2015 impact of the informatics nurse survey april 12, 2015
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2015 Impact of the Informatics Nurse Survey
April 12, 2015
About
• Since 2004, HIMSS has conducted surveys to gain an understanding of the roles and responsibilities of the informatics nurse professional.
• This survey explores the value and impact that informatics nurses bring to their organization.
Nursing Informatics Defined
• Nursing informatics (NI) is the specialty that integrates nursing science with multiple information management and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice. NI supports nurses, consumers, patients, the interprofessional healthcare team, and other stakeholders in their decision-making in all roles and settings to achieve desired outcomes. This support is accomplished through the use of information structures, information processes, and information technology. Nursing Informatics: Scope and Standards of Practice, 2nd edition ANA 2015
Number of Respondents
• A total of 576 valid responses were received and will be covered in the following analysis.
Respondent Profiles
Other
Other Healthcare Practice
Medical Practice
Vendor/Consultant
Corporate Offices of Health System
Hospital
4%
3%
3%
4%
21%
64%
Work Setting
Which of the below best describes your work setting.
N = 576
21%
79%
Yes
No
Informatics Nurse
Are you an informatics nurse?
N = 576
Other
CNO/VP of Nursing
Senior Application Specialist
Nurse Educator/Instructor
CIO/CTO/VP of Technology
Application Analyst
Clinical Application Specialist
Chief Nursing Information Officer
Project Manager
Consultant
Clinical Analyst
Director of Nursing Informatics
Clinical/Nursing Informatics Specialist
29%1%1%2%2%3%4%4%4%
7%10%
12%23%
Informatics Nurse Titles
Please identify your title.
N = 454
Other
CMO/Chief of Staff
Chief Financial Officer
Chief Executive Officer
CMIO
Chief Nursing Officer/Nurse VP
CIO/CTO/IT Executive
41%
1%
1%
4%
7%
22%
24%
Executive Titles
Please identify your title.
N = 122
Other
New England
East South Central
Mountain
West North Central
West South Central
Pacific
Mid Atlantic
South Atlantic
East North Central
0%
6%
6%
7%
9%
9%
12%
16%
18%
18%
Region
In which of the regions below do you live.
N = 576
Other
Critical Access Hospital
Academic Medical Center
Med/Surg Hospital
15%
27%
40%
46%
Type of Hospital
What type of hospital do you work for?
N = 474
500 Beds or More
400 to 499 Beds
300 to 399 Beds
200 to 299 Beds
100 to 199 Beds
Under 100 Beds
47%
9%
12%
9%
10%
13%
Hospital Size
Identify the number of licensed beds at the hospital/health system for which you work.
N = 474
None of the Above
Other
Physician/Medical Background
Other Clinical Background
Nursing Background
2%
17%
55%
58%
95%
Informatics Professionals Employed
What types of informatics professionals are employed by your organization?
N = 576
Don't Know
2010 to 2014
2005 to 2009
2000 to 2004
1995 to 1999
Prior to 1999
21%
18%
23%
16%
11%
12%
Timeframe of First Informatics Position
In what year was your organization’s first informatics position created?
N = 565
Don't Know
Other
None of the Above
Chief Clinical Information Officer
Part of Another Position
Chief Nursing Information Officer
Chief Medical Information Officer
2%
9%
21%
10%
20%
20%
48%
Informatics Leadership
Does your organization employ any of the below clinical informatics leaders?
N = 565
None of the Above
Other
Chief Technology Officer
Chief Operating Officer
Chief Medical Information Officer
Chief Medical Officer
Chief Executive Officer
Chief Information Officer
Chief Nursing Officer
1%
13%
1%
2%
5%
5%
16%
25%
34%
CNIO Reporting Structure
Who does your CNIO report to?
N = 110
None of the Above
Other
Chief Nursing Officer
Chief Technology Officer
Chief Operating Officer
Chief Executive Officer
Chief Medical Officer
Chief Information Officer
2%
12%
0%
2%
6%
25%
26%
28%
CMIO Reporting Structure
Who does your CMIO report to?
N = 269
None of the Above
Other
Chief Technology Officer
Chief Nursing Information Officer
Chief Medical Information Officer
Chief Operating Officer
Chief Medical Officer
Chief Information Officer
Chief Executive Officer
4%
11%
2%
2%
2%
6%
6%
26%
43%
CCIO Reporting Structure
Who does your Chief Clinical Operating Officer report to?
