Rebecca Kitzmiller, PhD, MHR, RN, BC

Assistant Professor

kitzm002@email.unc.edu

919.966.5743

The University of North Carolina at Chapel Hill
School of Nursing
Carrington Hall, CB #7460
Chapel Hill, NC 27599-7460

Office: 4108

Dr. Kitzmiller is an Assistant Professor at the University of North Carolina, School of Nursing and within the Carolina’s Health Informatics Program. She also serves as Consulting Associate at the Duke University School of Nursing. Nearly two decades of organizational leadership and informatics experience in US Army and Duke University Health System tertiary care settings informs Dr. Kitzmiller’s research interest in implementation. Organizations anticipate that implementing new processes, such as technology, will have a positive impact on clinical operations and patient outcomes. However, research indicates that change in complex hospital environments often results in unintended patient outcomes primarily due to the disruption of interdependent care processes. Further, best methods for implementing change, including technology implementation, have yet to be identified. Dr. Kitzmiller’s research seeks to identify strategies that will improve the implementation and sustainment of new practices in health care settings that (1) promote health care staff innovation behaviors to improve the fit of new processes to care setting; (2) facilitate staff mastery of new processes; and (3) help staff maintain focus on quality care delivery. Adequately supporting staff is a critical element to improving care quality and patient outcomes.

Rebecca has served as an adviser to national and state organizations as they prepare to transform healthcare delivery and develop a workforce capable of leading change efforts. She was a key coordinator for the Office of the National Coordinator on Health IT, collaborating across agencies to develop a strategic plan for decision support. Rebecca served as an invited speaker on leading transformation for UNC Chapel Hill School of Nursing Center for Lifelong Learning, North Carolina’s Area Health Education Center, the North Carolina Health Information and Communication Alliance and Wake Hospital.

Rebecca spent nearly 30 years as a leader in military and civilian health care settings. As a member of the US Army Nurse Corps, she managed patient care units as well as several large-scale organizational process improvement and technology projects, including the upfit of newly constructed health facilities, development of new care processes for wounded soldiers, and health information technology implementation and training. Following military service, Rebecca served as the Director of Nursing Informatics for Duke Health System and was responsible for the purchase, implementation and maintenance of health information systems used by healthcare providers and administrators in both inpatient and outpatient settings. Rebecca is currently a member of the Steering Committee, Alliance for Nursing Informatics and previously served three years on the Board of Directors for the North Carolina Health Information Exchange and four years as Chair, North Carolina Nurses Association Council on Nursing Informatics.

2014 Outstanding Author Contribution in the 2014 Emerald Literati Network Awards for Excellence
2012 Distinguished Dissertation Award, Duke University School of Nursing
2010 Appointee, Board of Directors, North Carolina Health Information Exchange
2010 Appointee, North Carolina Health Information Technology Collaborative
2008 Health Systems Nurse of the Year, North Carolina Nurses Association
2006 Duke Health Technology Solutions Information Technology Pre-Doctoral Fellow-Five Year
1997 Sigma Theta Tau, International Honor Society of Nursing
1996 United States Army Nurse Corps Long Term Health Education and Training Scholarship-18 Months
1985 United States Army Reserve Officer Training Corps Scholarship-Three Year
Dr. Kitzmiller received numerous awards during her military services including Order of Military Medical Merit, Meritorious Service Medal (2005, 2002, 1996), Army Commendation Medal (2000, 1993), Army Superior Unit Award, Army Achievement Medal, and Distinguished Military Graduate, Army Reserve Officer Training Corps
Books
Hunt, E., Sproat, S., & Kitzmiller, R. (2004). The Nursing Informatics Implementation Guide. New York: Springer-Verlag.
Chapters
Hunt, E., Sproat, S., & Kitzmiller, R. (2006). Selection of software and hardware. In K. Hannah, M. Ball, & M. Edwards, (Eds.), Introduction to Nursing Informatics (3rd ed.) (pp. 254-265). New York: Springer-Verlag.
Hunt, E., Sproat, S., & Kitzmiller, R. (2006). Implementation concerns. In K. Hannah, M. Ball, & M. Edwards, (Eds.), Introduction to Nursing Informatics (3rd ed.) (pp. 254-265). New York: Springer-Verlag.
Articles in Refereed Journals
Kitzmiller, R.R.., McDaniel, R.R., Johnson, C.M., Lind, E.A., & Anderson, R.A. (2013).  Exploring interpersonal behavior and team sensemaking during health information technology implementation.  Advances in Healthcare Management 14, 119–144. doi: 10.1108/S1474-8231(2013)00000140010.
Edwards, G., Kitzmiller, R., & Breckenridge-Sproat, S. (2011). Innovative health information technology training: Exploring blended learning. Computers Informatics Nursing30(2), 104-109.
Kitzmiller, R., Anderson, R., & McDaniel Jr., R. (2010) Making sense of health information technology implementation: A qualitative study protocol. Implementation Science, 5(95), 1-8.
Egerton, E., McConnell, E., Corazzini, K., Kitzmiller, R., Crook, J. (2010). Birds of a Feather: Introducing a Virtual Learning Community for Geriatric Nurse Educators. Journal of Continuing Education in Nursing41(5), 203-8.
Kitzmiller, R., Hunt, E., & Sproat, S. (2006). Adopting best practices: “Agility” moves from software development to healthcare project management. Computers, Informatics, Nursing, 24(2), 75-82.
Non-Refereed Journals
Kitzmiller, R. (2010). NCNA: Collaborating for Health Information Exchange Across North Carolina, Tar Heel Nurse72(1), 11-12.
Hunt, E., Kitzmiller, R., & Sproat, S. (2005). Practical advice for system selection, development and implementation, Caring20(2), 1-2. 
Published Proceedings
Kitzmiller, R., McDaniel, R., Lind, E., Johnson, C. & Anderson, R. (2012, August). Team Leader Behavior and Team Sensemaking in HIT Implementation. Paper presented at the 2012 Academy of Management Annual Meeting, Boston, Massachusetts.
Dissertation
Kitzmiller, R. R. (2012). Making Sense of Health Information Technology. (Doctoral dissertation, Duke University).

