Training The importance of INSs
Informatics nurse specialists bridge patients, IT and executives. By Kathleen Hunter, Dee McGonigle and Toni Hebda
n February 2009, the Health Information Technology for Economic and Clinical Health (HITECH) Act was en- acted as part of the American Recovery and Reinvestment Act (ARRA). It called for the utilization of information technology among healthcare providers and increased adoption of electronic health record (EHR) systems. To achieve these goals and realize the full potential of infor- mation technology (IT), healthcare organizations must employ the expertise of informatics nurse specialists (INSs), health- care professionals who serve as translators between clinicians and the IT professionals who install these technologies. INSs ensure greater usability of health IT, improve workfl ow and oversee policy development and regulatory compliance within healthcare settings. Despite these benefi ts, INSs are underutilized. Many health- care organizations are hesitant to invest in retaining an INS due to concerns about cost.
Kathleen Hunter, Ph.D., R.N. B.C.; Dee McGonigle, Ph.D., R.N., FAAN; and Toni Hebda, Ph.D., R.N., MSIS, are Chamberlain College of Nursing professors in the Master of Science in Nursing degree program.
In order to continue to work toward the leg- islative goals outlined in the HITECH Act, more healthcare organizations must embrace INSs as liai- sons between clinicians and
information professionals. This can be achieved by educating health leaders about the benefi ts of INSs and giving INSs a seat at the table among chief technology offi cers, chief information offi cers and chief operating offi cers.
Maximize benefi ts
Healthcare providers nationwide are installing new tech- nology faster than they can train their staff to use it. INSs are instrumental to the development of these competencies among nurses; competencies needed to advance the quality and safety of healthcare and the delivery of evidence-based practice. Suc- cessful technology integration can improve patient outcomes, decrease lengths of stay and reduce iatrogenic events, thereby reducing the overall cost of patient care.
INSs translate the needs of clinicians to help IT profession- als develop the most effective tools to enhance their practice. They also help staff and executives maximize the benefi ts of EHRs, determine best practices and set performance-assessment dashboards.
10 November 2011
A seat at the table Administrators, clinicians and INSs need to work together toward a shared goal of improving patient care while meeting the demands of technology-oriented regulations. INSs who educate staff about EHRs and other technologies must be represented in the health IT decision-making process. They can share assess- ment tools to evaluate current systems, recommend improve- ments and explain the positive impact of EHRs and health IT on hospital costs. From smart infusion pumps and smart rooms to enhanced communication tools, INSs oversee the acquisition, implementa- tion and use of health IT and information systems. Furthermore, these professionals ensure that EHRs are utilized to demonstrate nursing contributions to meeting patient outcomes — ultimately transforming nursing departments into revenue centers. INSs can also provide security regulation information, such as the HITECH Act provision to strengthen federal privacy and security laws to protect misuse of health information, to ease administrator and clinician concerns regarding patient privacy. Administrators and clinicians should become more familiar with informatics by establishing clinical partnerships with nursing schools that offer informatics programs. Many healthcare institu- tions are seeking more collaborative relationships with nursing schools that offer both clinical and educational opportunities. With an informatics focus, these alliances could yield joint appointments for faculty as well as provide clinical mentoring opportunities for the incoming workforce. The full benefi ts of informatics will not be realized until these steps toward integrating INSs into the healthcare IT team are completed.
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