EP02.09 - Blended Learning Enhances Physician Utilization of the Electronic Health Record
e-Health ePoster Library. Ayres S. Jun 7, 2016; 131563; EP02.09
Stephanie Ayres
Stephanie Ayres
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Purpose/Objectives: In 2014 the London and regional hospitals implemented Computerized Provider Order Entry, Closed Loop Medication Administration, Electronic Medication Reconciliation and an Electronic Medication Administration Record. This implementation was across 10 hospitals, with over 1900 Medical Students, Residents, Fellows, Attending and Consulting Physicians impacted. The electronic health record has now become an instrumental tool for daily patient care and for learners (Residents, Medical Students etc.) as they train in the London and Regional hospitals. A training program was developed as part of implementation that focused primarily on classroom education with some basic elearning. Feedback from our providers, and research from other organizations, indicated that we needed an innovative strategy for ongoing learning that focused on increased accessibility, effective use of resources, just in time learning and a test of competency. In addition to hiring of new providers, the academic teaching hospitals in our region train over 400 new residents and medical students each year and the residents rotate departments on a monthly basis. To meet the needs of these modern learners, we recognized we needed a learning program that was relevant, interactive and problem-based to bring them up to speed quickly in the safe and efficient use of the electronic health record. Methodology/Approach: We embarked on a complete redesign of training for providers to incorporate blended learning methodology focusing on three areas: orientation, department specific training needs and in-the-moment access to resources. We engaged providers, and staff from pharmacy, diagnostics and nursing to determine what the 'pain points' were in using the system, assist with the content development and provide feedback on the effectiveness of our training. We measure our success through surveys, a self-rated competency checklist and utilization data and use this feedback to continuously improve our learning tools. Finding/Results: Using a combination of eLearning and classroom training / coaching for orientation is ideal as the feedback we received was that the eLearning provided the methodology or the background around what to do but it was in the classroom that they were able to apply the information. Additionally, providers are looking for resources they can access in the moment that are quick and easy to follow; our introduction of a searchable website with quick guides and short videos, accessed directly from the electronic health record or available through the internet helped to fill this gap. Conclusion/Implication/Recommendations: It is recommended that training for providers be multi-modal and easily accessible to meet their varied needs from an orientation and ongoing learning perspective. However it is important to recognize that the creation of these materials takes time and has many challenges associated with it - the greatest being the availability of subject matter experts to give input into the development and review materials. In this presentation we will provide the background to our strategy development, and an outline of the content and delivery methods that can be applied to future projects. 140 Character Summary: Share our education strategy for providers using CPOE that incorporates blended learning methodology for orientation and in-the-moment access to resources.
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