Outcomes of Mayo Clinic reBoot camps for postimplementation training in the electronic health record.

Autor:	Gordon JE; Chief Medical Information Officer, Mayo Clinic Health System Administration, Rochester, Minnesota, USA.; Family Practice, Mayo Clinic Health System-Southwest Minnesota Region, Mankato, Minnesota, USA., Belford SM; Clinical Systems Education, Mayo Clinic, Rochester, Minnesota, USA., Aranguren DL; Division of Medical Oncology, Mayo Clinic, Rochester, Minnesota, USA., Blair D; Family Medicine, Mayo Clinic Health System-Northwest Wisconsin Region, Bloomer, Wisconsin, USA., Fleming R; Family Practice, Mayo Clinic Health System-Southwest Minnesota Region, Mankato, Minnesota, USA., Gajarawala NM; Department of Urology, Mayo Clinic, Jacksonville, Florida, USA., Heiderscheit J; Chief Information Officer, Mayo Clinic Health System-Southwest Wisconsin Region, Onalaska, Wisconsin, USA.; Family Medicine, Mayo Clinic Health System-Southwest Wisconsin Region, Onalaska, Wisconsin, USA., Laabs SB; Family Practice, Mayo Clinic Health System-Southwest Minnesota Region, Mankato, Minnesota, USA., Looft KA; Clinical Systems Education, Mayo Clinic Health System-Southwest Minnesota Region, Mankato, Minnesota, USA., Rosedahl JK; Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, Minnesota, USA., O'Horo JC; Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, USA.; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Jazyk:	angličtina
Zdroj:	Journal of the American Medical Informatics Association : JAMIA [J Am Med Inform Assoc] 2022 Aug 16; Vol. 29 (9), pp. 1518-1524.
DOI:	10.1093/jamia/ocac107
Abstrakt:	Objective: After a new electronic health record (EHR) was implemented at Mayo Clinic, a training program called reBoot Camp was created to enhance ongoing education in response to needs identified by physician leaders. Materials and Methods: A reBoot camp focused on EHR topics pertinent to ambulatory care was offered from April 2018 through June 2020. There were 37 2-day sessions and 43 1-day sessions, with 673 unique participants. To evaluate outcomes of the reBoot camp, we used survey data to study baseline, immediate, and long-term perceptions of program satisfaction and self-assessed skills with the EHR. The study was conducted among practitioners at a large ambulatory practice network based in several states. Data were collected from April 2018 through January 2021. We analyzed automatically collected metadata and scores that evaluated the amount of personalization and proficiency of use. Results: Confidence in skills increased by 13.5 points for general EHR use and was significant in 5 subdomains of use (13-18 point improvement). This degree of user confidence was maintained at the 6-month reassessment. The outcomes of configuration and proficiency scores also improved significantly. Discussion: Ongoing education regarding EHR tools is necessary to support continued use of technology. This study was novel because of the amount and breadth of data collected, diversity of user participation, and validation that improvements were maintained over time. Conclusions: Participating in a reBoot camp significantly improved user confidence in each domain of the EHR and demonstrated use of best-practice tools. Users maintained gains at the 6-month evaluation phase. (© The Author(s) 2022. Published by Oxford University Press on behalf of the American Medical Informatics Association.)
Databáze:	MEDLINE
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