AET/515Transitioning to Electronic

Medical Records

Breeanna Duncan

Change the Instructional Plan Template title to reflect your personal plan.

This 8 week training course focuses on hospital transition process from paper inpatient notes to electronic notes, using electronic medical records. Staff taking this course will learn the key drivers and barriers that affect the implementation process of the EMR (time and location). Learners will learn the best practices and approaches to take to have a smooth transition.

*5 professional development hours.*

Part I Agenda: Analysis and Design of Instruction

Needs Assessment – slide 3-4Instructional Goal – slide 5Performance-Based Objectives – slide 6Summative Assessment & Learning Outcomes –

slide 7Learner Characteristics – slide 8Learning Context – slide 9

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Needs Assessment

1. What is the learning problem or opportunity? – Hospital staff continuously make mistakes inputting and

interpreting notes in patient records. This results in patient care complications.

2. What is currently available?– Currently staff uses a handwritten technique to input patient

notes. The jargon used is not universal or consistent between staff. Staff also delays the input of data in patient charts, which impacts patient care.

3. What should be available?– There should be a universal language and systematic method

used by all staff members to input patient notes into patient files to ensure patients are receiving proper care.Instructional Plan Template

Needs Assessment

4. Explain the gap analysis between what is available and what should be available.– There is a gap in the translation of the medial records to

patient care. This gap can result in treatment errors and even fatalities

5. What is your recommended solution for filling the gap?– Hospital s need to transition to and staff need to learn

how to use Electronic Medical Records to avoid errors in patient files.

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Instructional Goal • What should the learners be able to do after

successfully completing this instructional plan?

–After completing this training course hospitals will be able to implement a smooth transition to EMR system. Hospital staff will be able to use the new system through the electronic tablets to record and interpret patient notes, using the universal language.

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Performance-Based Objectives

• Using the EMR tablet staff will add additional notes to an existing patient file with 98% accuracy

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• Using the EMR Enablement Solutions, hospital staff will convert one new patient paper record into the electronic format with 99% accuracy.

Summative Assessment & Learning Outcomes

• At the end of the training the staff will demonstrate the skills acquired in the training course by using a mock EMR site. Staff will be required to log into the mock site and complete the three functions:

– Inputting new patient records– Updating existing patient records– Accessing patient history

*At the completion of the activities on the mock site staff will be given a certification in EMR process.*

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Learner Characteristics The trainings are geared toward hospital staff: nurses, doctors, and other medical personnel, both men and women. Ages range from 25 to 50, with a variety of educational and professional experiences in the field Some may also have previous experience using ERM so only a review of the benefits and challenges of EMR will ne needed. Manuals will be given to staff to use through the course with the online tutorial and virtual hospital setting.

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Implications: This group of learners already have knowledge and application of patient records so no pre-requisite skills in this area will need to be trained. The first part of the course will need to include a review of the basic computer functions to refresh learners on how to use the resource.

Learning Context

Explanation: Understanding that learners will be on the computer either at home or work for 8 weeks allows the ability to identify limitations and barriers faced in this environment that may hinder the staff’s learning capability. Also it has an impact on the amount information covered in each weekly session.

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The instructional setting will be in web-based online format. The training will be in the form of an online tutorial with interactive functions and audio and can be accessed on a personal and home computer

PART II Agenda: Development and Implementation of Instruction

Delivery Modality – slide 11Instructional Strategies – slide 12Plan for Implementation – slide 13-16Instructional Resources – slide 17Formative Assessment – slide 18

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Delivery Modality

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Instructional Strategies

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Plan for Implementation

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Plan for Implementation

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Plan for Implementation

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Plan for Implementation

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Instructional Resources

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Formative Assessment

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PART III Agenda: Evaluation of Instruction

Evaluation Strategies – slide 20 Outcome Review – slide 21-22 Recommendations – slide 23 References – slide 24

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Evaluation Strategies

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Outcome Review

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Exemplary Proficient Fair Unacceptable

Electronic TabletsUse of Electronic Tablet

Staff was able to use tablet with no issues

Staff used tablet with few errors

Staff had moderate accuracy using tablet

Staff could not use tablet

Competency in Transition ProcessKnowledge of EMR Transition Process

Staff were very knowledgeable / knew full details could train others

Staff knew EMR transition process to perform duties

Staff had some knowledge of EMR transition process

Staff had no knowledge of EMR Transition process

Inputting New Patient Record

Process of documenting new patient info

Staff were able to input new patient data with no errors

Staff were able to input new patient data with few errors

Staff were able to input new patient data with some errors

Staff were able to input new patient data with multiple errors

Outcome Review

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Exemplary Proficient Fair Unacceptable

Updating Existing Patient Records and Accessing Patient History

Process of updating and accessing patient history/record

Staff was able to access and update patient history record without errors

Staff was able to access and update patient history record few errors

Staff was able to access and update patient history record some errors

Staff was able to access and update patient history record with multiple errors

Mock EMR Site Navigation

Movement on Site

Staff had no trouble moving completing activities on Mock Site

Staff moved through activities on Mock Site with little difficulty

Staff moved through activities on Mock Site with some difficulty

Staff moved through activities on Mock Site with much difficulty

Tutorial Completion

Status of Tutorial Completion

Staff completed 100% of the tutorial

Staff completed 85%-99% of the Tutorial

Staff Completed 75%-84% of the tutorial

Staff completed 0-74% of the tutorial

Recommendations

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References

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References

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