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I recently read an article about a keynote who predicted 80% of hospitals will fail stage 2 attestation.* There are obviously many factors that con contribute to such a failure but I am passionate that the educational efforts for our implementations are partly to blame for missed goals. You see, unfortunately training is often an afterthought to our implementations.
Reason one: Analysts are usually tasked with creating the education for the systems they have built. After all, who knows the system better than those who built it? Unfortunately, the system must be built and tested before analysts can turn their attention to the education piece. With last minute changes and fixes, it is just hard to get everything done let alone focus on education. Clinical education departments are partly to blame for the education efforts falling to I.S. For years in clinical education we have concentrated on meeting mandatory requirements and checkoff’s. That is not a bad thing but we have become known as order takers instead of business partners that help the organization reach goals. Clinical education departments also have fallen into the rut of assuming systems training belongs to those” technical folks”. It is however necessary to utilize a system to practice medicine today whether as a physician, a nurse, a therapist, etc. When we attempt to separate the two, our learning participants come away with a disjointed view at best of how to utilize a system to practice medicine better.
Reason Two: Not only is education sometimes an afterthought, the monies to implement an education plan is also sometimes an afterthought. The cost of implementing EHR systems is staggering. This big ticket item often overshadows the smaller ticket item (education) but has a huge impact on end-user adoption and usage. If end-users are not adequately trained to be independent, confident users of a system in their day-to-day work, we will get mediocre results at best. A mediocre result from a multi-million dollar investment is just not acceptable.
Science of Education: Education is an art that needs attention and focus to get the intended results and should never be an afterthought but a parallel process in an implementation. In the coming months, I am going to explore more reasons training for our implementations fail.
One of the Reasons Attestations Fail
Date: Thursday. July 17 2014
Time 10AM PST/1PM EST
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