AMERICAN NURSES ASSOCIATION

Congress on Nursing Practice and Economics Committee for Nursing Practice Information Infrastructure (CNPII)
Strategic Plan 2007 – 2009

ANA Strategic Imperatives:
Professional practice and excellence
Healthcare and public policy
Knowledge and research
Unification
Advocacy for work forces and workplace
Organizational effectiveness

CNPII Core Ideology:
Related to nursing practice information infrastructure, the Committee’s core purpose is to:
1. Serve as the primary authority for the ANA on the information infrastructure necessary to support nursing practice.
2. Influence health policy related to healthcare information technology at the international, national, state, local levels.
3. Encourage the continued development, maintenance, and integration of ANA recognized nursing terminologies.
4. Inform healthcare organizations of the need to capture standardized nursing data that expresses the presence and contribution of nursing, nursing research, and evidence based practice.

Envisioned Future:
In conjunction and in collaboration with the ANA’s strategic plan (2007-2008), CNPII will position itself to anticipate or identify environmental conditions related to information infrastructure within nursing practice. With the ANA, we realize the dynamic nature of the environment, and this committee will rapidly change its resource allocation to realize such opportunities and deter challenges through:

Serving as the unifying force advancing quality healthcare for all through a primary voice for nursing’s role in developing information infrastructure.
Leveraging information technology, systems, techniques, processes, and innovations that support nursing and capture the description of nursing practice.
Acquiring, transforming, presenting and representing the data, information, and knowledge to support high quality, safe nursing care.

Mission Statement:
The CNPII seeks to ensure that clinical information systems include an interoperable infrastructure that permits the capture and exchange of data and information to clearly demonstrate the presence and value of nursing practice.

Core Goal 1: Serve as the Primary Authority for the ANA on the Information Infrastructure to Support Nursing Practice

Objective 1. Collaborate with ANA’s structural units to promote activities related to nursing informatics. (CNPE, NIDSEC, NDNQI, AAN, ANCC, MAGNET, Center for American Nurses)

Activity

Responsible Person(s)

Resources Needed

Timeline

Status

Schedule and conduct advisory meetings with all leads of the major internal ANA groups and describe current role and challenges of CNPII related to fragmentation. Invite members to attend CNPII meetings to discuss opportunities to collaborate.

Clarify relationship of ANA staff roles and ANA budget feasibility relative to CNPII.

Meet with the NDNQI representatives to discuss how nursing informatics can help in meeting NDNQI goals. Explore opportunities for participation of a CNPII member on any pertinent NDNQI their committees. Will develop specificity in this relationship with Shirley Morgan

Meet with Magnet representatives to discuss need for NI in Magnet facilities. Submit request to ANCC for CNPII liaison membership on any pertinent Magnet committees. Will develop specficity in this relationship with Isis Monalto

Review draft of revised NI Standards & Scope of practice.

Recommend that chair/designee of NIDSEC participate as a liaison member of CNPII. Coordinate new terminology initiatives with NIDSEC.

Recommend collaboration with the CNPE’s Electronic Health Record workgroup and then integration of their work into CNPII initiatives. Review the position paper currently under preparation. Work fits into CNO ‘toolkit’ project. Will invite Bill Donovan, CNPE chair to a future meeting.

Chair
Others, as appropriate

Chair to include as agenda item for 2007 meeting

CNPII/NDNQI staff/ANA staff

CNPII/Magnet staff/ANA staff

Individual members

Chair/ANA staff

Support of ANA Staff

Support by ANA Staff

Support by ANA and NDNQI Staff Support for conference calls/meetings

Support by ANA and Magnet Staff. Support for conference calls/meetings

Support by ANA Staff

Support from CNPE

2007-2008

March 2008

December, 2007

Completed

Ongoing 2008

Completed

Hold

Goal 1: Serve as the Primary Authority for the ANA on the Information Infrastructure to Support Nursing Practice

Objective 2. Collaborate with external nursing organizations on initiatives related to nursing informatics and the information infrastructures necessary to support nursing practice.

Activity

Responsible Person(s)

Resources Needed

Timeline

Status

Educate nursing informatics constituency about CNPII role and services by presenting at key conferences and through publications.

Create list of relevant and influential groups with whom CNPII needs to collaborate and/or hold membership (AACN, AONE, AMIA, AMIA NIWG, ANI, NLN, TIGER etc) and include list of list of organizational membership within the CNPII group.

1.describe nature of desired collaboration for each.

2. create plan and initiate collaboration.

Present CNPII workshop at AMIA for November 2007.

Present workshop for pre-conference NI workshop at HIMSS, Spring 2008.

Develop “standard content” for CNPII members to present at applicable meetings. Content will focus on describing CNPII role and educating groups about differences in and appropriate use of each terminology and how use of terminologies will create a common vision for NI.

Identify potential candidates for nomination for appointments to the NCVHS, AHIC, CCHIT, HITSP.

Explore opportunities for other nurses/students to participate in committee activities.

Committee members who currently are members of relevant organizations

(Consider adding new members who can participate in organizations where current CNPII committee members have no representation)

Committee Members

Keenan, Harris, Lesh, Kraft

Lesh

Committee Members.

Committee Members

Membership fees; isolated travel fees for meetings

Staff Clerical Support

Travel & Meeting expenses

Conference Calls as currently scheduled.

March 2008

August, 2007

December, 2007

May, 2008

November, 2007

February, 2008

September, 2007
In development

October, 2007

2008

Ongoing

ongoing

Completed

ongoing

Ongoing

Goal 2: Influence Health Policy Related to Healthcare Information Technology at International, National, State, and Local Levels

Objective 1 Participate in international, national, state, and local policy development initiatives related to emerging technology and information infrastructures that have an impact on nursing.

