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Welcome: About these resources

Clinical and nursing informatics personnel are working hard and fast to prepare and manage health IT resources in relation to the 2020 COVID-19 pandemic. This site was developed by leadership of the Informatics and Technology Expert Panel, American Academy of Nursing, with collaboration and sponsorship of the American Nursing Informatics Association. We are passing along publicly available information, and sharing informal reports and documents with the permission of the authors. This material is being passed quickly, in the interest of providing resources, and we do not assure the accuracy or legitimacy of the material. Please contact us if you’d like to share some helpful tips/ information, a field report describing the problems that you are encountering, examples of strategies or SOP that have been successful, necessary workarounds, etc… or any other item directly relevant to the clinical/ nursing informatics community.

HIMSS COVID Updates: New article from Nursing Informatics Committee

The HIMSS Nursing Informatics Committee that really highlight the value of NI and the relationship to the COVID response.  The link is here: https://www.himss.org/resources/nursing-informatics-key-role-defining-clinical-workflow-increasing-efficiency-and and the article can also be located through the HIMSS COVID page: https://www.himss.org/news/covid-19

CMSS Webinar Series: COVID-19 and Clinical Registries

Access the webinar series recordings and upcoming schedule here: https://cmss.org/covid19-registries-webinars/

“About the Webinar Series:

With funding from the Gordon and Betty Moore Foundation and in collaboration with the Association of Academic Medical Colleges, CMSS will support a new webinar series to address key questions related to the rapid development, deployment and implementation of Covid-19 focused clinical registries and clinical repositories by specialty societies and academia.

Read more about the goals of the CMSS webinar series.

The series was launched at the CMSS Virtual Spring Meeting – Covid-19 and Clinical Registries Session on May 1, and this session recording is available below. The webinar series is free to attend but registration is required. Recordings will be available to registrants and posted to our website for on-demand viewing.

Upcoming Webinars:

Webinar topics include:

  • COVID-19: Accelerating Real-Time Electronic Data Capture for Tracking, Learning and Improvement
  • Reflecting on Our Covid-19 Failures – A New Vision for Integrated Registries
  • Deploying Cloud-based Platforms and Analytic Tools to Support Covid-19 and Beyond
  • Prioritizing Patient Engagement and Inclusion of Patient-Generated Covid-19 Data
  • Using Clinical Registries to Address Disparities in Covid-19

We are currently working with moderators to finalize dates for these 1-2 hour webinars. The next event in the series will take place on July 8, and the series will extend through the summer.”

Access the webinar series recordings and upcoming schedule here: https://cmss.org/covid19-registries-webinars/

New Publication: “NANDA‐I, NOC, and NIC Linkages to SARS‐Cov‐2 (Covid‐19): Part 1. Community Response”

Moorhead, S., Maciera, T. G. R., Dunn Lopez, K., Mantovani, V. M., Swanson, E., Wagner, C., & Abe, N. (Under Review). NANDA-I, NOC and NIC linkages to SARS-COV-2 (COVID-19): Part 1. Community Response. International Journal of Nursing Knowledge (Published online ahead of print).  http://dx.doi.org/10.1111/2047-3095.12291

Abstract

PURPOSE

We developed linkages using interoperable standardized nursing terminologies, NANDA International (NANDA‐I) nursing diagnoses, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC), to present initial guidance for the development of care plans focused on COVID‐19 for nurses practicing in community or public health roles.

METHODS

Seven nurse experts identified the linkages of NANDA‐I, NOC and NIC for our work related to the COVID‐19 pandemic. A model was developed to guide the project. The first step in creating linkages focused on the identification of nursing diagnoses. Then, for each nursing diagnosis, outcomes aligned with all components of the diagnosis were categorized and a list of nursing interventions was selected. The experts used their clinical judgment to make final decisions on the linkages selected in this study .

FINDINGS

Two community level nursing diagnoses were identified as key problems appropriate for a pandemic related to COVID‐19: Deficient Community Health and Ineffective Community Coping. For the nursing diagnosis Deficient Community Health, eight nursing outcomes and 12 nursing interventions were selected. In comparison for the nursing diagnosis, Ineffective Community Coping, nine nursing outcomes and 18 nursing interventions were identified. A total of40 concepts were identified for future development across the three classifications .

CONCLUSIONS

The nursing diagnoses, outcomes and interventions selected during this linkage process provide knowledge to support the community challenged with responding to the COVID‐19 pandemic, provide the opportunity to quantify the impact of nursing care, and enhance nursing practice by promoting the use of three standardized terminologies .

IMPLICATIONS FOR NURSING PRACTICE

NANDA‐I, NOC and NIC linkages identified in this manuscript provide resources to support clinical decisions and care plan development for nurses practicing in the community .

