1. The Power of the Provider Superuser: A Model for Standardizing Workflows and Improving Efficiency Harriett Burns, MD, MPH Director of Informatics Piedmont Health Services, Inc. Centricity Live Spring 2015

2.  Piedmont Health Services, Inc.  Founded in 1970  Corporate Office in Carrboro, NC  8 FQHC’s, 2 PACE sites  Approximately 30 FTE providers  Comprehensive Health Care  Medical Services  Dental Care  Pharmacy  Nutrition Counseling Background and History

3.  Outline barriers that users face  Present the One on One Training model  Demonstrate the benefits of this model  Show Examples: Tips and Tricks  Review feedback from users  Conclusions and Discussion Objectives

4.  Pressure of constantly-changing expectations  Lack of time for training  Difficulty of updating engrained habits  Absence of forums to discuss how we use the EMR Barriers Users Face

5. One on One Training

6.  Works for all levels of experience  Is personalized  Motivates users to adjust their habits  Leads to the development of improved workflows  Highlights best practices that can be shared widely  Provides an opportunity to increase standardization Benefits

7. Examples: Tips and Tricks CNTL+SHIFT+M

8. Examples: Tips and Tricks Document Review

9. Examples: Tips and Tricks Problems Button

10. Examples: Tips and Tricks Avoid Note Bloat Completing Notes

11.  “These little changes make me feel more efficient and decrease my frustration during busy clinic days.”  “I am happy to have some new strategies to try.”  “You would be very proud of me—since Centricity upgrade, I have finished all my charts every day.” Feedback from Users

12.  Provider superuser training is worth the investment:  Often easier to schedule than group trainings  Minimally disruptive to clinic work  Targets those who want or need more training  Highlights variations & supports standardization  Helps identify areas where improvement is needed  Creates new lines of communication about EMR use  Can be extended to other groups (not just providers) Conclusions

13. Thank You! Contact info: burnsh@piedmonthealth.org

14. Discussion