Activity	Responsible Person(s)	Resources Needed	Timeline	Status
Identify pertinent national, state, local policy development and legislative initiatives related to nursing and healthcare informatics. Recommendations for a policy statement on SNTs for inclusion in the AACN Essentials of Baccalaureate Education developed	Committee Members and ANA staff assigned to the relevant committees Susan Pierce, Gail Keenan, Peggy Kraft	ANA staff, Susan Pierce Needs approval of the ANA president and CEO for submission to Chair of Essentials committee, Patricia Martin	Apri 25, 2008	On-going
Identify CNPII and CNPE members and others to represent ANA policy on informatics/information infrastructure at meetings and conferences.	Committee Members/Carol Bickford,	ANA staff
D Develop and promote ANA policy positions relative to CNPII. ANA representatives and CNPII members who serve on key policy making bodies will promote and advocate official ANA positions. Request ANA lobbyist and ANA government affairs staff to discuss their role to educate CNPII members on current relevant information technology legislation; discuss process of generating policy positions from CNPII committee. Provide comment on national and state rulemaking and legislation on information infrastructure issues.	Committee Members Chair/Carol Bickford Committee Members	ANA staff Chair of Government Relations Committee to attend a conference call. ANA Lobbyist & Government Affairs Staff to be invited to a conference call.	May or June, 2008	On-going On-going

Goal 3: Encourage the Continued Development, Maintenance, and Integration of ANA Recognized Nursing Terminologies

Objective 1. Lead efforts to establish a common understanding of the development, maintenance, and use of ANA recognized nursing terminologies among stakeholders, including the ANA constituency.

Activity	Responsible Person(s)	Resources Needed	Timeline	Status
Re-exam and refine the nursing terminologies recognition/re-recognition criteria and process. Content will be reviewed with committee ballot (electronic) to be completed	Lesh, Keenan, Bickford Dr Bickford will circulate to committee members	CNPE approval	April 2008 May, 2008
Identify and monitor new terminology development initiatives.	Committee members			Ongoing
Encourage terminology developers to submit terminologies to ANA for recognition.	Committee members			Ongoing
Develop a plan to promote inclusion of information about EHRs and nursing terminologies in nursing curricula (HOD, 11.33, 1992), including collaboration with TIGER. Initial contact made with Donna DeLong who will schedule a meeting for discussion of mutual interests. Policy statement related to SNTs prepared for submission to AACN for inclusion in Essentials in Baccalaureate Education	Committee members	ANA staff support	May, 2008
Develop a cohesive model explaining how current terminologies and datasets are leading to an envisioned nursing information infrastructure that accurately reflects a “collective mind” (commonly embraced framework) for internal and external constituents. Publish the components of a nursing information infrastructure and the model which explains current terminologies and datasets. The goal is to reduce the fragmentation and increase the cohesiveness of nursing informatics efforts in the US. Identify current mapping/cross-mapping of SNTs and determine current status of such initiatives as a way to increase knowledge and understanding of each of the SNTs. Will determine where such maps reside.	CNPII Subcommittee	Staff clerical support	2009	(2008)
	CNPII Subcommittee	Staff clerical support	2009	(2008)

Goal 3: Encourage the Continued Development, Maintenance, and Integration of ANA Recognized Nursing Terminologies

Objective 2. Publicize information about the current ANA recognized terminologies.

Activity	Responsible Person(s)	Resources Needed	Timeline	Status
Expand current Web page to reflect current ANA recognized terminologies; links to websites for other health care terminologies; links to healthcare standards organizations for the development and maintenance of standardized data sets, classifications, and nomenclatures; links to other resources; and provides a synopsis of the history of nursing terminologies.	Linda Thede Committee members Dr Bickford will follow-up with ANA IT Staff and get approval for changes needed	ANA online services resources to determine exactly what can be done within the Content Management System for the website. One month of dedicated staff resources for web input once details for change are determined.	May, 2008
Publish a description of ANA recognized nursing terminologies in a journal article.	Committee Members		May, 2008	Submitted
Inform healthcare organizations of the need to capture standardized nursing data that expresses the presence and contribution of nursing, nursing research, and evidence based practice. .	Committee Members			In Process

Glossary of Acronyms

AACN              American Association of Colleges of Nursing
AHIC               American Health Information Community
ANCC             American Nurses Credentialing Center
AMIA               American Medical Informatics Association
AMIA NIWG    American Medical Informatics Association - Network and Infrastructure Working Group
ANI                  Alliance for Nursing Informatics
AONE             American Organization of Nurse Executives
EHR                Electronic Health Record
ICN                  International Council of Nurses
ICNP               International Classification of Nursing Practice
HITSP             Healthcare Information Technology Standards Panel
NCVHS           National Committee on Vital and Health Statistics
NDNQI                        National Database of Nursing Quality Indicators
NI                    Nursing Informatics
NIDSEC          Nursing Information Data Set Evaluation Center
NLN                 National League for Nursing
NMDS             Nursing Management Data Set
SNOMED       Systematic Nomenclatures of Medicine Clinical Terms
TIGER             Technology Informatics Guiding Education Reform

AMERICAN NURSES ASSOCIATION

Congress on Nursing Practice and Economics Committee for Nursing Practice Information Infrastructure (CNPII) Strategic Plan 2007 – 2009

Congress on Nursing Practice and Economics Committee for Nursing Practice Information Infrastructure (CNPII)
Strategic Plan 2007 – 2009