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Training Adult Learners to Use EMR Technology Ruth Bowen Susan Thomas Introductions Approach to teaching students to use an Electronic Medical Record Hands-On class experience Panel Discussion Wrap-Up: 199C Training and Upgrading Fund 2 Engage Learners Introduce Foundation Concepts Orient Students to basic EMR Navigation Have students use a live system to create an electronic record for a patient Advanced: Digital Patient Record Certification (Sponsored by AMIA) 3 Staying focused on the outcome and purpose of EMR systems and not the technology! 4 Why ◦ Is Electronic Medical Record technology important to me? ◦ Is this technology important to my family? ◦ Is this technology important to my community? $3.8 Billion Spent on EMR Technology By 2015! 5 How much health care spending is attributable to Chronic Disease ◦ ◦ ◦ ◦ A. 10 Billion B. 50 Billion C. 180 Billion D. 262 Billion What percent of dollars are spent on public efforts to manage chronic disease? ◦ ◦ ◦ ◦ A. 1% B. 5% C. 10% D. 15% 6 How much health care spending is attributable to Chronic Disease ◦ ◦ ◦ ◦ A. $!0 Billion B. $50 Billion C. $180 Billion D. $262 Billion What percent of dollars are spent on public efforts to manage chronic disease? ◦ ◦ ◦ ◦ A. 1% B. 5% C. 10% D. 15% *National Council on Aging 7 How many deaths associated with these disease can be prevented every year? * - Heart Disease - Cancer - Stroke - Lower Respiratory ◦ A 258,000 ◦ B 55,700 ◦ C 152,500 8 How many deaths associated with these disease can be prevented every year? * - Heart Disease - Cancer - Stroke - Lower Respiratory ◦ A 258,000 ◦ B 55,700 ◦ C 152,500 ◦ *CDC 9 How many patients die prematurely because of preventable hospital errors? ◦ A. 50,000 – 125,000 ◦ B. 1250,000 – 175, 000 ◦ C. 210,000 - 400,000 10 How many patients die prematurely because of preventable hospital errors? ◦ A. 50,000 – 125,000 ◦ B. 1250,000 – 175, 000 ◦ C. 210,000 - 400,000 ◦ Hospital medical errors now the third leading cause of death in the U.S. (Journal of Patient Safety, 2014) 11 Can you share a situation where an electronic record would have improved the quality of care? Coordination mishaps and misadventures? Lack of communication between physicians? Patient lacks information or is confused? Bag of meds? 12 Where records are used – healthcare organizations What roles access an EMR Patients, registrar, allied health professionals, nursing, physicians, billing and revenue cycle management, housekeeping, etc. Content of EMR Records ◦ Demographics ◦ Insurance and payment info ◦ Clinical Information Problems, Medications, Allergies, Laboratory Data 13 Basic principles of managing records Privacy and Security ◦ Authentication- passwords and electronic signature ◦ Role-based security ◦ Regulatory HIPAA requirements 14 Free! Ambulatory EMR System ◦ Intended for small physician office or clinic ◦ Is a “certified” system ◦ Basic system – does not have capabilities needed for complex ambulatory service (oncology, surgery, dialysis) ◦ Core system is free but providers must pay for additional capabilities E-Prescribing Interfaces from Laboratory, Radiology, Transcription ◦ 15 User-interface is a browser ◦ Must use Google Chrome/FireFox Cloud-based ◦ Patient data is not stored locally ◦ Practice Fusion responsible for security and integrity of data ◦ Easier to maintain: no installed programs on local computers 24 x 7 Support On-Demand Training 16 Orientation to Practice Fusion User Interface 17 18 Preparing Healthcare Workers Today for the Workplace of Tomorrow 4 Career Paths ◦ ◦ ◦ ◦ Nursing Health Information Behavioral Health Allied Health Labor-management cooperative with 50+ employers contributing so employees get education Community grant funded projects 20 120+ members – employers, academics, and workforce development Sector training initiative – healthcare organizations collaborate on training Meetings to educate members on industry trends, focused topics Key projects currently – ◦ H1B On-the-Job Training grant ◦ Job Opportunity Investment Network Collaborative ◦ Health Information Professions with Temple Advocacy at federal and state level 21 Electronic Health Record use by Nurses, Doctors, Nurse Aides Hand held computer devices used by Food Service workers Telemetry, X-ray, physical therapy all use computerized devices Pharmacy Technicians – e-prescribing Medical Assistant is a hybrid – clinical and clerical – must have computer skills; need spreadsheets, word processing, database, Internet, email 22 2010 – recognized the need for all workers to be computer literate Developed Electronic Health Record Certification for our members: ◦ International Computer Drivers License – 7 certifications ◦ Medical Terminology ◦ Electronic Health Record – DPRC certification with Practice Fusion ◦ Customer Service and Communication Added courses in Medical Billing, Business Writing, Coding Certification 23