NURSING INFORMATICS
for the
Advanced
Practice Nurse
, NURSING INFORMATICS
for the
Susan McBride, PhD, RN-BC, CPHIMS, FAAN, is a clinical nursing informaticist at the
Texas Tech University Health Sciences Center. As a professor at Texas Tech, she teaches DNP
courses, including statistics, informatics, epidemiology, and population health at the orga-
Advanced
nizational and public policy level. She is also the director of the master’s and postmaster’s
nursing informatics programs. Dr. McBride’s clinical expertise also includes perioperative
and cardiovascular nursing, with a research focus on methods development for implement-
ing, evaluating, and utilizing large health care datasets and health information technology
(HIT) to improve patient safety and quality within the health care delivery system. She has
developed and deployed software and services with executive oversight in the for-profit and
not-for-profit arenas. Most recently, she supported operational activity and administra-
Practice Nurse
tive oversight of the West Texas Health Information Technology Regional Extension Center
(WTxHITREC) under the F. Marie Hall Institute for Rural and Community Health in a senior
leadership role. Her focused activities include advising practices and hospitals on workflow
redesign, clinical decision support, strategies to assist providers in meeting meaningful use of
electronic health records (EHRs), quality measures, and analytics using certified EHR tech-
nology. Her current research involves an EHR-enhanced simulation program to develop best-
practice competencies in the use of EHRs for interprofessional teams and evaluation of the
use of social media initiatives in improving population health.
Patient Safety, Quality, Outcomes,
Mari Tietze, PhD, RN-BC, FHIMSS, is an associate professor at Texas Woman’s Univer-
and Interprofessionalism
sity College of Nursing, where she teaches nursing research and informatics. She also sup-
ports the statistics component of capstone projects. Previously, she worked as senior manager,
Center for Research and Innovation, VHA Inc., in Irving, Texas. She also served as director
of nursing research and informatics in the Dallas–Fort Worth Hospital Council’s Education
and Research Foundation. In that role, Dr. Tietze was responsible for deployment of the Coun-
cil’s 3-year technology implementation project on behalf of the Small Community, Rural
Hospitals Research Grant, a National Institutes of Health grant funded by the Agency for
Healthcare Research and Quality. She was a key member on a team that was awarded an
$8.4 million grant for a Regional Extension Center in North Texas. Dr. Tietze directed work-
force center nursing research and data initiative informatics projects, and is board certified Susan McBride, PhD, RN-BC, CPHIMS, FAAN
by the American Nurses Credentialing Center in informatics nursing. She is fellow of the
Healthcare Information and Management Systems Society (FHIMSS) certified by the Health Mari Tietze, PhD, RN-BC, FHIMSS
Information Management Systems Society. Since 2010, Dr. Tietze has been an associate
professor at the Houston J. and Florence A. Doswell College of Nursing at Texas Woman’s
University. In 2014, she became the program director of the graduate certificate program in
interprofessional informatics at Texas Woman’s University.
, To my amazing family, who always stand in support of all the work I am committed to
doing to improve health and the health care delivery system. Thank you, dear family!
Copyright © 2016 Springer Publishing Company, LLC
—Susan McBride
All rights reserved.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any To my Mom, Pauline L. Bruschi, who was proud to be on my right side . . . through it
means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Springer all. Thanks, Mom!
Publishing Company, LLC, or authorization through payment of the appropriate fees to the Copyright Clearance
Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600, or —Mari Tietze
on the Web at www.copyright.com.
Springer Publishing Company, LLC
11 West 42nd Street
New York, NY 10036
www.springerpub.com
Acquisitions Editor: Joseph Morita
Production Editor: Kris Parrish
Composition: Westchester Publishing Services
ISBN: 978-0-8261-2488-3
e-book ISBN: 978-0-8261-2489-0
Instructor’s Manual ISBN: 978-0-8261-2512-5
Instructor’s PowerPoints ISBN: 978-0-8261-2482-1
Instructor’s Test Bank ISBN: 978-0-8261-2499-9
Student Study Guide ISBN: 978-0-8261-2519-4
Instructor’s materials are available to qualified adopters by contacting .
A student study guide is available at springerpub.com/mcbride.
15 16 17 4 3 2 1
The author and the publisher of this Work have made every effort to use sources believed to be reliable to provide
information that is accurate and compatible with the standards generally accepted at the time of publication.
Because medical science is continually advancing, our knowledge base continues to expand. Therefore, as new
information becomes available, changes in procedures become necessary. We recommend that the reader always
consult current research and specific institutional policies before performing any clinical procedure. The author
and publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or in
part, from the readers’ use of, or reliance on, the information contained in this book. The publisher has no respon-
sibility for the persistence or accuracy of URLs for external or third-party Internet websites referred to in this
publication and does not guarantee that any content on such websites is, or will remain, accurate or appropriate.
