1. New Approaches to Primary Care Informatics Education
Melinda L. Jenkins, PhD, FNP
Rutgers University
& Northwestern University

2. Disclosure
No relevant financial relationships with commercial interests from the past 12 months.

3. Primary Care Informatics
Providers use EHRs for
clinical practice QI
HIE
Vendors
understand primary care practice
Patients
manage their data
exchange data 3

4. Primary Care Informatics in our Learning Health System
Essentials for
Primary Care Informatics in our Learning Health System
Data standards
Data management
Workflow
Data access & analysis 4

5. EHRs: Data standards in documentation and design
Terminologies
SNOMED-CT
LOINC
RX Norm
Nursing terminologies
Data exchange
HL7
CDS, guidelines

6. Data standards enable Information exchange Decision support
Care coordination
Decision support
Data aggregation
Population health QI
Performance
Clinical research (someday)

7. IT for EBP Required graduate course Data entry Standards
Quality Improvement processes, PDSA
Identify Problems, data sources
Map and modify workflow
Data for Care coordination
New care models, Patient-generated data
Basic data analysis with Excel 7

8. Data standards assignments
Translate SOAP note to standardized terminology
Link note to eCQM
Link note to national guidelines
Compare population health indicators

9. Data Management Users’ Data needs Data Collection tools Reporting
Quality assurance
Storage
Analysis
Confidentiality
Integration
Governance

10. Workflow Select a real problem Map the current workflow
Map a new workflow  

11. Data access and analysis
Database basics
Administrative and clinical datasets
Excel self-assessment
Excel assignments with webinars
Basic
Intermediate
Advanced

12. Excel assignments with webinars
Basic self assessment and online lessons
Intermediate
Sort column C from A to Z
Using the COUNTIF function
Using a pivot table
Using a pivot graph make a pie graph
Advanced
Dataset for Clinical QI Vignettes
Create spreadsheet
Analyze
Make visualization for quick understanding of results

13. Doctor of Nursing Practice
Adds informatics, leadership, and quality improvement skills to Nurse Practitioner clinical education
Practice-focused graduates
Innovate practice change
Translate evidence
Implement quality improvement processes (AACN, 2015, p.2) 13

14. DNP Project Impact a healthcare outcome(s)
Have a systems or population focus
Demonstrate implementation
Plan for realistic sustainability
Evaluate processes and/or outcomes
Provide a foundation for future practice & scholarship 14

15. Quality Improvement Projects
Aim to improve services, directly or indirectly, to improve an outcome in
Healthcare delivery,
Healthcare policy, or
Program development and evaluation

16. DNP Project Contents Problem Evaluation plan Aims & Objectives
Data analysis
Review of literature
Timeline
Theoretical framework
Resources needed
Method
References
Setting, sample, interventions
Concept map
Outcomes to be measured
Evidence table
Tools

17. Patient Education in Informatics
Mobile communication with patients and other care sites
Patient-entered data, including Patient Reported Outcome Measures PROMIS
Open Notes
Value-driven and team-based care
New care models

18. References
  (nursing terminology) 
  (nursing terminology)
(Guidelines for Data Management Standards)

19. References  
(social media)
(excel skills)
(comprehensive excel lessons)