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Skip Out on the Classroom: How to Transform Learning in the Clinical Setting

EHR and data literacy training can be arduous, time-consuming, and costly. Furthermore, learning science demonstrates that a one-size training approach is ineffective and fails to meet individual learners' needs.

Dr. Brent James; Tom Burton, Health Catalyst Co-Founder; Bob Burgin, CEO of Amplifire; and leaders from UCHealth share how they developed an EHR training solution that shortens time to proficiency, significantly reduces costs, and keeps clinicians where they are needed most—on the floor with patients.

During this webinar, you will learn about:
- Advances in learning science that are transforming training and learning in healthcare organizations.
- Evaluating your competency gaps in clinical practices, EHR use, analytics, and improvement literacy.
- Developing a business case for a more effective training approach that could save your organization millions of dollars and deepen analytics, improvement, and clinical learning across your organization.

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Skip Out on the Classroom: How to Transform Learning in the Clinical Setting

  1. 1. Skip Out on the Classroom: How to Transform Learning in the Clinical Setting October 14, 2020 Brent James MD, MStat – Senior Advisor, Health Catalyst and Chairman, Amplifire Healthcare Clinical Innovation Board Tom Burton – Co-Founder and Chief Learning Officer, Health Catalyst Bob Burgin – Chief Executive Officer, Amplifire Lori Reece – Director of Client Engagement, Amplifire Steve Hess – Chief Information Officer, UCHealth CT Lin, MD, FACP, FAMIA – Chief Medical Information Officer, UCHealth
  2. 2. © 2020 Health Catalyst Familiarity versus Mastery 2
  3. 3. Mastering competencies can dramatically increase revenue, decrease costs and improve quality Tom Burton Co-Founder and Chief Learning Officer Health Catalyst
  4. 4. © 2020 Health Catalyst • Describe how mastering competencies can dramatically increase revenue, decrease costs and improve quality - Tom Burton • Describe how new tools can enhance the speed and depth of learning – Dr. Brent James and Bob Burgin • Describe how UCHealth leveraged tools to produce a massive return on their learning investment – Lori Reece, Steve Hess, Dr. CT Lin Webinar Learning Objectives
  5. 5. © 2020 Health Catalyst The “new normal” will be like preparing to compete in an Olympic level decathlon 5 Key questions: • Are we ready? • How do we get “in shape?”
  6. 6. © 2020 Health Catalyst The Healthcare Success Framework 6 Key questions: • How do we prepare? • What core capabilities are needed for ALL events? • What specific capabilities are needed for individual events? We must compete in a wide variety of events at an Olympic level
  7. 7. © 2020 Health Catalyst Identify Variation and Generate Actionable Analytics Insights2 Integrate All of Your Revenue, Cost, and Quality Data1 Quantify and Communicate Value4 Apply Expertise to Drive Sustainable Improvements3 ExpansionVolume Labor Supply Chain OtherPayment Population Health Revenue Cost Quality ⇩ Pharmacy Supply Costs ⇩ Surgical Supply Costs ⇩ General Supply Costs ⇩ Blood Utilization ⇧ Capacity ⇧ Access ⇩ Referral Leakage ⇧ Care Expansion ⇧ Collection Rate ⇧ Cash Acceleration ⇧ Payer Contracts ⇧ Service Lines ⇧ M&A ⇧ Trials Revenue ⇧ Digital Retail ⇧ Care Management ⇧ Quality Measures Performance ⇧ Financial & Operations Competing in Multiple Events Patient Safety Clinical Operations ⇩ Readmissions ⇧ Outcomes Excellence ⇧ Research & Operations ⇩ Events & Infections ⇩ Liability ⇧ Safety Excellence ⇧ Voluntary Reporting –––– ⇧ Cost Accuracy and Transparency –––– ⇩ Labor Costs ⇩ Staffing Contracts ⇧ Provider Contracts ⇧ Outsourcing ⇧ COVID-19 Response Confidential and Proprietary ⇩ Vendor Costs ⇩ Clinical Support Services Costs ⇧ Ambulatory Operations Efficiency ⇧ Analytics Processes & Capabilities ⇩ Building & Equipment Costs 7 Analytics Literacy Education Improvement Literacy Education Embedded Education (in each solution) Strength Training Cardiovascular Conditioning Specific Skill Training – Hurdles, Javelin, etc.
