Why won’t you listen to me? – A story of how our healthcare system fails patients

Quality is not an act, it’s a habit Aristotle Aristotle’s message encapsulates the approach that many organizations attempt to take to quality, and fail. When we view quality as a checklist, an alarm, or a campaign, we fail to see why quality should be an overarching mindset and not a task. The subject of how […]

Who’s Minding the (Data) Store?

The shift in focus toward population-level data analysis and modeling has increased industry-wide. However, as the focus shifts toward macro data, we are noticing the glaringly obvious gaps in integrity of what is being mined. Who’s ultimately looking at the data origin? Who’s accountable to ensure that data provided to so many external systems possess […]

Nursing: The Gateway for Informatics

I can recall sitting in an undergraduate nursing course and being instructed that Nurses are the gatekeepers to healthcare for patients. I have often reflected on that idea and throughout the course of my professional career, been reminded of the truth of that statement. Nursing is – for many patients – the discipline they interact […]

Who Should Own Technology

Our nursing professional standards and practices are something that we keep with us as we begin our day (or next shift) of patient care. We may even be thinking about any new competencies or skills that may be needed to keep us proficient in our work. Do you arrive at work embracing the fact that […]

Clinical Informatics Governance

Great article published by Oxford Press for AMIA explores Nursing Informatics Governance models and provides a research-backed approach for demonstrating a shared governance approach for making the model actionable. Check out the article here.

Informatics: Strategy Before Technology

Within the Standards and Scope of Informatics Practice, the authors cite Benner, Hooper-Kyriadkidis, and Stannard (2011) concept of “Thinking-in-action” as a key approach to the administration of care. This is an important concept in light of the technology used in clinical practice today and how that technology might avow or disavowal itself to this ideal. […]

Lean and the IT Dept

Too often, I see organizations with robust Lean/Six Sigma departments yet there is a complete disconnect with Information Technology. Where an opportunity could exist to integrate a Lean approach to technology implementations, there is a void. Lean/Six Sigma often focuses on operational efforts and quality initiatives, which is not inappropriate by any means, but does […]

Informatics’ Changing Landscape

Are you ready? On December 2, 2014, the American Nurses Credentialing Center (ANCC) released the revised Standards and Scope of Practice for Nursing Informatics. These revised standards come at a pivotal point when organizations are examining their informatics department: Do we have the right people to implement advanced EHR concepts? Do we have the right […]

Is Lean Relevant?

Some people may argue that Lean is a fad or doesn’t really apply to the healthcare market. We have always disagreed with this position. Now that the US Government has saddled the healthcare community with a host of requirements, restrictions, and reduced reimbursements, these organizations need to find ways to squeeze every bit of value […]


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