1. Evolving Competencies of Healthcare Professionals in Long Term Care Westminster Ingleside Dusanka Delovska-Trajkova, CIO 1

2. Agenda About Westminster Ingleside Drivers for adoption of EHR and HIE New roles of nursing staff in Long Term Care 2

3. About Westminster Ingleside Three sister communities ◦ Ingleside at Rock Creek - DC ◦ Westminster at Lake Ridge – VA ◦ Ingleside at King Farm – MD Westminster Ingleside Foundation Westminster Ingleside Supporting Organization Continuing Care Retirement Communities Not for Profit 501(c)(3) 3

4. Healthcare Settings Skilled Nursing/Comprehensive Care Assisted Living Implementation of EHR ◦ MDS ◦ Care Plans ◦ Point of Care ◦ Medical Records Health Information Exchange ◦ Encounter Notification ◦ Direct Messaging Answers on Demand – EHR vendor 4

5. Drivers for adoption of HIT Changing residents expectations ◦ Person-centered care and transparency, Culture change, Link between providers, staff and residents and their family members Quality of care and resident safety ◦ Reduction in medication-related errors, Improved clinical documentation and decision making, Health information exchange, Telehealth/Telemedicine Administrative efficiency and effectiveness ◦ Improved data analysis and audits, Coding and links to billing, Going green / storage expenses, Improved workflow New business models ◦ Include LTC in the existing health exchange, Care Coordination, Accountable care organizations, Bundled payment 5

6. New roles of LTC nursing staff Leadership and support in the planning, implementation, and ongoing maintenance EHR brings new variables to health record management Clerical roles and staff are eliminated and more educated, technically advanced staff are required Deploying and maintaining an EHR requires professionals with higher technical skills Complexities in maintaining and managing EHRs need educated staff in HIT and nursing 6

7. LTC specifics Continuum of care Small teams, smaller units than hospitals GNAs/CNAs & LPNs running the unit Residents stay longer, some live there Customer Care Cognitive impairment Health informatics specialist with a master degree ◦ No challenge ◦ Cost Montgomery College HIT Pro does not fit 7

8. Competency Needs Basic IT skills Knowledge of Electronic Health Records concept ◦ Liaison between the clinical team and IT Training skills ◦ Training GNAs/CNAs ◦ Build interdisciplinary teams with dining, housekeeping, maintenance, etc. Knowledge of cognitive impairment Knowledge of care coordination 8

9. Competencies for GNAs/CNAs Basic computer skills for seasoned staff Coding ◦ Meal sizes ◦ Transfers Dementia training Security and privacy of PHI 9

10. Thank you! Questions? 10