0
E-CLIPS Training Project:
  The Good, The Bad,
      The Great!
      January 19, 2007

          1
MHS and Our Training Story
            Agenda and Presenters


Introduction             MaryLee Newman, RN, MS
Logistics  ...
OBJECTIVES
 Learn:
 • About Memorial Health System
 • The basic structure of a clinical system project
   plan
 • A succes...
Patients First…
    More Patients, More Choices




4
Memorial Hospital Central




          5
Major Services to Meet the Community’s Needs
•Emergency/trauma
•Maternity/delivery
•Infant and child care
•Cancer treatmen...
Memorial Hospital Central Addition




              7
Memorial Hospital North




         8
The E-CLIPS Program
      Electronic Clinical Information Processing
                 System (E-CLIPS)




Mission: To be ...
How we got there:
• Vendor selection process…close call: many years in the making.

• Cerner ASC approach – Why? The Cerne...
E-CLIPS Project
                                           Phase 1 Implementation

   March, 2005                         ...
E-CLIPS Training Logistics


GOAL: Train 3000 users with many
different job positions on many different
applications in a ...
E-CLIPS Training Logistics



• Windows assessment for staff
• Windows 2000 basic skills review on our
  intranet
• Window...
E-CLIPS Training Logistics


Determined classes needed and
 number of “seat hours” for all
 employees from a spreadsheet
 ...
E-CLIPS Training Logistics




• Created multiple class schedules
• Created registration portal on our intranet


        ...
E-CLIPS Training Logistics
          and Coordination




E-CLIPS Introduction CBT (computer-based
  training) to be taken...
E-CLIPS Training Logistics


End-user training for
 approximately 3000
 employees taking multiple
 sequential classes. 4 t...
E-CLIPS Training Logistics
• Physician training for 500
  physicians included CBT,
  classroom, one-on-one
  scheduled and...
Role of Training Coordinator
                      Trainer        Communication
                     Schedule
    Class   ...
Training Methodology
1. Teach Functions
2. Cascade Learning
   ASC Nurses/Therapists

                                Trai...
Selection of Nurse Trainers and
             Super Users

•   Gap Analysis
•   Selection Criteria
•   Actual Numbers
•   E...
Curriculum Development
Customized Training Tools




         22
Train the Trainers
•   December 2005
•   1-week Classroom Hands-on Training
•   Practice Time
•   Testing
•   Train Domain...
MHS E-CLIPS Trainers




       24
Super User Training
•   January 2006
•   2-day Classroom Functional Hands-on Training
•   Unit-specific Super User Trainin...
End User Training, Support, &
          Competence
• 1/31/06 – 3/31/06
• 2, 4, and/or 5 hr Classroom Hands-on
  Instructio...
A Nurse’s Perspective




Shanna Bock

                27
A Nurse’s Perspective

What nurses were projecting:
• Never used a computer or a clinical
  documentation program
• Intimi...
A Nurse’s Perspective




        29
A Nurse’s Perspective
      Kubler-Ross Grieving Stages
1.   Denial (this isn't happening to me!)
2.   Anger (why is this ...
A Nurse’s Perspective

                 Denial
• “This isn’t going to happen!”
• “Memorial won’t invest in something like
...
A Nurse’s Perspective

              Anger
• Numbness and shock!
• “Why are they doing this to me?”
• “They can’t make me ...
A Nurse’s Perspective

                Bargaining
• “If you stop this, I will do my charting
  better.”
• “I might have to...
A Nurse’s Perspective


               Depression
• “My career is over as I know it!”
• “I don’t know how to use a compute...
A Nurse’s Perspective

                 Acceptance
• “I really like this computerized charting!”
• “It is easy to find the...
A Nurse’s Perspective

                    More
                 Acceptance
•   “It is easy working within this program!”
...
Gearing up for Go-Live: what
            happened…

• Feelings of anxiety
• Observing the excitement of other staff
  memb...
Practice…Practice…Practice



• 8 hours of practice time allotted
• Practice labs
• Completing required homework and
  pra...
• Nurse Responsibilities
   – Mandatory use of system
   – Assisting other care givers with
     documentation or to locat...
• Trainers rounded hospital units wearing
  yellow vests assisting with training issues.
• Cerner team wore red vests.
• H...
Post Go-Live Assessment

•   Transition was relatively smooth.
•   Total support from management
•   Dedicated and flexibl...
BENEFITS
• Staff well-prepared for Go-Live
• Staff positive about system
• Nurses don’t have to stand in line waiting for ...
Looking forward

Communication tools broadened
Continue to involve nurse trainers / super users
Standard training for new ...
The hardest part is over...