Webinar May 15, 2020: “Ignited by COVID-19: How Nursing Informatics is Revitalizing the Healthcare Ecosystem During a Pandemic”

Sponsored by HIMSS Nursing Informatics Community.

Register Here: https://www.himss.org/events/ignited-covid-19-how-nursing-informatics-revitalizing-healthcare-ecosystem-during-pandemic

As the healthcare landscape continuously wavers during the COVID-19 pandemic, health care professionals are tasked with new challenges during these unprecedented times. In response to the global crisis, nurse informaticists are presented with the unique opportunity to optimize their approaches in ensuring best practices while combining nursing knowledge and management of information and technology to promote health and wellness in their communities. During this complimentary 60-minute roundtable, nurse heroes from across the nation will share their experiences and insights on how nurse informaticists are revitalizing the healthcare ecosystem through the means of telehealth, clinical decision support, and other areas while answering questions from attendees.

Hosted by the HIMSS Nursing Informatics Community.

Learning Objectives:

  • Explore optimal approaches to leading organizations through nursing informatics.
  • Amplify discussion on the use of telehealth and its benefits.
  • Discuss challenges and opportunities that nurse informaticists will face in the near future and how to empower organizations.

Speakers: 

Tracy Irwin, BSN, RN-BC, Manager of Clinical Informatics, Health First, Inc.
Stephanie Lenz, RN, MSN, Chief Clinical Informatics Officer, Childrens of Alabama, Birmingham
Anna Schoenbaum, DNP, MS, RN-BC, Associate Vice President, Information Services, Penn Medicine
Vicky Tiase, PhD, RN-BC, Director, Research Science, New York-Presbyterian Hospital

April 24 Webinar: OCR Update on HIPAA and COVID-19

OCR Update on HIPAA and COVID-19

The HHS Office for Civil Rights (OCR) is hosting a webinar for health IT stakeholders on HIPAA privacy and security issues related to COVID-19 and recent OCR actions related to the pandemic.

Speakers:

  • Timothy Noonan, Deputy Director for Health Information Privacy, OCR
  • Marissa Gordon-Nguyen, Senior Advisor for Health Information Privacy Policy, OCR

Topics include:

  • COVID-19 and Permissible Disclosures under the HIPAA Privacy Rule
  • Enforcement Discretion and Guidance for Telehealth Remote Communications
  • Guidance for Disclosures to First Responders and Public Health Authorities
  • Enforcement Discretion for Business Associates to Use and Disclose PHI for Public Health and Health Oversight Activities
  • Enforcement Discretion for Community-Based Testing Sites

When: Friday, April 24, 2020, from 12:00pm – 1:00pm Eastern

Register →

Please note, this webinar is limited to 3,000 participants. It will be recorded and made available on HealthIT.gov within the week.

Statements from the Office of the National Coordinator for Health IT and the Centers for Medicare; Medicaid Services on Interoperability Flexibilities amid the COVID-19 Public Health Emergency


CMS STATEMENT
For Immediate ReleaseApril 21, 2020
Contact: CMS Media Relations(202) 690-6145 CMS Media Inquiries
Statements from the Office of the National Coordinator for Health IT and the Centers for Medicare & Medicaid Services on Interoperability Flexibilities amid the COVID-19 Public Health Emergency
Today, the Office of the National Coordinator for Health IT (ONC) and the Centers for Medicare & Medicaid Services (CMS), in conjunction with the HHS Office of Inspector General (OIG) announced a policy of enforcement discretion to allow compliance flexibilities regarding the implementation of the interoperability final rules announced on March 9th in response to the coronavirus disease (COVID-19) public health emergency. ONC, CMS, and OIG will continue to monitor the implementation landscape to determine if further action is needed.
“ONC remains committed to ensuring that patients and providers can access electronic health information, when and where it matters most. During this critical time, we understand that resources need to be focused on fighting the COVID-19 pandemic. To support that important work and the information sharing efforts we are already seeing, ONC intends to exercise enforcement discretion for 3 months at the end of certain ONC Health IT Certification Program compliance dates associated with the ONC Cures Act Final Rule to provide flexibility while ensuring the goals of the rule remain on track.”   – Don Rucker, MD, National Coordinator for Health Information Technology.
“Today’s action follows the extensive steps CMS has taken to ease burden on the healthcare industry as it fights COVID-19. Now more than ever, patients need secure access to their healthcare data. Hospitals should be doing everything in their power to ensure that patients get appropriate follow-up care. Nevertheless, in a pandemic of this magnitude, flexibility is paramount for a healthcare system under siege by COVID-19. Our action today will provide hospitals an additional 6 months to implement the new requirements.” – Seema Verma, CMS Administrator
For the CMS announcement, visit: https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/indexFor the ONC announcement, visit: https://healthit.gov/curesruleFor the OIG announcement, visit: https://oig.hhs.gov/reports-and-publications/federal-register-notices/index.asp