  8. 8. © 2020 Health Catalyst The Problem 8 Success in this new Olympics requires new knowledge, skills, and attitudes throughout the organization at all levels. Unless new competencies are developed, an organization will struggle to succeed in implementing the Healthcare Success Framework. KNOWLEDGE SKILLSATTITUDES
  9. 9. © 2020 Health Catalyst The Vision 9 Help the following roles in your organization build new competencies: Gain the competencies to establish the analytics and improvement vision and priorities; plan and sponsor significant and sustained improvements. Executives Gain the competencies to derive and communicate improvement insights from data. Analytic Engineers Gain the competencies to identify, propose and implement significant and sustainable improvements. Front-line Managers Gain the competencies to help managers design and implement significant and sustainable improvements. Improvement Teams
  10. 10. © 2020 Health Catalyst as a Lever for Transformational Change 10 How do we actually change? • Leading change (Pro Services) • Investing in talent (Education) Knowledge | Skills | Attitudes What should we be doing? • Standard work • Protocols • Guidelines Can we measure progress and predict our results? • Analytic platform • Analytic tools and applications Are we achieving results? • Improving revenue • Reducing costs • Improving quality • Clinical outcomes • Experience outcomes • Clinician • Patient/family Will our culture embrace change? Are the financial incentives aligned? (e.g. value-based) Education Confidential and Proprietary - July 2020 version
  11. 11. © 2020 Health Catalyst Which role at your organization do you feel has the largest Analytic and Improvement Literacy Gap? • Executives – 34% • Analytic Engineers – 4% • Front-line Managers – 57% • Improvement Teams – 5% Poll Question #1 11
  12. 12. © 2020 Health Catalyst 12 The New Normal: More Virtual Learning Experiences
  13. 13. © 2020 Health Catalyst “Seat Time” vs. Competency Based 13 “Have you gone through the 2-hour mandatory training?” “Have you mastered and applied the knowledge and skills?” Measured in “hours” of training Measured in Competency Learning Units (CLUs) Familiarity Mastery
  14. 14. © 2020 Health Catalyst Mastery at Scale Requires the Right Tools 14
  15. 15. © 2020 Health Catalyst Learning mastery at scale tool 15
  16. 16. New tools can enhance the speed and depth of learning Brent James, MD, M.Stat Clinical Professor, CERC Stanford University, School of Medicine
  17. 17. Introduction Bob Burgin Chairman and CEO Amplifire First and Foremost: THANK YOU for everything you and your teams do everyday for all of us in this pandemic.
  18. 18. What is the Amplifire Healthcare Alliance?
