21 st Century Literacy A Workforce Application in Healthcare

1. 21st Century LiteracyA Workforce Application in Healthcare Training Adult Learners to Use EMR Technology Ruth Bowen Susan Thomas

2. Today….. • Introductions • Approach to teaching students to use an Electronic Medical Record • Hands-On class experience • Panel Discussion • Wrap-Up: 199C Training and Upgrading Fund

3. Approach: EMR Course Components • 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)

4. Engaging Learners • Staying focused on the outcome and purpose of EMR systems and not the technology!

5. Engaging Learners • Why • Is Electronic Medical Record technology important to me? • Is this technology important to my family? • Is this technology important to my community? $3.8 Billion Spent on EMR Technology By 2015!

6. Using EMR Technology to Manage Chronic Disease • 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%

7. Using EMR Technology to Manage Chronic Disease • 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% *National Council on Aging

8. Using EMR Technology To Prevent Avoidable Deaths • 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

9. Using EMR Technology To Prevent Avoidable Deaths • 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

10. Using EMR Technology to Prevent Hospital Deaths • 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

11. Using EMR Technology to Prevent Hospital Deaths • 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)

12. Discussion - • 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?

13. Foundation Concepts • 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

14. Foundation Concepts • Basic principles of managing records • Privacy and Security • Authentication- passwords and electronic signature • Role-based security • Regulatory HIPAA requirements

15. Practice Fusion • 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

16. Practice Fusion “Technology” • 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

17. Basic EMR Navigation • Orientation to Practice Fusion User Interface

18. Use a Live SystemCreate Your Patient Record….

19. Digital Technology In HealthCare

20. 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

21. 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

22. 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

23. 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