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When I first shifted to health IT...

Happy Sunday!

Perhaps it is the optimist in me but when we reach February, I know Spring is coming soon. (Now keep in mind that I live in the Northeast where it gets quite cold). However, I am looking ahead into the future while living in the present. 

I see this optimistic and future oriented perspective present in how I've approached professional endeavors in the past as well. Nearly 20 years ago now, I opted for a clinical analyst role in an Information Technology (IT) department to work on an Electronic Health Record (EHR) project. 

I wanted to take on a new role in nursing that would allow me to help other nurses who are caring for patients. While I had limited IT knowledge, I had strong clinical nursing knowledge and experience to support the design of the EHR. 

However, in making that shift away from the bedside, I ran into some resistance from others. I would hear directly and indirectly that I had "gone to the dark side". I also would on occasion hear...

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Health Data for Health Insights

Yesterday, I ran a 5K starting and ending at the Boston Common and Public Garden. This was a flat course up and down Commonwealth Ave! A very Bostonian scenic tour by foot if you will.

As I was running the race, I kept a close eye on my pace via my Apple Watch. I wanted to reach a sub 11 minute mile and knew it would be a challenge for me. So, the frequent checks to my watch kept me informed about how I was doing along the 3.1 mile course. 

I tracked the distance to see how much longer I would mentally need to prepare for at the pace. 

I watched my heart rate to see where it fell as I was starting to feel like it was getting hard to keep up with that pace. 

I also analyzed my results after finishing to see how I did across the three miles in terms of a pace. (I ended up at a 11 minute, 7 second average pace). 

Then last night, I reviewed my last several months of speed in a longitudinal manner. 

I am sharing all of this with you because we now have more...

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Updates to the Nursing Informatics Credential - November 2023

Happy Saturday all!

I am writing to share with you an important update from the American Nurses Credentialing Center (ANCC) regarding how to display your board certification in nursing informatics. 

Earlier this month, ANCC sent out a communication that the board certification designation (BC) had changed for the nursing informatics that hold this certification. 

Now, instead of signing your name as RN-BC, the Nursing Informatics board certification is designated as NI-BC. 

So, for example, I will adjust my signature line to now be: 

Tiffany Kelley PhD MBA RN NI-BC 

ANCC encourages you to make this update to your email signature lines, business cards, badges and any other place where that may need to be adjusted to reflect this new change. You may read that direct communication from ANCC that I received here

If you are not yet board certified in nursing informatics but are interested in preparing for the exam, consider our NICER Program for your...

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Heart Rate or Pulse, Which is it?

Every time I start to try to explain informatics to someone, especially someone in nursing and healthcare, I use the two terms of heart rate and pulse as an initial example. 

At the surface, a nurse or healthcare professional might consider these to be the same thing, just different expressions for what the beats per minute are for one's heart. 

Yet, to someone who is not a nurse or healthcare professional, these are two different words so why would they necessarily mean the same thing? 

This is especially true of those who work on developing health IT systems. Heart rate and pulse are two discrete terms. 

So what is the implication of having two different terms that could mean the same thing? 

The impact of having two different terms that may mean the same thing is that someone, likely someone within a nursing and clinical informatics role, needs to decipher the semantical difference (if any) between these two terms. 

This is a simple example but is...

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AI:101

Uncategorized Jul 11, 2023

Artificial Intelligence, commonly referred to as AI is a term that has taken on new levels of buzz in the mainstream across industries. ChatGPT from OpenAI seems to have accelerated our discussion of advanced artificial intelligence digital technologies in healthcare. 

However, we must remember the same principles we use to assess, design, develop, test, implement, adopt, optimize and maintain new healthcare technologies when considering AI tools. 

Technologies in healthcare must be are available to support rather than lead us in how we deliver care. To do so requires that we, nurses, doctors and all members of the healthcare team (e.g, including patients) are knowledgeable about artificial intelligence to be able to envision how it can support areas of our information needs that we cannot accomplish on our own. 

I was recently interviewed on AI for Nurse Journal in a piece entitled, "How AI can transform nursing practice". You can read that piece here. Of the...