  19. 19. Cognitive Science-Based Algorithmic Learning Knowledge Engineering: Leveraging the Neuro Mechanics of Human Learning
  20. 20. The Path to Mastery: Micro-testing / Learning Bursts
  21. 21. The Path to Mastery: Micro-testing / Learning Bursts
  22. 22. The Path to Mastery: Socratic question format
  23. 23. The Path to Mastery: Socratic question format
  24. 24. The Path to Mastery: Socratic question format
  25. 25. The Path to Mastery: Socratic question format
  26. 26. The Path to Mastery: Socratic question format
  27. 27. The Path to Mastery: Socratic question format
  28. 28. The Path to Mastery: Socratic question format
  29. 29. The Path to Mastery: Socratic question format
  30. 30. The Path to Mastery: Socratic question format
  31. 31. The Path to Mastery: Micro-testing / Learning Bursts
  32. 32. The Path to Mastery: Learning Format
  33. 33. The Path to Mastery
  34. 34. Training Efficiency: 3,700 Nurses at 21 Hospitals—CLABSI
  35. 35. Predictive Analytics 58 Mins 27 Mins 9 Mins Most Struggle Average Struggle Least Struggle Content Clinicians Content Clinicians ContentClinicians
  36. 36. Initial Knowledge 5,336 instances of CHM Struggle 1,521 instances Regional Hospital (CLABSI): Learning > Observation > Consultation Regional Hospital Initial Gaps and CHM 357 nurses After Initial Training 225 nurses After Refresher 31 Nurses Consultations
  37. 37. CLABSI 51% reduction over prior 12 months Health System Incident Cost Data provided by Health System for CLABSI ($28,324) and CAUTI ($1,269): Annual Savings of $1,788,422 Compared to prior 12 months National Average CLABSI: Clinical Incident Data
  38. 38. © 2020 Health Catalyst What percent of your organization’s education is “Seat Time” vs. “Competency Based”? • All seat time – 20% • Mostly seat time, some competency based – 51% • Half seat time, half competency based – 14% • Some seat time, mostly competency based – 13% • All competency based – 2% Poll Question #2 38
  39. 39. © 2020 Health Catalyst Health Catalyst has built competency-based learning for analytics and improvement literacy. Would you be interested in a free competency assessment of your organization’s analytics and improvement literacy? • Yes • No Poll Question #3
  40. 40. Cleveland Clinic 550 Residents Begin with the end in mind. . . 1h 5m 8h
  41. 41. Steve Hess Chief Information Officer UCHealth CT Lin, MD, FACP, FAMIA Chief Medical Informatics Officer UCHealth Lori Reece Director of Client Engagement Amplifire
  42. 42. Who is UCHealth? UCHealth 12 hospitals, 2,000 beds, 3.9M ambulatory visits, 25,000 employees, and over 6,000 providers using integrated Electronic Health Record (EHR) across all care settings Affiliations 277 independent departments with 400+ providers and 1M+ annual visits; Two independent hospitals live with one hospital affiliation in process Achieved HIMSS Stage 7 for our full adoption of the electronic medical record in the inpatient and ambulatory setting Received Most Wired award 2014-2019 Received Analytics 50 award for advanced use of analytics integrated with EHR
  43. 43. The Vision Classroom training is ineffective Revolutionize training Build it to share with other systems
  44. 44. © 2020 Health Catalyst • Training on material you already know is frustrating waste of time • Better to use a system that adapts to the needs of each individual • Only a few people need at-the-elbow • Or, virtual labs focused on difficult concepts to train those few en masse Coaching the 7% who really need it After Training Initial Knowledge 5,336 instances of CHM Struggle 1,521 instances At-the-elbow Consultations Topics for Labs From Training to Targeted Coaching
  45. 45. CT Lin, MD, FACP, FAMIA Chief Medical Informatics Officer UCHealth
  46. 46. Onboarding with Amplifire • Shorten time to proficiency • Get physicians out of the classroom and on the floor where they are needed!
  47. 47. Welcome to UCHealth – Sit Here for 8 Hours! Your Problem Learners: “I already know the EHR.” “I’m already done.” – Gen Z “Can you go back?” – Aging Boomer i.e. EVERYONE
  48. 48. EHR - Experienced Providers Self-paced lab with coach (2-3 hours) to learn about EMR Followed by Amplifire course (30-60 minutes) Login granted upon completion – Start work! Amplifire course (30-60minutes) Login granted upon completion – Start work! 1:1 with Trainer. Focused content on days 1, 7, 30, 60, 90 • Additional tools: Speech Rec; 2-Factor Auth; Smartphone app • Ideal - workflow videos • Reinforcement of Amplifire “struggle” topics • EHR Signal – EHR usage log feedback • Plans for additional Amplifire courses based on UCHealth’s EHR Sprint Optimization content Provider Onboarding with Amplifire More than 6 months of previous EHR use EHR - Novice Providers Less than 6 months of previous EHR use
  49. 49. © 2020 Health Catalyst 81%+ 82+% 86+% The course covered EHR skills relevant to my role. The tool’s unique question and answer format helped me learn strong EHR skills. I enjoyed the Amplifire experience. Learning Culture Shift It efficiently covered the important EHR topics without me having to sit through an unnecessarily long class. I liked that I was able to differentiate if I was sure or not about an answer. In previous training tools, if I just guessed correctly the system assumed that I understood it. Can I take this again? I didn't know some of these tricks.
