365 Days

Posted on December 2, 2011 by afernando

 

Countdown
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Well this is it. The countdown begins.  In 365 days, my hospital will go-live with our new healthcare software.  Our go-live has been in the works for some time now but the countdown to December 2, 2012 has officially begun.  Am I stressed?  You bet. This is my first inpatient implementation and quite excited about it.   I missed the previous software implementation a few years ago. 

So far, I have a few deadlines looming in the near future.  At this moment, what is difficult for me is prioritizing my time. It’s hard to see the big picture right now and there are so many people working on this project.  My own work is a smaller piece of that “bigger picture”. I know at the end it will be well worth it.

My experience has been implementing ambulatory clinics. I am comfortable with clinics – they are so much smaller than an actual hospital.  My other experience includes maintaining the electronic health record, not as exciting as implementing, but definitely challenging.  I know my experience is these two areas will help me as I continue my career.

I will be writing a regular post about my go-live each week and counting the days.  Due to privacy, I will not be revealing anyone’s names or which software vendor we are working with.  I will be writing about my own experience and hopefully it will be a learning tool for me and others who may not be in the healthcare informatics industry but is considering in getting a job in the industry in the future. 

I became a nurse to make a difference in my patient’s lives and hopefully working on the information technology end will help many clinicians and patients and hopefully saving their lives as well.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*DISCLOSURE:  I will not disclose the name of the hospital or the software and people’s name have been changed for privacy.

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Transition from Clinical to Technology – Part II

Posted on November 30, 2011 by afernando

In my previous post, I wrote about my obstacles finding a job in nursing informatics.  After I stopped thinking about finding a new job 24/7, I finally found one in New York City.  Well, it wasn’t instant but I did receive call-backs and interviews.  Too many interviews, in fact.  I accepted every phone and in-person interview.  Since this would be my first real job in informatics, I wanted to make sure I took the right job. Hence, why I accepted every interview.

I realized from this experience interviewing many times makes you a better interviewer.  It helped me to answer questions quickly and enabled me  to think about why I chose the intensive care unit and to explain that to the interviewer.  As I went on each interview, I became confident in myself and my skill set.  I wasn’t ashamed to let the interviewer know my skills and talents.

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My Two Conflicting Worlds – Part 1

Posted on November 26, 2011 by afernando

Training Virtually and Safely

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*This blog post will be a three part series on how I transitioned from bedside nursing to the information technology sector. I was inspired to write my own story after someone read my previous blog posts in this blog and asked me for some words of wisdom.

After I graduated from my nursing informatics program, I was determined to find a job in the field. No one said it was going to be easy. But no one said it was going to be hard either. Even though my professors told my class what types of jobs to get, no one really helped us in transitioning from the clinical area to the technology world.

I did get advice from my preceptor in my last semester of graduate school. If I didn’t get advice from her, no one would have told me what kind of job I needed to get. For some reason, I was under the assumption that I would be qualified to be an Information Technology manager or director. Little did I know I had to start over and be either a systems analyst or trainer. I thought to myself I had already paid my dues being a clinical nurse.

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Meaningful Use Criteria

Posted on November 23, 2011 by afernando

Medical Symbol Vector

In my last post, I discussed how meaningful use of the EHR was initiated. In this post, I will discuss the meaningful use criteria. Meaningful use refers to a set of fifteen criteria healthcare providers and hospitals must meet to prove they are using their EHR in a meaningful way.

