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Appl Clin Inform 2017; 08(03): 924-935
DOI: 10.4338/ACI-2017-04-0054
Case Report
Schattauer GmbH

Designing An Individualized EHR Learning Plan For Providers

Lindsay A. Stevens
1   Stanford Children’s Health, Department of Information Services
2   Stanford University School of Medicine, Department of Pediatrics
,
Yumi T. DiAngi
1   Stanford Children’s Health, Department of Information Services
,
Jonathan D. Schremp
1   Stanford Children’s Health, Department of Information Services
,
Monet J. Martorana
1   Stanford Children’s Health, Department of Information Services
,
Roberta E. Miller
1   Stanford Children’s Health, Department of Information Services
,
Tzielan C. Lee
1   Stanford Children’s Health, Department of Information Services
2   Stanford University School of Medicine, Department of Pediatrics
,
Natalie M. Pageler
1   Stanford Children’s Health, Department of Information Services
2   Stanford University School of Medicine, Department of Pediatrics
› Author Affiliations
Further Information

Publication History

received: 04 April 2017

accepted in revised form: 10 July 2017

Publication Date:
20 December 2017 (online)

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Summary

Electronic Health Records (EHRs) have been quickly implemented for meaningful use incentives; however these implementations have been associated with provider dissatisfaction and burnout. There are no previously reported instances of a comprehensive EHR educational program designed to engage providers and assist in improving efficiency and understanding of the EHR. Utilizing adult learning theory as a framework, Stanford Children’s Health designed a tailored provider efficiency program with various inputs from: (1) provider specific EHR data; (2) provider survey data; and (3) structured observation sessions. This case report outlines the design of this individualized training program including team structure, resource requirements, and early provider response.

Citation: Stevens LA, DiAngi YT, Schremp JD, Martorana MJ, Miller RE, Lee TC, Pageler NM. Designing An Individualized EHR Learning Plan. Appl Clin Inform 2017; 8:924–935 https://doi.org/10.4338/040054

Keywords

Training and education requirements - Efficiency Improvement - Educational Needs - Provider Satisfaction

Author Contribution Statement

Dr. Stevens is the lead author of paper and led the design and operational aspects of the program as the physician advisor, helped analyze results, and drafted the manuscript. Dr. DiAngi collaborated on the project design, analyzed results, and contributed to the manuscript. Mr. Schremp and Ms. Martorana acted as program trainers, helped design and implement the program, helped analyze program statistics, and approved the final version of the manuscript. Ms. Miller contributed to program design and approved the final version of the manuscript. Dr. Lee collaborated on program design and implementation and contributed to the manuscript. Dr. Pageler acted as the program sponsor, contributed to the design and implementation of the project and collaborated on the manuscript.


Human Subjects Research

The Stanford University IRB Board determined that this project does not meet the definition of human subject research as defined in federal regulations 45 CFR 46.102 and is exempted from further IRB review.


 

  • References

  • 1 Mennemeyer ST, Menachemi N, Rahurkar S, Ford EW. Impact of the HITECH act on physicians’ adoption of electronic health records. J Am Med Inform Assoc 2015; 0: 1-6.
    PubMedGoogle Scholar
  • 2 Shanafelt TD, Dyrbye LN, Sinsky C, Hasan O, Satele D, Sloan J. et al. Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction. Mayo Clin Proc 2016; 91: 836-848.
    CrossrefPubMedGoogle Scholar
  • 3 Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med 2014; 12: 573-576.
    CrossrefPubMedGoogle Scholar
  • 4 Welp A, Meier LL, Manser T. The interplay between teamwork, clinicians’ emotional exhaustion, and clinician-rated patient safety: a longitudinal study. Crit Care 2016; 20: 110.
    CrossrefPubMedGoogle Scholar
  • 5 DiAngi YT, Longhurst CA, Payne TH. Taming the EHR (Electronic Health Record) –There is Hope. J Fam Med 2016; 3: 1072.
    PubMedGoogle Scholar
  • 6 West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet Lond Engl 2016; 388: 2272-2281.
    CrossrefPubMedGoogle Scholar
  • 7 Pantaleoni JL, Stevens LA, Mailes ES, Goad BA, Longhurst CA. Successful physician training program for large scale EMR implementation. Appl Clin Inform 2015; 6: 80-95.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Stevens LA, Pantaleoni JL, Longhurst CA. The value of clinical teachers for EMR implementations and conversions. Appl Clin Inform 2015; 6: 75-79.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Merriam SB, Caffarella RS, Baumgartner LM. Learning in Adulthood: A Comprehensive Guide. 3rd edition. Jossey-Bass:: San Francisco; 2006
    PubMedGoogle Scholar
  • 10 Linzer M, Poplau S, Babbott S, Collins T, Guzman-Corrales L, Menk J. et al. Worklife and Wellness in Academic General Internal Medicine: Results from a National Survey. J Gen Intern Med 2016; 31: 1004-1010.
    CrossrefPubMedGoogle Scholar
  • 11 Mayer RE. Learning and Instruction. 2nd edition. Pearson:: Upper Saddle River, N.J,; 2007
    PubMedGoogle Scholar
  • 12 Joyce B, Showers B. Student achievement through staff development. In: Designing Training and Peer Coaching: Our needs for learning. Alexandria, VA,; 2002
    PubMedGoogle Scholar