Bringing an Open-Source EHR to Informatics Education: VistA for Education

Transcription

1 Bringing an Open-Source EHR to Informatics Education: VistA for Education Michael Vaughn, Assistant Dean for Information and Technology Integration Johns Hopkins University School of Nursing, Baltimore, MD William Hersh, M.D., Professor and Chair Vishnu Mohan, M.D. Corkey Devlin Department of Medical Informatics & Clinical Epidemiology Oregon Health & Science University, Portland, OR Patricia Abbott, PhD, Associate Professor University of Michigan School of Nursing 1

2 ONC Workforce Development Program Investment of $118M based on estimated need for 51,000 professionals in 12 workforce roles $32M Nine universities funded, with emphasis on short-term training using distance learning $70M $10M $6M Five universities funded to develop curricula for community college programs OHSU funded to develop curricula and to serve as National Training & Dissemination Center (NTDC) Curriculum available at 2

3 Program of Assistance for University- Based Training (UBT) Funding for education of individuals in workforce roles requiring university-level training at nine universities with existing programs Oregon Health & Science University (OHSU) Columbia University University of Colorado Denver College of Nursing Duke University George Washington University Indiana University Johns Hopkins University University of Minnesota (consortium) Texas State University (consortium) Emphasis on short-term certificate programs delivered via distance learning OHSU program run as tuition assistance program for existing programs 3

4 Community College Consortia to Educate HIT Professionals Program Five regional consortia of 82 community colleges to develop short-term programs to train individuals in the six community college workforce roles At end of 2011, 7,129 students successfully completed and 8,936 enrolled Enrollment of people with healthcare and/or IT backgrounds most with baccalaureate or higher degrees 4

5 Curriculum Development Centers Program Five universities to collaboratively develop (with community college partners) HIT curricula for 20 components (courses) Oregon Health & Science University (OHSU) Columbia University Johns Hopkins University Duke University University of Alabama Birmingham One of the five centers (OHSU) additionally funded as National Training and Dissemination Center Version 2 of curriculum delivered to community colleges in May, 2011, with release to all institutions of higher education in July, 2011 Can be downloaded from Version 3 in production, final work being done via NCE 5

6 MOOC ified 6

7 Components of the ONC HIT curriculum 1. Introduction to Health Care and Public Health in the U.S. 2. The Culture of Health Care 3. Terminology in Health Care and Public Health Settings 4. Introduction to Information and Computer Science 5. History of Health Information Technology in the U.S. 6. Health Management Information Systems 7. Working with Health IT Systems 8. Installation and Maintenance of Health IT Systems 9. Networking and Health Information Exchange 10. Fundamentals of Health Workflow Process Analysis & Redesign 11. Configuring EHRs 12. Quality Improvement 13. Public Health IT 14. Special Topics Course on Vendor-Specific Systems 15. Usability and Human Factors 16. Professionalism/Customer Service in the Health Environment 17. Working in Teams 18. Planning, Management and Leadership for Health IT 19. Introduction to Project Management 20. Training and Instructional Design (Lab components using VA VistA EHR) 7

8 Another outcome of project: VistA for Education 8

9 Help from the VistA Community FOIA VistA VEHU database Rob Kolodner help with VA approvals Joe Tastrom, Kevin Kearney help with installer Migration to GT.M Nancy Anthracite and WorldVistA volunteers K.S. Bhaskar VM Joe Tastrom patching Vendor help (ISS, 4W Technologies) 9

10 Deployment Options Considered Client/Server normal EHR 1 DB to many students Local install 1 DB to 1 student VDI 1 DB to 1 student or client/server Flexible options 10

11 EHR Supports Hands-On Activities 11

12 Simplify the Installation 12

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15 Accomplishments Installer deployed widely with few problems Data in VistA tailored to match curriculum Careful construction of exercises = less student frustration 15

16 Challenges Hard-hat expertise needed to add/modify records in VistA Prevalence of Apple Mac OS Unique needs of education for manipulating data in a way that an EHR should not allow 16

17 Latest Work GT.M version New installer automates: Installing Oracle VirtualBox Imports Ubuntu-based virtual machine Installs CPRS and related binaries Takes care of networking Data Loader All new code released under AGPL v. 3 or later 17

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19 Data Loader 19

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21 Portable to other VistA Systems 21

22 Next Steps Upload GT.M version to NTDC site Upload Data Loader to NTDC site Look for a new place to host VFE work: No account required to access Code/change management Community engagement Curriculum Development Sustainability 22