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
Agenda Sacred Heart University introduction College of Health Professions Academic Programs using EHR Archetype Innovations Why do this? Process Participating Programs/Departments Student Feedback
Founded 1963 2 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
48% Nonresident 48 States & 17 Countries 35k+ Alumni 64% Undergrad 36% Graduate 6,983 Students
Physical Therapy (DPT) Occupational Therapy (MSOT) Nursing Speech Language Pathology Healthcare Informatics
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
Support Hosted solution Citrix Help Desk 24/7 Curricular Support RNs Faculty Experience Faculty Tools Network
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
Objectives Enhance Problem Based Learning experience to include technology Expose students to Electronic Health Records (EHR) Enhance analytical skills
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
Simulation Antoinette monoplane 1909 1950 s 1960 s: Model Board
EHR Case Simulation Computer simulation is an attempt to model a real life or hypothetical situation on a computer
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
Process @ 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
Student Support Pilot with PY2 PT & OT Introduction to EHR Orientation to NEEHR Perfect Technical assistance
PT/OT PBL 5 8 students Faculty facilitator Twice weekly 3 hour Self divide case Guiding questions Independent research Deliverable Progress note Presentation
Pilot 8 PT cases; 3 OT cases NEEHR Perfect Curricular staff convert paper cases Internal refinement Corrections Additions Students copies
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
Student Survey 11 questions via Survey Monkey 5 scale Likert scale Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree
What is your Program? 35 35 49 Respondents 30 25 20 14 15 10 5 0 PT OT
Retrieving clinically relevant information from NEEHR Perfect took less time as compared to retrieving clinically relevant information from paper based cases. 20 31 18 16 14 12 10 10 8 6 6 3 4 2 0 0 Strongly disagree Disagree Neither disagree nor agree Agree Strongly agree
The NEEHR Perfect cases are more intellectually simulating than paper based cases. 20 18 18 16 16 14 13 12 10 8 6 3 4 2 0 0 Strongly disagree Disagree Neither disagree nor agree Agree Strongly agree
Additional provider notes (social workers, RN, MD, etc.) enhanced my understanding of the roles in an interdisciplinary team. 40 38 35 30 25 20 15 10 5 0 3 6 3 0 Strongly disagree Disagree Neither disagree nor agree Agree Strongly agree
38 40 35 30 31 25 20 15 10 5 0 10 0 0 18 16 3 6 3 Strongly disagree Disagree Neither disagree nor agree Agree 6 13 0 Strongly agree 3 3 Less Time Intellectually stimulating Addʹl Notes
The NEEHR Perfect clinical cases have enhanced my learning as a future health professional. 30 26 25 20 15 10 9 12 5 0 3 0 Strongly disagree Disagree Neither disagree nor agree Agree Strongly agree
Learning about EHRs is necessary in education of students in the health professions 30 27 25 20 15 15 10 5 0 2 5 0 Strongly disagree Disagree Neither disagree nor agree Agree Strongly agree
Academic Year 2014/2015 Physical Therapy Additional semesters Occupational Therapy Additional cases & semesters Speech Language Pathology Spring 2015 Problem Based Learning Nursing Simulation Lab
Next Steps Interprofessional Education Enhanced notes from multiple practitioners Multi disciplinary student collaborations
Future Implementation New Construction Simulation labs Entire patient cases Ambulatory, inpatient & independent living BCMA
Future Implementation
Stephen C. Burrows, DPM, MBA, CPHIMS, CPHIT Clinical Assistant Professor Chair & Program Director