Appl Clin Inform 2022; 13(05): 949-955
DOI: 10.1055/a-1933-1798
Case Report

Just-in-Time Electronic Health Record Retraining to Support Clinician Redeployment during the COVID-19 Surge

Da P. Jin
1   Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, United States
2   Division of Hospital Medicine, Department of Medicine, Oregon Health & Science University, Portland, Oregon, United States
,
Sunil Samuel
1   Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, United States
,
Kristin Bowden
3   Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, Oregon, United States
,
Vishnu Mohan
1   Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, United States
,
Jeffrey A. Gold
1   Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, United States
4   Division of Pulmonary and Critical Care Medicine, Department of Medicine, Oregon Health & Science University, Portland, Oregon, United States
› Author Affiliations
Funding This study was funded by the U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, grant no.: R01HS02373.

Abstract

Background In response to surges in demand for intensive care unit (ICU) care related to the COVID-19 pandemic, health care systems have had to increase hospital capacity. One institution redeployed certified registered nurse anesthetists (CRNAs) as ICU clinicians, which necessitated training in ICU-specific electronic health record (EHR) workflows prior to redeployment. Under time- and resource-constrained settings, clinical informatics (CI) fellows could effectively be lead instructors for such training.

Objective This study aimed to deploy CI fellows as lead EHR instructional trainers for clinician redeployment as part of an organization's response to disaster management.

Methods CI fellows led a multidisciplinary team alongside subject matter experts to develop and deploy a tailored EHR curriculum comprising in-person classes and online video modules, leveraging high-fidelity simulated patient cases. The participants completed surveys immediately after the in-person training session and after deployment.

Results Eighteen CRNAs participated, with 15 completing the postactivity survey (83%). All felt the training was useful and improved their EHR skills with a Net Promoter score of +87. Most (93%) respondents indicated the pace of the session was “just right,” and 100% felt the clarity of instruction was “just right” or “extremely easy” to understand. Twelve participants (67%) completed the postdeployment survey. The training increased comfort in the ICU for all respondents, and 91% felt the training prepared them to work in the ICU with minimal guidance. All stated that the concepts learned would be useful in their anesthesia role. Fifty-eight percent viewed the online video library.

Conclusion This case report demonstrates that CI fellows with dual domain expertise in their clinical specialty and informatics are uniquely poised to deliver clinician redeployment EHR training in response to operational crises. Such opportunities can achieve fellowship educational goals while conserving physician resources which can be a strategic option as organizations plan for disaster management.

Protection of Human and Animal Subjects

The study was performed in compliance with the World Medical Association Declaration of Helsinki on Ethical Principles for Medical Research Involving Human Subjects, and was reviewed by Oregon Health and Science University Institutional Review Board.


Supplementary Material



Publication History

Received: 14 May 2022

Accepted: 26 August 2022

Accepted Manuscript online:
29 August 2022

Article published online:
05 October 2022

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