                   44
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E-Clips Physician training

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Transcript of "E-Clips Physician training"

  1. 1. E-CLIPS Training Project: The Good, The Bad, The Great! January 19, 2007 1
  2. 2. MHS and Our Training Story Agenda and Presenters Introduction MaryLee Newman, RN, MS Logistics Arnie Park, MA Implementation Victoria del Valle, RNC, MSN The Nurse Perspective Shanna Bock, RN Conclusion MaryLee Newman, RN, MS Questions Panel 2
  3. 3. OBJECTIVES Learn: • About Memorial Health System • The basic structure of a clinical system project plan • A successful approach to effect an enterprise training plan for nursing • A Nursing Perspective • Benefits of the electronic system for nurses MaryLee Newman 3
  4. 4. Patients First… More Patients, More Choices 4
  5. 5. Memorial Hospital Central 5
  6. 6. Major Services to Meet the Community’s Needs •Emergency/trauma •Maternity/delivery •Infant and child care •Cancer treatment •Heart care •Orthopedic surgery •Rehabilitation •Outpatient services 6
  7. 7. Memorial Hospital Central Addition 7
  8. 8. Memorial Hospital North 8
  9. 9. The E-CLIPS Program Electronic Clinical Information Processing System (E-CLIPS) Mission: To be able to capture all patient care information at the point of care, with immediate access anywhere, using multiple devices, and in a secure manner. 9
  10. 10. How we got there: • Vendor selection process…close call: many years in the making. • Cerner ASC approach – Why? The Cerner Accelerated Solutions Center (ASC), located in Kansas City, MO specializes in the fast delivery of standard Cerner Millennium™ solutions using the following methodology: Design– Build–Test–Train–Convert . • PIT teams: Project Implementation teams; Clinical and non-clinical; managers and staff working together for a common goal. Included Pharmacy, Lab, Clin Doc, Med Admin, Training and Ed, ED, Medical Records, IS • Kansas City – Memorial Hospital staff participants made 5 trips to the ASC in Kansas City over 6 months to work with Cerner's staff to prepare for an initial April, 2006 implementation of the basic automated medical record. 10
  11. 11. E-CLIPS Project Phase 1 Implementation March, 2005 March, 2006 Project Pre-Design Data Process Windows WBT Trainers Super User End User End User Post- Planning Assessment Collection Design Assessment Development Education Training Training Training Conversion Assessment Mar-May 05 April-May 2005 May 2005 July 2005 July 2005 Sept 2005 Oct 2005 Jan 2006 Feb 2006 Mar 2006 End-User Training Design Process Feb - March 2006 11
  12. 12. E-CLIPS Training Logistics GOAL: Train 3000 users with many different job positions on many different applications in a 10 week period before go live. Arnie Park 12
  13. 13. E-CLIPS Training Logistics • Windows assessment for staff • Windows 2000 basic skills review on our intranet • Windows 2000 test and classes 13
  14. 14. E-CLIPS Training Logistics Determined classes needed and number of “seat hours” for all employees from a spreadsheet designed by Cerner. 14
  15. 15. E-CLIPS Training Logistics • Created multiple class schedules • Created registration portal on our intranet 15
  16. 16. E-CLIPS Training Logistics and Coordination E-CLIPS Introduction CBT (computer-based training) to be taken before attending class. 16
  17. 17. E-CLIPS Training Logistics End-user training for approximately 3000 employees taking multiple sequential classes. 4 training rooms running 8 am to 10 pm, 6 days a week for 10 weeks. 17
  18. 18. E-CLIPS Training Logistics • Physician training for 500 physicians included CBT, classroom, one-on-one scheduled and drop-in training in Physician Lounge. April 2006 • Go live 4/4/06 • Implemented post go-live training. 18
  19. 19. Role of Training Coordinator Trainer Communication Schedule Class Class Registration Coverage Class Auditing Classes, Schedule Feedback, Meetings, Reports, Updates, … Class Class Attendance Recognition Rosters Training & Evaluation Luncheon Materials 19 Victoria del Valle
  20. 20. Training Methodology 1. Teach Functions 2. Cascade Learning ASC Nurses/Therapists Trainers Super Users End Users 20
