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
Pace of
Change
Competency
Technology
Adoption
Barriers
Organizational
Structure
The wake up call
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
Technology
Improved
Patient
Outcomes
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
Orientation
Simulation
and
Gamification
Competency
Learning
Delivery
Partnerships
with
Academia
Leadership
Competency
& Education
Engagement
Leadership
End Users
Super
User
Revival
Education
Alignment
with Shared
Governance
Structure
Support
Partners
Roles/
iTeam
Expectations
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