Simulation Training in Clinically Related Graduate Programs Using an Academic EHR

Transcription

1 Simulation Training in Clinically Related Graduate Programs Using an Academic EHR Stephen C. Burrows, DPM, MBA, CPHIMS, CPHIT Clinical Assistant Professor Chair & Program Director September 2014

2 Agenda Sacred Heart University introduction College of Health Professions Academic Programs using EHR Archetype Innovations Why do this? Process Participating Programs/Departments Student Feedback

3 Founded nd largest Catholic university in New England First in US led by laity 71 acres; Fairfield, CT 237 full time faculty members 13:1 student: faculty 22 average class size 50+ programs Associates > Doctoral

4 48% Nonresident 48 States & 17 Countries 35k+ Alumni 64% Undergrad 36% Graduate 6,983 Students

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6 Physical Therapy (DPT) Occupational Therapy (MSOT) Nursing Speech Language Pathology Healthcare Informatics

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8 Launched 2009 President APRN & Nursing Faculty 300+ Colleges/Universities All 50 U.S. states 60% clinical programs + Veterinary VISTA selected Cost VA Support; VISN related projects Community

9 Support Hosted solution Citrix Help Desk 24/7 Curricular Support RNs Faculty Experience Faculty Tools Network

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20 Dean s Strategic Plan Objective 1: Develop Inter Professional Education (IPE) experiences using high impact practices that align with accreditation standards Continue to build simulation capacity and academic electronic health record competencies using NEEHR Perfect

21 Objectives Enhance Problem Based Learning experience to include technology Expose students to Electronic Health Records (EHR) Enhance analytical skills

22 Simulation Training Imitation or representation of one act or system by another Bridge between classroom learning and real life clinical experience Safe Zone for risky procedures Freedom to make mistakes & learn from them

23 Simulation Antoinette monoplane s 1960 s: Model Board

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26 EHR Case Simulation Computer simulation is an attempt to model a real life or hypothetical situation on a computer

27 Problem Based Learning (PBL) Small, collaborative groups Faculty facilitator Integrated patient scenario/case Reflect complex real life situations Open ended problems with no one right answer Self directed, active participants Develops analytical skills

28 SHU Engage Archetype Innovations January 2012 Academic Computing involvement Configure for SHU Faculty lead selected by Department Chair Select PBL cases appropriate for EHR Convert from paper to EHR PBL Facilitator training

29 Student Support Pilot with PY2 PT & OT Introduction to EHR Orientation to NEEHR Perfect Technical assistance

30 PT/OT PBL 5 8 students Faculty facilitator Twice weekly 3 hour Self divide case Guiding questions Independent research Deliverable Progress note Presentation

31 Pilot 8 PT cases; 3 OT cases NEEHR Perfect Curricular staff convert paper cases Internal refinement Corrections Additions Students copies

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37 Challenges New technology & approach Students Facilitators Time consuming Itʹs difficult to report out because we donʹt know where to start ʺI heard the cases were getting easier, but I think NEEHR Perfect is making it harder and longerʺ

38 Student Survey 11 questions via Survey Monkey 5 scale Likert scale Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree

39 What is your Program? Respondents PT OT

40 Retrieving clinically relevant information from NEEHR Perfect took less time as compared to retrieving clinically relevant information from paper based cases Strongly disagree Disagree Neither disagree nor agree Agree Strongly agree

41 The NEEHR Perfect cases are more intellectually simulating than paper based cases Strongly disagree Disagree Neither disagree nor agree Agree Strongly agree

42 Additional provider notes (social workers, RN, MD, etc.) enhanced my understanding of the roles in an interdisciplinary team Strongly disagree Disagree Neither disagree nor agree Agree Strongly agree

43 Strongly disagree Disagree Neither disagree nor agree Agree Strongly agree 3 3 Less Time Intellectually stimulating Addʹl Notes

44 The NEEHR Perfect clinical cases have enhanced my learning as a future health professional Strongly disagree Disagree Neither disagree nor agree Agree Strongly agree

45 Learning about EHRs is necessary in education of students in the health professions Strongly disagree Disagree Neither disagree nor agree Agree Strongly agree

46 Academic Year 2014/2015 Physical Therapy Additional semesters Occupational Therapy Additional cases & semesters Speech Language Pathology Spring 2015 Problem Based Learning Nursing Simulation Lab

47 Next Steps Interprofessional Education Enhanced notes from multiple practitioners Multi disciplinary student collaborations

48 Future Implementation New Construction Simulation labs Entire patient cases Ambulatory, inpatient & independent living BCMA

49 Future Implementation

50 Stephen C. Burrows, DPM, MBA, CPHIMS, CPHIT Clinical Assistant Professor Chair & Program Director