Last updated 2/06/2012 by Rob Smith
Guiding principle: ALL USERS, including managers and physicians, will be trained, without exception.
Overview
Physician adoption of the new integrated EMR, Cone HealthLink, plays a vital role in helping Cone Health achieve our goal of improving patient care. Your enthusiasm for this EMR shows your strong commitment to quality healthcare.
All physicians, residents and medical students will be trained based on their role with the Cone HealthLink
(CHL) workflows, without exception. Those who complete training and the proficiency assessments will receive access to the EMR.
Your specific training dates depend on your go-live schedule:
Go-Live
July 7, 2012
Beacon (Oncology)
Moses Cone, Wesley Long, Behavioral
Provider Training Window
May 14 – June 24
TBD
TBD
Cone Health is maximizing the self-paced e-learning sessions while ensuring that classroom time is focused on garnering your proficiency.
E-Learning
To ensure a great start, every provider should complete these e-learning lessons:
Surgeon E-Learning (2 hours)
INP000 Overview of Hyperspace
CLN005 Reviewing Past Visits and Labs
INP185 Placing Orders with Order Sets
INP006 Discharge Overview (Physician part only)
INP128
INP001A
INP001B
Reviewing Notes and Writing a Consult Note
Physician Rounding Overview Part 1 - Reviewing a Patient's Current
Hospitalization
Physician Rounding Overview Part 2 - Documenting on a Patient while
Rounding
INP140 Chart Completion using In Basket
1
Minutes
10
10
15
15
20
10
15
15

Physician E-Learning (3.25 hours / 1.25 hours)
INP000
INP001A
INP001B
Overview of Hyperspace
Physician Rounding Overview Part 1 - Reviewing a
Patient's Current Hospitalization
Physician Rounding Overview Part 2 - Documenting on a Patient while Rounding
INP128
INP185
Reviewing Notes and Writing a Consult Note
INP135 Managing Orders {after class}
CLN005 Reviewing Past Visits and Labs
Placing Orders with Order Sets
INP140 Chart Completion using In Basket
HIM002 Special Chart Request
HIM00 Quick Disclosure
INP003 Physician Admission Overview {after class}
INP005A Physician Transfer Overview {after class}
INP006 Discharge Overview {after class}
Minutes
10
10
Providers can access these e-learning lessons either through:
Cone Health’s Learning Management System (LMS) http://cbl.conehealth.com/mynetlearning/Login.aspx?id=362
Search for the lesson code or title
If the LMS is not available:
Epic’s User Web https://userweb.epic.com/SignIn (Cone Health email address required to register)
Training > e-Learning > EpicCare Inpatient, or ASAP (for ED physicians)
15
15
10
5
15
20
15
10
20
15
30
Already
Ambulatory
Trained
-
10
-
-
10
5
15
20
15
-
-
-
-
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Classroom
Most classes will be held at or near Cone Health hospitals. Providers will be in classes with other providers, usually with a maximum class size of 10.
Some specialties have been selected to have their own specialty training: Obstetrics, Surgeon and ED physicians. Every provider completes these lessons in a classroom:
Obstetrician Block (3+ hours)
Initial Visit - Reviewing the Chart and Documenting the Exam
Initial Visit - Performing an Ultrasound
Initial Visit - Managing Prenatal Labs
Initial Visit - Writing Notes, Instructions, and Patient Education
OB Routine Prenatal Visit
Caring for a Laboring Patient
OB Documenting the Delivery
Documenting a C-Section Delivery: with OpTime
Documenting a C-Section Delivery: without OpTime
Minutes
30
25
20
15
30
25
25
TBD
TBD
Surgeon Block A (4+ hours)
Review Surgeon Schedule and Admitted patients
Review Pre-op Patient's Chart before going into Surgery
Complete all Pre-operative Documentation
Write Pre-Operative Orders
Review Current Orders and Write a New Pre-Op Order
Write a Brief Op Note
Manage Orders for Discharge
Write Discharge Instructions
Minutes
20
15
20
35
20
35
40
10
Surgeon Block B (4.5+ hours)
Identifying Patients for whom a Consult has been requested
Writing a Consult Note
Transfer patient from Surgery to Floor
Triaging Patients
Reviewing Notes
Reviewing Orders
