EMR-STAR: Virtual EMR Classrooms to Train Returning Veterans for the 21st Century Health eworkforce

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1 : Virtual EMR Classrooms to Train Returning Veterans for the 21st Century Health eworkforce OSEHRA Conference 4-6 September, 2013 North Bethesda, MD Elliot Sloane, PhD President, CHIRP EMR-STAR EMR System Training, Access, & Resource

2 Program Leadership Virtual EMR Classrooms to Train the 21st Century Health e Workforce Patricia Dombrowski Bellevue College Executive Director Health e Workforce Consortium Elliot Sloane President, Center for Healthcare Research & Policy Info:

3 Patricia Dombrowski and Bellevue College really deserve ALL of the credit for this!! Our nation gets the benefit!

4 CHIRP has the 3-year exclusive contract with Bellevue College and the State of Washington to design, develop, implement, and provide EMR-STAR

5 EMR-STAR EMR System Training Access & Resources

6 Partners (To Date) Funding: U.S. Department of Labor Trade Adjustment Act

7 HEALTH e WORKFORCE CONSORTIUM TRAIN, SUPPORT & ASSIST >2,000 VETERANS & OTHERS INTO HIT EMPLOYMENT Some of the Key Features: EMR STAR -Cloud- Based Academic Access to EMR Systems HIMSS National Veterans Health IT Career Services Initiative Federally Registered Health IT Apprenticeship Curriculum & Faculty Development Health IT Credit for - Prior Learning Assessment Model

8 CHIME s most recent IT staffing survey found: 67% of respondents are experiencing shortages Source: CHIME-College of Healthcare Information Management Executives 2012

9 GROWING WORK FORCE NEED Source: Burning Glass Technologies 2012 Funding : Lumina and Joyce Foundations

10 A HERO S WELCOME TO HEALTH IT

11 PUBLIC HEALTH VETERANS HEALTHCARE CIVILIAN EMPLOYMENT IN MILITARY VENDORS SERVING GOVERNMENT

12 #1 BARRIER TO ENTRY: EMR EXPERIENCE

13 The chicken and the egg: Employer: We only hire people with hands-on experience. Veteran: How can I get hands-on experience if you won t hire me?

14 HEALTH e WORKFORCE CONSORTIUM FREE ONLINE CURRICULA Health Information Technology CAHIMS Academy - New Entry Level Certification Healthcare Data Analytics Healthcare Database Management and Design Healthcare Computer Networking Health IT Security Mobile Device Management in Healthcare Mobile Health Software Development EMR

15 EMR System Training Access & Resources

16 Three Open Source Systems now in the EMR-STAR library Hosted by CHIRP. OpenEMR Physican practice management (MySQL) OpenMRS Hybrid best practices EMR to support HIV, tuberculosis, and other community health centers, including inand out-patient uses (MySQL) VistA Veteran s Administration s system full-hospital EMR (NoSQL)

17 OpenEMR fully browser-based, interactive user-centric system EMR-STAR

18 OpenMRS fully browser-based, interactive clinician-centric system EMR-STAR

19 EMR-STAR: Hands-On EMR Skills Diverse EMR software exposure Varied user interfaces See One, Do One, Teach One learning paradigm Learning to learn Problem solving goal seeking tasks Real-world clinical scenarios

20 Browser-based OpenEMR and OpenMRS are EMR-STAR: Hands-On EMR Skills tablet- and smartphone-friendly!

21 VistA The Power Tool in the EMR-STAR classroom! Not browser based; Windows client for patient care. Complex, but amazingly complete HIS! EMR-STAR

22 VistA allows much broader topics and skills Admission, Discharge, Transfer (ADT) Emergency Department In-Patient Care Laboratory Pharmacy Radiology Surgery Scheduling Etc

23 Additional VistA EMR-STAR features & opportunities being considered Baseline: Linux-based WorldVista, Fourth Watch Software dewdrop Examining learning enhancements, incl. Astronaut enhanced CPRS Enhancements from the vxvista.org library Windows-based Caché version Javascript toolset Mumps Open to other suggestions and contributions!

24 s VistA is being hosted by Villanova University s CEET program

25 Skills Goal for Learners EMR-STAR Learners experience multiple healthcare environments and software tools Hospitals Clinics Physician practices Departments, such as lab, radiology, and pharmacy, too Linux, Windows, Browsers, Tablets, Smartphones, etc

26 EMR-STAR: HIPAA Security & Privacy Make visible the tools used to assure HIPAA compliance Raise sensitivity, concern, adherence One size does not necessarily fit all

27 EMR-STAR: Quality reporting learning Ability to see different approaches to quality management and reporting, based on different system designs

28 EMR-STAR: Business continuity management learning Backup and restoration of systems Planning for change, and change management Software quality systems

29 Full visibility of entire database for teaching EMR-STAR: Quality reporting

30 Opportunities for Clinical Engineering and Biomed Technician Education EMR-STAR Low cost virtual classrooms for Electronic Medical Record system training Including underlying databases, security, networks, etc Sandboxes for researching, designing, developing, modeling, and testing medical device-to-emr interfaces Most of the systems have open API tools IHE-PCD interfaces for medical device integration are being developed for VistA and OpenEMR, considering OpenMRS, too

31 Many well-documented user interfaces EMR-STAR: Business Continuity Management and programming APIs visible, e.g.,

32 EMR-STAR: Business Continuity Management

33 Free, online curricula are already available at: https://www.nterlearning.org/web/guest/course-details?cid=912 Disclosure: Elliot Sloane was the Co-PI for the 3-year NSF project under a contract with CHIRP for developing the pilot CAHIMS Exam and Preparation Course

34 Broad set of topics already; Quite extensible to differing backgrounds! This CAHIMS curriculum is provided in easilymodified Word documents. The curriculum is being updated by Bellevue College to include use of EMR-STAR classroom resources. No charge; free to use, adapt, etc. Must provide attribution to the NSF and DoL funding behind it. CAHIMS certification may support job seekers.

35 Returning Veterans and the Health e-workforce Consortium Sample training/certificate/specializations areas Health Information Technology CAHIMS Academy - New Entry Level Certification Healthcare Data Analytics Healthcare Database Management and Design Healthcare Computer Networking Health IT Security Mobile Device Management in Healthcare Mobile Health Software Development EMR EMR-STAR Hands-on experiential learning!

36 EMR STAR - recap Focus: Returning Veterans CHIRP, Bellevue College, and HIMSS Partnership & Leadership Cloud Based Academic resource providing instructors and learners with diverse hands-on EMR System training Funded by Department of Labor to Develop HIT Workforce

37 Fall 2013 Status 20+ courses at 9 colleges across the US 300+ students starting with OpenEMR initially, adding VistA after Thanksgiving 13 Very diverse courses are adding EMR- STAR as enhancement/enrichment/infusion: Database Hemodialysis Techs Information Security Lab Techs Medical Assistants Medical Records Mobile Devices Nursing Pharmacy Techs Rad Techs

38 Consider joining the HIMSS SIG that I chair

39 EMR System Training Access & Resources If you are willing to be a mentor to a returning veteran, please let me know!

40 Info: HEALTH e WORKFORCE CONSORTIUM - BELLEVUE COLLEGE Funded by the U.S. Department of Labor, Education and Training Administration Grant TC A53 Thank you! Elliot Sloane -

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