University of Maryland, Baltimore – Masters and PhD Program in Nursing Informatics

I am proud to have gone to school at the University of Maryland, Baltimore and obtain Masters in Nursing Informatics.  At the time I attended, the University o Maryland was the second school in the nation to offer a Masters in Nursing Informatics.

Masters in Nursing Informatics

The program is only offered to nurses with a BSN- hence the name Nursing Informatics.  Nurses with a BSN may apply to this program.    The curriculum includes nursing core courses, management, informatics, and electives.

This program opens doors to many graduates as the professors are the top in the field of informatics.  Many of the professors are published and shares their love of informatics.

Doctor of Philosophy

In addition to the Masters in Nursing Informatics, a doctoral degree in nursing informatics is also offered.  Here are the reasons to choose the PhD program at the University of Maryland:

  • Highly accomplished, diverse faculty with broad practice and research interests
  • Ranked 21st among nursing programs receiving research funding from the National Institute of Nursing Research, National Institutes of Health
  • First PhD nursing program in Maryland
  • Students carefully chosen to complement faculty mentors
  • Full- and part-time programs available
  • Scholarships and fellowships available
  • Graduates hold key leadership positions in academia, research, and administration
  • Location in the Baltimore-Washington, D.C. region allows unique research opportunities

There are two tracks in the PhD program:  Post-master’s and BSN to PhD.

Here are the requirements for admission (Post-master’s):

  • A master’s degree with a major in nursing from an accredited nursing program, a Master’s in Public Health, or an equivalent degree from a comparable foreign institution
  • A cumulative grade point average of at least 3.0 or a 4.0 scale for all previous coursework (baccalaureate, master’s, and any subsequent coursework)
  • Statement of goals or objectives
  • Professional vitae or current resume
  • Evidence of personal and professional qualifications from three professionals familiar with applicant’s ability, work experience, contributions to nursing, and potential to succeed in the PhD program
  • Verification of an active licensure for the practice of nursing in at least one state in the U.S. or in a foreign country
  • Official scores on the aptitude portion of the Graduate Record Examination (GRE).  Test must have been taken within five years of application date. Minimum score of 1,000 (verbal and quantitative combined)

Below are the requirements for the BSN to PhD:

  • Must be currently enrolled in UMSON’s master’s program
  • Baccalaureate degree with a major in nursing from a regionally-accredited college or university, or an equivalent degree from a comparable foreign institution
  • A cumulative grade point average of at least 3.0 or a 4.0 scale for all previous coursework
  • Statement of goals or objectives
  • Professional vitae or current resume
  • Evidence of personal and professional qualifications from three professionals familiar with applicant’s ability, work experience, contributions to nursing, and potential to succeed in the PhD program
  • Verification of an active licensure for the practice of nursing in at least one state in the U.S. or in a foreign country
  • Official scores on the aptitude portion of the Graduate Record Examination (GRE). Test must have been taken within five years of application date.  Minimum score of 1,000 (verbal and quantitative combined)

 

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University of Utah – PhD Program

I recently became interested in obtaining my PhD in nursing informatics. On the top of my head, I know the University of Maryland, Baltimore and the University of Utah offers this degree. I attended a webinar last November and someone on the call informed the participants

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that the University of Utah offered a PhD distance program in nursing informatics. My ears perked up when I heard this. Can you guess why? I didn’t know of a PhD program offering a distance program, especially of the caliber of the University of Utah. The University of Utah is the first school to offer nursing informatics. I was excited when I heard this and after the webinar, I quickly went to the University of Utah website. I specifically looked for the PhD program in nursing informatics but couldn’t find it. I emailed the program director and he sent me a link to the website.

I realized why I couldn’t find the website. The website is specific to the PhD program in nursing and not nursing informatics. I was a bit surprised to see the application deadline for the Fall 2012 term was January 15, 2012, only weeks away. I looked at the admission requirements and realized I would not be able to take my graduate record examination (GRE) and write my goals statement in two weeks.

