Transforming Education: EMR Pathology Interface Helen Connors, RN, PhD, FAAN Associate Dean/Academic...
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Transcript of Transforming Education: EMR Pathology Interface Helen Connors, RN, PhD, FAAN Associate Dean/Academic...
Transforming Education: EMR Pathology Interface
Helen Connors, RN, PhD, FAANAssociate Dean/Academic Affairs
University of Kansas School of NursingExecutive Director
KU Center for Health Informatics
Academic-Business Partnership
Cerner CorporationKansas City, MO
Neal PattersonChairman of the Board Chief Executive OfficerCerner Corporation
Dean Karen Miller, RN, PhD, FAANSenior Vice Chancellor KUMC
University of Kansas School of Nursingshowing the world what nurses can doFall 1999
Driving Forces for Technology• IOM Reports on Quality and Safety• Automated work environments• Commitment to use technology to
transform healthcare system• National Healthcare Information
Infrastructure and other Government efforts
• Cultural change starts in the classroom
SEEDSSimulated E-hEalth Delivery System
Academic Education Solution
Problem based Learning
Designed to provide teaching and learning tools to assist health professional students to develop competencies to harness the power of information technology, thus improving the quality, efficiency and effectiveness of healthcare.
SEEDS Objectives
• Enhance development of critical thinking and problem solving.
• Integrate online patient assessment, problem identification, treatment and evaluation.
• Demonstrate the impact that structured data and information have on patient care.
• Provide the information infrastructure for evidence-based clinical practice.
• Promote the dissemination and evaluation of knowledge and research.
• Foster inter professional education
Miller Memorial Medical Center
Florence Nightingale Mental
Health Center
Bleich Outpatient Clinic
JayHawk Public Health Dept.
Clifford Home Care
Connors School Clinic
JayDoc Clinic
SEEDS Program
One-On-One
Standardized Patient
Encounters
Seminar Group
Simulations
Independent Study
Skills Lab
SEEDS Usage
School of Medicine
• Leverage the success of the SON• Negotiated access to PCO (“PowerChart Office” out-
patient application) fall 2004– Tool to automate office practice– Includes “view” into in-patient environment
(PowerChart)– Provides tools for:
• Structured Clinical Documentation• Prescription Writing• E&M Coding/Automated Note Review• Lab, Rad, PT, OT, Nursing Services, etc…• Links to Outside Resources
EMR Roll Out—SOM • Introduction to Clinical Skills
– Overview of EHR/HIT—2nd day of medical school– Hands-on experiences in the first week– First “full H&P” documented with EHR
• Skills Lab– Teaching labs and patients
• i.e. dermatology examination, CV exam, etc…• other specific topics for history of PE
– Group-based standardized patient experience– Individual year-end standardized patient experience
EMR Roll Out—SOM • Cell and Tissue Biology
– Large Lecture-Hall Clinical Correlation—Pancreatic CA (where case history is presented through the EHR) with 5 faculty members participating
– Large Lecture-Hall Clinical Correlation—Colon CA (presented through EMR—data about case returned to students sequentially over time)
• Medical Microbiology– Multi-part, small-group, PBL (problem-based
learning) on community acquired pneumonia (diagnosis and treatment)
University of Kansas School of Medicine Phase I (Pre-clinical Phase)
• Modules versus semester-long courses• Interdisciplinary versus departmental• Normal and abnormal structure and function
throughout the first two years• Active and collaborative learning – PBL, small
groups, histopathology groups• Technology-based – Tablet PC, virtual
microscopy, Angel• Enhanced student assessment – computer
testing, tracking of student performance
Modules
• Year 1– Foundations of Medicine (8 wks)– Genetics and Neoplasia (4 wks)– Inflammation and Immunity (4 wks)– Cardiopulmonary (8 wks)– Gastrointestinal Tract and Nutrition (4 wks)– Renal and Endocrine (4 wks)– Sexuality and Reproductive Medicine (4 wks)
Modules
• Year 2 – Musculoskeletal, Skin, and Soft Tissue (4
wks)– Brain, Mind, and Behavior (8 wks)– Blood and Lymphoid (4 wks)– Infectious Diseases (6 wks)– Medicine Across the Lifespan (4 wks)– Integration & Consolidation (7 wks)
Cell and Tissue Biology
Cell and Tissue Biology
Cell and Tissue Biology
Cell and Tissue Biology
Cell and Tissue Biology
Cell and Tissue Biology
Cell and Tissue Biology
Cell and Tissue Biology
Students
• “I think familiarity with this type of technology is no longer optional but mandatory for people entering the healthcare profession.” (S. Oberhelman – Med Student)
• The health care environment is quickly moving toward EHR and electronic documentation, I’m glad I’m learning in the same manner I will someday be working.” (J. Gray – Nursing Student)
Faculty
• “I become more of a facilitator of their learning, not just a talking head.” (K. Fletcher)
• “The technology engages the students on a whole different level- one that they don’t get in any other classroom.” (M. LeBlanc)
• “Providing the nursing students with the EHR along with the human patient simulator gives the students more than an episodic patient care event.” (C. Zimmerman)