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MARCH 10, 2014
In this Issue: Dealing with Downtime
In this issue, contributors explore their own successful practices in dealing with downtime. Jump into the second installment of our two part series on Downtime.

Strategies for Success
Preparation is Essential for Downtime
Ken Ong By Geeta Nastasi, RN, MS, Assistant Director, IT, New York Hospital Medical Center of Queens, and Ken Ong, MD, MPH, CMIO, New York Hospital Medical Center of Queens

The catastrophic impact to patient safety, revenue loss, customer service and trust caused by downtimes is a painful reality in today’s electronic healthcare setting.
Downtime Challenges: Keep the Focus on Patient Safety
Rebecca Freeman

Melissa Forinash
By Rebecca Freeman, BSN, PhD, CNIO, Manager of Nursing Informatics, Medical University of South Carolina, and Melissa Forinash, BSN, MBA, FHIMSS, Program Administrator, EHR Implementation, Medical University of South Carolina

The evolution of enterprise EHRs is changing the perspective of clinicians towards downtimes. While EHRs were still emerging, most staff was less reliant on them and more comfortable with paper processes – downtimes were a welcome return to the familiarity of paper.
Reviewing Downtime Procedures Are Essential
Tina Dieckhaus By Tina Dieckhaus, MSN, RN-BC, NE-BC, CPHIMS, Director for Patient Care Informatics, St Jude Children’s Research Hospital

Isn’t it funny that when you implement a computer system, everyone hates it, but after about six months, the same staff doesn’t know how they will survive when the system goes down?

The Value of the Frontline in Downtime
Lorren Pettit By Lorren Pettit, MBA, Vice President, Market Research, HIMSS Analytics

In last month’s Trend Spotter post, I shared an idea on what informatics workers could do when there is “downtime” within their organization. The suggestion was to focus on developing and strengthening the relationships we have with our co-workers.


OJNI Debuts at HIMSS14
HIMSS Foundation and the HIMSS Nursing Informatics Community announce a new acquisition – The Online Journal of Nursing Informatics (OJNI). The February 2014 issue debuted at HIMSS14, available online and on a new website. OJNI is a free, international, professional, peer-reviewed electronic journal that is published quarterly and supports all functional areas of nursing informatics. OJNI, launched in 1996 with readership spanning over 49 countries, focuses on nursing informatics in all practice settings. OJNI is committed to addressing the theoretical and practical aspects of nursing informatics as it relates to the field of nursing.

2014 Nursing Informatics Workforce Survey Results Released
At the HIMSS Annual Conference and Exhibition in Orlando, HIMSS released the results of the 2014 HIMSS Nursing Informatics Workforce Survey, which examines the roles, responsibilities and outlook for nursing informatics professionals. The 2014 Survey captures current professional status and practice trends while identifying changes that have occurred over the last nine years in the nursing informatics workforce. To download the full survey report, executive summary, PowerPoint slides and other resources visit NI Workforce webpage.

Complimentary Physician Webinar Series
On Thursday, March 20 at 2:00 p.m. ET/1:00 p.m. CT, Louis Diamond, MD, and Carol Steltenkamp, MD, highlight the groundbreaking sessions on the impact of HIT on our current quality framework, the value of personalized healthcare, communication and collaboration through transitions of care and more from HIMSS14. Register for HIMSS14 Outcomes today.

HIMSS Physician Community EHR Usability Pain Point Survey
The HIMSS Physician Community is seeking working physicians who utilize EHR systems on a regular basis to give insight on EHR usability. Let your physician voice be heard on EHR usability by taking the survey today. The survey will close on March 30, 2014.

Join us for the HIMSS & NCPDP Pharmacy 2014 Informatics Town Hall Series, sponsored by Surescripts
The Pharmacy Informatics Town Hall Series purpose is to increase awareness, identify the impact and promote the advancement of pharmacy and technology by bringing thought leaders and content to the pharmacy community. Next session is March 25 on Medication History for Hospital and Emergency Room Settings: Better Data, Better Decisions. Register today!

