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Evolving Competencies of Healthcare Professionals in Long Term Care

Evolving Competencies of Healthcare Professionals in Long Term Care. Westminster Ingleside Dusanka Delovska-Trajkova, CIO. Agenda. About Westminster Ingleside Drivers for adoption of EHR and HIE New roles of nursing staff in Long Term Care. About Westminster Ingleside.

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Evolving Competencies of Healthcare Professionals in Long Term Care

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  1. Evolving Competencies of Healthcare Professionals in Long Term Care Westminster Ingleside Dusanka Delovska-Trajkova, CIO

  2. Agenda • About Westminster Ingleside • Drivers for adoption of EHR and HIE • New roles of nursing staff in Long Term Care

  3. About Westminster Ingleside • Three sister communities • Ingleside at Rock Creek - DC • Westminster at Lake Ridge – VA • Ingleside at King Farm – MD • Westminster Ingleside Foundation • Westminster Ingleside Supporting Organization • Continuing Care Retirement Communities • Not for Profit 501(c)(3)

  4. Healthcare Settings • Skilled Nursing/Comprehensive Care • Assisted Living • Implementation of EHR • MDS • Care Plans • Point of Care • Medical Records • Health Information Exchange • Encounter Notification • Direct Messaging • Answers on Demand – EHR vendor

  5. Drivers for adoption of HIT • Changing residents expectations • Person-centered care and transparency, Culture change, Link between providers, staff and residents and their family members • Quality of care and resident safety • Reduction in medication-related errors, Improved clinical documentation and decision making, Health information exchange, Telehealth/Telemedicine • Administrative efficiency and effectiveness • Improved data analysis and audits, Coding and links to billing, Going green / storage expenses, Improved workflow • New business models • Include LTC in the existing health exchange, Care Coordination, Accountable care organizations, Bundled payment

  6. New roles of LTC nursing staff • Leadership and support in the planning, implementation, and ongoing maintenance • EHR brings new variables to health record management • Clerical roles and staff are eliminated and more educated, technically advanced staff are required • Deploying and maintaining an EHR requires professionals with higher technical skills • Complexities in maintaining and managing EHRs need educated staff in HIT and nursing

  7. LTC specifics • Continuum of care • Small teams, smaller units than hospitals • GNAs/CNAs & LPNs running the unit • Residents stay longer, some live there • Customer Care • Cognitive impairment • Health informatics specialist with a master degree • No challenge • Cost • Montgomery College HIT Pro does not fit

  8. Competency Needs • Basic IT skills • Knowledge of Electronic Health Records concept • Liaison between the clinical team and IT • Training skills • Training GNAs/CNAs • Build interdisciplinary teams with dining, housekeeping, maintenance, etc. • Knowledge of cognitive impairment • Knowledge of care coordination

  9. Competencies for GNAs/CNAs • Basic computer skills for seasoned staff • Coding • Meal sizes • Transfers • Dementia training • Security and privacy of PHI

  10. Thank you! Questions?

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