Sp12 SYLLABUS: Going Paperless Introduction The Going Paperless course is an introduction to the process of using an electronic medical record (EMR) in a radiation oncology department. By the end of this course, the participant will appreciate the importance of an EMR system, realize how an EMR system can function in a radiation oncology environment and comprehend how moving to an EMR system will affect their workflow and documentation process. The department of Radiation Oncology at UCSD uses Varian s ARIA s EMR as their electronic medical record and ARIA will be used when demonstrating examples, however, the concepts in this course can be applied to any EMR system. The course is divided into three sessions and will focus on three major educational aspects central to EMR adoption. The first session is titled Getting Started. The Getting started session will discuss aspects of setting up an Radiation Oncology EMR program based on UCSD s experience. The second session is titled UCSD s Paperless Process and describes the UCSD radiation oncology paperless process using templates. The third session will be all about templates; how to make them, what they should contain, and actual samples. The UCSD Templates are included in the courses reference section and can downloaded and edited by participants at the courses completion to use in their EMR system. The online course material will be available until March 13, 2013. Target Audience The target audience for this course is the radiation oncology staff members who are interested in setting up a paperless or electronic infrastructure with the radiation oncology environment, which includes IT, specialists, administrators, physicians, physicists, dosimetrists and therapists will benefit from taking this course as well. Going Paperless SYLLABUS March 23,2012 Page 1 of 5
Primary Instructor Richard Fletcher: Chief Information Officer, Department of Radiation Oncology, UCSD Richard Fletcher is the courses primary instructor and is the chief technology officer for the University California San Diego s Radiation Oncology Department. He has worked in informational technology for 30 years. He joined UCSD Radiation Oncology in 2006 after working eight years as part of the UCSD Cancer Center instructional informational system. During his time in Radiation Oncology Rich has helped develop and maintain the department s electronic medical record processes, managing the department s multiple instances of Aria, coordinating implementation of several HL7 interfaces and working closely with physicists, MD s and staff to become a unique IT radiation oncology expert. He is the departments custom report writer and has developed several web-based applications that are used clinically in the department of radiation oncology. Rich is also a member the EPIC implementation team for the UCSD Cancer Center. Other Instructor Carol Shostak, MSIDT, CMD Carol Shostak is the courses director and e-moderator for the online discussions. She is an experienced dosimetrist and radiation oncologymarketing expert who has worked throughout her career promoting radiation oncology education and educational marketing. She has been active in all aspects of radiation oncology processes having past experience as an oncology RN and an RTT prior to becoming a CMD. Her MS is in instructional design technology specializing in online education for adults and is currently codirector of the UCSD Radiation Oncology. Communication Policy: Questions on course material should be emailed to cshostak@ucsd.edu. Response goal is within 24 hours M-F. Course Materials/Textbooks We do not have any requisite reading assignments Page 2 of 5
Course Learning Objectives By the courses completion the participant will be able to: Appreciate the importance of an EMR and describe a process that will enable a thoughtful deployment of an electronic medical records system in a radiation oncology department. Appreciate and discuss how moving to an EMR system will affect the radiation oncology workflow and documentation process. Summarize and describe the practical aspects of using templates in an EMR system to customize workflow. Specifically the class participant will be able to: List 4 reasons to go paperless Define ARRA and its role in radiation oncology EMR development Name four considerations that will influence the cost and development process when creating an EMR program Recognize 5 key steps to consider when in the process of converting to a paperless department Summarize and discuss UCSD s paperless process Describe how to use templates Summarize the process of creating a dynamic document Discussion Board Participation (optional) An asynchronous discussion board will be maintained to allow collaborative learning to occur among class participants. Questions on course material should be asked in the questions forum on the discussion forum an ideally discussed and answered within the cohort group. Carol Shostak will monitor this discussion board and participate as a cohort member. Richard Fletcher will become involved as needed. Accreditation The University of California, San Diego School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. AMA: The University of California, San Diego School of Medicine designates this enduring material for a maximum of 4.0_ AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Release Date: April 14,2012. Expiration April 14, 2013 Page 3 of 5
Medical Dosimetry Certification Board: Approved for 4 MDCB Credits Activity title: Going Paperless Course number: MDCB20120183 Accreditation Dates: 3/5/2012 to 12/31/2014 Needs Assessment: Electronic medical record keeping is becoming increasingly relevant in todays medical practice and promises significant advances to patient care, however adopting this process seems frightening and overwhelming to most MD s who have not been trained using the newer EMR technologies. A need exists to educate the MD on all aspect of medical record keeping including the importance of an EMR system, implementing an EMR system safely and efficiently and recognizing how an EMR environment can improve workflow, documentation and patient care.. Specific gaps have been identified in the following areas: - Inadequate knowledge about the efforts involved in creating an EMR environment - Lack of information about how the process would impact the MD s current practice - Lack of information about how the EMR process works - Insufficient competence in the practical aspects of using an EMR The content of this educational program was determined by assessment of the educational need by content faculty experts and includes program feedback, expert faculty assessment, medical experience and process examples. Faculty Disclosure: It is the policy of the University of California, San Diego School of Medicine to ensure balance, independence, objectivity and scientific rigor. All persons involved in the selection, development and presentation of content are required to disclose any real or apparent conflicts of interest. All conflicts of interest will be resolved prior to an educational activity being delivered to learners through one of the following mechanisms 1) altering the financial relationship with the commercial interest, 2) altering the individual s control over CME content about the products or services of the commercial interest, and/or 3) validating the activity content through independent peer review. All persons are also required to disclose any discussions of off label/unapproved uses of drugs or devices. Persons who refuse or fail to disclose are disqualified from participating in the CME activity. Participants will be asked to evaluate whether the speaker s outside interests reflect a possible bias in the planning or presentation of the activity. This information is used to plan future activities. This educational activity may contain discussion of unlabeled and/or investigational uses of agents that are not approved by the FDA. Please consult the prescribing information for each product. The views and opinions expressed in this activity are those of the faculty and do not necessarily reflect the views of the University of California, San Diego School of Medicine. Page 4 of 5
The following faculty has no relevant financial relationships to disclose: Richard Fletcher and Carol, Shostak CMD. Cultural and Linguistic Competency: California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill, which went into effect on July 1, 2006, to encourage physicians and surgeons, CME providers in the state of California, and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development. The planners, speakers and authors of this CME activity have been encouraged to address issues relevant in their topic area. In addition, a variety of resources are available that address cultural and linguistic competency, some of which are included in your syllabus or handout materials. Additional resources and information about AB1195 can be found on the UC San Diego CME website at http://cme.ucsd.edu. Certificate of Completion CME/ MDCB Certificate: In order to obtain MDCB or CME certificate participants must watch the instructional video presentations, receive a 80% passing score on the assessment quiz and complete the post course evaluation form. A certificate will be sent to the student once the student notifies cshostak@ucsd.edu that they have completed the course or the student will automatically receive a certificate at the end of the course if all requirements have been met. Page 5 of 5