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In this Issue: We’ve Come a Long Way
October 2013 marks the 5-year anniversary of the e-newsletter. This month’s issue focuses on how far informatics has come in the past five years, since the inception of HIMSS Clinical Informatics Insights. Features provide insights on how federal regulations, technological advancements and optimized usage, specifically referring to electronic health records and the meaningful use of health IT.

State of the Industry

Health IT’s 5-Year Progression

by Willa Fields, RN, DNSc, FHIMSS
We’ve come a long way since 2008 and the first issue of Clinical Informatics Insights. We’ve had the HTECH Act and an explosive growth in not only the implementation of electronic health records, but, more importantly, the meaningful use of health IT. We now have the Health IT Value STEPS model that documents exemplars of Satisfaction, Treatment/clinical, Electronic information/data, Prevention and patient education, and Savings benefits of health IT. We are moving from focusing on the implementation of health IT to using the data in these systems to improve the health of those we serve.

Meet an Informaticist

CMIO Profile: Working Toward Knowledge Management Objectives

By Dawn Milliner, MD
In this informaticist profile, Dawn Milliner, MD, CMIO at the Mayo Clinic, describes how, since she accepted the position in 2011, she provided leadership and formulated a plan to maximize the use of IT in order to achieve the Mayo Clinic’s objectives.  Milliner is also Professor of Medicine and Professor of Pediatrics at the Mayo Clinic College of Medicine.

CNIO Profile: A Look at the First 100 Days on the Job

By Jason Fratzke, RN, MSN
In this informaticist profile, Jason Fratzke, RN, MSN, CNIO at the Mayo Clinic, addresses his first 100 days as CNIO and how his successes impact the visions of current Mayo Clinic Leaders. Fratzke is also the Nurse Administrator for the Division of Informatics and Technology in the Department of Nursing at the Mayo Clinic as well as Instructor of Nursing at the Mayo Clinic College of Medicine.

Strategies for Success

Four Key Elements to Achieve and Maintain A Quality Order Set Library


By Brett Stauffer, MD, MHS, FHM, and Lynn Finck, MAOM, SCPM, CPM
As we think about the past five years, what are the trends and common practices that have evolved in maintaining a successful library of order sets? They keys are adoption, avoiding circumvention, version control and easy access by medical staff. What order sets do CPOE hospital systems and ambulatory clinics use? Quite simply they are a “collection of orders built to support evidence based clinical care, for management of a particular condition,” according to Dr. Brett Stauffer. He also believes maintaining a quality library of order sets is a commitment to providing quality and efficient care for patients.

Trend Spotter

Pace of EMR Adoption During the Past 5 Years

By Lorren Pettit, MS, MBA
A lot of attention over the past five years has been focused on the adoption of electronic medical record (EMR) technologies in U.S. hospitals. The interest is understandable given all the money the government is spending to incent providers to use these technologies in a meaningful way, but the idea of EMR adoption in a hospital is a little more complex than how it is typically presented in the press. For one thing, there is no such thing as a singular “EMR application.” The EMR is a suite of tools comprised of distinct applications. To really understand a hospital’s EMR adoption status, we need to understand the hospital’s progression in building out an EMR.


HIMSS Innovation Center Opens in Cleveland Highlighting the Value of Health IT
HIMSS announced the opening of the HIMSS Innovation Center as part of the Global Center for Health Innovation, in downtown Cleveland. The 30,000-square-foot Innovation Center includes a Health IT Simulation Center testing health IT interoperability, and a Healthcare Technology Showcase demonstrating the value of IT and information exchange to patient care, clinician and patient satisfaction, population health, and the bottom line. 

New HIMSS Provider-Patient Engagement Resource Released
Most consumers’ use of personal health IT is done outside of health systems, offices and information systems. Learn how activated, engaged consumers are already working to improve their health outcomes, and providers’ clinical success.

HIMSS Members Get 15% Discount at AHIMA Conference
HIMSS members will enjoy a 15 percent discount off registration for the AHIMA 85th Convention & Exhibit, October 26-30, in Atlanta. The conference will feature 25 educational tracks and more than 225 exhibitors. Use code: AHIMA13/DISC5 when you register at the link above.

Take Part in the 2013 HIMSS Compensation Survey
The HIMSS Compensation Survey is a biennial survey that is used as an online salary calculator member benefit.  This highly used tool serves as a resource for health IT professionals to compare compensation packages while identifying trends in the industry.  Demographic information such as facility type, budget, region, gender, length of service and professional level allow for data queries to help benchmark information for others with similar positions. Take the 2013 HIMSS Compensation Survey.

Tool Box Picks

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

Launching HITECH by David Blumenthal, MD
From the New England Journal of Medicine, this is an excellent “historical” reference to see how much change has occurred in the past five years.

EHR Adoption Flying High
This Healthcare IT News article, from January 2013, shows family physicians are adopting EHRs at a much faster rate than previous data suggested, reaching a nearly 70 percent adoption rate nationwide, new study findings reveal.

80 Mind Blowing EMR and Meaningful Use Statistics & Trends
Avid blogger, HIT Consultant, compiled the latest facts and figures regarding a number of health IT-related topics into this informative four-part series from 2012.

HIMSS Health IT Value Suite
This comprehensive, interactive knowledge repository developed by HIMSS classifies, quantifies and articulates the clinical, financial and business impact of health IT investments.

Definitions of Emerging Informatics Roles
A compilation of job descriptions from HIMSS Career Services (April 2012), including the CMIO (Chief Medical Information Officer) and the CNIO (Chief Nursing Informatics Officer).

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

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Join the Discussion

What are your biggest roadblocks to achieving interoperability?
By the end of this year, roughly 80% of eligible hospitals will be using EHRs. This means health information will be more accessible to patients and care providers, medical cost and error will be cut substantially and the majority of healthcare will be more cost-effective and efficient.

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Upcoming Events

AHIMA Annual Conference
Oct. 26-30
Atlanta, Ga.

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

mHealth Summit
Dec. 9-11, 2013
Washington, DC Area
Feb. 23-27, 2014
Orlando, Fla.

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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 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

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

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