Library of Congress Cataloging-in-Publication Data
Nursing informatics for the advanced practice nurse : patient safety, quality, outcomes, and
interprofessionalism / Susan McBride, Mari Tietze, authors.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-8261-2488-3 (hard copy : alk. paper) — ISBN 978-0-8261-2489-0 (ebook)
I. McBride, Susan, 1957– , editor. II. Tietze, Mari, editor.
[DNLM: 1. Nursing Informatics. 2. Advanced Practice Nursing. WY 26.5]
RT50.5
610.730285—dc23
2015026693
Special discounts on bulk quantities of our books are available to corporations, professional associations, phar-
maceutical companies, health care organizations, and other qualifying groups. If you are interested in a custom
book, including chapters from more than one of our titles, we can provide that service as well.
For details, please contact:
Special Sales Department, Springer Publishing Company, LLC
11 West 42nd Street, 15th Floor, New York, NY 10036-8002
Phone: 877-687-7476 or 212-431-4370; Fax: 212-941-7842
E-mail:
Printed in the United States of America by Bradford & Bigelow.
, CONTENTS
Contributors xi
Foreword xvii
Preface xix
Share Nursing Informatics for the Advanced Practice Nurse:
Patient Safety, Quality, Outcomes, and Interprofessionalism
Section I: Introduction to the National Health Information
Technology Strategy
1 Introduction to Health Information Technology in a Policy
and Regulatory Environment 3
Susan McBride and Mari Tietze
2 Advanced Practice Roles in Interprofessional Teams 29
Carol J. Bickford, Diane Pace, and Mari Tietze
3 Scientific and Theoretical Foundations for Driving Improvement 47
Richard Booth, Susan McBride, and Mari Tietze
4 National Health Care Transformation and Information Technology 81
David M. Bergman, Susan McBride, and Mari Tietze
5 Consumer Engagement/Activation Enhanced by Technology 103
Mari Tietze, Patricia Hinton Walker, and Elaine Ayres
Section II: Point-of-Care Technology (NEHI Model Component #1)
6 Computers in Health Care 123
Susan McBride, Richard Gilder, and Deb McCullough
7 Electronic Health Records and Point-of-Care Technology 153
Mary Beth Mitchell and Susan McBride
8 Systems Development Life Cycle for Achieving Meaningful Use 191
Susan McBride and Susan Newbold
9 Workflow Redesign in a Quality-Improvement Modality 225
Susan McBride, Terri Schreiber, and John Terrell
10 Evaluation Methods and Strategies for Electronic Health Records 245
Susan McBride and Mary Beth Mitchell
11 Electronic Health Records and Health Information Exchanges
Providing Value and Results for Patients, Providers, and
Health Care Systems 263
Susan McBride, Tony Gilman, Anne Kimbol, and George Gooch
for the
Advanced
Practice Nurse
, NURSING INFORMATICS
for the
Susan McBride, PhD, RN-BC, CPHIMS, FAAN, is a clinical nursing informaticist at the
Texas Tech University Health Sciences Center. As a professor at Texas Tech, she teaches DNP
courses, including statistics, informatics, epidemiology, and population health at the orga-
Advanced
nizational and public policy level. She is also the director of the master’s and postmaster’s
nursing informatics programs. Dr. McBride’s clinical expertise also includes perioperative
and cardiovascular nursing, with a research focus on methods development for implement-
ing, evaluating, and utilizing large health care datasets and health information technology
(HIT) to improve patient safety and quality within the health care delivery system. She has
developed and deployed software and services with executive oversight in the for-profit and
not-for-profit arenas. Most recently, she supported operational activity and administra-
Practice Nurse
tive oversight of the West Texas Health Information Technology Regional Extension Center
(WTxHITREC) under the F. Marie Hall Institute for Rural and Community Health in a senior
leadership role. Her focused activities include advising practices and hospitals on workflow
redesign, clinical decision support, strategies to assist providers in meeting meaningful use of
electronic health records (EHRs), quality measures, and analytics using certified EHR tech-
nology. Her current research involves an EHR-enhanced simulation program to develop best-
practice competencies in the use of EHRs for interprofessional teams and evaluation of the
use of social media initiatives in improving population health.
Patient Safety, Quality, Outcomes,
Mari Tietze, PhD, RN-BC, FHIMSS, is an associate professor at Texas Woman’s Univer-
and Interprofessionalism
sity College of Nursing, where she teaches nursing research and informatics. She also sup-
ports the statistics component of capstone projects. Previously, she worked as senior manager,
Center for Research and Innovation, VHA Inc., in Irving, Texas. She also served as director
of nursing research and informatics in the Dallas–Fort Worth Hospital Council’s Education
and Research Foundation. In that role, Dr. Tietze was responsible for deployment of the Coun-
cil’s 3-year technology implementation project on behalf of the Small Community, Rural
Hospitals Research Grant, a National Institutes of Health grant funded by the Agency for
Healthcare Research and Quality. She was a key member on a team that was awarded an
$8.4 million grant for a Regional Extension Center in North Texas. Dr. Tietze directed work-
force center nursing research and data initiative informatics projects, and is board certified Susan McBride, PhD, RN-BC, CPHIMS, FAAN
by the American Nurses Credentialing Center in informatics nursing. She is fellow of the
Healthcare Information and Management Systems Society (FHIMSS) certified by the Health Mari Tietze, PhD, RN-BC, FHIMSS
Information Management Systems Society. Since 2010, Dr. Tietze has been an associate
professor at the Houston J. and Florence A. Doswell College of Nursing at Texas Woman’s
University. In 2014, she became the program director of the graduate certificate program in
interprofessional informatics at Texas Woman’s University.
