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In this Issue: Quality and Patient Safety
Quality measurement is critical to reforming the nation’s healthcare delivery and payment systems. It is also essential to improving the quality of care for individuals and populations while controlling costs. In this issue of HIMSS Clinical Informatics Insights, get ready for the next wave of informatics with features focused on the informaticists’ role in Quality and Patient Safety.

State of the Industry

A Roadmap for Bridging the Quality Gap
By Louis H. Diamond, MBChB, FCP, (SA), FACP, FHIMSS


Our healthcare system must traverse multiple crossroads in order to move to the next level. Achieving the goals of improving the quality/affordability of care and population health must begin with a commitment to careful analysis and evaluation of our current state. This will only be possible with clear communication and open dialog, with those dedicated to quality measurement and improvement seated at the same table as those with expertise in health IT usability along with patient representatives. Engagement of ALL stakeholders is necessary in order to translate the priorities of our National Quality Strategy into practice and to scale these important goals across our nation’s communities, both large and small.

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Meet an Informaticist

The Informaticist: Designer, Builder, Teacher and Storyteller
By Michael Van Ornum, RN, RPh


An emerging role of the clinical informaticist is a storyteller. Not of ghouls that frighten children in the night. But of the ghosts in the machine that frighten healthcare professionals in the darkened corners of assumptions and misunderstandings. Leaders are increasingly turning to informaticists to make sense of the data generated by healthcare systems.

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Strategies for Success

What's Driving eMeasures Forward?
By Ginny Meadows, RN


Until recently quality measurement relied on manual chart entry and review (abstraction) and /or the analysis of administrative claims data. With Meaningful Use fueling growth in health IT adoption and retooling of existing measures into electronic clinical quality measures (eCQMs), there is a new focus on the development and widespread adoption of an infrastructure to support expanded, automated measurement that is, in theory, a byproduct of the patient-care process. Learn what programs and stakeholders are moving eMeasures forward.

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Trend Spotter

U.S. Hospitals Prioritizing Quality Measurement Applications
By Lorren Pettit, MS, MBA

A major responsibility of my current role at HIMSS Analytics is to monitor the health IT landscape as reflected in the HIMSS Analytics database, and identify trends in the health IT buying behaviors of U.S. hospitals. Having worked as a hospital performance improvement consultant just prior to joining HIMSS Analytics, I have a strong interest in following the health IT developments supporting quality measurement. And what I see suggests a very positive near-term future for quality measurement applications.

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HIMSS Media Announces Launch of Future Care Community
HIMSS Media announced the launch of Future Care, an online community of news, information and thought leadership dedicated to chronicling the impact of coordinated care, resulting in the improvement of individual and population health and well-being. The mission of Future Care is to engage stakeholders worldwide in this dialog. Members of this community include healthcare providers, government, social services, educators, payers and consumers. 

New Interoperability for Dummies eBook Uncovers the Power of IHE
IHE USA released a new, complimentary eBook last month to provide practical advice for understanding the ins and outs of healthcare interoperability. This free eBook outlines how to leverage IHE to improve your organization’s ability to share patient information securely and efficiently.Download Interoperability for Dummies online.

New! HIMSS14 Call for Pre-conference Presentations Now Open
Annual Conference pre-conference symposia are educational programs that include an overall theme with related education. The HIMSS14 Pre-conference Symposia topics for the call include career services/workforce development, clinical and business intelligence, consumer engagement, data warehousing, HIE, ICD-10, innovation, Meaningful Use, mobile health, nursing informatics, physicians’ IT, supply chain, privacy and security, project management/change management, and the usability and safety of health IT. The HIMSS14 Call for Pre-conference Presentations is open through July 22. For questions, please contact Gail Rice.

Tool Box Picks

Compiled by Cheryl D. Parker, RN, MSN, PhD, FHIMSS

Medical Informatics for Better and Safer Health Care Research in Action, Issue 6
The Agency for Healthcare Research and Quality (AHRQ) has supported research into medical informatics. This research highlights some of the computer systems being used today.

HIMSS Quality and Patient Safety Website
This online HIMSS Resource Library provides actionable information on Quality, CPOE, Clinical Decision Support, Pay for Performance and Quality Measurements.

Transforming Healthcare Quality and Management Through Informatics
This presentation by Robert L Jesse, MD, PhD, Principal Deputy Under Secretary for Health Veterans Health Administration, highlights the future of healthcare in VHA.

Journal of the American Medical Informatics Association – 2012 Issue #19
This issue of JAMIA focuses on an important but often under published area of biomedical informatics: the cost-effectiveness of informatics interventions in healthcare. (Please note: some articles require subscription and others are open access.)

2013 Book - Impact of Healthcare Informatics on Quality of Patient Care and Health Services
By Divya Srinivasan, this book provides you with information on how different organizations—from nonprofit hospitals to for-profit hospitals to community health centers to government hospitals—adapt and use technology.

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

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Join the Discussion

What role does patient engagement play in fulfilling all elements of the Triple Aim in healthcare?
The Triple AIM in Healthcare has been described as the following three things:

  • Improving the patient experience of care (including quality and satisfaction);
  • Improving the health of populations; and
  • Reducing the per capita cost of healthcare

Clearly, patient engagement plays a role in the first item, the patient’s experience of care, but we’d also like to explore the role patient engagement can play both in improving the health of populations and reducing the per-capita cost of healthcare. What impacts do you see? What experiences and insights do you have about the way to achieve patient engagement and help fulfill the triple aim in healthcare?

Connect with HIMSS
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Upcoming Events

Successful Path Towards Achieving Meaningful Use Initiatives
Aug. 7, 2013

National Health IT Week
Sept. 16-20, 2013

2013 Midwest Fall Technology Conference
Nov. 10-12, 2013
Milwaukee, Wisconsin

mHealth Summit
Dec. 9-11, 2013
Washington, DC Area

HIMSS Chapter Events

Webinars and Audio Conferences
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Clinical Informatics Insights is a monthly e-newsletter published by the Healthcare Information and Management Systems Society (HIMSS) that provides timely and comprehensive coverage on the effective integration of informatics across the continuum of care.

Editor's Note: The inclusion of an organization name, product, resource or service in this e-newsletter should not be construed as a HIMSS endorsement of such organization, product or service, nor is the failure to include an organization name, product or service to be construed as disapproval.
Copyright© 2013 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 HIMSS Clinical Informatics Insights at cmclean@himss.org.

Members of HIMSS Informatics Team
Joyce Sensmeier, RN–BC, MS, CPHIMS, FAAN, FHIMSS, Vice President, Informatics
Christel Anderson, Director, Clinical Informatics
Jennifer Roniger, Program Manager, Informatics

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