PRESENTATIONS

Refereed
Kitzmiller, R., Anderson, R., & McDaniel Jr., R. (2012, June) Facilitating Sensemaking: HIT Interaction, Identity, Attention and Summarizing. Paper presented at the 2012 Health Organizational Research Association Annual Meeting, Ann Arbor, Michigan.
Edwards, G., Kitzmiller, R., & Breckenridge-Sproat, Sara T. (2010, August). Exploring blended learning for health information technology training. Abstract for poster presentation, Innovative Nursing Education Technologies Conference, University of North Carolina, Charlotte.
Kitzmiller, R., Corazzini, K., Egerton, E., Gottlieb, J., Matters, L, McConnell, E., & Mitchell, M. (2009, May). If we build it, will they come? Overcoming barriers to using learning object repositories in geriatric nursing education. Abstract for poster presentation, Duke Translational Medicine Institute, Duke University Health System, Durham, North Carolina.
Kitzmiller, R., Corazzini, K., Egerton, E., Gottlieb, J., Matters, L, McConnell, E., & Mitchell, M. (2009, March). If we build it, will they come? Overcoming barriers to using learning object repositories in geriatric nursing education. Abstract for poster presentation, Connecting the Dots: Geriatric Nursing, Education, and Clinical Simulation Conference, Chapel Hill, North Carolina.
Kitzmiller, R., & Anderson, R. (2008, February). Sensemaking of staff and managers: preliminary results of a study on practice change in a tertiary care hospital. Abstract for poster presentation, Southern Nursing Research Society Annual Conference, Birmingham, Alabama.
Kitzmiller, R. (2007, June). A new lens on implementing technology: A research proposal grounded in theory of sensemaking. Abstract for poster presentation at the Informatics Solutions for Promoting Patient Safety Conference, Duke University School of Nursing, Durham, North Carolina.
Luo, J., Schlitz, K., & Kitzmiller, R. (2005, July). Designing and implementing an innovative CD-ROM training module for perinatal information system web access. Paper presented at the University of Maryland Summer Institute for Nursing Informatics, Baltimore, Maryland
Aucoin, B., & Kitzmiller, R. (2004, May). Challenges: Transition from a paper to electronic based documentation system. Paper presented at the 11th Annual American Nursing Informatics Association Spring Conference, New Orleans, Louisiana.
Hunt, E. Sproat, S. Kitzmiller, R. (2004, April). Agile Implementations. Paper presented at Rutgers University International Nursing Informatics Conference, Washington, District of Columbia.
Invited
Kitzmiller, R. (2014, September). Rethinking leadership. Albert Schweitzer Fellowship Annual Retreat, University of North Carolina at Chapel Hill, Chapel Hill, NC.

Completed Research Support

1R36HS020161-01    Kitzmiller (PI), Anderson (Mentor) 03/01/2011 – 02/29/2012
Making Sense of Health Information Technology in an Academic Medical Center
The goal of this study was to describe multidisciplinary team sensemaking during the implementation of new health information technology (HIT) in a hospital.
Agency: Agency for Health Research and Quality
Role: PI
Graduate Student Mini Teaching Grant Kitzmiller (PI), Corazzini (Mentor) 09/1/08 to 05/31/09
Overcoming barriers to the use of learning object repositories
The goal of this study was to develop and test a tutorial designed to improve faculty informatics competency and facilitate the use of innovative educational software.
Agency: Duke University Graduate School
Role: PI
1TL1RR024126-02 (Califf) Kitzmiller (PI), Anderson (Mentor) 06/01/08 – 08/31/08
Organizational sensemaking during the strategic change experienced during an information technology implementation
The goal of this study was to develop and refine a set of codes for analyzing data from direct observation of staff sensemaking during an organizational change project.
Agency: National Institutes of Health CTSA
Role: PI
1TL1RR024126-01 (Califf) Kitzmiller (PI), Anderson (Mentor) 06/01/07 – 08/31/07
Organizational sensemaking during the strategic change experienced during an information technology implementation
The goal of this study was to describe staff’s and managers’ response to and interactions during organizational change.
Agency: National Institutes of Health CTSA
Role: PI