TECHNOLOGY AND PRACTICE AS ONEEnhanced Technology Support Model

Disclosure Statement

None of the nurse planners or speakers have anything to disclose relevant to the content of this program.

Learning Objectives

Describe current and ongoing challenges with technology adoption in a large community health system

Discuss the technical and skills gaps identified after a multi- year journey implementing clinical information systems

Provide solutions which can be leveraged to increase technology adoption, staff engagement and competency

Describe outcome measurements

About Virtua

Comprehensive healthcare system headquartered in Marlton, NJ 3 Hospitals Health and Wellness

Centers Urgent Care Clinics Occupational Health Post Acute Care Retail Fitness Centers/Spas

EMR implemented in most inpatient care areas

Achieved the Stage 6 designation of the HIMSS Analytics Electronic Medical Records (EMR) Adoption Model™.

Where We Started

Technology

• Began EHR journey in 2006• Best in breed System• Over 100 applications that are supported and used

Support

• Over 100 Super Users• Staff involved in the design team

Barriers

Technology Adoption Barriers

Pace of Change

EngagementCompetencyOrganizational

Structure

The wake up call

New EMR

New Culture where Technology and Practice are One “We are not installing technology for its own sake, but rather to enable a clinical practice change. So if we want to deliver real value through IT, we need to ensure we use Information Technology to change practice; in our case, change nursing care delivery.” (Murphy, 406)

Practice

Technology

Improved Patie

nt Outcome

s

Key Stakeholder Change Agents

Clinical Transformation Team Leadership End Users

Clinical Transformation Team

Then

•Central Location•Education Focus•Two Teams•Implementation Focus

Now

•Divisionally Based•Support Focus•One Team•Structured Rounding

Learning Delivery

Simulation and Gamification

Conversion of OrientationCompetency

Partnerships with Academia

Learning Delivery

Leadership

Leadership

EngagementCompetency & Education

Super User Revival

End Users

End Users

Nursing Structure

Nursing Executive Council

Nursing Congress Councils

Nursing Practice Council

Unit Based Shared Governance Councils

IT Structure

IT Board

Clinical IT/Physician IT Council

Staff IT Council

iTeam

Two way Communication & Collaboration at all levels

Outcomes

Help Desk Calls

End User Satisfaction

CTT Team

Trends

Issues

End User Satisfaction

Rounding

Metrics

Recognition Criteria

Mentor communication

I-Team

Cost Savings

End User satisfaction

Learning Delivery

Clinical Champions

Ongoing Challenges

Engagement

Leadership

Competency

Technical Support

THANK YOU