Difference between revisions of "Training providers: beyond the basics of electronic health records"
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== Discussion == | == Discussion == | ||
== Conclusions == | == Conclusions == | ||
| + | EHR training improved providers willingness to use EHRs and get ongoing additional training, as well as, improved the use of the problem list and medication list management functions of the EHR, which are part of the Meaningful Use criteria. | ||
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== Appendix == | == Appendix == | ||
* Contents of the quick reference guide that was distributed to class participants for the first class. <ref name="Contents"> Contents of the quick reference guide that was distributed to class participants for the first class. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4220630/figure/F1/ </ref> | * Contents of the quick reference guide that was distributed to class participants for the first class. <ref name="Contents"> Contents of the quick reference guide that was distributed to class participants for the first class. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4220630/figure/F1/ </ref> | ||
Revision as of 22:53, 10 November 2015
Contents
Background
Electronic Health Record (EHR) training can affect EHR usability and provider willingness. This article evaluates the effect of post-implementation training on specific EHR activities. [1]
Methods
The study was conducted at Kaiser Permanente, Mid-Atlantic States (KPMAS), using a mixed methods approach (1:4 match case-control), where the usage rate of problem list and medication list management components of EHR were measured 6 months pre-training and 6 months post-training. A comparative analysis was done using the Wilcoxon sign rank test.
Training included two classes with 20–40 minutes lecture/demonstration format, specific hands-on exercises, and supplemental materials for post-class learning (refer to the appendix section). The first class focused on problem list management, medication list management, patient history, and efficient chart review. While the second class focused on documentation, efficiency tool, order entry, and preference list.
Results
Discussion
Conclusions
EHR training improved providers willingness to use EHRs and get ongoing additional training, as well as, improved the use of the problem list and medication list management functions of the EHR, which are part of the Meaningful Use criteria.
Appendix
- Contents of the quick reference guide that was distributed to class participants for the first class. [2]
- Example of the keyboard shortcut templates. [3]
- Effect of training on use of problem lists and medication lists. [4]
- Relationship between provider characteristics and outcome measures. [5]
My Comments
This is an interesting article because it evaluates the impact of post-implementation training, as most EHR training are done post implementation. The length of post-training evaluation (6 month) was also interesting because it determines the learnability of the EHR and the users ability to remember the training after an extended period of time. The only problem I have with the article, is that the sample size used was small. An larger sample size may have produced a different outcome.
References
- ↑ Bredfeldt, C. E., Awad, E. B., Joseph, K., & Snyder, M. H. (2013). Training providers: beyond the basics of electronic health records. BMC health services research, 13(1), 503. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4220630/
- ↑ Contents of the quick reference guide that was distributed to class participants for the first class. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4220630/figure/F1/
- ↑ Example of the keyboard shortcut templates. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4220630/figure/F2/
- ↑ Effect of training on use of problem lists and medication lists. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4220630/figure/F3/
- ↑ Relationship between provider characteristics and outcome measures. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4220630/table/T1/
