Culture Clash: The Informatics Immigrants Versus the Natives

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Culture Clash The Informatics Immigrants Versus
the Natives

• Patricia Abbott, PhD, RN, FAAN, FACMI
• Research Fellow Hopkins School of Medicine
• Co Director PAHO/WHO Collaborating Center for
  ICT in Healthcare (KIMS)
• Johns Hopkins University

Fellowship supported by NLM Grant 5T15LM007452-05
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Immigrants Versus Natives

• I am an immigrant

My children my students are natives
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Health Professions Education Building the
Bridge to Quality

• Health professionals not adequately prepared
• No foundations in informatics
• Not educated in interdisciplinary teams
• Expanding evidence bases

All health professionals should be educated to
deliver patient-centered care as members of an
interdisciplinary team, emphasizing evidence-based
practice, quality improvement approaches, and
informatics.
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Health Professions Education Building the
Bridge to Quality

• leaders across the professions to work together
  on the crosscutting changes that must occur to
  effect reform in clinical education and related
  training environments, and that they should
  carefully consider the cultural changes necessary
  to support such reform efforts.

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Who Needs the New Skills?

• Practitioners
• Students
• Faculty
• Administrators

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Who Needs the New Skills?

• Practitioners
• Students
• Faculty
• Administrators

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In other words

• If you don't like change, you're going to like
  irrelevance even less

Eric Shinseki US Army Chief of Staff 1999-2003
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Informatics and Education Affecting Change

• The natives are here
• It is ok to be an immigrant
• It's not just about what you know, it's knowing
  how to make it work for you

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Our Approach? Public Private Partnership

• Johns Hopkins Nursing, Eclipsys Working to
• Re-engineerNursing Curriculum with Clinical
  Information Technology
• Baltimore, MD, and Boca Raton, FL Sept. 7, 2004
  Underscoring the growing role that information
  technology plays in the delivery of healthcare,
  The Johns Hopkins University School of Nursing
  (JHUSON) and Eclipsys Corporation (NASDAQECLP),
  The Outcomes Company, have signed a letter of
  intent to launch a unique academic partnership.
   The goals of the partnership to increase the
  healthcare information technology competence of
  nursing graduates and to design new ways of
  delivering safe and efficient healthcare
  utilizing healthcare information technology.

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JHUSON Eclipsys Academic Partnership

• 2.6 M Academic Partnership
• Eclipsys (and HP) provided
• 5 servers
• 37 end user devices (laptops, WOWs, PDAs,
  desktops)
• All software, training (locally and in Atlanta)
• Project implementation team with project manager
• November, 2005 go live. Ongoing

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Goal of Partnership

• To teach students, as part of the curricula, to
  interact easily with healthcare information
  technology, and learn to use a wealth of
  evidence-based, best-practices clinical content
  and knowledge management tools.
• Create a clinical HIT laboratory
• Immerse faculty and make HIT real

• If you are not part of the future, you are
  history

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Moving Recalcitrant Faculty into New Ways of
Doing

• Not for the weak of heart or the thin-skinned

The person who grabs the cat by the tail learns
about 44 faster than the one just
watching. Mark Twain
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Why Did We Do It?

• It is the right thing to do
• Students are actively engaged with HIT before
  they enter the workforce
• We are able to influence design and better
  understand the constraints
• Clinical HIT laboratory for scholarship faculty
  influence
• Preparing tomorrows leaders
• Getting the information into the hands of those
  who care

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Have Confidence and Courage!
pabbott2_at_son.jhmi.edu