1. Setting the Stage – Healthcare Information Technology Initiatives and Nursing CNPE Meeting September 18, 2006

2. Panel Members Lillee S. Gelinas, MSN, RN, FAAN, Vice President, Clinical Performance, VHA Judith J. Warren, PhD, RN,BC, FAAN, FACMI, Director of Nursing Informatics, KUMC Center for Healthcare Informatics University of Kansas School of Nursing Joyce Sensmeier, MS, RN,BC, CPHIMS, Vice President, Informatics, HIMSS

3. Almost Ubiquitous Computers ATMs E-bay Automobiles Smart toilets Dishwashers Handheld games Amazon.com and e- Bay Netflix Distance learning Medication Dispensers PDAs Patient monitors Telehealth Simulation laboratories Webcasts Cinahl, PubMed Online journals, books, digital library Decision support

4. Definition of Nursing Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. (Nursing’s Social Policy Statement, Second Edition, p. 6) (Nursing: Scope and Standards of Practice, p. 7)

5. Nursing Within Such A World Patient centered care that includes context, health, and whole person Standardized nursing languages not well integrated into practice and information systems, notable exceptions –PNDS in perioperative systems –OMAHA System in home health and visiting nurse applications

6. Federal Initiatives Changing Landscape Gore invented the Internet HIPAA DHHS Secretary Thompson’s electronic health record (EHR) initiatives President Bush established Office of National Coordinator for Health Information Technology (ONCHIT, now ONC) DHHS Secretary Leavitt established American Health Information Community (AHIC)

7. Federal, State, and Local Issues Population health, emergency preparedness, and biosurveillance activities Regional health information organizations (RHIOs) and interoperability E-prescribing Interstate practice by clinicians Increasing healthcare costs, uninsured, safety net Quality and evidence-based practice

8. Who Advocates for the Healthcare Consumer? Where Are the Nurses? Who Represents Nursing at the Many, Many Decision-making Tables?