Helping Providers Adopt New Clinical Systems Faster Comparison of Training Models

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Helping Providers Adopt New Clinical Systems
Faster- Comparison of Training Models

• Heather Haugen RD PhD
• Associate HIT Track Director, UCHSC
• Vice President of Field Operations Research,
  TBG

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Lack of user adoption is cited as the primary
cause of 70 of failed enterprise application
projects.

• Forrester Research, Put Enterprise Applications
  to the Usability Test, July 2, 2004.

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Challenges

• Leadership
• Communication
• Workflow analysis
• Resistance
• Training
• Education

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Characteristics of Adult Learners

• Autonomous and self-directed
• Goal-oriented
• Relevancy-oriented
• Learn by doing
• Relate new material to past experiences/knowledge
• They have their own set patterns for learning

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HealthSouth- Outpatient Diagnostic Imaging

• Background
• RIS/PACS implementation (IDX/GE Healthcare)
• 90 sites, 1500 end-users
• Challenges multiple locations, national roll-out
  in 8 months, drastically varied workflows and
  clinic sites, closing clinics

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HealthSouth- Outpatient Diagnostic Imaging

• Comparison of Education/Training Models
• Classroom/train-the-trainer
• 2-3 days classroom training
• 2-4 hours travel time
• Onsite coaching
• 3-4 days one-on-one coaching
• Certification Model
• Web-based simulations (1-2 hours online)
• One-on-one coaching (3-4 days one-on-one
  coaching)

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Certification Model

• Web-based simulations (literacy)
• Anytime/anywhere
• Role-based
• Learn ONLY tasks critical to your job
• Accumulate experience- fast failure
• 10-15 minute increments
• One-on-one coaching (fluency)
• Onsite (workflow adjustments)
• Certification

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Adoption

• Proficient in the tasks needed to perform job
• Classroom/Train the trainer 40 days (8 weeks) to
  adoption
• Onsite coaching 10 days (2 weeks) to adoption
• Web-based simulations one-on-one coaching 5
  days (1 week) to adoption

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Survey Participants

• Survey sites n9
• Survey participants n103
• Response by site mean 62, range 45 to 100
• Participants were representative of HealthSouth
  employees

Non-response error Sampling error
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Online Learning Modules Viewed
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Employee Self- Assessment
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Conclusions

• Certification model is feasible
• Certification model dramatically decreases speed
  to proficiency
• Certification model significantly increased both
  knowledge and confidence of users

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Re-thinking Education/Training

• Classroom Training
• Classroom
• Scheduled
• Goal Mastery
• Static content
• Training moment

• Certification Model
• Online/onsite
• Anytime/anywhere
• Goal fluency
• Role-based content
• Sustainability

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Thank you! Heather Haugen hhaugen_at_thebreakawaygro
up.com