Reviewing Vitals, Intake/Output, and Results
Rounding via the Rounding navigator
Writing a Progress Note Using NoteWriter and SmartTools
Managing Inpatient Orders
Advanced Ordering
Minutes
30
15
60
10
10
10
20
30
40
30
15
3

Physician Block A (4+ hours / 3+ hours)
Reviewing Notes
Reviewing Orders
Updating the Problem List and Writing a Progress Note
Managing Orders
Rounding Documentation and Orders
Charging
Reviewing Vitals, Intake/Output, and Results
Advanced Ordering
Identifying Patients for whom a Consult has been Requested
Writing a Consult Note using SmartText
Ordering a Cap/Lock of an IV
Documenting a Procedure
Placing the Order for the Blood Product and Transfusion
Placing TPN orders
TBD
TBD
TBD
TBD
20
40
25
35
Minutes
10
10
40
25
20
5
Already
Ambulatory
Trained
10
10
15
15
20
5
TBD
TBD
TBD
TBD
20
40
25
10
Physician Block B (4+ hours / 3+ hours)
Accessing the Chart of a Newly Admitted Patient
Updating the Admission Problem List
Validating Allergies and History
Writing an H & P using NoteWriter & SmartTools
Reconciling Meds and Placing Admission Orders
Physician Transferring a Patient
Physician Discharging a Patient
Inpatient Order Management
Managing In Basket
Documenting Core Measures
Releasing Signed and Held Orders
Using the Discharge/Readmit Navigator to Discharge and Readmit a Patient
Updating a Surgical H & P
Writing a Post-op Note
Minutes
15
10
20
40
60
20
40
10
15
TBD
TBD
TBD
TBD
TBD
Already
Ambulatory
Trained
15
10
5
20
45
20
30
10
5
TBD
TBD
TBD
TBD
TBD
Schedules are s subject to change. Providers can register for these classes through Cone Health’s LMS.
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Cone Health is partnering with the North Carolina AHEC to grant CME credits for the classroom portion of your training. Your trainer will have an AHEC signature form for you during class and will submit the form on your behalf.
Additionally, some other specialties have been selected to have specific exercises and examples for use while in class. Cone Health will provide these specialty exercises during provider training:
Selected specialties w/ specialty exercises
Annie Penn
Women’s
Women’s
Moses Cone,
Wesley Long,
Behavioral
Moses Cone,
Wesley Long,
Behavioral
Surgery
Surgery
Medical
Surgery
Medical orthopedics , general surgery, ophthalmology obstetrics, gynecology pediatrics (w/focus on newborns) gynecology, ophthalmology, orthopedics, endoscopy/bronchoscopy, cardiovascular/cardiopulmonary, urology, and neurosurgery cardiology, critical care (including pulmonologists), pediatrics and nephrology
Labs
Comments from a number of other hospital providers reveal that they were more successful when they participated in an optimization lab where providers can customize their EMR interactions based on their personal preferences. While optional, Cone Health will provide you with an optimization lab after training, but before go-live. These labs will be offered twice per day on these dates:
Go-Live
July 7, 2012
Beacon (Oncology)
Moses Cone, Wesley Long, Behavioral
Optimization Lab Week
June 25 – Jun 28
TBD
TBD
Providers can register for these optional labs through Cone Health’s LMS. When you attend the lab on the date and time you select, you can choose to perform any or all of these optimizations:
Optimization Labs (up to 2 hours, Optional)
Discharge Readmit Navigator
Customizing Doc Flowsheets
Hyperspace Personalization
In Basket Cosign Orders
MAR Messaging
Creating NoteWriter macros
Release Orders Activity
Additional time with a certified instructor
Minutes
10
20
10
10
20
20
20
20
5

Dragon
Dragon Clinically Speaking is an optional software dictation package that many providers find useful. This classroom training is separate from the EMR training and will be offered at select times during April 16 – May
11, 2012. The Dragon training is offered in two-hour blocks:
Dragon Clinically Speaking (4 hours)
Optional In-Class Dragon Lessons
Optional In-Class Dragon Optimization Lessons
Minutes
120
120
Providers can register for either or both of these optional Dragon classes through Cone Health’s LMS.
