Module 2 chapter 2 Flashcards
INTRODUCTION
Two themes consistent in today’s healthcare literature:
Stability and growth of healthcare job demands
“Interprofessional team” is the new buzzword for success
Need for access to primary care delivery of services continues to increase
As of May 2016, (68,490) the majority of nurse practitioners were employed in physician offices
APRN
- Certified nurse-midwife (CNM)
- Certified nurse practitioner (CNP)
- Clinical nurse specialist (CNS)
Certified registered nurse anesthetist (CRNA)
APRNs continue to be important contributors and leaders in defining requirements
Types of Advanced-Level Inter-professional Team Members
Physician assistant (must become experts user of EhR, HIT. There are 109,220 may 2017. also expected to assume increased importance as primary care clinicians)
Physical therapist (more than 225,420 may 2017, doctorally prepared assess, plan, organized and participate rehabilitate programs. Must moved into advocacy role since EHR does not support their practice)
Occupational therapist (more 126,50 2017, most a master and doctoral level. Need advocacy for changes since HER)
CONT
Types of Advanced-Level Interprofessional Team Members
Dietitian and nutritionist (Plan and conduct food service or nutritional programs to assist in the promotion and control disease. EHR do not support their practice since access patient information is challenging as they are not always recognized as essential interprofessional health care)
Pharmacist important (medication resources for pt medication use. Doctoral integral users HER system)
Types of Advanced-Level Interprofessional Team Members—cont’d
Behavioral health professional (need to address facility and organizational decisions to segregate the clinical documentation of mental health information view by other clinicians)
Healthcare administration professional (managers’ category who plan, direct, and coordinate medical health service. Projected to grow 20%. They rely on data, reporting, analysis, evaluation of health care service for decisions)
HIT professional (employment increasing) Informatics nurse specialist (graduate or doctoraly informatics programs. Involves identification, definition, management, communication of dat, information, knowledge, and wisdom. Support colleages, healthcare consumers, pt, interprofessional health care team. Translator between clinical and information technology)
Informatics Competencies for Interprofessional Teams
Scope and standards of nursing informatics practice (ANA identify NI 1192 published first step practice 1994 allow NI practice in 1995)
Education standards
1. American Association of Colleges of Nursing (AACN) identification of essential content in nursing curricula
- National League for Nursing (NLN) highlighted the need for nurse educator competency for informatics (need for nurses’ educators to be competitive in preparing, teaching, and evaluating informatics and associated content in all levels)
Quality and Safety Education for Nurses (QSEN): three funding phases
Nursing Education for Healthcare Informatics Model-Based Role
NEHI (nursing education for health care informatics) model for organization and understanding of components of technology-based care delivery
- Point-of-care technology (Nurses educators are pivotal addressing this point of all nurses through they educational trajectory and profession practicum continue)
- Data management and analytics (foundational every role should adequate supported d to practice decision making)
- Patient safety, quality, and population health (categorized the desired outcomes)
(professional education, practice and policy)
Achieve outcomes within the context of interprofessional practice within a larger system
EHR Documentation and Provider Experience
Descriptive exploratory study to evaluate the changing health technology environment in Texas (TONE in 2014 and 2015 evaluates the changes health technology particular nurse satisfaction w/ the use of clinical health informatics)
Meaningful Use Maturity-Sensitive Index (MUMSI)
Quantitatively measures the maturity of an EHR and nurse knowledge and use of EHR in daily practice
Study results found nurses in practice for 6 to 10 years had the lowest counts of dissatisfaction (78% more likely to be satisfied with HER)
Burden of documentation and optimal documentation team
Research and Documents on Interprofessional Teams
Interprofessional Education Collaborative (IPEC) (6 national education associations of the school of the health professions) focused on the creation of core competencies for interprofessional collaborative practice
World Health Organization released its (2010) Framework for Action on Interprofessional Education & Collaborative Practice (for effective collaborative practice to achieve optimal health services and health outcome)
continue
Research and Documents on Interprofessional Teams
Cuff’s published a summary of two IOM-funded workshops (1. interprofessional education for collaboration. 2. learning how to improve health from interprofessional models across the continuum education)
Pentland report on patterns of communication (from Massachusetts state of technology humans dynamics laboratory explain the success or failure of a team)
Interprofessional Teamwork
Information technology and the four IOM core competencies (interpersonal teamwork core competencies:
- patient centered care
- apply quality improvement
- EBP
- Utilize informatics
Technology solutions for teamwork communication and coordination
Development and investment in safety culture
Development and increasing use of simulation technologies
National Prevention Strategy
Reported to the Congress each year
Priority 2: Ensuring That Each Person and Family Is Engaged in Their Care
3 aims
1. better care.
2. healthy people/communities.
3. affordable care. Six priorities pg 33)
Strategy envisions a prevention-oriented society
Provides evidence-based recommendations for each strategic direction and priority
IPEC suggestion that interprofessional healthcare teams would help achieve target outcomes
Meaningful Use Via the HITECH Act
Medicare and Medicaid reimbursement associated with HITECH Act
Criteria for meaningful use (MU) (MU meaningful use
- ensure that HER across nation meet adequate standards.
- how are HER to developed and certified to meet MU criteria)
Centers for Medicare & Medicaid Services (CMS) as primary regulator
Identifies eligible providers for reimbursement structure
Does not recognize, embrace, or support the interprofessional team and its work
