21st Century LiteracyA Workforce Application in

Healthcare

Training Adult Learners to Use EMR Technology

Ruth BowenSusan Thomas

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Introductions Approach to teaching students to use an

Electronic Medical Record Hands-On class experience Panel Discussion Wrap-Up: 199C Training and Upgrading Fund

Today…..

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Engage Learners Introduce Foundation Concepts Orient Students to basic EMR Navigation Have students use a live system to create

an electronic record for a patient Advanced: Digital Patient Record

Certification (Sponsored by AMIA)

Approach: EMR Course Components

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Staying focused on the outcome and purpose of EMR systems and not the technology!

Engaging Learners

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Why

◦Is Electronic Medical Record technology important to me?

◦Is this technology important to my family?

◦Is this technology important to my community?

Engaging Learners

$3.8 Billion Spent on EMR Technology By 2015!

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How much health care spending is attributable to Chronic Disease◦ A. 10 Billion◦ B. 50 Billion◦ C. 180 Billion◦ D. 262 Billion

What percent of dollars are spent on public efforts to manage chronic disease?◦ A. 1%◦ B. 5%◦ C. 10%◦ D. 15%

Using EMR Technology to Manage Chronic Disease

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How much health care spending is attributable to Chronic Disease◦ A. $!0 Billion◦ B. $50 Billion◦ C. $180 Billion◦ D. $262 Billion

What percent of dollars are spent on public efforts to manage chronic disease?◦ A. 1%◦ B. 5%◦ C. 10%◦ D. 15%

Using EMR Technology to Manage Chronic Disease

*National Council on Aging

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How many deaths associated with these disease can be prevented every year? *

- Heart Disease

- Cancer - Stroke - Lower Respiratory

◦ A 258,000◦ B 55,700◦ C 152,500

Using EMR Technology To Prevent Avoidable Deaths

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How many deaths associated with these disease can be prevented every year? *

- Heart Disease

- Cancer - Stroke - Lower Respiratory

◦ A 258,000◦ B 55,700◦ C 152,500

◦ *CDC

Using EMR Technology To Prevent Avoidable Deaths

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How many patients die prematurely because of preventable hospital errors?

◦ A. 50,000 – 125,000◦ B. 1250,000 – 175, 000◦ C. 210,000 - 400,000

Using EMR Technology to Prevent Hospital Deaths

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How many patients die prematurely because of preventable hospital errors?

◦ A. 50,000 – 125,000◦ B. 1250,000 – 175, 000◦ C. 210,000 - 400,000

◦ Hospital medical errors now the third leading cause of death in the U.S. (Journal of Patient Safety, 2014)

Using EMR Technology to Prevent Hospital Deaths

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Can you share a situation where an electronic record would have improved the quality of care?

Coordination mishaps and misadventures? Lack of communication between physicians? Patient lacks information or is confused? Bag of meds?

Discussion -

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Where records are used – healthcare organizations

What roles access an EMR Patients, registrar, allied health professionals,

nursing, physicians, billing and revenue cycle management, housekeeping, etc.

Content of EMR Records◦ Demographics◦ Insurance and payment info◦ Clinical Information

Problems, Medications, Allergies, Laboratory Data

Foundation Concepts

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Basic principles of managing records Privacy and Security

◦Authentication- passwords and electronic signature

◦Role-based security◦Regulatory HIPAA requirements

Foundation Concepts

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Free! Ambulatory EMR System

◦ Intended for small physician office or clinic◦ Is a “certified” system◦ Basic system – does not have capabilities needed for

complex ambulatory service (oncology, surgery, dialysis)◦ Core system is free but providers must pay for additional

capabilities E-Prescribing Interfaces from Laboratory, Radiology, Transcription

◦

Practice Fusion

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User-interface is a browser ◦ Must use Google Chrome/FireFox

Cloud-based◦ Patient data is not stored locally◦ Practice Fusion responsible for security and

integrity of data◦ Easier to maintain: no installed

programs on local computers 24 x 7 Support On-Demand Training

Practice Fusion “Technology”

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Orientation to Practice Fusion User Interface

Basic EMR Navigation

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Use a Live SystemCreate Your Patient Record….

Digital Technology In HealthCare

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District 1199C Training & Upgrading Fund

Preparing Healthcare Workers Today for the Workplace of Tomorrow

4 Career Paths◦ Nursing◦ Health Information◦ Behavioral Health◦ Allied Health

Labor-management cooperative with 50+ employers contributing so employees get education

Community grant funded projects

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Greater Philadelphia Healthcare Partnership 120+ members – employers, academics, and

workforce development Sector training initiative – healthcare

organizations collaborate on training Meetings to educate members on industry

trends, focused topics Key projects currently –

◦ H1B On-the-Job Training grant◦ Job Opportunity Investment Network Collaborative◦ Health Information Professions with Temple

Advocacy at federal and state level

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Technology in Every Job

Electronic Health Record use by Nurses, Doctors, Nurse Aides

Hand held computer devices used by Food Service workers

Telemetry, X-ray, physical therapy all use computerized devices

Pharmacy Technicians – e-prescribing Medical Assistant is a hybrid – clinical and clerical

– must have computer skills; need spreadsheets, word processing, database, Internet, email

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Evolution of Our Health Information Program 2010 – recognized the need for all workers to

be computer literate Developed Electronic Health Record

Certification for our members:◦ International Computer Drivers License – 7

certifications◦ Medical Terminology◦ Electronic Health Record – DPRC certification with

Practice Fusion◦ Customer Service and Communication

Added courses in Medical Billing, Business Writing, Coding Certification