  50. 50. COVID-19 Response for RNs 240 RNs, rapid onboarding for inpatient care Traditionally: 8 to 16 hours classroom training During pandemic: trainers, RNs must avoid classrooms With Amplifire: 1-2 hours, self-paced, online
  51. 51. • Savings calculated over 12 courses came in at $1.45 million Ø $433 per Provider Ø $259 per RN Ø $80 per Tech, CNA, MA • Speed in which providers move from Investment Zone into the Return Zone • Gains in EHR proficiency not yet taken into account • Large system forecasts savings of $30 million over 3 years Financial Return
  52. 52. Health Catalyst Sponsoring free System Analysis: EHR Training ROI. Analytics Literacy. Clinical Literacy. Bob Burgin Chairman and CEO Amplifire
  53. 53. 1) Classroom Time Savings • Cleveland Clinic: 8-hour training class in 1:05 hours • UCHealth: 4-hour training class in 35 minutes • Clinicians quickly take on responsibilities 2) Reduced Classroom Resource Requirement • Substantially reduced and re-purposed training resources • Potential savings in the millions 3) Less Time in EHR Due to Greater Proficiency? • 19.8% proficiency increase at UCHealth poses a question… • Does proficiency increase translate to less time in the EHR? • Controlled time study analysis underway at UCHealth Results and Return Cleveland Clinic—550 Residents UCHealth—1,485 Providers EHR Training
  54. 54. In-Depth ROI Analysis on Savings Available by Improving EHR Education • Amplifire Adaptive Training Platform • Human performance without the classroom • Millions in potential savings you can apply to quality and safety improvement ROI Calculator: EHR Training FREE EHR Training ROI Calculator You can discover millions in potential savings using this free tool
  55. 55. What analytic and improvement competency gaps and confidently held misinformation are impacting your organization? • Finds and fixes misinformation and uncertainty • Analytics and Improvement Literacy for Leaders • Analytics and Improvement Literacy for Analysts SpotCheck – Analytics Literacy SpotCheck: Generating Insights from Data for Leaders and Analysts Variation in topics such as data visualization and healthcare data. FREE Confidently Held Misinformation Uncertainty Confidently Held Comprehension
  56. 56. SpotCheck – Clinical Literacy SpotCheck: Quality and Safety Assurance Variation in topics such as sepsis, CLABSI, and injection practices. FREE Confidently Held Misinformation Uncertainty Confidently Held Comprehension What clinical competency gaps and confidently held misinformation are impacting your organization? • Quality and Safety Assurance • Finds and fixes misinformation and uncertainty • Designed for Providers, Nurses, and Clinical Support Staff • Takes 12 to 15 minutes
  57. 57. © 2020 Health Catalyst Poll Question #4 Health Catalyst and Amplifire have partnered together to offer free assessments in the following categories below. Which of the following free assessments is your organization interested in? (Check all that apply) q Analytics and Improvement Literacy Competency Gap Assessment q ROI Analysis on EHR Classroom Training Replacement q Clinical Competency Gap Assessment
  58. 58. © 2020 Health Catalyst Poll Question #5 Would you like to learn more about Health Catalyst and/or Amplifire products and services? • Yes • No
  59. 59. Q&A
  60. 60. Thank you!

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