Shared Governance Committee Focuses on Front-line Involvement in IT Projects

CTIC Co-Chairs Meghan Kennedy,  MSN, MHI, RN-BC, left, Amy Krizmanic, MSN, RN, and Sally Walton, MSN, MBA, RN, OCN, NEA-BC. Missing: Tiffany Johnson, RN.

CTIC Co-Chairs Meghan Kennedy, MSN, MHI, RN-BC, left, Amy Krizmanic, MSN, RN, and Sally Walton, MSN, MBA, RN, OCN, NEA-BC. Missing: Tiffany Johnson, RN.

 

If you have noticed some positive changes to the electronic SBAR (Situation – Background – Assessment – Recommendation) in EPIC over the past two weeks, part of the thanks goes to the Clinical Technology & Informatics Committee.

Launched in December 2014, CTIC is one of the newer committees recognized under the shared governance model. Its mission is to listen to the concerns of front-line nurses around new and existing technologies, and bring their voices and recommendations into the decision-making process.

“Everything in clinical care is becoming more integrated with technology and it’s very difficult to achieve proper implementation without front-line involvement and input,” said Sally Walton, MSN, MBA, RN, OCN, NEA-BC, Director of Nursing Technology & Innovation, nurse leader co-chair of the committee.

Meghan Kennedy, MSN, MHI, RN-BC, and Amy Krizmanic, MSN, RN, both Informatics Nurse Specialists, are also CBIS co-chairs of the committee. Tiffany Johnson, RN, D5 ICU, is the staff nurse co-chair of the committee, as one of the tenets of CTIC’s charter ensures a clinical staff nurse be involved in top leadership.

“The CTIC has brought the front-line nurse into the decision making process along with managers and support staff to improve patient care,” said Johnson.

The committee’s goals are relatively simple:

  • Engage clinical staff to provide suggestions to optimize technology and informatics;
  • Improve integration of evidence-based practices into the evaluation, design and implementation of clinical documentation tools;
  • Evaluate new technology;
  • Increase awareness of the impact of technology on clinical practice;
  • Improve communication practices within UChicago Medicine around technology changes and enhancements.

“I believe the CTIC has helped front-line nurses by improving EPIC to make charting easier and more proficient,” said Johnson.  The CTIC has cut out some areas in the EPIC system that caused nurses to ‘double chart,’ which was time consuming.  Also, it has made hand-off at change of shift easier by providing the clinical hand-off tab so all the needed information to tell the oncoming nurse is readily available.”

The CTIC reports up to the Nursing Clinical Practice Council. The idea for the group grew out of the work done last year as part of the Barcode Medication Administration (BCMA) initiative. Early efforts in that project to get front-line nursing staff involved in developing workflows and determining what would work and what wouldn’t on the units resulted in the successful launch of the new practice – one that currently enjoys more than 90% compliance.

The committee meets monthly. Recent agenda items included proposed changes to chest tube documentation, saline flush and I & O activity, technology considerations regarding the 3rd and 4th floor redesign in the Center for Care and Discovery, and other EPIC changes.

New IV pumps will be introduced later this summer. Down the road, future CTIC meetings could examine how these pumps will be integrated into EPIC.

The next CTIC meeting is April 14.

“Nurses use so much technology now and it is growing rapidly,” said Krizmanic. “This is one way to bring the designers and users together to create an optimal process.”

For a list of all council and committee meetings, go here on the Intranet for more information.

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