The minimum qualifications for the BS to PhD are:

  • Bachelor’s degree (BSN, BS) from an accredited nursing program with a major in nursing.
  • Recommended undergraduate GPA of a 3.3/4.0 or higher.
  • Required Graduate Record Examination (GRE) within the last 5 years. Favorable GRE scores are greater than 50th percentile on the verbal and quantitative tests and greater than 4.0/6.0 on the analytical writing test.
  • Extraordinary potential for a research career with leadership potential in nursing and health care


 

The minimum qualifications for the MS-PhD program are:

  • Master’s degree with a major in nursing. Individuals with a Master’s degree in other fields will be considered.
  • Recommended Graduate GPA of 3.5/4.0 or higher.
  • Required Graduate Record Examination (GRE) within the last 5 years. Favorable GRE scores are greater than 50th percentile on verbal and quantitative tests and greater than 4.0/6.0 on the analytic writing test.
  • Extraordinary potential for a research career with leadership potential in nursing and health care

If you think the University of Utah is the right school for you, I encourage you to contact them for additional information or go to their website. Good luck on your educational journey!

 

 

 

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Resources for Health Informatics

I’ve compiled a list of health informatics journals in case there is a subject area that I am not touching upon that you would like more information on.

  • ADVANCE for Health Information Executives Online
  • Artificial Intelligence in
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    Medicine

  • Bioinformatics
  • BioSystems
  • British Journal of Healthcare Computing & Information Management
  • Computerized Medical Imaging and Graphics
  • Computer Methods and Programs in Biomedicine
  • Computer Methods and Programs in Biomedicine
  • Computers in Biology and Medicine
  • Computers, Informatics, Nursing
  • European Journal of Information Systems
  • Health Data Management
  • Health Informatics Europe
  • Health Informatics Journal
  • Health Information & Libraries Journal
  • Healthcare Information Management and Communications Canada
  • Health Management Technology Online
  • Healthcare Informatics Online
  • Informatics in Primary Care
  • Informatics Review
  • International Journal of Medical Informatics
  • International Journal of Technology Assessment in Healthcare
  • Journal viagra tablets of Biomedical Informatics
  • Journal of the American Medical Informatics Association
  • Journal of Clinical Monitoring and Computing
  • Journal of Healthcare Information Management
  • Journal of Medical Internet Research
  • Journal of the Medical Library Association
  • Journal of Telemedicine and Telecare
  • LinuxMed News
  • Mathematical and Computer Modeling
  • MD Computing
  • Medical and Biological Engineering and Computing
  • Medical Computing Today
  • canadian pharmacy discount code

  • Medical Decision Making
  • Medical http://viagraonline-forsex.com/ Engineering & Physics
  • Medical Informatics and the Internet in Medicine
  • Medical Science Monitor
  • Methods of Information in Medicine
  • Micron
  • Neural Networks
  • Online Chronicle of Distance Education and Communication
  • walgreens viagra

  • Online Journal of Nursing Informatics Corporation
  • RN Palm: The Journal of Mobile Informatics
  • SCAR News: Society for Computer Applications in Radiology
  • Telemedicine Today Magazine

 

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Conducting Workflow Analysis

 

 

we ARE the technology

I attended a webinar in November hosted by ANIA-CARING.  The speaker was Cheryl Parker and the webinar was titled, ” Conducting Workflow Analysis – Don’t Get Trapped by How.”

Part of the job of a systems analyst are conducting current state workflows and helping departments to adopt the future state workflows that the electronic medical record will bring to their department.

The topic of workflows are of a particular interest to me since I have participated in many workflow analyses in my career.  The last workflow analysis I participated in was this past summer.  In each organization I have worked at the workflow process is similar with some minor details.

Dr. Cheryl Parker is the Chief Nursing Officer  for Rubbermaid Medical Solutions.  Dr. Parker also teaches nursing informatics in Walden University.  My overall key takeaway from this webinar is to not think about the “how” of a worflow analysis but the  “what” of a  workflow analysis.  In this webinar, Dr. Parker suggests to follow this particular workflow process: 

1.)  Find the what first

2.)  Define the how

3.)  Focus on value

4.)  RAEW Analysis

5.)  Goldilocks Prinicple:  Not too much and not too little – Don’t get bogged down with too many details

Find The What

Here are the “what’s” of a workflow analysis:

  • Process exists to achieve a desired outcome
  • A person’s job is to achieve the desired outcome not just complete steps in a workflow
  • The “what’s” are the desired outcome
  • Outcome verbs:  acquire, deliver, create, generate

I learned in school about the traditional workflow analysis:  How to Conduct a Workflow Analysis.  This is what I learned:

  • Interview the people who do the job
  • Document what these people tell us they do
  • Don’t make assumptions or ask questions
  • After meeting, figure out a better way to do their job
  • Implement changes
  • Reassess

Define the How

The problem with conducting the “how” of a workflow analysis are the:

  • people you are interviewing, their answers are subjective and unreliable; for example, interview three people in the same department and you get three answers
  • people you interview will always say “this is how we have always done it”
  • or they will answer, “I was taught this way”
  • people you interview may be blind to the big picture and you will not get desired outcomes
  • people in the department that you interview may be stuck in a workflow and may become argumentative.  Do we do A or B and who does it?

