The TIGER vision is supported by seven key areas of focus within the healthcare ecosystem.  These key "pillars" are both interdependent and essential for creating an environment that will enable nurses to use informatics to provide safer, higher-quality care.

During the Summit, participants engaged in conversation around these pillars with certain underlying assumptions in place:

1)  The "practice" of nurses is in reference to "point of care" services that nurses provide across the continuum of care (home, hospital, ambulatory, long-term care, etc.)
2)  The "education" of nurses is in reference to all nursing preparation (all degree preparation and specific role preparation, e.g., APNs).

The pillars were articulated as follows prior to the Summit:

Communication and Collaboration
The role of communication and collaboration amount nurses, members of other disciplines, and patients is critical for success.  Key discussion aspects include, but are not limited to:
   
   Communication Techniques and Methodologies
   Interdisciplinary Care
   Therapeutic Relationships and Technology

Education
Education reform is at the heart of the TIGER vision.  Preparing the 21st century nurse with skills in technology informatics--allowing the integration of the art and science of nursing with new tools to provide the most knowledgeable and safe care possible--is critical for success.  Key discussion aspects include, but are not limited to:

   Integration of Technology Informatics and Education
   Informatics Core Competencies
   Faculty Readiness (Barriers and Strengths)
   Generational Considerations

Informatics Design
Emerging lessons from the field demonstrate the significance of informatics design to support the essence of nursing and effective care delivery.  Key discussion aspects include, but are not limited to:

   Intentionally Designed Informatics
   Ease of Use in Professional Workflow
   Design Considerations for Education and Learning Enhancement

Information Technology
We are the generation that will lead and fulfill the Decade of Healthcare Technology.  Technological infrastructures and support will be critical for success.  Key discussion aspects include, but are not limited to: 

   Electronic Health Record (EHR)
   Personal Health Record (PHR)
   System Interoperability
   Standards and Frameworks
   Technology Partners

Culture
As the saying goes, "culture eats strategy for lunch every day."  When building transformational change by bringing technology into practice and education settings, the significance of culture cannot be underestimated.  Key discussion aspects include, but are not limited to:

   Culture Transformation
   Journey Milestones--steps on the journey of culture change
   Change Theory/Management

Management and Leadership
The role of management and leaders--championing and supporting the call to integrate informatics into the day-to-day practice of nurses and education of students--is critical for success.  Key discussion aspects include, but are not limited to:

   Creating Shared Vision
   Courageous Leadership
   Direction and Support

Policy
Local and global policy that will enhance or constrain the TIGER vision is important for our consideration and critical to our ultimate success.  Key discussion aspects include, but are not limited to:

   Organizational Policy (Local and Global)
   Governmental Policy (Local and Global)