Printed Materials
Cone Health recognizes that our providers excel at learning, so additional materials have been created to help foster your proficiency.
In class, you will receive a Quick Start Guide that you can keep and reference at go-live and beyond.
In addition, you will also have access to these resources electronically after completing class:
Tips and Tricks Sheets
Avoid Scrolling in Large Flowsheets
Combine System Lists with My Lists
Copy Assessment Information to Another Column
Copy Diagnoses on the Problem List to the History Activity
Copy NoteWriter Notes Forward
Create and Use SmartPhrases in Hyperspace
Create Quick Filters in Chart Review
Customize Your My List
Display Results in Reverse Chronological Order
Edit Multiple Orders in Order Entry
Edit Your Preference List
Filter Tasks on the Work List
Hide Completed Flowsheet Groups
Link Orders in Order Entry
Manage Your Report Toolbar
Modify and Save Order Set Defaults
Place Orders and Add Them to Your Preference List
Save and Reuse a SmartText with Your Preferences
Scan Barcodes in the Correct Order
Set a Default Date Range for Results Review
Set the Favorites SmartText Tab as the Default
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Sort Report Data by Column
Use SmartLinks to Retrieve Patient Data
Use the Details Report for Efficient Charting
Use the Display Tab to Customize a Report
Use the Macro Manager
Use the Multiple Button and the Learner Education Window
View and Update Treatment Teams from Patient Lists
Apply Defaults in the Results Console
Enter Reference Dates in the Pregnancy Wheel
Sort the Problem List by Episode
Print an After Visit Summary
Use the Pregnancy Sticky
Write a Whiteboard Note
Flash Cards
Chart Review
Completion Match
Doc Flowsheets
Doc Shortcuts
General Tips
In Basket
Residents and Medical Students
Keyboard Shortcuts
Note Shortcuts
Order Entry
Patient Lists
Reviewing Data
SmartTools
Residents who have full privileges in our healthcare system will be trained with other providers where practical. To train Residents with a limited time at our organization (typically a month or less per year), we will use a combination of e-learning and classroom training, leveraging existing Residents’ meetings to train users, along with classroom instruction to bridge any gaps. All Residents will need to pass the written and performance assessments for their roles at the same proficiency thresholds as other providers.
Students in our healthcare system will be trained with their full-time counterparts where practical. The training depends on the permissions granted for students. For example, we will train how to read a patient’s chart for those students who have a limited role in our healthcare system. For those needing to chart, we will train accordingly. To train students, we will use e-learning with proficiency checks, leveraging existing student meetings to train users, along with classroom instruction to bridge any gaps. All students will need to pass the written and performance assessments for their roles the same proficiency thresholds as all others.
Provider End-User+ Program
Most providers are not able to commit to the full Epic recommended 240-hour Super User time commitment, but recognize that provider-to-provider help is important, especially at dress rehearsal and go-live. Therefore, we have created an End-User+ program for providers.
This 16-hour program, taken in 4 4-hour blocks, immerses the provider in the EMR with a dedicated trainer.
These providers would garner their proficiency training during their End-User+ time commitment. After
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proficiency, these End-User+ providers would be available to assist fellow providers one-to-one as needed during dress rehearsal, go-live and beyond.
Providers desiring to receive End-User+ training can sign up for one of the following weeks:
Annie Penn, Women’s, Med Center: Apr 30 – May 4, select either morning, afternoon or evening slots
Cancer Centers: TBD, select either morning, afternoon or evening slots
Moses Cone, Wesley Long, Behavioral Health: TBD, select either morning, afternoon or evening slots
Providers can register for End-User+ through Cone Health’s LMS.
Questions? Contact your Provider Principal Trainers:
EpicCare Inpatient – Nidra Ricks, RN, BSN, at Nidra.Ricks@conehealth.com
ASAP (emergency dept.) – Elizabeth Edwards, RN, BSN, CEN, at Elizabeth.Edwards@conehealth.com
OpTime (surgery, OR) – Lori Mason, MS, M.Ed., at Lori.Mason@conehealth.com
Beacon (oncology) – Angela Shatz, RN, MSN, at Angela.Shatz@conehealth.com
Willow (pharmacy) – Mitch Camp, RPh, MBA, MHA, at Mitch.Camp@conehealth.com
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