Selecting and Implementing an Academic EHR

1. Selecting and Implementing an Academic EHR Phyllis Murray, RN, MSN, MAEd Program Manager

2. Why should nursing programs include an electronic health record in the curriculum?

3. Informatics identified as 1 of the 5 areas of competence in health professions education • Supports informatics standards and competencies set by AACN, CCNE, NLN, QSEN • Provides a means for interdisciplinary education • Prepare graduates to be confident and proficient using information technology in the work setting

4. IOM Recommendations for HPE • Support clinical informatics • Evidenced-base practice • Provide patient-centered care • Work in interdisciplinary teams • Apply quality improvements

5. QSEN Competencies and Skill Development • Seek education about how information is managed in care settings before providing care • Apply technology and information management tools to support safe processes of care • Navigate the electronic health record • Document and plan patient care in an electronic health record • Employ communication technologies to coordinate care for patients • Respond appropriately to clinical decision-making supports and alerts • Use information management tools to monitor outcomes of care processes • Use high quality electronic sources of healthcare information

6. How do you select an academic EHR?

7. How? • Requires investigation and planning • Select a committee • Background in informatics a plus but not a requirement • Create a plan • Identify and prioritize objectives that need to be met with the EHR • Documentation • Critical thinking and decision making • Learning management • Identify criteria based on established objectives • Establish timeline for review and selection process • Identify potential vendors • Arrange for vendor demonstration • Prepare questions to ask during the demonstration • Evaluate and make selection

8. You have selected an academic EHR…now what?

9. What do you do with the EHR? • Create a roll out plan • Recommend avoiding the big bang approach • Identify initial placement in the curriculum • Simulation • Skills lab • Support lecture • Data hunt • Develop plan for integration throughout the curriculum • Be realistic – the EHR doesn’t have to be in every course • Starting point may be determined by faculty champions

10. Become familiar with the product before introducing to students • Common features and functions: • Documentation • Structured, free text, discipline specific • Results View • Assessments • Lab • Diagnostics with images • Order Management • What type of orders are included? • Medication Administration with barcoding • Alerts, embedded decision support • ADE alerts • Reference ranges • Reference text • Active Links • Inbox Messaging

11. Teach process and content within the context of an electronic health record Enrich skills lab activities Augment case scenarios Enhance Simulation activities to evaluate decision making and critical thinking Broaden Student Learning Experiences

12. Meet Informatics Competencies • View into patient’s electronic health record • Familiarity with navigation, data entry and review, interdisciplinary team collaboration

13. Questions? Please contact Phyllis Murray, RN, MSN, MAEd Healthcare Executive for Cerner’s Academic Education Solution pmurray@cerner.com 816-885-4209