1. T echnology I nformatics G uiding E ducation R eform © 2011 The TIGER Initiative Foundation available for your use with citation

2. What is TIGER? A focus on better preparing the clinical workforce to use technology and informatics to improve the delivery of patient care. Developing the necessary skills for a clinicians’ portfolio - must include basic computer competencies, information literacy and informatics skills Grass Roots Effort

3. Guiding Principles Preparing nurses to use technology & informatics to improve patient care Engaging clinicians in the development of a Nationwide HIT infrastructure Accelerating the adoption of smart, standards-based, interoperable, patient-centered technology that will make healthcare delivery safer, more efficient, timely, accessible, and efficient in a new interdisciplinary approach

4. 3 Phases of a Grass Roots Initiative I. Define and publish the 10-year vision and 3-year action plan to raise awareness of the need for informatics competencies for all nurses II. Facilitate collaboration to accelerate progress on action plan and leverage best practices III. Drive dissemination through professional organizations and embrace a multidisciplinary approach

5. Phase I: Tiger Summit TIGER Summit – October 31, 2006 100 participants representing all stakeholders Created a collective vision for nursing practice and education within 10 years if nurses were fully enabled with IT resources Developed a 3-year action plan required to achieve this vision Summary Report 70 organizations committed to the action plan

6. 10 Year Vision

7. Based on a common “vision” of ideal EHR- enabled nursing practice Focused on identifying the “gaps” in nursing preparedness to practice in an EHR-enabled environment Agreed to take actions within the next 3 years that can close these gaps 3 Year Action Plan

8. Supported each organization’s 3-year action plan Formalized cross-organizational activities/action steps into collaborative TIGER Teams Defined measurable outcomes of each collaborative team Provided the infrastructure and support to facilitate the development and dissemination of the activities of the collaborative Developed educational materials that can be distributed to all nurses and nursing students Phase II: 9 Collaborative Teams

9. Phase II Themes Workforce Development 1.Informatics Competencies 2.Education and Faculty Development 3.Staff/Professional Development 4.Leadership Development Health Information Technology 5.Standards & Interoperability 6.National HIT Agenda 7.Usability & Clinical Application Design 8.Virtual Demonstration Center 9.Consumer Empowerment/PHRs

10. Informatics Competencies TIGER Nursing Informatics Competencies Model consists of three parts: 1.Basic Computer Competencies 2.Information Literacy 3.Information Management

11. Education & Faculty Development “As federal initiatives push the adoption of EHRs throughout all healthcare institutions by 2014, it is imperative that key stakeholders within the academic community are fluent in the use of informatics tools.”

12. Investing in Future Education CORE NLN Task Force State Boards Of Nursing Other Specialty Education Organizations Accrediting Bodies AACN DNP Task Force HRSA Faculty Dev Grants National Org For Assoc. Degree Nursing State Initiatives

13. Staff /Professional Development “Create competency-based, cost-effective staff development and continuing education programs and training strategies specifically for informatics knowledge, skill and ability.”

14. Leadership Development Revolutionary leadership that drives, empowers and executes the transformation of healthcare. Expand & and integrate informatics competencies into Nursing Leadership Development Programs

15. Investing in Leaders

16. Standards & Interoperability Integrate industry standards for IT interoperability with clinical standards for practice and education. Educate nursing professionals on IT standards Establish use of standards and set hard deadlines for adoption

17. National HIT Agenda Identifies communication strategies that enable nursing participation in strategic HIT policy-setting efforts and disseminate policies back to the nursing community

18. Usability & Clinical Application Design Principles: An early and consistent focus on users of the product Iterative design processes (multiple versions matched to users, tasks and environments) Systematic product evaluations (with product users and metrics)

19. Virtual Demonstration Center Provide visibility to the 10 year vision of IT-enabled nursing practice and education Demonstrate the breadth and depth of IT resources in use by nurses to enhance their practice and educational environments.

20. TIGER Virtual Learning Environment (VLE) TheorytoPractice

21. VLE Educational Content Will be designed through interdisciplinary collaboration Mapping to TIGER Competency Framework Integration of content from TIGER collaborative reports Will be designed to address traditional & futuristic instructional design through technology-enhanced learning Tutorials Scenario-based learning including pre-post tests Traditional online learning Second Life and Educational gaming/modules/scenarios TIGER Virtual Learning Enviroment Overview

22. The TIGER Initiative Foundation The TIGER Initiative Foundation 501(c)(3) will operate for charitable, educational and scientific purposes in order to advance the objectives of the grass-roots initiative and its many committed volunteers and collaborators. Incorporation date July 1, 2011

23. Foundation Framework TIGERs (1000s of individuals & 100+ organizations) Board of Directors 3 standing committees – Foundation Development – Education (Virtual Learning Environment & TIGER Institute) – Interdisciplinary & Community Engagement

24. HIMSS Role “Leaders from the TIGER Executive Committee, HIMSS and collaborative partners are pleased to assist with the process for making this endeavor a reality.” – Joyce Sensmeier, MS, RN-BC, CPHIMS, FHIMSS, FAAN February 2011 TIGER Open Forum “Thanks to HIMSS, TIGER has teeth!” – Marion J. Ball, Ed.D February 2011 TIGER Open Forum

25. Become a TIGER Today! tiger@thetigerinitiative.org www.thetigerinitiative.org Already a TIGER? Post Your Content to the TIGER Sightings Page