From Slide Digitization to EMR Pathology Interfaces

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From Slide Digitization to EMR Pathology
Interfaces

• Helen Connors, RN, PhD, FAAN
• Associate Dean/Academic Affairs
• University of Kansas School of Nursing
• Executive Director
• KU Center for Health Informatics

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Acknowledgements

• University of Kansas Center for Healthcare
  Informatics
• Judith Warren, RN, PhD, FAAN, FACMI,Director of
  Nursing Informatics
• Timothy McNamara, MD, MPH
• Director of Medical Informatics
• April Buchan
• Application Analyst

• Cerner Corporation
• Charlotte Weaver, RN, PhD
• Chief Nursing Officer and VP Patient Care
  Services
• Phyllis Murray, RN, MSN, MAEd

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Academic-Business Partnership
Dean Karen Miller, RN, PhD, FAAN Senior Vice
Chancellor KUMC
Cerner Corporation Kansas City, MO
Neal Patterson Chairman of the Board Chief
Executive Officer Cerner Corporation
University of Kansas School of Nursing showing
the world what nurses can do
Fall 1999
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Driving Forces for Technology

• IOM Reports on Quality and Safety
• Automated work environments
• Commitment to use technology to transform
  healthcare system
• National Healthcare Information Infrastructure
  and other Government efforts
• Cultural change starts in the classroom

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SEEDS
Simulated E-hEalth Delivery System
Designed to provide teaching and learning tools
to assist health professional students to develop
competencies to harness the power of information
technology, thus improving the quality,
efficiency and effectiveness of healthcare.
Academic Education Solution Problem based Learning
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SEEDS Program
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SEEDS Usage
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School of Medicine

• Leverage the success of the SON
• Negotiated access to PCO (PowerChart Office
  out-patient application) fall 2004
• Tool to automate office practice
• Includes view into in-patient environment
  (PowerChart)
• Provides tools for
• Structured Clinical Documentation
• Prescription Writing
• EM Coding/Automated Note Review
• Lab, Rad, PT, OT, Nursing Services, etc
• Links to Outside Resources

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EMR Roll OutSOM

• Introduction to Clinical Skills
• Overview of EHR/HIT2nd day of medical school
• Hands-on experiences in the first week
• First full HP documented with EHR
• Skills Lab
• Teaching labs and patients
• i.e. dermatology examination, CV exam, etc
• other specific topics for history of PE
• Group-based standardized patient experience
• Individual year-end standardized patient
  experience

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EMR Roll OutSOM

• Cell and Tissue Biology Course
• Large Lecture-Hall Clinical CorrelationPancreatic
  CA (where case history is presented through the
  EHR) with 5 faculty members participating
• Large Lecture-Hall Clinical CorrelationColon CA
  (presented through EMRdata about case returned
  to students sequentially over time)
• Medical Microbiology
• Multi-part, small-group, PBL (problem-based
  learning) on community acquired pneumonia
  (diagnosis and treatment)

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Cell and Tissue Biology
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Cell and Tissue Biology
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Cell and Tissue Biology
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Cell and Tissue Biology
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Cell and Tissue Biology
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Cell and Tissue Biology
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Cell and Tissue Biology
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Cell and Tissue Biology
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Students

• I think familiarity with this type of technology
  is no longer optional but mandatory for people
  entering the healthcare profession. (S.
  Oberhelman Med Student)
• The health care environment is quickly moving
  toward EHR and electronic documentation, Im glad
  Im learning in the same manner I will someday be
  working. (J. Gray Nursing Student)

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Faculty

• I become more of a facilitator of their
  learning, not just a talking head. (K. Fletcher)
• The technology engages the students on a whole
  different level- one that they dont get in any
  other classroom. (M. LeBlanc)
• Providing the nursing students with the EHR
  along with the human patient simulator gives the
  students more than an episodic patient care
  event. (C. Zimmerman)

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