  21. 21. Selection of Nurse Trainers and Super Users • Gap Analysis • Selection Criteria • Actual Numbers • Educational Consulting Firm 21
  22. 22. Curriculum Development Customized Training Tools 22
  23. 23. Train the Trainers • December 2005 • 1-week Classroom Hands-on Training • Practice Time • Testing • Train Domain (environment) • Training Consistency 23
  24. 24. MHS E-CLIPS Trainers 24
  25. 25. Super User Training • January 2006 • 2-day Classroom Functional Hands-on Training • Unit-specific Super User Training/Practice • System/Process Update Dissemination • Quick Reference Guides 25
  26. 26. End User Training, Support, & Competence • 1/31/06 – 3/31/06 • 2, 4, and/or 5 hr Classroom Hands-on Instruction • Practice Lab (up to 8-hr paid time) • Clinical unit poster board for tracking staff training completion • Homework • Unit-Specific Workflow Process 26
  27. 27. A Nurse’s Perspective Shanna Bock 27
  28. 28. A Nurse’s Perspective What nurses were projecting: • Never used a computer or a clinical documentation program • Intimidation of the technology • Learning a new language (computer talk) • Anxiety of the conversion 28
  29. 29. A Nurse’s Perspective 29
  30. 30. A Nurse’s Perspective Kubler-Ross Grieving Stages 1. Denial (this isn't happening to me!) 2. Anger (why is this happening to me?) 3. Bargaining (I promise I'll be a better person if...) 4. Depression (I don't care anymore) 5. Acceptance (I'm ready for whatever comes) 30
  31. 31. A Nurse’s Perspective Denial • “This isn’t going to happen!” • “Memorial won’t invest in something like this.” • “I have heard of them doing this before and it never went through.” 31
  32. 32. A Nurse’s Perspective Anger • Numbness and shock! • “Why are they doing this to me?” • “They can’t make me change the way I document!” 32
  33. 33. A Nurse’s Perspective Bargaining • “If you stop this, I will do my charting better.” • “I might have to find another job if they go through with this.” 33
  34. 34. A Nurse’s Perspective Depression • “My career is over as I know it!” • “I don’t know how to use a computer!” • “They are going to fire me!” 34
  35. 35. A Nurse’s Perspective Acceptance • “I really like this computerized charting!” • “It is easy to find the information in the chart!” • “I don’t have to wait or go looking for a chart now!” 35
  36. 36. A Nurse’s Perspective More Acceptance • “It is easy working within this program!” • “The support was great!” • “All the information is only a click away!” • “Going back to paper is not an option!” 36
  37. 37. Gearing up for Go-Live: what happened… • Feelings of anxiety • Observing the excitement of other staff members. • Seeing the equipment being placed on the units. 37
  38. 38. Practice…Practice…Practice • 8 hours of practice time allotted • Practice labs • Completing required homework and practicing… 38
  39. 39. • Nurse Responsibilities – Mandatory use of system – Assisting other care givers with documentation or to locate information • Super users roamed units helping end users with tasks and documentation. • Nursing staff / patient ratio reduced on most units 39
  40. 40. • Trainers rounded hospital units wearing yellow vests assisting with training issues. • Cerner team wore red vests. • Hospital was decorated with our mascot, ‘sun guy’, to make Go Live activities fun. • Food, souvenirs 40
  41. 41. Post Go-Live Assessment • Transition was relatively smooth. • Total support from management • Dedicated and flexible staff. • Clinical managers involved in decision-making. • Needed more age-specific practice scenarios • Needed more practice with / testing devices MaryLee Newman 41
  42. 42. BENEFITS • Staff well-prepared for Go-Live • Staff positive about system • Nurses don’t have to stand in line waiting for a chart • No more department silos • Patient care can be reviewed prior to transfer / admit • Capturing more statistics • Greater staff retention • A number of nurses have returned to school 42
  43. 43. Looking forward Communication tools broadened Continue to involve nurse trainers / super users Standard training for new employees, additional applications Ergonomic assessments PowerForms redesign groups BPOC and CPOE later this year (07) 43
  44. 44. The hardest part is over... 44
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