SELECTING AND IMPLEMENTING AN ACADEMIC EHR

Phyllis Murray, RN, MSN, MAEd

Program Manager

April 22, 2023

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

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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

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IOM Recommendations for HPE

Support clinical informaticsEvidenced-base practiceProvide patient-centered careWork in interdisciplinary teamsApply quality improvements

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QSEN Competencies and Skill Development

Seek education about how information is managed in care settings before providing careApply technology and information management tools to support safe processes of care Navigate the electronic health recordDocument and plan patient care in an electronic health recordEmploy communication technologies to coordinate care for patients Respond appropriately to clinical decision-making supports and alertsUse information management tools to monitor outcomes of care processesUse high quality electronic sources of healthcare information

How do you select an academic EHR?

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How?

Requires investigation and planningSelect 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

You have selected an academic EHR…now what?

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What do you do with the EHR?

Create a roll out planRecommend avoiding the big bang approachIdentify 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

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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

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Broaden Student Learning Experiences

Teach process and content within the context of an electronic health recordEnrich skills lab activitiesAugment case scenariosEnhance Simulation activities to evaluate decision making and critical thinking

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Meet Informatics Competencies

View into patient’s electronic health recordFamiliarity with navigation, data entry and review, interdisciplinary team collaboration

Questions?Questions?

Please contact Phyllis Murray, RN, MSN, MAEdHealthcare Executive for Cerner’s Academic Education Solutionpmurray@cerner.com816-885-4209