, To my amazing family, who always stand in support of all the work I am committed to
doing to improve health and the health care delivery system. Thank you, dear family!
Copyright © 2016 Springer Publishing Company, LLC
—Susan McBride
All rights reserved.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any To my Mom, Pauline L. Bruschi, who was proud to be on my right side . . . through it
means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Springer all. Thanks, Mom!
Publishing Company, LLC, or authorization through payment of the appropriate fees to the Copyright Clearance
Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600, or —Mari Tietze
on the Web at www.copyright.com.
Springer Publishing Company, LLC
11 West 42nd Street
New York, NY 10036
www.springerpub.com
Acquisitions Editor: Joseph Morita
Production Editor: Kris Parrish
Composition: Westchester Publishing Services
ISBN: 978-0-8261-2488-3
e-book ISBN: 978-0-8261-2489-0
Instructor’s Manual ISBN: 978-0-8261-2512-5
Instructor’s PowerPoints ISBN: 978-0-8261-2482-1
Instructor’s Test Bank ISBN: 978-0-8261-2499-9
Student Study Guide ISBN: 978-0-8261-2519-4
Instructor’s materials are available to qualified adopters by contacting .
A student study guide is available at springerpub.com/mcbride.
15 16 17 4 3 2 1
The author and the publisher of this Work have made every effort to use sources believed to be reliable to provide
information that is accurate and compatible with the standards generally accepted at the time of publication.
Because medical science is continually advancing, our knowledge base continues to expand. Therefore, as new
information becomes available, changes in procedures become necessary. We recommend that the reader always
consult current research and specific institutional policies before performing any clinical procedure. The author
and publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or in
part, from the readers’ use of, or reliance on, the information contained in this book. The publisher has no respon-
sibility for the persistence or accuracy of URLs for external or third-party Internet websites referred to in this
publication and does not guarantee that any content on such websites is, or will remain, accurate or appropriate.
Library of Congress Cataloging-in-Publication Data
Nursing informatics for the advanced practice nurse : patient safety, quality, outcomes, and
interprofessionalism / Susan McBride, Mari Tietze, authors.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-8261-2488-3 (hard copy : alk. paper) — ISBN 978-0-8261-2489-0 (ebook)
I. McBride, Susan, 1957– , editor. II. Tietze, Mari, editor.
[DNLM: 1. Nursing Informatics. 2. Advanced Practice Nursing. WY 26.5]
RT50.5
610.730285—dc23
2015026693
Special discounts on bulk quantities of our books are available to corporations, professional associations, phar-
maceutical companies, health care organizations, and other qualifying groups. If you are interested in a custom
book, including chapters from more than one of our titles, we can provide that service as well.
For details, please contact:
Special Sales Department, Springer Publishing Company, LLC
11 West 42nd Street, 15th Floor, New York, NY 10036-8002
Phone: 877-687-7476 or 212-431-4370; Fax: 212-941-7842
E-mail:
Printed in the United States of America by Bradford & Bigelow.
, CONTENTS
Contributors xi
Foreword xvii
Preface xix
Share Nursing Informatics for the Advanced Practice Nurse:
Patient Safety, Quality, Outcomes, and Interprofessionalism
Section I: Introduction to the National Health Information
Technology Strategy
1 Introduction to Health Information Technology in a Policy
and Regulatory Environment 3
Susan McBride and Mari Tietze
2 Advanced Practice Roles in Interprofessional Teams 29
Carol J. Bickford, Diane Pace, and Mari Tietze
3 Scientific and Theoretical Foundations for Driving Improvement 47
Richard Booth, Susan McBride, and Mari Tietze
4 National Health Care Transformation and Information Technology 81
David M. Bergman, Susan McBride, and Mari Tietze
5 Consumer Engagement/Activation Enhanced by Technology 103
Mari Tietze, Patricia Hinton Walker, and Elaine Ayres
Section II: Point-of-Care Technology (NEHI Model Component #1)
6 Computers in Health Care 123
Susan McBride, Richard Gilder, and Deb McCullough
7 Electronic Health Records and Point-of-Care Technology 153
Mary Beth Mitchell and Susan McBride
8 Systems Development Life Cycle for Achieving Meaningful Use 191
Susan McBride and Susan Newbold
9 Workflow Redesign in a Quality-Improvement Modality 225
Susan McBride, Terri Schreiber, and John Terrell
10 Evaluation Methods and Strategies for Electronic Health Records 245
Susan McBride and Mary Beth Mitchell
11 Electronic Health Records and Health Information Exchanges
Providing Value and Results for Patients, Providers, and
Health Care Systems 263
Susan McBride, Tony Gilman, Anne Kimbol, and George Gooch
