S ELECTING AND I MPLEMENTING AN A CADEMIC EHR Phyllis Murray, RN, MSN, MAEd Program Manager January 24, 2014

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

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 2 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

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 3 IOM Recommendations for HPE Support clinical informatics Evidenced-base practice Provide patient-centered care Work in interdisciplinary teams Apply quality improvements

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 4 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

How do you select an academic EHR?

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 6 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

You have selected an academic EHR…now what?

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 8 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 doesnt have to be in every course Starting point may be determined by faculty champions

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 9 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

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 10 Broaden Student Learning Experiences 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

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 11 Meet Informatics Competencies View into patients electronic health record Familiarity with navigation, data entry and review, interdisciplinary team collaboration

Questions? Please contact Phyllis Murray, RN, MSN, MAEd Healthcare Executive for Cerners Academic Education Solution