baccalaureate program that is offered online. A 16-week on-site practicum (one 8-hour day per week) in a site convenient to the student is required. Importantly, this will be the last year that HITECH funding will enable us to offer $10,000.00 worth of http://viagra-genericon-online.com/ tuition support to qualified applicants. In order to qualify for tuition support as an ONC Health IT Scholar, applicants must meet the following criteria:

  • Only U.S. citizens or permanent U.S. residents are eligible
  • Federal employees may apply for funding if their employer has certified there is no conflict of interest or potential for dual compensation
  • Those who have already received HIT training and/or who hold a position in health IT are not eligible
  • Those awarded the subsidy must successfully complete all certificate requirements within 9 months
  • Applications for those interested in tuition support must be complete and received by February 15, 2012

Please note that these guidelines and requirements are for applicants seeking tuition support only. Additional instructions, including application guidelines and instructions, can be found on the printable tuition support application form at: http://nursing.jhu.edu/academics/programs/post_degree/online/applied_informatics/. The regular admission period for the AHI program (i.e. those not requesting funding) will remain

open until May 1, 2012. The does cialis for daily use work tuition is $12,500 and 12 fully accredited Masters level credits are earned in this program. If you are awarded one of our ONC Health IT funding supports – the cost of the program (after application of the tuition support)

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reduces to $2,500. I encourage you to take advantage of the funding that is available and will be competitively awarded. Apparently, this is the final cohort that will be supported via this particular mechanism!

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