N = 54
Non-Nursing Clinical Documentation
PACS
Bar Coded Medication Management
Clinical Information Systems
CPOE
Billing/Financial Management
Ancillary
Nursing Clinical Documentation
EMR/EHR
Electronic Medication Administration Record (eMAR)
82%
85%
85%
85%
90%
90%
91%
91%
91%
92%
Applications Installed at Respondents’ Organizations – Top 10
N = 515
Which applications are currently installed at your organization?
Personal Health Record
Quality Improvement
Point of Care Clinical Decision Support
Immunization Information Systems
Remote Monitoring/Telehealth
Electronic Prescribing
Voice Recognition
Medical Device Integration
Mobile Applications
Health Information Exchange
14%
14%
15%
17%
18%
18%
20%
23%
26%
27%
Applications Being Installed at Respondents’ Organizations – Top 10
N = 515
Which applications are currently installed at your organization?
Don't Know
Low Impact
Medium Impact
High Impact
2%
6%
32%
60%
Impact of Informatics Positions on Quality of Care
N = 543
In general, what impact do informatics nurses have on the quality of care that patients receive at your organization? Please use a one to seven scale, where one is “no impact” and seven is “high degree of impact.”
Selection
Design
Analysis
Optimization
Implementation
50%
73%
75%
83%
85%
N = 553
Identify the overall value that informatics nurses bring to the following with regard to clinical systems.
Areas Where Informatics Nurses Bring a High Degree of Value
Integration/Interface with Other Systems
Reporting
Reduction of Never Events
Quality Outcomes
Completeness of Documentation
Screenflow
Definition of Alerts/Reminders
Accuracy of Documentation
Compliance with Policies/Regulations
Design/Configuration
User Acceptance
Patient Safety
Workflow
51%57%
61%64%65%66%67%67%70%71%
75%76%
80%
N = 549
Identify the level of impact that having informatics nurses involved in the analysis, design, optimization, implementation and selection process had on each of the areas below.
Areas Where Informatics Nurses Bring a High Degree of Value
Other
Predictive Modeling
Voice Recognition
Data Warehousing
Remote Monitoring
Personalized Healthcare
Smart Devices
Medical Device Integration
5%
22%
27%
29%
33%
49%
53%
70%
N = 576
In which of the below areas do informatics nurses play a role with regard to emerging technologies?
Informatics Nurses and Emerging Technologies
Impact of Informatics Nurses on Clinical Systems
Don't Know
Low Value
Medium Value
High Value
2%
6%
17%
75%
N = 551
Identify the overall value that informatics nurses bring to the following with regard to clinical systems at your organization.
Analysis
Don't Know
Low Value
Medium Value
High Value
2%
8%
16%
73%
N = 553
Identify the overall value that informatics nurses bring to the following with regard to clinical systems at your organization.
Design
Don't Know
Low Value
Medium Value
High Value
4%
15%
31%
50%
N = 550
Identify the overall value that informatics nurses bring to the following with regard to clinical systems at your organization.
Selection
Don't Know
Low Value
Medium Value
High Value
2%
3%
10%
85%
N = 549
Identify the overall value that informatics nurses bring to the following with regard to clinical systems at your organization.
Implementation
Don't Know
Low Value
Medium Value
High Value
2%
4%
12%
83%
N = 549
Identify the overall value that informatics nurses bring to the following with regard to clinical systems at your organization.
Optimization
Impact of Informatics Nurses on Key Areas
No Role
Low Impact
Medium Impact
High Impact
1%
4%
15%
80%
N = 549
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
Workflow
No Role
Low Impact
Medium Impact
High Impact
3%
9%
23%
66%
N = 545
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
Screenflow
No Role
Low Impact
Medium Impact
High Impact
2%
8%
20%
71%
N = 547
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
Design/Configuration
No Role
Low Impact
Medium Impact
High Impact
2%
9%
32%
57%
N = 545
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
Reporting
No Role
Low Impact
Medium Impact
High Impact
2%
8%
23%
67%
N = 548
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
Definition of Alerts/Reminders
No Role
Low Impact
Medium Impact
High Impact
1%
6%
28%
64%
N = 545
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
Quality Outcomes
No Role
Low Impact
Medium Impact
High Impact
1%
5%
19%
75%
N = 547
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
User Acceptance
No Role
Low Impact
Medium Impact
High Impact
1%
4%
18%
76%
N = 547
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
Patient Safety
No Role
Low Impact
Medium Impact
High Impact
2%
4%
24%
70%
N = 546
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
Compliance with Regulations/Policies
No Role
Low Impact
Medium Impact
High Impact
2%
5%
26%
67%
N = 545
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
Accuracy of Documentation
No Role
Low Impact
Medium Impact
High Impact
2%
7%
27%
65%
N = 543
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
Completeness of Documentation
No Role
Low Impact
Medium Impact
High Impact
4%
14%
31%
51%
N = 547
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
Integration/Interface with Other Systems
No Role
Low Impact
Medium Impact
High Impact
0%
8%
31%
61%
N = 544
Identify the level of impact that having informatics nurses involved in the analysis, optimization, implementation and selection process had on each of the areas below.
