Transformational Learning

Preparing 35,000 Users for EHR Implementation

• Project Context

• Learning Delivery Model

• Simulation Modeling Approach

• Findings & Considerations

• Q&A

Topics

40+ Sites >35,000 Users Geography

Standardized Clinical Content

• Order Sets, IPOCs, • Documentation

Standards

• Closed loop medication management

• Downtime processes and policies

• eMAR, CPOE • Clin Documentatioin • Shared EHR

Shared & Improved Processes

Better Use of Technology

Shared Clinical Information System & Practices

CST Transformational Learning Team HO & Clinical Education Teams

Role-Based, Workflow-Based Education Clinical Information System

Clinical Devices Major Clinical Policies (within CST education)

Basic Computer Literacy Policy IPOCs

Practice Changes Clinical Content

4

New Clinical Information System

New Clinical Devices, Policies, and Standards

New Clinical Processes & Practices

Learning Team Scope

Clinical & Systems Transformation

Health

Organizations

CST

Project

Students/ Faculty

User Data Sustainment User Tracking

& LMS

Providers Computer

Literacy Group Based

Implementation

Transformational

Learning

Advisory Group

Focused Working Groups

Collaborative Leadership

• Role specific workflows, devices, & clinical applications ex: SurgiNet, FirstNet, Registration & Scheduling..

Role Based Workflow Based

• General overview of clinical applications ex. PowerChart; General Devices, documentation, CPOE, closed loop medication administration

Working with Clinical Information Systems

• HIMSS, Legal, security, privacy, confidentiality, data quality and storage

Foundational Health Informatics

(all users)

• Basic computer literacy Core Competencies – Computer Skills

(all users)

Level 4

Level 3

Level 2

Level 1 Health Authority Education

Learning Framework

• Self-paced

preparatory and

introductory

eLearning modules

prior to face-to-face

education sessions

• Refresher

eLearning modules

• Quick reference

videos

• Small group, Role

based, workflow

based education

sessions

• Focus on new

workflows and

clinical information

system, new

clinical devices,

and changes

• Use patient case

scenarios to

practice in a safe

Cerner domain

individually or with

a group of peers

• User guides

• Just in time support

on the unit

• Learning resources

and website

• Quick reference tools

• Tool kits and quick

tip guides

• Drop in Learning

Labs

• Favorite Fairs

eLearning Face to Face Practice Peer Learning

Blended Learning

User Support Model

SUPER USERS

Acute Care: 15:1 (10:1) Residential & Ambulatory Care: 20:1 (5:1)

PROVIDER SUPPORTS

CERNER eCOACH (Learning Live)

ACTIVATION SUPPORT

Adoption Coaches Champions Dedicated Super Users

Educator & Super User in Each Class

Command Centre 24/7 Call Lines Leadership & Informatics

Modeling Approach

• Simulation based modeling of the learning strategy

• Validation of model & assumptions

• Support enterprise resource planning

• Inform scalability across sites

• Scope of Learning Team

• Number & Types of Users

• Learning Delivery Model

• Super User Support Model

• HO Remuneration Requirements

Key Inputs

SITE IN GROUP 1

2,700 Staff/Providers

~13 Learning Spaces

>250 Super Users, Provider

Super Users &

Provider Coaches

~24 CST Educators

Findings

Findings

• User Level Data

• Varying Schedules & Locations

• Dedicated Provider Strategy

• Learning Infrastructure

• User Readiness

• HR and Operational Impacts

• Early Preparation & Planning

13 A joint initiative of VCH, PHSA, and PHSA

DRAFT

April

T-13

May

T-12

Jun

T-11

Jul

T-10

Aug

T-9

Sept

T-8

Oct

T-7

Nov

T-6

Dec

T-5

Jan

T-4

Feb

T-3

Mar

T-2

Apr

T-1

May

Jun

T+1

Jul

T+2

Aug

T+3

l l

Super User recruitment

End-user Education

Enga

ge L

earn

ing

Lead

ers

Go live

Validation of staffing and super user data with managers/ops (unit level)

Efficiency & Adoption Coaching

Final Staff & Super User Scheduling

Site

Lea

rnin

g P

rofi

le

Site

Lea

rnin

g P

lan

Super Users

Exec

uti

ve &

Op

erat

ion

al L

ead

ersh

ip

Sup

po

rt &

Alig

nm

ent

Ver

ifie

d U

nit

leve

l Sta

ffin

g D

ata

Mas

ter

Co

urs

e Sc

hed

ule

Trai

nin

g R

oo

ms

Equ

ipp

ed

Pilo

t C

urr

icu

lum

(x2

wee

ks)

Use

r Sc

hed

ulin

g (M

ock

)

Res

erve

Tra

inin

g R

oo

ms

Site Specific Learning Activities

Preparation Activities Demos & Super User

Campaign

Education & User

Support

Transition to

Sustainment

People Readiness Activities

Considerations

• Competency required for system access

• Enterprise vs. localized

• Planning for Sustainment

• Agile Approach

• National Collaboration

• Modeling will get you closer….

80/20

Questions

Diana Trifonova Lead, CST Transformational Learning Team

Diana.Trifonova@vch.ca

Join the National Learning Call (uCern)!

Shelley Fraser Director, Clinical Education, Vancouver Coastal Health

Shelley.Fraser@vch.ca

cstproject.ca

Appendix

Lear

nin

g St

rate

gy

Blended Learning Approach

Pro

of

of

Co

nce

pt

Simulation Modeling

Site

Bas

ed

Val

idat

ion

User Data

Support Model

Logistics

Lear

nin

g D

eliv

ery

Mo

de

l

Delivery Model

Risks, Challenges

Options

Pre

par

atio

n &

Pla

nn

ing

Master Course Schedule

Scheduling & Staffing

Sim

ula

tio

n M

od

elin

g P

has

e 2

Localization

Implementation

Modeling Approach

CST Learning Prep (>4 months prior to go-live)

• Complete an Informatics course

• Watch a Demo at a local staff meeting, on the unit with your team, or online

• Practice your Computer Skills

• Self-Paced Skills Assessment (15 minutes)

• Access our Library of Online Learning Resources

• Learn about new Policies and Practice Changes required to support CST implementation

CST Education Requirements (6 weeks prior to go live)

• eLearning (~1.5 hours)

• Attend a role and workflow based Face to Face Session (15 hours)

• Drop into a Learning Lab to ask questions and gain additional practice

• Unit learning with Patient Case Studies in a Practice Cerner System

• Complete a CST Competency Assessment prior to gain access to the system (30 minutes)

• Access dedicated, unit based super users to help with navigating learning resources and activities

Post Go Live Learning

• Top up education courses to help improve your efficiency with the Cerner system

• Optimization and remediation Training activities

• Tips and Tricks

Sample CST NURSING Learning Pathway

18 Not for Distribution