1. United Kingdom Nursing Informatics Leadership US (Chicago) Immersion Study 17thJune – 21stJune 2013 Feedback/Learning Points Frances Cannon

2. Aim of Informatics Study Trip Culmination of year long partnership HIMSS &Nursing informatics leaders from England To promote the role of UK Nurses in leading the way in the implementation and use of information technology in the delivery of Health Care/focus on nursing Aims of Immersion study –Explore the use of innovative technology –Meet with US Nursing Executive Leaders –Have dialogue with nursing informatics colleagues both in US and with colleagues on study trip

3. Hospitals Visited  Advocate Healthcare Medical Center  North Western Memorial Hospital  Lurie Children's Hospital  Magnet Status performance driven recognition accreditation  Shared Governance: criteria within magnet status: empowers clinicians to make decisions share accountability & have influence over practice “ safety huddles”

4. Advocate Medical Center Connecting the Community through Informatics  One of states largest non profit medical centres  Offers a range of medical specialists  Nationally recognised for expertise in cardiac care  Part of Advocate Healthcare committed to community health and wellness programmes-some aspects of community care through physicians but minimal  DAISY Nurses – celebrating nursing sucess http://www.advocatehealth.com

5. Northwestern Memorial Hospital The Connected Patient Obstetrics Focus- 15,000 births pa Premier teaching hospital in USA EMR since 2003 Information flows with patient* Substantial IT spend Substantial telemetry* Robust Clinical Nurse leadership Clinical staff use data for clinical audit/research- to refine nursing practice http://www.nmh.org/nm/home

6. Lurie Children's Hospital Technology Architecture & Design 1 year old hospital USA Children's hospital of year Hospital designed around children's needs Family involvement in design At fore front of providing care to most critically ill children IT integrated into design EHealth Nurse leadership https://www.luriechildrens.org

7.  Electronic Medical Record – including nursing documentation; electronic prescribing/medication administration  Integrated patient call and phone system/Nurses carrying -Smart phones  Patient portals used to deliver individually targeted health information  Emergency Department Care Management -Triage and Tracking  Point of Care Medical Adminstration  Use of Information Technology to monitor quality indicators /change practice – Real time X Factors

8. Take Home Messages Informatics integral to Healthcare delivery Vision/Leadership /Team Working Lead Informatics Nurses Informatics, safety, quality, process change, education and research Design first / then apply technology Substantial investment / hardware/ IT companies/ infrastructure to ensure maximum productivity and efficiency of IT systems Nurse sensitive indicators are collated, monitored and analysed to improve practice and patient care

9. Useful Contacts http://blog.himss.org/author/christelanderso n/ http://blog.himss.org/author/christelanderso n/ www.himss.org/ni http://www.advocatehealth.com http://www.nmh.org/nm/home https://www.luriechildrens.org www.daisyfoundation.org