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 5T15LM

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 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.”

“…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? Practitioners Students Faculty Administrators

Who Needs the New Skills? Practitioners Students Faculty Administrators

In other words…… “If you don't like change, you're going to like irrelevance even less” Eric Shinseki : US Army Chief of Staff;

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

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 Partnership Eclipsys (and HP) provided: 5 servers 37 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 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”

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 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…………

Have Confidence and Courage!