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In this Issue: HIT Unintended Outcomes
Unintended consequences are part of an ongoing Commonwealth Fund/Robert Wood Johnson Foundation supported project to develop new frameworks for measuring and promoting quality and safety within the HIT context. This month’s issue will explore three different positive unintended HIT outcomes, highlighted in case study form.

Meet an Informaticist

Unintended Outcome: Issue Spotlight

By Tina Dieckhaus, RN, MSN, CPHIMS, Director of Patient Care Services Informatics, St. Jude Children’s Research Hospital

In this informaticist profile, Tina Dieckhaus speaks about the positive unintended outcomes that deal with technological implementations at St. Jude Children’s Research Hospital. She speaks to why the issues arrived and how they ultimately improved patient care.


Unintended Outcome: Improved Communication & Collaboration


By Vitaly Herasevich, MD, PhD

In this informaticist profile, Dr. Vitaly Herasevich is building a better EHR in collaboration with the IT team rather than waiting until it is completed for physicians to test it out. He talks about the AWARE platform that was developed at the Mayo Clinic and how beneficial it has proven to be.

Unintended Outcome: Technology Progression

By Sharon Reynolds, RN, BSN, SCPM, Senior Solutions Director, Implementation Services, CTG Health Solutions

In this informaticist profile, Sharon Reynolds recounts the challenges that were faced with paper MARs and human error, along with the many health IT and EHR improvements that have been made since then. She demonstrates the benefits both for healthcare providers as well as patients.


Trend Spotter

Impact of Informatics as a Patient

By Lorren Pettit, MS, MBA

Something weird happened to me shortly after I turned 49 just a few weeks ago; I learned what it meant to have a significant health issue. And my diagnosis came within weeks of my wife experiencing her own significant health issue. The news was surprising to say the least as both my wife and I lead active lives. Heck, up until a few weeks ago, I cycled 10 miles 5 to 6 times a week and played in a men's recreational hockey league. Yet, here I sit in another physician office... waiting.


HIT Policy Committee Returns After Government Shutdown
The Health IT Policy Committee held its first meeting since September, having cancelled the October meeting due to the government shutdown. The virtual meeting featured several speakers from the Centers for Medicare and Medicaid Services (CMS), the Office of the National Coordinator for Health IT (ONC), the Privacy and Security Tiger Team, the Information Exchange Workgroup and the Quality Measure Workgroup. 

Save 20-30% on CPHIMS Review Guide and HIMSS Dictionary
From now through Nov. 30, HIMSS Books is offering a 20 percent discount on the best-selling books Preparing for Success in Healthcare Information and Management Systems: The CPHIMS Review Guide, 2nd ed. (print/eBook) and the HIMSS Dictionary of Healthcare Information Technology Terms, Acronyms and Organizations, 3rd ed. (print/eBook), both completely revised and updated in 2013. Save 30 percent when you purchase the books as a collection (print/eBook)!

FDA and ONC Collaborating on UDI and Meaningful Use
On September 24, 2013, the Food and Drug Administration (FDA) issued its Unique Device Identification (UDI) System Final Rule, which establishes a system for adequately identifying medical devices through distribution and use, with a goal of substantially reduce existing obstacles to the adequate identification of medical devices used in the United States. As a result of this final rule, most medical devices distributed in the United States will be required to carry a unique device identifier (UDI).
Tool Box Picks

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

Safety Assurance Factors for Electronic Health Record Resilience (SAFER): Study Protocol
The health IT patient safety assessment guides might lead institutions to better leverage the benefits of EHRs. Using a multi-faceted, cross-disciplinary approach to develop evidence-based guidance for the EHR-enabled work system might be a useful step in improving patient safety in technology-enabled health care.

Guide to Reducing Unintended Consequences of Electronic Health Records
An online resource designed to help you and your organization anticipate, avoid and address problems that can occur when implementing and using an electronic health record (EHR). The guide represents a compilation of the known best practices for anticipating, avoiding and addressing EHR-related unintended consequences.

Health IT and Patient Safety: Building Safer Systems for Better Care
The Department of Health and Human Services asked the IOM to evaluate health IT safety concerns and to recommend ways that both government and the private sector can make patient care safer using health IT. Here you can find the report which can be read free online.

The 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.

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

Strategies and methods to transform patient data access and applications. Go Now.

Join the Discussion


How can healthcare strike a balance between patient safety and innovation?
Healthcare is facing an “unstoppable force meets immovable object” scenario with the maturation of mobile devices for health and wellness. Historically policymakers were sluggish, if not unresponsive, to enact guidance legislation for healthcare technology development – leaving many innovations unusable or even obsolete. Alternately, technological innovation, especially mobile use to engage consumers in their care, is increasing exponentially.

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Upcoming Events

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

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

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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Randy Knotts,