Reduction of Never Events
Appendix
Detail on Installed Applications
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
2%
1%
3%
4%
91%
N = 515
Which applications are currently installed at your organization?
Ancillary Systems
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
3%
0%
5%
6%
85%
N = 515
Which applications are currently installed at your organization?
Bar Coded Medication Management
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
2%
3%
1%
4%
90%
N = 515
Which applications are currently installed at your organization?
Billing/Financial Systems
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
3%
7%
4%
10%
77%
N = 515
Which applications are currently installed at your organization?
Clinical Data Repository
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
1%
1%
3%
12%
82%
N = 515
Which applications are currently installed at your organization?
Clinical Documentation (non-Nursing)
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
1%
0%
1%
6%
91%
N = 515
Which applications are currently installed at your organization?
Clinical Documentation (Nursing)
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
4%
2%
1%
8%
85%
N = 515
Which applications are currently installed at your organization?
Clinical Information Systems
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
2%
0%
3%
6%
90%
N = 515
Which applications are currently installed at your organization?
Computerized Practitioner Order Entry (CPOE)
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
2%
0%
0%
6%
91%
N = 515
Which applications are currently installed at your organization?
Electronic Medical Record (EMR)/ Electronic Health Record (EHR)
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
2%
1%
1%
4%
92%
N = 515
Which applications are currently installed at your organization?
Electronic Medication Administration Record Management (eMAR)
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
4%
17%
5%
7%
66%
N = 515
Which applications are currently installed at your organization?
Enterprise Master Patient Index
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
3%
1%
10%
18%
68%
N = 515
Which applications are currently installed at your organization?
Electronic Prescribing (ERx)
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
4%
5%
10%
27%
54%
N = 515
Which applications are currently installed at your organization?
Health Information Exchange
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
6%
8%
28%
10%
47%
N = 515
Which applications are currently installed at your organization?
ICU/eICU Technology
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
5%
13%
14%
17%
51%
N = 515
Which applications are currently installed at your organization?
Immunization Information System
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
4%
5%
13%
23%
56%
N = 515
Which applications are currently installed at your organization?
Medical Device Integration
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
4%
4%
26%
26%
39%
N = 515
Which applications are currently installed at your organization?
Mobile Applications
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
3%
4%
4%
4%
85%
N = 515
Which applications are currently installed at your organization?
PACS
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
3%
2%
6%
13%
77%
N = 515
Which applications are currently installed at your organization?
Patient Portal/Family Portal
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
7%
19%
10%
11%
52%
N = 515
Which applications are currently installed at your organization?
Practice Management
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
6%
8%
17%
14%
56%
N = 515
Which applications are currently installed at your organization?
Personal Health Record
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
4%
6%
7%
15%
67%
N = 515
Which applications are currently installed at your organization?
Point of Care Clinical Decision Support
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
4%
6%
6%
14%
70%
N = 515
Which applications are currently installed at your organization?
Quality Improvement/Risk Management
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
6%
8%
24%
18%
44%
N = 515
Which applications are currently installed at your organization?
Remote Monitoring/Telehealth
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
5%
10%
9%
13%
63%
N = 515
Which applications are currently installed at your organization?
Utilization Review
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
7%
7%
15%
10%
61%
N = 515
Which applications are currently installed at your organization?
Voice Communication/Paging Systems
Not Answered
Don't Know
Not Installed
Implementing
Currently Installed
6%
10%
18%
20%
46%
N = 515
Which applications are currently installed at your organization?
Voice Recognition