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Using simulated electronic health records in clinical education

Using simulated electronic health records in clinical education. Learning to Manage Health Information: A Conference for clinical educators March 18th 2009. Workshop objectives. By the end of the workshop delegates should be able to:

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Using simulated electronic health records in clinical education

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  1. Using simulated electronic health records in clinical education Learning to Manage Health Information: A Conference for clinical educators March 18th 2009

  2. Workshop objectives By the end of the workshop delegates should be able to: • Describe the advantages and disadvantages of using simulated electronic health records in clinical education • Explore the curricular issues (both pedagogical and practical) surrounding their introduction and use • Identify potential use in their institution • Outline a rationale/business case for participants own use of simulated electronic health records

  3. Outline • 10-15 minutes The view from the HEI touching on curriculum issues (Rod Ward UWE) • 10-15 minutes The view from the supplier (Kathy Sienko Cerner) • 5 minutes The view from NHS Education Commissioners (Nick Jupp South West SHA) • 15-30 minutes in facilitated discussion: • Advantages, disadvantages, barriers etc • Potential for realistic interprofessional learning.

  4. The view from the HEI • Curriculum issues, • Development time, • Practical considerations eg usernames & passwords, CITRIX & firewalls, • Staff & student attitudes

  5. UWE Context • Large (post 1992) university • Undergrad, CPD & Postgrad courses for: • Nursing (adult, child, mental health, LD) (4 sites) • Midwifery • Radiography (Diagnostic & Therapeutic) • Occupational Therapy • Physiotherapy • Social work

  6. Curriculum issues • Application to practice (where practice doesn’t use EHR) (16 NHS trusts + others) • Easy application to physical assessment & intervention – ? psycho-social issues • Case study/problem based approach cuts across modular structure • IT skills levels (staff & students) • Multiple regulatory bodies

  7. Development time • 1st contact – June 2006 • Business case & budget – Feb-March 2007 • 30th March 2007 – demo with Cerner reps • …lawyers… • Contract signed - 21st April 2008 • Case study building, sorting access issues • Go live – Sept 2008 • 2nd cohort Feb 2009

  8. Staff & student attitudes • Staff – worried about IT skills, couldn’t see the relevance & extra work • Students – some worried about IT skills, seemed more “real” than many tasks from the university

  9. The view from NHS Education Commissioners (Nick Jupp - South West SHA • National Programme for IT • Cultural and Behavioural Change • Managing Expectations • SHA Involvement

  10. National Programme for IT CfH vision:“Our vision is to ensure that every person using, or expected to use, Information and Communication Technology (ICT) in the NHS and related non-NHS healthcare workplaces in England is fully trained on the application in a timely way and that there is a transferable, up-to-date record of their learning. This is to ensure that all users are able to operate clinical patient systems safely.”

  11. Cultural and Behavioural Change “Success in behavioural change is ultimately about engaging both hearts and minds. If you do this, the organisation's ability to meet the challenges of the change will be assured.”

  12. Managing Expectations Reassure that this is a gradual process – evolution not revolution, where we have incremental change building on the changes that have gone before

  13. SHA Involvement • Research • Funding • Outcomes from the Pilot

  14. Any Questions

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