Purpose
This invitational Summit will bring together thought leaders and various key stakeholders together to create an actionable plan to prepare nurses to practice in an increasingly automated health care environment.  The Summit is by invitation only in order to insure there is representation from all nursing sectors and because participants will be required to work on Summit business before, during and after the Summit. The transformation of nursing practice and education is a necessity given the federal initiatives to insure the deployment of the Electronic Health Record by the year 2014.  The Summit will bring together 120 participants from the following stakeholders:

• Nursing Organizations: Alliance for Nursing Informatics, representing 20 organizations including the American Medical Informatics Association (AMIA) and the Healthcare Information Management and Systems Society (HIMSS) and at least 30 nursing specialty organizations such as ANA, AACN, AONE, AACN, etc.
• Government Agencies: Division of Nursing, National Institute of Nursing Research (NINR); National Library of Medicine (NLM); Agency for Healthcare Research and Quality (AHRQ); Veterans Administration (VA); Department of Defense (DoD).
• Other Key Stakeholders: IOM, academic institutions, practice settings (AHA), and the vendor community (Cerner, CPM Resource, Ecilpsys, GE Healthcare Systems, IBM, McKesson, Mitre, Siemens and Thomson Healthcare.)

Format
The Summit will be kicked off with an opening reception at Uniformed Services University Health Sciences (USUHS) to allow Deans attending the national American Association of College of Nursing (AACN) meeting to become familiar with the Tiger initiative and to interact with special guests and dignitaries who have been invited to the Summit. The Summit invitees will also be in attendance as well as the vendors who will be supporting the Summit. The vendors will provide demonstrations of their technologies via an interactive, self-guided Gallery Walk.

The two-day Summit agenda will include keynote speakers, panel discussions, case study exemplars, small and large group dialogue, audience response technology, experiential learning, and open-space facilitation with graphic recording to maximize the output from participants for the development of local and global action plans and the Summit report.

An external facilitator team will lead the discussion and development of the action plans. One of the highlights of the Summit will be an experiential learning experience, called the Gallery Walk. The Gallery Walk will provide a guided visit to select vendor exhibits that will allow participants to experience new technologies and discuss potential applications within their respective environments. Another component of the program will include presentations that will highlight actual results obtained from innovative educational and practice reforms projects, called exemplars. These exemplars will focus on the integration of education and practice in the pursuit of quality, safety, consumer-centeredness, and efficiency.

Lastly, one of the most important activities of the Summit will be the creation of local and global action plans that can be adopted by all healthcare organizations. Invited members of each of the participating nursing specialty constituents will bring their respective organization’s agenda and strategic goals in order to define this plan.

Outcomes
To ensure that the impact of the Summit is not limited to the meeting, the TIGER Team will disseminate and activate its findings via a Summit Report. Following models provided by the IOM’s quality chasm Summit and, earlier, by the health professional workstation conference hosted by the International Medical Informatics Association (IMIA), the Summit will produce a report to be published for the greater healthcare community, including policy makers, educators, and practitioners. The report will make the consensus findings and exemplars of excellence from the Summit in a format that is readily accessible and eminently readable.

To activate its findings, the Summit will develop an agenda whereby the generic nursing organizations specify what they plan to do to bridge the quality chasm via IT strategies. This effort will target activities to occur long after the Summit is over and its findings are published. The focus is on actions that will develop and sustain the vision into the future.

Summit outcomes will be to:

1. Publish a report, including Summit findings and exemplars of excellence
2. Establish guidelines for organizations to follow as they integrate informatics into academic and practice settings; and
3. Set an agenda whereby professional organizations specify what they plan to do to bridge the quality chasm via IT strategies.

Each specialty organization constituent organization will at the end of the Summit:

1. Use the IOM recommendations for addressing the quality chasm and bridge to quality via education as a framework to develop individual nursing organization or collaborative action plans to increase the knowledge and skills of nurses to practice in an informatics rich and consumer centric health care environment
2. Identify organizations or partnerships that can help them accomplish their action plans
3. Agree to commit a point person who will respond to evaluation surveys and reporting mechanisms
4. Agree to accomplish at least 85% of their established short-term (first year) goals, and
5. Agree to accomplish 100% of long term goals within the three year time span.

Evaluation A variety of evaluation techniques will be used to monitor progress and evaluate Summit and organizational outcomes. At the conclusion of the Summit, an overall evaluation of the Summit activities and facilitation will be performed. There will also be continuous monitoring of goals and their attainment.

Evidence and Informatics Transforming Nursing Summit Agenda (hyperlink agenda supplied in separate document)