Beyond Stage One Meaningful Use Education
On March 19 in Dover, Delaware, our experts will provide an overview of Meaningful Use Stage 2 criteria, as well as an in-depth discussion on Clinical Quality Measures (CQMs), in order to ensure and realize the many benefits which can be recognized in the Meaningful Use Health IT journey. We will also offer a glimpse into local Health Information Exchange initiatives and Regional Extension Center services. Register today!

IHE USA Infusion Interoperability Workshop
Join IHE USA and CareFusion on March 25-26 in Cleveland, OH for a 1.5 day workshop dedicated to Infusion Interoperability. Attendees gain critical best practices and learn from industry leaders and organizations achieving infusion interoperability. Register today!

IHE USA Publishes Certification White Paper
In a joint initiative, IHE USA & ICSA Labs publish a white paper to explain the current state of industry conformance to IHE frameworks and the need for rigor, precision, and proof of correctness that certification achieves. IHE USA certification carries with it a broad range of benefits to clinical users, their IT vendors, and policy-makers who are aware of how crucial IT integration is to coordinating and improving people's health. Read white paper.


Compiled by Cheryl D. Parker

Downtime and Patient Safety from a Laboratory Viewpoint
Mitigating Patient Risk during IT Outages: Seven Tips to Ensure Your Laboratory Is Ready

Plan B: A Practical Approach to Downtime Planning in Medical Practices
Even the smallest practice needs a downtime plan – this article focuses on provider practices.

Mitigating EHR Downtime
This short posting has good information including links to other topics such as patch management, vulnerability scanning and technical security solutions.

EHR Downtime: The Aftermath
The problems don’t end when the system comes back online; this article focuses on what to do once the system comes back up.

Cheryl D. Parker, RN, MSN, PhD, FHIMSS, is chief nursing informatics officer at Rubbermaid Medical Solutions.

March 31: Meaningful Use Audits And Appeals For Hospitals. Register Now.

What health IT improvements/innovations are atop your list in 2014?
Failure is inevitable, but failing intelligibly is an art – and many would argue, a science. Even the successes healthcare enjoys and celebrates are likely rooted from the decision to rectify a mistake or two. Success or failure, the opportunity to improve or innovate always arises, but we just have to be prepared to capture the learning moment to move forward.

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March 19
Beyond Stage One Meaningful Use Education

March 20
Physician Community Webinar Series

HIMSS14 Outcomes

March 25
Pharmacy Informatics Town Hall Series

Medication History for Hospital and Emergency Room Settings: Better Data, Better Decisions

March 29
AORN Nursing Informatics Pre-Conference

March 30-April 2
AORN Surgical Conference & Expo

April 16-17
Healthcare Business Intelligence Forum

April 17
Physician Community Webinar Series

Standards & Interoperability-the Key to Data Exchange

May 2
HIMSS Nursing Informatics Institute

May 15
Physician Community Webinar Series

Financial Quality Drivers-What's the Payer's Perspective?

June 2-3
ICD-10 Forum

HIMSS Chapter Events

Webinars and Audio Conferences

To ensure the continuation of your HIMSS member benefits, login to the Member Center to renew your membership today. If you need a paper invoice, request one via e–mail to the Member Services department. You can also renew by phone at 312-664-4467 (option 8, then 2).

Clinical Informatics Insights is a monthly e-newsletter published by HIMSS.

Copyright© 2014 by the Healthcare Information and Management Systems Society. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without prior written permission. Contact Nancy Vitucci: HIMSS Publications 33 W. Monroe St. Ste. 1700, Chicago, IL 60603; 312-915-9238

HIMSS Clinical Informatics Insights Editor:
Bailey Grattelo, Digital Operations Assistant | HIMSS Media
(207) 699-4950 ext. 312
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Members of HIMSS Informatics Team:
Joyce Sensmeier, RN–BC, MS, CPHIMS, FAAN, FHIMSS, Vice President, Informatics
Christel Anderson, Director, Clinical Informatics
Lauren Kaderabek, Coordinator, Clinical Informatics

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