Culture Clash: The Informatics Immigrants Versus the Natives Patricia Abbott, PhD, RN, FAAN, FACMI Research Fellow; Hopkins School of Medicine Co Director.

Culture Clash:

The Informatics Immigrants Versus the

NativesPatricia Abbott, PhD, RN, FAAN, FACMI

Research Fellow; Hopkins School of MedicineCo Director – PAHO/WHO Collaborating Center for ICT

in Healthcare (KIMS)Johns Hopkins University

Fellowship supported by NLM Grant 5T15LM007452-05

Immigrants Versus Natives

I am an immigrant

My children & my students are natives

REAC 400 (Reeves Electronic Analog

Computer) circa 1960

“Health Professions Education: Building the Bridge to Quality”Health professionals not adequately

preparedNo foundations in informaticsNot educated in interdisciplinary teams Expanding evidence bases

“All health professionals should be educatedto deliver patient-centered care as membersof an interdisciplinary team, emphasizingevidence-based practice, qualityimprovement approaches, and informatics.”

“…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.”

“Health Professions Education: Building the Bridge to Quality”

Who Needs the New Skills?

PractitionersStudentsFacultyAdministrators

Who Needs the New Skills?

PractitionersStudentsFacultyAdministrators

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

Informatics and Education; Affecting Change

The natives are hereIt is ok to be an immigrantIt's not just about what you

know, it's knowing how to make it work for you

Our Approach? Public Private Partnership

Johns Hopkins Nursing, Eclipsys Working to Re-engineer

Nursing 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® (NASDAQ:ECLP), 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.

JHUSON & Eclipsys: Academic Partnership

2.6 M Academic PartnershipEclipsys (and HP) provided:

5 servers37 end user devices (laptops, WOW’s, PDA’s, &

desktops)All software, training (locally and in Atlanta)Project implementation team with project

manager

November, 2005 – go live. Ongoing

Goal of PartnershipTo 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 laboratoryImmerse faculty and make HIT “real”

“If you are not part of the future, you are history”

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

Why Did We Do It?

It is the right thing to doStudents are actively engaged with HIT before

they enter the workforceWe are able to influence design and better

understand the constraintsClinical HIT laboratory for scholarship &

faculty influencePreparing tomorrows leadersGetting the information into the hands of those

who care…………

Have Confidence and Courage!

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