1. CST Student Readiness
General Update- June 22, 2017

2. Agenda Welcome- H Straight CST project update- B Lodding
CST Learning strategy- B Lodding
Coastal implementation- L Bower
Updates from the academic institutions- H Straight

3. Thank you!
General questions-
VCH- go-live specific questions-

4. CST Project Update
System Integration Testing starting in July; formal announcement of go-live dates expected once complete
Engagement activities ramping up June through August
Education commences September 5, 2017

5. CST Education
Challenges:
Numbers of users in many roles are small; cannot pull sufficient users from the floor to fill classrooms
Result: more classroom space and more instructors to accommodate smaller groups
Both classroom space and instructors are at a premium
Learning is most effective when role-based and workflow- based

6. CST Education Solutions/opportunities
Combine people in similar roles in the same classroom for self-paced practice activities
Provide self-paced practice activities tailored to individual roles and workflows
Prepare instructors to answer questions pertaining to all practice activities
Instructor and Peer Mentors available in room to answer individual questions
Group students will likely complete CST education as a group, covering specifics for student access
Preceptor students to complete CST education with their preceptor. Student specifics to be covered separately.
Faculty education to be determined
Students will have similar functionality to regular user, but typically require authentication of documentation. Medication administration may also be restricted.

7. CST Blended Learning Model Nursing, Allied & Provider
Sustain
Advance
Integrate
Reinforce
1 – 4 Months After
Immerse
LEARNING PHASE
Prepare
1 – 3 Months After
Go Live
0—1 month
3 – 6 Months Before
Starting 3 months before go-live
Computer Literacy
Online Courses
Workflow Rehearsals
Elbow Support Model
Pre-requisite for Classes
REQUIRED
Released T-3 months
2 hours, comprised of short
(~15 min) online modules
Released 3 months prior
REQUIRED at Unit Level for Nursing and Allied
Required for Providers (2-3 hours each)
Simulation or role play within interdisciplinary teams
Cerner eCoach (LearningLIVE)
Advanced Education
Ongoing Education
Practice Changes
Department Level
education including:
Debriefs
Hot topics
Key workflows
Team based
Interdisciplinary
New staff, provider, and student education
Remediation education
Ongoing optimization education
New functionality and upgrade education development/delivery
Train domain maintenance
Just-in-time access to ‘how-to’ in Cerner, available within Cerner PowerChart & FirstNet solutions
Unit Level Education:
EHR Basics (15 minutes each)
Introduction to the Electronic Health Record
Privacy & Confidentiality in EHR environment
Cerner Basics Navigation
Specialty Specific Content & Requirements TBD
BLENDED LEARNING MODEL
Cerner Demos
Personalization Fair
In-person or eDemos by clinical care area or department
REQUIRED for Providers
2 –hour, starts 2 weeks before go-live
Includes: 1:1 support and learning refresher, including account configuration, set-up of patient lists and notes templates.
Classroom Sessions
Tools & Resources
REQUIRED
Start 6 weeks before go-live
Workflow Based
Baseline of 8 hour for Nursing*
4 hours for providers
Allied TBD
Includes Competency Assessment
Quick reference guides
Refresher cards
eLibrary
Website with learning materials
Mobile friendly resources
Skills Sharpeners
Skills Check-Offs
Self-Paced Practice
Group Education
Monthly/Weekly Hot Topics
*Some specialties will require additional hours of education due to complexity ex: ED Nursing
Competency Support
Additional support for users who don’t initially meet competency requirements
Learning Labs
Drop in open hours and staffed closer to go-live
Communications
Department Leaders/Medical Affairs – Education Tracking and Completion Reporting
Registration & Scheduling

8. The CST Classroom Experience
eLearning
Foundational eLearning completed before classroom
Approximately 1-2 hours, depending on the specialty
Developed in short, 15-minute modules
Classroom
Flipped Classroom: Self-paced for greater flexibility and 4:1 Learner support in classes to facilitate self-paced learning
Decreased classroom hours with more touch-points*
Nursing: 2 hours of eLearning, 8-hour classroom time (up to 12 hours for some specialty areas), and on-the-unit learning for general inpatient nursing unless specialty areas
Allied: Fewer hours required than nursing. Exact hours TBD with clarity on role, go-live scope, and workflow requirements
Providers: 4 hours of provider classroom time (for general areas), 1-2 hours of eLearning, and 2-3 hours of Workflow Rehearsals for each provider.
Complemented by multiple touch points for learning enforcement and skills practice
eLearning
Flipped Classroom
*Hours are estimated to optimize learning, however will be refined with scope refinements.

9. On-the-Unit Education
More on-the-unit education with skills sharpeners and skills check-offs for nursing and allied staff
Workflow Rehearsals (simulations) will provide hands-on practice run of scenarios typical for individual units including admission, patient care, transfer and discharge
Learning Labs for open eLearning hours as well as supported practice
Personalization Fairs for providers for targeted 1:1 to reinforce skills before go-live
Practice
Peer Learning
*On the unit modalities such as workflow rehearsals need to be further explored and refined at the site level as they have large impacts on site operations.

10. Students during Coastal go-live
Thank you to everyone for being flexible! -Accommodation of some groups -Challenges with nursing preceptorships due to staff being peer mentors -Additional requests will be assessed on an individual basis -Will try to match training for when it works with school group

11. Academic updates
How are you preparing faculty and students about information and communication technology (ICT)?