Focus on Value

The questions you may ask yourself about values are:

1.)  Are the people you chose to interview a high value for the organization?  The definition of high value are:

  • concerned with safety
  • contributes to bottom line
  • competitive differentation
  • customer satisfaction

RAEW Analysis

RAEW analysis forms the human/managerial components of the workflow process

R = Responsibility – does the person have responsibility for the actions/decisions

A = Authority – controls/prohibits the actions of others

E = Expertise – special skill, knowledge, judgement

W = Work – physical or mental effort directed at doing something

Beware of these red flags:

  • authority with no responsibility
  • responsibility with no authority
  • other roles with no expertise

 Apply the Goldilocks Principle

The Goldilocks principle is having just the right amount information in your workflow analysis.  Having too much information will bog you down and you may never finish.  In addition, data collection will be burdensome.

This webinar had some key learnings for me. I have always accomplished my workflow process with the how’s first and the what’s second.  In addition, I always felt like I needed to capture every single workflow a department does and often got overwhelmed with the information I collected.  This webinar proved helpful for me and the next time I do a workflow analysis, I will certainly follow Dr. Parker’s process.

 {image:  found via Flickr by alyceobvious’}

 

 

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16 Types of Health Informaticist Jobs

job search legal pad.jpeg

One reason why I became a nurse is I love helping people. Whether it’s with the small stuff like helping people get out of bed or educating them about their disease. Being in the health informatics field, I help people in many other ways now, whether its helping them with the actual work or helping them with their career or helping people break into the field. I have been receiving many emails about how to break into the field. But, I want to address the possiblities of jobs out there. A “typical” health informatics position does not exist. In fact, there are a myriad of positions available in health informatics.

1.) Superuser – Serves as a local resource person and has advance knowledge than the average end user 2.) Clinicial Liason – clinicians who represent the interest and needs of other clinicians and communicates issues with the technology team during system design or implementation 3.) Help desk personnel – first line of user support within an organization; these individuals require excellent communication skills and technical knowledge in order to troubleshoot end user problems and issues 4.) PC specialist – provides information and training on commonly used productivity software and helps users with new equipment. These specialists have technical training or a baccalaureate degree in computer science or related area 5.) Clinical Information Analyst – supports process improvement, safety projects, quality initiatives that previously relied on time and labor intensive manual paper chart audits. The Clinical information analyst can work on a organization’s patient satisfaction surveys, wait times for treatment, medication use, and adverse events. This role usually requires a clinical background and is supports evidence-based practice. 6.) Programmer – writes programming codes or instructions that tells a computer what to do. Most programmers do not have a clinical background and often needs a clinical liason to interpret the needs of the clinician. 7.) Information sytems manager/supervisor – size and complexity of an information technology department requires a coordinated effort of a team leader or manager. Since each professional on the team comes with different skill sets and talents, team lead manages each individual. 8.) Network Administrator – responsible for planning, managing, and expansion of networks. 9.) Trainer – responsible for educating clinical users and non-clinical personnal to use the electronic medical record. Some trainers may not have a clinical background but is not necessary. 10.) Security Officer – reponsible for ensuring measures exist to protect information privacy 11.) Chief Information Officer – have a broad view of the needs of the institiution and the design, implementation, and evaluation

of information systems. Responsiblities include strategic planning, policy development, budgeting, information security, recruitment and retention of information management staff, and overall management of the enterprise’s information systems. 12.) Chief Privacy Officer – protects personal health information of patients, both paper and electronic, this position is required by the federal government 13.) Chief E-health officer – this role was created as a part of a strategy for expanding the use of the Internet beyond Informational Web sites to encompass a range of new services electronically 14.) Compliance Officer – designated to ensure federal and state regulations and accrediting requirements are met both via paper and automated records and systems 15.) Project Manager – manages the scope and timeline of a project, may or may not be a clinician 16.) Interface Engineer – ensures information is exhanged between disparate systems and isolates and corrects problems behind the scenes to the users of the system     DISCLAIMER: This list is not an inclusive list.  

