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Information Technology: Smart, people-centered, affordable technologies that are universal, useable, useful, and standards based.Policy:Consistent, incentives-based initiatives (organizational and governmental) that support advocacy and coalition-building, achieving and resourcing an ethical culture of safety.Culture: A respectful, open system that leverages technology and informatics across multiple disciplines in an environment where all stakeholders trust each other to work together toward the goal ofhigh quality and safety (p. 4).If there are any doubts about what these competencies might be,The Technology Informatics Guiding Education Reform (TIGER) Initiative (2009), compiled and posted a list of competencies on its website that every nurse should display. TIGER first came into being with an invitation-only summit, Evidence and Informatics Transforming Nursing, in 2006, which invited leaders from nursing, government, informatics and technology organizations, and other stakeholders to come together to create a vision to transform nursing to bridge the quality chasm using technology (TIGER, 2013a). TIGER continues its focus on the use of informatics and technology to make healthcare safer, more effective, efficient, patient-centered, timely and equitable by interweaving evidence and technology seamlessly into practice, education and research fostering a learning healthcare system and is a useful resource (The TIGER Initiative, 2013b). The American Association of Colleges of Nursing has also identified informatics competencies expected for each program graduate intheirEssentials documents as well as a cross walk document thatprovides a quick comparison by program level (American Association of Colleges of Nursing, n.d.).
As defined in McGonigle and Mastrian (2018) by the Health Information Technology for Economic and Clinical Health (HITECH) Act, Health information technology (HIT) is comprised of "hardware, software, integrated technologies or related licenses, intellectual property, upgrades, or packaged solutions sold as services that are designed for or support the use by healthcare entities or patients for the electronic creation, maintenance, access, or exchange of health information" (p.149).HIT has been promoted as a key element in the National Quality Strategy (NQS) to achieve three aims: better care, affordable care, and healthy populations and communities.The Technology Informatics Guiding Education Reform (TIGER) Initiative was created in 2004 to collaborate with nursing stakeholders to create a vision, action, and strategies to improve nursing education, practice, and patient care delivery through the use of health information technology. TIGER formed an Informatics Competency Collaborative, which define the competencies recommended for the NI discipline (TIGER, 2010). 24.Nursing InformaticsA specialty that integrates nursing science, computer science, and information science to manage and communicate date, information, knowledge, and wisdom innursing practice