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Robert Nieves - Keynote Speaker
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Synopsis (HiNZ Conference Keynote)

Standardisation and Normalisation of the Care Planning Process: Utilising Informatics Theory and constructs when designing an Interprofessional Care Planning process in an EHR


Everyday Health Care Organisation Leaders, Clinical Informaticists, and IT Analyst face the unenviable task of designing and building efficient, usable, and relevant clinical documentation systems within their EHRs that places the focus on their patients and clinicians. Many organizations make the common mistake of focusing the majority of their money, resources and time on designing and building clinical documentation without a clear plan to achieve their desired state. This focus on the initial implementation with all associated costs takes the focus away from the most important reason for implementing an EHR in the first place, the meaningful use of patient information to drive better care and outcomes.


Health Care Organisations can’t afford to spend their valuable resources on an EHR implementation that does not achieve better patient care. The central tenets of Informatics Theory when applied can and will provide the fundamental constructs to design the care planning process within an EHR that supports an interdisciplinary care model to achieve patient centered care and improved outcomes. However, with the national focus on patient safety, evidence-based practice, and outcomes raises the expectation that knowing the evidence related to best practice is an accountability of each professional.


The role of informatics to support evidence-based practice requires a deep understanding of every component of practice, a concise understanding of the daily realities, and a clear understanding of what technology can and cannot do. As more and more health care providers interact to improve the entire patient journey, and multiple health systems implement technology in collaboration with each other, interoperability and system wide collaboration is also a critical factor. An intentionally designed patient centred care workflow grounded on the tenets of informatics provides the balance between technology and practice.


A clinical nurse and healthcare leader in Informatics and evidence-based clinical practice will share the lessons learned and demonstrated outcomes from the implementation of an intentionally designed evidence-based clinical documentation system in an EHR that supports an informatics based interdisciplinary care model.


Key objectives:

  • Discover how to avoid the most common pitfalls of the current traditional approaches to EHR clinical documentation design and build.
  • Learn innovative new approaches to the design, build and maintain a quality care planning process and workflow.
  • Learn how to apply the key tenets of informatics theory to the design and build of an EHR.



Synopsis (NZNI Conference Keynote)

The Power of Technology in Health – Empowering All Providers to Deliver Sustainable, High-Quality, Cost-Efficient Healthcare


What route did you take when driving to work today? Will you take the same route tomorrow? If you ate dinner last night, will you eat dinner again tonight? Do you know why it's more dangerous to drive to the airport than to fly in a plane across the ocean?


In all aspects of our life, we aim to reduce variability. Sometimes variability reduction saves time. At other times it saves money. And many times, reducing variability saves lives.


When it comes to healthcare, variability lies at the heart of preventable medical errors leading to patient injury, death, and excess costs. While simple variability, such as the routine use of imaging studies when clinically unnecessary, wastes money, the greatest threat to our patients is the unbelievable rate at which our medical knowledge is growing: by 2020, the entire world's medical knowledge will double every ten weeks... Clearly it is already impossible for healthcare providers and patients to keep current with credible, evidence-based approaches to care. The implementation of EMR’s within hospitals is also driving significant change in the nature of how patient care is managed and how clinical decisions are supported at the point of care. The result is enormous variability in the care provided patients not just across the globe, but even within the same hospital.


How can we empower patients and providers to keep up with "the best approaches" to patient care? How can we reduce the variability that represents a constant threat to our patients' safety and welfare? Join Robert Nieves as he discusses the challenges and approaches to variability reduction in patient care through his passionate and insightful presentation.



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Robert Nieves, JD, MBA, MPA, BSN, RN
Vice President Health Informatics
Elsevier Clinical Solutions


Robert is the VP of Health Informatics for Elsevier Clinical Solutions. He is responsible for leading the global strategic direction for Health Informatics and the Integration, delivery, and optimization of Elsevier solutions within various HIT platforms. He has over 27 years of clinical experience as a Registered Nurse working in Critical Care, Emergency Services, Community Case Management, Long Term Care and Home Care. He has over 14 years of direct clinical informatics experience in the design and integration of evidence-based content within various electronic health records.


Robert provides expert leadership in the field of clinical and interdisciplinary health informatics, with experience managing/directing enterprise implementations of Healthcare Information Technology EHR software solutions. He has a proven ability to lead seamless implementations and deliver next-generation workflow, and technology solutions improving clinical outcomes and workplace productivity.


His vision for patient-centered care, evidence-based clinical decision support and practice transformation forms the basis of his work. He has conducted numerous professional presentations and workshops at SINI, Epic UGM, Insight , NAHC, ANIA, SILAHUE, and the CPM International Conference. Internationally, he has conducted presentations and workshops in Spain, Mexico, Dubai, United Kingdom and Turkey. Robert resides in Ohio and holds a Juris Doctor, Masters in Business Administration, Masters in Public Administration, Bachelor of Science in Nursing from Cleveland State University.

Robert Nieves

HiNZ, PO Box 300125, Albany, Auckland 0752, New Zealand.

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