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345 Days Before Go-Live

Only a few days before Christmas. Can you imagine the craziness around my workplace? The majority of the project team will be out for the Christmas and New Year holidays and will be returning to work the first week of 2012. My colleagues and I are scrabbling to meet all of our deadlines. I can already imagine the craziness in January. I am currently on the implementation team of a hospital that has a legacy system. Actually, the physicians, nurses, and other clinicians in my institution have been using an electronic medical record for 36 years. The end users are not new to technology. Four years ago, the entire hospital upgraded the DOS based system to a graphical user interface (GUI). In 345 days, they will have an entirely integrated system and the patient will have one chart. From the time a patient is admitted in registration, the electronic system will play a major role throughout the patient’s inpatient stay. If the patient is scheduled for surgery, surgeons, anesthesiologists, and the entire operating room staff will be charting on the integrated electronic medical record.

In fact, even the patient’s primary care physician will have access to the patient’s medical record. Having a integrated

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electronic medical system is a huge accomplishment and not many hospitals in the United States have it. This is a win-win for patients. Paper charts will be non-existent and become an interdisciplinary chart, where all disciplines document in one chart. The end users in my facility are always willing to embrace change and are ready for the new change in electronic systems. In order to accomplish all of my tasks, I learned to manage and prioritize my time wisely. Here are some of my tips. 1.) Write down all of your tasks in one place and spend a few minutes each day re-writing your task list. 2.) Cross off all of your tasks as you complete them. 3.) Don’t buy an expensive time management system. Spreadsheets or writing it down on a notebook works better. 4.) Schedule time with people and stay on topic if you have a deadline. 5.) Manage your time by looking ahead of the project timeline and allow yourself plenty of time to get all of your tasks accomplished. 6.) One last tip – smile and have fun. Implementing a healthcare system requires teamwork. Remember one person cannot do it all. Delegate tasks to other people. 5.)

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4 Fun Facts about Health Informatics You May Not Know

 

Happy business people laughing against white background
I think its important to have fun at work.  Health informatics is a dry topic and may not be much  fun, well at least for some people.  I always try to have fun at work because the content is dry and your end users will likely not be happy with all of the changes.  It’s always nice to infuse laughter and fun into the work.

Here are some fun facts I encountered in the health informatics field:

1.)  Traveling may be brutal when you are consulting but the benefits of air travel makes me feel like a queen especially in the airport.  I was always first to board the plane because the airport staff and the flight attendants got to know me.  Also, flight and hotel rewards are an added bonus.  I furnished my entire apartment using my rewards.

2.) When I present the EMR to the providers and clinicians I make the demonstration fun by creating fun demo patients and instilling laughter into the presentation so the end users can laugh.  The EMR will impact clinicians workflow so by adding a comic relief  will help physicians, nurses and other clinicians ease into the transition.

3.)  You will work with fun and  wonderful people. They will help you when you need help in the future.  I have met a lot of people and still keep in contact with them.  Also, if I have an issue I need to resolve in another facility, I do not hesitate to contact the people I have known in the past.

4.)  Network, network, network.  I cannot emphasize this enough.  I have gotten future jobs because of people I met in health informatics classes or seminars.  I always like networking since I am a very social person. Networking is easy for me since I like talking to people.

 {image:  credit}

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A Day in the Life of a Nurse Informaticist

I’ve had positions implementing and maintaining a healthcare system and a nurse informaticist wear many hats, just like a clinical nurse. My job title may be clinical systems analyst but my job varies from project manager to trainer. There is a difference maintaining a current health system to implementing a new health system. The difference is maintaining a system there are hardly any deadlines unless your project team is optimizing new features. On the other hand, implementing a system requires long hours to meet deadlines. In my particular position, I am implementing a new electronic system to replace the legacy system. Although each day varies, here is a sample of my typical day: 7:40 AM – Arrive to work 8 AM -Check calendar to see how day will look like (i.e. meetings for the day) 8: 15 AM Check and answer emails that need immediate attention 9 AM – Check deadlines to prioritize work 9:15 AM – Check to-do list 9:30 AM – Design and program system according to client needs based on upcoming deadline 9:45 AM – Check and answer emails 10 AM – Meeting 12 Noon – Eat lunch at desk while answering emails 12:30 PM – Continue with programming the system 12:45 PM – Answering questions from colleagues or answering emails 12:55 PM – Continue with programming the system 2 PM – Finished programming and now documenting what I just build on spreadsheet 4 PM – Meeting either formal or informal with individual