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There are also ten more requirements but only 5 out of the 10 are required. In total, providers need to demonstrate twenty of the twenty-five requirements. There are the 15 mandatory requirements healthcare providers and hospitals must meet in order to qualify:

  1. Record patient demographics (50%) such as preferred language, gender, race, ethnicity, date of birth
  2. Record and chart changes in vital signs (50%) Blood pressure, calculate and display BMI, height (may be self-reported) weight, plot and display growth charts for children 2-20 years
  3. Maintain active medication allergy list (80%) one or more allergies or an indication of no allergy for each patient
  4. Maintain an updated problem list of current and active diagnoses (ICD-9 or SNOMED) (80%) one or more problems, active diagnosis, or indication (i.e. “none” of no known problem for each patient)
  5. Maintain active medication list (80%) one or more medication or an indication (i.e “none” that the patient is not currently prescribed any medication)
  6. Use computerized physician order entry for medication orders (CPOE) (30% including meds)
  7. Generate and transmit electronic prescriptions for non-controlled substances (40%)
  8. Implement drug-drug or drug-allergy interaction checks (functionality enabled)
  9. Record adult smoking status (50%)
  10. Provide clinical summaries for patients for each office visit (50% in 3 days)
  11. On request, provide patient and electronic copy of their hospital discharge instructions (50%)
  12. Implement capability to electronically exchange clincial information among care providers and patient authorized entities
  13. Implement clinical decision support (one rule)
  14. Implement systems to protect privacy and security of patient data in the electronic health record (EHR)
  15. Report clinical quality measures to CMS for Medicare or states for Medicaid (Blood pressure, BMI, and smoking)

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What is Meaningful Use?

Posted on November 19, 2011 by afernando

Laika presentation at HIMSS 2008 in Orlando Meaningful use is a hot topic these days. Do you know what meaningful use means for the electronic health record (EHR)? Please note that EHR (electronic health record) and EMR (electronic medical record) are used interchangebly. On February 13 2009, President Obama signed the American Recovery and Reinvestment Act (ARRA) to stimulate the economy. In four days, the American Recovery and Reinvestment Act became a http://viagraonline-forsex.com/ law. The Recovery Act had three immediate goals:

  • Create new jobs and save existing ones
  • Spur economic activity and invest in long-term growth
  • Foster unprecedented levels of accountability and transparency in government spending

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Nursing Informatics Conferences

Posted on November 16, 2011 by afernando

Nursing informatics conferences are hard to find so here is a list of conferences for the upcoming year to help you start planning. November 23-25, 2011. HINZ Conference and Exhibition 2011 “Working Together…Working Smarter.” Papers, posters and workshop proposals on any aspect of health informatics are welcome. Submissions due August 15, 2011. http://www.hinz.org.nz/page/conference. Speakers include Dr. David Blumenthal and Dr. Susan K. Newbold.

Dr. Michelle Honey, Auckland, New Zealand, is on the Executive Committee of HINZ. February 20-24, 2012. HIMSS12 Annual Conference and Exhibition, www.himss.org April 12-14, 2012 ANIA-CARING Annual Conference. Renaissance Orlando at SeaWorld®, Orlando, FL. June 23-27, 2012, NI2012, Hilton Montreal Bonaventure, Montreal CANADA, www.ni2012.org. Sponsored by the International Medical Informatics Association. Papers due August 31, 2011. May 2-4, 2013, ANIA-CARING Annual Conference, Marriott Rivercenter, San Antonio, TX. August 21-23, 2013, MedInfo2013 Copenhagen Denmark, http://www.medinfo2013.dk/ November 16-20, 2013, AMIA

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2013 Annual Symposium, Hilton Washington & Towers Washington, District of Columbia, www.amia.org TBA 2014, NI2014. Taipei, TAIWAN. Sponsored by the International Medical Informatics Association. Note year change to 2014. November 5-19, 2014, AMIA 2014 Annual Symposium, Hilton Washington & Towers Washington, District of Columbia, www.amia.org TBA 2015, MedInfo2015. Will be in Asia-Pacific.

