SELECTING AND IMPLEMENTING AN
ACADEMIC EHR
Phyllis Murray, RN, MSN, MAEd
Program Manager
April 8, 2015
Why should nursing programs include an
electronic health record in the curriculum?
Informatics identified as 1 of the 5 areas of competence in
health professions education
Supports informatics standards and competencies set by
AACN, CCNE, NLN, QSEN
Provides a means for interdisciplinary education
Prepare graduates to be confident and proficient using
information technology in the work setting
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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IOM Recommendations for HPE
Support clinical informatics
Evidenced-base practice
Provide patient-centered care
Work in interdisciplinary teams
Apply quality improvements
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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QSEN Competencies and Skill Development
Seek education about how information is managed in care settings before
providing care
Apply technology and information management tools to support safe
processes of care
Navigate the electronic health record
Document and plan patient care in an electronic health record
Employ communication technologies to coordinate care for patients
Respond appropriately to clinical decision-making supports and alerts
Use information management tools to monitor outcomes of care processes
Use high quality electronic sources of healthcare information
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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How do you select an academic EHR?
How?
Requires investigation and planning
Select a committee
• Background in informatics a plus but not a requirement
Create a plan
• Identify and prioritize objectives that need to be met with the EHR
 Documentation
 Critical thinking and decision making
 Learning management
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Identify criteria based on established objectives
Establish timeline for review and selection process
Identify potential vendors
Arrange for vendor demonstration
 Prepare questions to ask during the demonstration
• Evaluate and make selection
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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You have selected an academic EHR…now
what?
What do you do with the EHR?
Create a roll out plan
Recommend avoiding the big bang approach
Identify initial placement in the curriculum
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Simulation
Skills lab
Support lecture
Data hunt
Develop plan for integration throughout the curriculum
• Be realistic – the EHR doesn’t have to be in every course
Starting point may be determined by faculty champions
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Become familiar with the product before introducing to
students
Common features and functions:
• Documentation
• Structured, free text, discipline specific
• Results View
• Assessments
• Lab
• Diagnostics with images
• Order Management
• What type of orders are included?
• Medication Administration with barcoding
• Alerts, embedded decision support
• ADE alerts
• Reference ranges
• Reference text
• Active Links
• Inbox Messaging
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Broaden Student Learning Experiences
Teach process and content
within the context of an
electronic health record
Enrich skills lab activities
Augment case scenarios
Enhance Simulation
activities to evaluate
decision making and critical
thinking
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Meet Informatics Competencies
View into patient’s electronic health record
Familiarity with navigation, data entry and review, interdisciplinary team collaboration
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Questions?
Please contact Phyllis Murray, RN, MSN, MAEd
Healthcare Executive for Cerner’s Academic Education Solution
pmurray@cerner.com
816-885-4209