Hussey, Pamela

Rodger, Daragh

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AIGNA Conference 2013 
Dr Pamela Hussey, Ms Daragh Rodger
 Data intensive society Big Data eHealth agenda
 Health informatics – data analytics  
 Situating Nursing and Midwifery 
 HISINM going forward 
 Technology is now ubiquitous -1 billion objects 
linked to internet by end of 2013 
 Continuity of Care is a critical factor for citizens in 
supporting health and social care to measure 
patient outcomes
 Integrated platforms that deliver clean data to 
deliver tactical objectives is a key requirement.
 Transition to Independent trusts has commenced
 Health Information Bill will be passed by end of 
2013


 Nursing and Midwifery Informatics in Ireland –
current status fragmented
 Vision to implementation action plan 
 SWOT priorities – DIKW continuum
 Group Established in 1996 
 New approach capitalising on emerging learning 
technologies (January 2013)
 Communications agenda 
 Readiness for engagement training and education
 Adopt L.E.A.R.N as guiding principles 
 Visibility & Voice – good care often only evident by 
its absence 
 Significant expertise across the country
 Health Informatics Standards 
 System implementation
 Advanced nursing and midwifery practice - what works 
for who and in what capacity?
 It’s at the edges that interesting things happen


Listen to clients and clinical leaders to determine what 
the requirements are?
Early engagement in design – content in context
Adopt reuse and adapt from international colleagues best 
evidence and HI standards
Realistic evaluation input process output bottom up and 
top down - stratified approach 
Needs analysis  focusing on individual clients  in a 
community using wellness rather than illness approach
Strengths Weakness Opportunities Threats 
Expertise extensive
Tactical action plan 
in progress LEARN
Voluntary group Green field site with 
pockets of 
development 
Green field site with 
pockets of 
development 
Internationally well 
connected
Canada , USA , UK, 
EU -ACENDIO
ISO CEN 
engagement 
Time constraints
Clinical staff battle 
weary 
Require support 
DIKW framework  
international 
dimension adopt 
and adapt
Education: No 
competency 
framework 
established  at 
Under Graduate 
Level
Supported by key 
nursing 
organisations in 
Ireland 
Financial limits  and 
resources e.g 
IHTSDO
HISI ICS support for 
development of 
networks
Training –
Competency 
Conscious versus 
Unconscious 
Size  membership 
growing in capacity 
No Health 
Informatics Institute
Readiness for 
engagement  
resources 
Concurrent work 
paper trail 
continually
developing 
Care of Older Adult  
Education 
Platform
Clinical 
Programmes
Technology 
and 
Innovation 

 Patient Experience – Aim to provide a quality 
service to all service users is this being achieved?
 Key Performance Indicators – measure care  
against a set of standards (HIQA, NMBI)
 Examples of key area in older person
◦ Falls , Pressure Ulcer, National Early Warning Score, 
Medication, Prescription Care.
 Based on Results of indicator measurement: 
Identify areas for improvement and devise an 
action plan
 Plan - Measure improvements made on a 
monthly basis
 Inform best practice
Some Examples: 
 HSEland http://www.hseland.ie (General)
 Bone health http://www.bonehealth.co (Citizen focused)
 EHRinsight   http://www.ehrinsight.net (Informatics)
 Partnerscop http://www.partnerscop.com (Community  
focused)

Socio
Technical
• Political 
• Organisational 
• Legal 
• Economic
• Architecture 
• Processes 
• Structures 
• Semantics  
DIKW
HISA 
CONTSYS
EHRcom
HL7
HISINM
Readiness for Engagement 
The only thing in art is the part that can’t be 
explained … the only thing in a medical system 
that matters is the part that can’t be measured
Prof A Halligan Director of Education, UCL 
Dr Pamela Hussey
Lecturer
School of Nursing & Human 
Sciences
Dublin City University
Email pamela.hussey@dcu.ie
Daragh  Rodger
Advanced Nurse Practitioner –
Care of the Older Adult 
Community
St Mary’s Campus
Phoenix Park, Dublin 20
Email daragh.rodger@hse.ie
http://www.hisinm.ie 