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Reasons to Join Professional Organizations

Posted on November 12, 2011 by afernando

I love sharing information especially if I can wcw viagra on a pole match help others. I recently found about these two webinars from the ANIA – CARING website. The first one is called “Conducting Workflow Analysis: Don’t Get Trapped by How” on November 30 and the second one is called “A Two-Phased Approach to Evaluate the Success of HIT Implementation on December 6.” These webinars are free to ANIA – CARING members and participants will be awarded 1.0 contact hours. For more information on these webinars, go to this website or to register for this webinar. Non-members can also take these two webinars for $25.00. It’s not a bad price for non-members. If you are already working as a nurse informaticist and do not belong to a professional informatics association, this may be a good time to join. generic viagra Especially, if you are wanting to attend the two webinars I mentioned above. http://canadian-pharmacyrx4ed.com/ The second reason to join a professional organization is its the end of the year and a new year is coming up. Each December I write my goals in my journal for the upcoming year and one of online viagra my goals for 2011 is the join a professional organization and I did just that. How about you? Is joining generic viagra reviews a professional organization one of your goals for 2012? The third reason to join ANIA-CARING or any other healthcare informatics professional organization is to get “freebies and discounts.” The freebies are webinars and some discounts included in your membership are professional journals like Computers in Nursing (CIN) and discounts in annual conferences. The fourth reason to join ANIA-CARING is affordable. It’s $40 a year. To see more benefits about joining or to download an application, go to the ANIA-CARING website. Besides ANIA-CARING, here are other professional organizations that you can join:

  • American Nursing Association (ANA)
  • National League for Nursing (NLN)
  • Sigma Theta Tau International
  • American Medical Informatics Association (AMIA)
  • Healthcare Information and Mangement Systems Society (HIMSS)
  • Medical Library Association (MLA)
  • American Telehealth Association (ATA)
  • American Case Mangement Association (ACMA)
  • Association of periOperative Registered Nurse (AORN)
  • American College of Healthcare Executives (ACHE)
  • American Organization of Nurse Executive (AONE)
  • American Public Health Association (APHA)
  • Alliance for Nursing Informatics (ANI)
  • Minnesote Nursing Informatics Group (MINING)
  • Delaware Valley Nursing Computer Network (DVNCN)
  • Health Informatics of New Jersey (HINJ)
  • MEDITECH Nurse Informatics Program
  • New England Nursing Informatics Consortium (NENIC)
  • Central Savannah River Area Clinical Informatics Network (CSRS-CIN)
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Differences between Healthcare Informatics versus Nursing Informatics

Posted on November 9, 2011 by afernando

In my previous post, I wrote I am a nursing informatics graduate. Some people may be wondering what the difference is between nursing informatics and healthcare informatics. Nursing informatics is a specialty within nursing that integrates nursing science, computer science, and information science online cialis to manage and communicate data, information, knowledge, and wisdom in nursing practice (2008).” Nursing informatics is the sub component of informatics pertaining to nurses and nursing care.

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How to Break Into Healthcare Informatics

Posted on November 9, 2011 by afernando

Have I piqued an interest in healthcare informatics? I will use the terminology of healthcare informatics and nursing informatics interchangeably. After hearing a talk from the Chief Nursing Officer (CNO) at the Cleveland Clinic this year, my sister is attending the University of Illinois with the intention of graduating with a healthcare informatics certificate. My sister and her husband were captivated http://levitrarxonline-easyway.com/ by the CNO’s speech that she quickly enrolled in the University of Illinois in less than a month and got accepted. My cousin called me two weeks ago asking about information on how to break into the healthcare informatics career. My cousin has a bachelor’s degree in Healthcare Administration and currently works in the finance department at the second largest medical center in Baltimore, Maryland. Here was my advice to her: Continue reading →

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Journey into Nursing Informatics

Posted on November 1, 2011 by afernando

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Hello, my name is Anna and this is my first post on this blog. I am a nurse informaticist and passionate about marrying healthcare with technology. I wanted to start this blog with an introduction to my journey from the clinical setting to the informatics world. I worked as a medical-surgical floor nurse for a year and realized I wanted a challenge. I chose the Medical intensive care unit and being a MICU nurse was the biggest challenge I ever faced as a nurse. I loved being in the MICU and learned so much each day. But after three years, I needed a change. I was burned out. I knew there had to be another specialty out there that I would enjoy. Continue reading →

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