team members 5 PM – Eat dinner 5:30 PM – Look over next day’s schedule (if any meeting scheduled, start prepping for meeting) 5:45 PM – Design and build system for next deadline 7:45 PM – Entering in my time worked on the project for the day 8 PM – Go home This is somewhat of a typical day for me. Most of the day I am answering emails or answering questions from colleagues. I like helping out my peers in case they get stuck with a problem that needs attention. Being a systems analyst requires teamwork. Building a healthcare system cannot be accomplished by yourself. One person does not know all of the answers and consulting with my colleagues is how my problems are resolved. Each day is different for me. Some days are all meetings while some are all programming. In the end, my deadlines are met.  

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354 Days

Countdown clock 354 days until our go-live.  There is still a lot more time. There hasn’t been much activity since I last wrote except the fact that I am super busy with programming and presenting what I built to the end users or clients.  I did have time to go to our holiday party last week and also to take a mini-vacation.

So now I am refreshed.  Tomorrow will be a busy day for me. I have two presentations to give – one is a dress rehearsal and the other will be presenting my flowsheets to the nurses.

The dress rehearsal will be for the project team to critique our workflow and presentation skills.   The other presentation is for the nurses. I worked hard at getting my script and powerpoint presentation polished. I anticipate what questions they will be asking me. 

For the last two weeks, my team and I have been showing our end users what the “content” of the electronic medical record will be. Even though our first session was a disaster, my team and I made a comeback.  The next few sessions were organized and polished.

Our workflow sessions  with our users will start in January.  And that is when the project team’s work will pick up. As you meet with end users, changes to the “build” will be necessary.

Our project team has been busy and putting in 12 hour days.  Even though implementation is exciting, it is also hard work and will eventually pay off. So far, everyone on our team has been pleasant to work with. No one is cranky or upset that they have to work long hours.  Everyone has one goal in mind:  to build the best electronic medical record there is.   Implementing an electronic medical record is a team approach and no one or even one team should be doing all of the work.  It’s impossible to do everything yourself.

{image: credit}

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Lessons Learned

Last week, I wrote about my trials finding a job in nursing informatics.  If you missed my two part posts, you can read the first part here and the second part here.   This week I will write about my lessons learned and how you can learn from my own mistakes.

1.)  Just because you graduated with a masters degree doesn’t mean everyone wants to hire you.

2.)  Invest in a suit – you will wear it more than once, trust me.  Don’t wear scrubs to your interview. You may have just gotten off of the night shift or about to start, wear professional looking clothes to your interview, preferably a suit.

3.)  Read resume and interviewing books – polish up your resume, just because you have been a nurse for 15 years doesn’t mean you don’t have to update your resume.

4.)  Practice  your interviewing skills – It’s how you communicate and present yourself.  Speak in proper English and acknowledge the interviewer as with a title of Miss or Mister.  You don’t know who they are.  It’s better to be safe than sorry.

5.)  In your interview, ask for a job description and ask questions about the job if you do not understand.  Most nursing informatics positions are new and the people writing the job description may not know what a nurse informaticist is.

6.)  If you have been with your employer for several years as a nurse and would really like to be come a nurse informaticist, meet with the Chief Nursing Officer (CNO) or equivalent to discuss a new position of “nurse informaticist”.  If there is no job description, write it.  No one ever said you only have to apply for positions with job descriptions.

7.)  Never accept no as the final answer.  Obstacles were created for you to break them if you really want something.

8.)  Never accept the first offer.  Negotiate your salary if you think you are worth more.

9.)  If you are new to informatics, start your career either as a trainer or as a systems or clinical analyst.  As a systems or clinical analyst, you will develop technical skills and adapt to a new way of thinking.

10.)  Network.  Get to know who your nurse informaticists are in your area. Join local and national organizations.  See a list of nursing informatics organizations here.  Learn who the pioneers are in nursing informatics and read articles.

So that’s it, my words of wisdom.  I hope you were able to take something away from it.  If you need additional information, please contact me.

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