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New Informatics Nurse Board Certification Exam from ANCC

ANCC released its updated test content outline for the Informatics Nurse board exam on May 3rd 2023. Many have been awaiting this new information (originally expected in December 22 and then June 23) to know what new content and/or changes may occur. 

I was surprised to see it come a month earlier than expected but we got to work and began reviewing the differences in the previous exam content and framework with that of the new exam. 

Some good news to consider for those that have been actively preparing - everything you've been preparing for still applies. There may just be some additions you need to include in your study plan. 

Some differences include: 

1. The exam is now 150 questions (instead of 175 questions). We anticipate this means that your time available during the test is also cut a bit short (likely 3 hours from 3.5 hours). There are 25 practice questions that are not counted toward your score in this 150 questions. However, you will not be able to...

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Reflection on the Nursing Informatics Workforce

Every two years, HIMSS releases a new report on the results of their Nursing Informatics Workforce Survey. The last report was for 2020 and I was excited to see that the 2022 report is now out! 

At the start of the HIMSS report, acknowledgement is made that "nurse informaticists are a critical human component to broadly enhancing healthcare. They are the driving force behind health innovation and technology to realize the full health potential of every human everywhere." As the healthcare industry continues to become more technologically dependent, such roles continue to be critical. 

A total of 1,118 informatics nurses responded to the survey (with 5% of respondents from outside of the U.S.) and contributed their thoughts on questions relating to nursing informatics in general, workplace locations, compensation, education and experience, job details, organizational structure, and more. 

Over 35% of informatics nurses reported that the number of informatics nurse...

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How to Grow when first getting Started in Health IT

health it healthtech Apr 23, 2023

A few weeks ago, I was speaking to someone about health IT and nursing informatics as a career pathway following direct nursing care. 

The transition from direct nursing care to an IT role in healthcare informatics can be significant. The obvious change is stepping away from providing patient care in the sense that we tend to think of it. 

Instead of being assigned the care of one to many patients (the number varying depending on your clinical area), nurses transitioning into a health IT role will be working as part of a team on digital health projects and IT optimization. 

Such efforts require significant collaborative time working with clinical users, leaders, and translating decisions made during such design meetings into health IT build changes for future implementation. When not in meetings, your activities will require independent work on your laptop to configure and document the design decisions and manage communications. 

The person I was speaking to was...

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Make the Technology Work for You

Happy April! 

I went on a trip recently and the day before I left I had a thought, "what if my luggage does not make it to the destination?" I have that thought every trip but this time I started to think about how to be prepared for such an event. 

I thought of the Apple AirTags that I had seen in videos on the internet. I am an Apple user and appreciate the integration of the devices. With the 'Find My....' app, you can identify where all of your devices are (as long as they are synced with the app). 

So, while I did not purchase the AirTag in time for the trip, (thankfully my bag made it with me :) ), I did purchase one as soon as I returned home. 

I linked it up to the Find My... app and it is now part of the suite of products I have organized. 

So, how does this relate to healthcare and informatics? 

Well, in this instance I had the problem I was looking to solve where I could have more data and information about where my luggage...

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Certified Nurses Day is March 19th - Save on our NICER Program!

Good afternoon all!

Today is March 19th and it is Certified Nurses Day! 

Certified Nurses Day is a celebratory day for all of the nurses who are seeking to advance in the profession and contribute as a specialized leader in nursing. Certified Nurses Day occurs on the 19th of March in celebration of Dr. Margretta "Gretta" Madden Styles EdD, RN, FAAN. Dr. Styles was a pioneer in advancing nursing through standards, credentials and governing bodies to support advancement through certification in nursing. 

There are 18 nursing certifications currently available on the ANCC website. Informatics Nursing is one of those certifications. The first certification exam for Informatics Nursing was offered in 1995, nearly 30 years ago!

The most recent data shows that there are 3132 board certified informatics nurses as of 2021. Perhaps you are one of those, perhaps you are on your way to become the next board certified nurse, or perhaps it is a goal of yours in the short or long...

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