Emr training
Training Barriers In order to have a successful implementation of the EMR program within a clinical setting, there are several barriers that surround training of the providers that must be addressed during the implementation development and process.
• Training and productivity impact • Lack of uniform standards • Access to technical support • Lack of computer skills
It has been studied that 77.5% of providers in Rohde Island who responded to a survey regarding successful implementation, said that Training and productivity impact was the largest perceived barrier. Lack of computer skills had the lowest perceived barrier percentage of 34.4%. The above issues should be communicated from the beginning of the implementation process with providers and other medical staff users of how these perceived barriers will be overcome.
Make the training relevant In addition to the above training mentioned above: classroom sessions, computer-based training modules, and one-on-one training, training styles need to be determined by the type of provider being trained, experience and also technical skills. Not everyone learns in the same manner, some providers will be fine with a classroom setting style of instruction, but most, because of the impact that the EMR software and CPOE has on the provider and how they provide care. It is best to look at “a day in the life” style of training or simulation training. Normally providers only want the information that they need, their time is valuable, and showing that as a trainer you understand that will go a long way. Training on the functionality of the EMR software, will go in one ear and out the other. Training needs to be developed around the workflow that will best help the provider maneuver throughout the EMR program to most easily do the things they need to do. Surgeons must understand their surgery work flow of pre-op orders, peri-op orders, rounding and discharge, within the system. Giving them the tools and simulation training based on that will increase confidence.
Personal Tip for Go-Live Provider Training and the Epic system The Epic Inpatient system allows providers to take order sets that were developed within the system and “personalize” them. This is a great tool for a system that is built, tested and used. Do not teach providers and surgeons to “personalize” the order sets until the Go-Live phase of the system is complete. As changes are made during the Go-Live phase to the order sets, the providers saved work will become irrelevant, and will need to be deleted and manually re-saved, as the Epic system does not recognize what was there and what has changed. The provider will have to start from scratch. If large order sets are used, this could cause major frustrations for the providers.
References 1. Beyond the focus group: understanding physicians’ barriers to electronic medical records. Yan H, Gardner R, Baier R. Jt Comm J Qual Patient Saf, 2012 Apr; 38(4); 184-191 2. The advantages of simulation training. Haugen H. Health Mgmt Tech, 2012 Apr; 18
Submitted by Sandersen [Category:BMI512-SPRING-12]