Nursing informatics: �a critical component in continuity of care

Name not available

AIGNA Conference 2013 Dr Pamela Hussey, Ms Daragh Rodger Data intensive society Big Data eHealth agenda Health informatics – data analytics   Situating Nursing and Midwifery  HISINM going forward  Technology is now ubiquitous -1 billion objects linked to internet by end of 2013  Continuity of Care is a critical factor for citizens in supporting health and social care to measure patient outcomes Integrated platforms that deliver clean data to deliver tactical objectives is a key requirement. Transition to Independent trusts has commenced Health Information Bill will be passed by end of 2013 Nursing and Midwifery Informatics in Ireland –current status fragmented Vision to implementation action plan  SWOT priorities – DIKW continuum Group Established in 1996  New approach capitalising on emerging learning technologies (January 2013) Communications agenda  Readiness for engagement training and education Adopt L.E.A.R.N as guiding principles  Visibility & Voice – good care often only evident by its absence  Significant expertise across the country Health Informatics Standards  System implementation Advanced nursing and midwifery practice - what works for who and in what capacity? It’s at the edges that interesting things happenListen to clients and clinical leaders to determine what the requirements are?Early engagement in design – content in contextAdopt reuse and adapt from international colleagues best evidence and HI standardsRealistic evaluation input process output bottom up and top down - stratified approach Needs analysis  focusing on individual clients  in a community using wellness rather than illness approachStrengths Weakness Opportunities Threats Expertise extensiveTactical action plan in progress LEARNVoluntary group Green field site with pockets of development Green field site with pockets of development Internationally well connectedCanada , USA , UK, EU -ACENDIOISO CEN engagement Time constraintsClinical staff battle weary Require support DIKW framework  international dimension adopt and adaptEducation: No competency framework established  at Under Graduate LevelSupported by key nursing organisations in Ireland Financial limits  and resources e.g IHTSDOHISI ICS support for development of networksTraining –Competency Conscious versus Unconscious Size  membership growing in capacity No Health Informatics InstituteReadiness for engagement  resources Concurrent work paper trail continuallydeveloping Care of Older Adult  Education PlatformClinical ProgrammesTechnology and Innovation  Patient Experience – Aim to provide a quality service to all service users is this being achieved? Key Performance Indicators – measure care  against a set of standards (HIQA, NMBI) Examples of key area in older person◦ Falls , Pressure Ulcer, National Early Warning Score, Medication, Prescription Care. Based on Results of indicator measurement: Identify areas for improvement and devise an action plan Plan - Measure improvements made on a monthly basis Inform best practiceSome Examples:  HSEland http://www.hseland.ie (General) Bone health http://www.bonehealth.co (Citizen focused) EHRinsight   http://www.ehrinsight.net (Informatics) Partnerscop http://www.partnerscop.com (Community  focused)SocioTechnical• Political • Organisational • Legal • Economic• Architecture • Processes • Structures • Semantics  DIKWHISA CONTSYSEHRcomHL7HISINMReadiness for Engagement The only thing in art is the part that can’t be explained … the only thing in a medical system that matters is the part that can’t be measuredProf A Halligan Director of Education, UCL Dr Pamela HusseyLecturerSchool of Nursing & Human SciencesDublin City UniversityEmail pamela.hussey@dcu.ieDaragh  RodgerAdvanced Nurse Practitioner –Care of the Older Adult CommunitySt Mary’s CampusPhoenix Park, Dublin 20Email daragh.rodger@hse.iehttp://www.hisinm.ie 

http://doras.dcu.ie/20040/1/AIGNA_Nursing_Informatics_PH_DR_2013_Final.pdf

Nursing informatics: �a critical component in continuity of care

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