TECHNOLOGY AND PRACTICE AS ONE Enhanced Technology Support Model

TECHNOLOGY AND PRACTICE AS ONE Enhanced Technology Support Model

Disclosure Statement None of the nurse planners or speakers have anything to disclose relevant to the content of this program.

Learning Objectives Describe current and ongoing challenges with technology adoption in a large community health system Discuss the technical and skills gaps identified after a multi- year journey implementing clinical information systems Provide solutions which can be leveraged to increase technology adoption, staff engagement and competency Describe outcome measurements

About Virtua Comprehensive healthcare system headquartered in Marlton, NJ 3 Hospitals Health and Wellness Centers Urgent Care Clinics Occupational Health Post Acute Care Retail Fitness Centers/Spas EMR implemented in most inpatient care areas Achieved the Stage 6 designation of the HIMSS Analytics Electronic Medical Records (EMR) Adoption Model .

Where We Started Technology Began EHR journey in 2006 Best in breed System Over 100 applications that are supported and used Support Over 100 Super Users Staff involved in the design team

Barriers Engagement Competency Organizational Pace of Change Structure Technology Adoption Barriers

The wake up call New EMR

New Culture where Technology and Practice are One “We are not installing technology for its own sake, but rather to enable a clinical practice change. So if we want to deliver real value through IT, we need to ensure we use Information Technology to change practice; in our case, change nursing care delivery.” (Murphy, 406) Practice Technol ogy Improv ed Patient Outco mes

Key Stakeholder Change Agents Clinical Transformation Team Leadership End Users

Clinical Transformation Team Then Central Location Education Focus Two Teams Implementation Focus Now Divisionally Based Support Focus One Team Structured Rounding

Learning Delivery Conversion of Competency Orientation Simulation and Partnerships with Gamification Academia Learning Delivery

Leadership Competency & Engagement Education Leadership

End Users Super User Revival

End Users Nursing Structure IT Structure Nursing Executive Council IT Board Nursing Congress Councils Clinical IT/Physician IT Council Nursing Practice Council Staff IT Council Unit Based Shared Governance Councils iTeam Two way Communication & Collaboration at all levels

Outcomes CTT Team Rounding I-Team Learning Delivery Help Desk Calls Trends Metrics Cost Savings End User Satisfaction Issues Recognition Criteria End User satisfaction End User Satisfaction Mentor communication Clinical Champions

Ongoing Challenges Engagement Leadership Competency Technical Support

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