How Can I Best Facilitate the Transition of Health Office Staff from ...

More documents

Recommendations

Info

The results of question #4 surprised me by the high numbers of nurses and nurse’sassistants preferring to have IC Health training in small groups in a computer lab and bywritten information. Nurses also strongly favor having instructions on My MMSD. Lastly,both nurses and nurse’s assistants are somewhat interested in having some virtual trainingoptions.Summary of Findings, Recommendations and ReflectionsThe data collected from the health office staff IC Health pilot groups and from the InfiniteCampus Health Services surveys reflects, to my surprise, a general willingness to transition fromwritten SHRs to EHRs. The data received from the two pilot groups are small, yet, identify keyproblems and system areas that need more development in IC Health to be able to be usedeffectively by MMSD health office staff in their daily work with students. I value the feedbackfrom the pilot groups because they are actually using the program and are committed to learning anew system to document school health care. This is not an easy undertaking given the variabilityand intensity of student needs that present in school health offices daily. As a result of the pilotwork, the IC Nurse Team along with MMSD computer technical staff and IC Support have beenable to identify specific health items that will need to be in place so that we will be able to godistrict-wide with IC Health in fall 2010.This means that school health offices will no longer be using the Omega system to logstudents into the computer in school health offices and instead will be using IC Health module.Health office staff will log students’ daily health office visits for illness, injury, medicationadministration and treatments. The Health Office Visit tab will be used for nonscheduled studenthealth office visits due to illnesses and injuries that will have drop down menus to choosecomplaints, observations, interventions and discharges instead of using codes in Omega. Therewill also be the ability to add free text for additional information regarding health office visits;that has not been a choice in the Omega system.
One problem identified in the pilot schools is that health office visits do not transfer withstudents from one school to another school. As a result, a Health Office Visit Report, which is acopy of all health office visits, will transfer with students. Finally, a non-visit tab will be availableto document information regarding a student that is not from a health office visit that would beusually kept in yellow SHRs…this would replace hand-written charting. There is still a great dealof work to be done in order to implement changes for the 2010-2011 school year, but we havemade huge progress and have the support of most school nurses, nurse’s assistants, the HealthCoordinator and our Chief Information Officer.This brings me back to my question: How can I best facilitate the transition of healthoffice staff from written student health records (SHRs) to electronic health records (EHRs)?The Infinite Campus Health services Survey (Appendix II) completed by 29 school nurses and 32nurse’s assistants provides information on staff needs regarding the move to EHRs and trainingpreferences. The survey data reveals several parallels between school nurses and nurse’sassistants’ responses including drop down menu choices, choice of more than one service andhaving a text box available for additional information during a health office visit. A part of theEHR that differed for school nurses and nurse’s assistants is being able to document non-visitinformation. This may be due to school nurse’s documenting this type of information more oftenthan nurse’s assistants in daily practice and in the difference in job roles and responsibilities.Overall, comments from school nurses and nurse’s assistants were positive to “go electronic” inorder to save time and avoid duplication of charting. Several comments indicate that staff preferworking with one system instead of having to go back and forth between IC and Omega andespecially liked using the Contact Log.According the Infinite Campus Health Services Survey data, the training most staffpreferred was to have written directions in a step-by-step format, small group instruction in acomputer lab and instructions on MyMMSD. In addition, the IC Health program areas that moststaff identified as needing more instruction and training is creating and using Ad Hoc Queries andusing Excel. Secondarily, Hearing and Vision Screening and Follow Up were also identified asareas that staff were not as comfortable using and needing more training. The plan is to scheduleIC Health training during the week before the start of school in August 2010 for all health officestaff. I plan to work on IC Health and the training program over the summer to include some
Page 1 and 2: abstractHow Can I Best Facilitate t
Page 3 and 4: However, after my colleague met wit
Page 5 and 6: with school staff which is most oft
Page 7 and 8: Health Office Visits comment box or
Page 9 and 10: The parts of the current Omega Syst
Page 11: Question #3 responses show generall
Page 15 and 16: ReferencesCarayon, Pascale, Smith,
Page 17 and 18: Appendix I: Imholte, 2010Feedback o
Page 19: Please check one box for each quest

How Can I Best Facilitate the Transition of Health Office Staff from ...

Create successful ePaper yourself

Delete template?

Save as template?