An Interprofessional Collaborative Model to Design, Create, and Implement a Scholastic Electronic Health Record

Monday, 18 November 2013: 10:40 AM

Tonya Rutherford-Hemming, RN, EdD, ANP-BC
Office of Research and Innovation, Cleveland Clinic Health System, Cleveland, OH

Learning Objective 1: describe the learning experiences for graduate nursing students who designed, created, and implemented an Electronic Health Record for a school of nursing.

Learning Objective 2: summarize how the Electronic Health Record can be used in the classroom to facilitate clinical decision making among nurse practitioner students.

Background:  The Technology Informatics Guiding Educational Reform recommends that practicing nurses and nursing students be able to demonstrate basic computer competency, information literacy, and information management.  The American Association of Colleges of Nursing calls the use and implementation of informatics and healthcare technologies an essential competency for graduate prepared nurses.  To meet this criteria an electronic health record (EHR) was built in-house collaboratively between nursing and information science disciplines for use in nursing education as a decision support tool.

Purpose:  An interprofessional project was designed for computer science, health informatics, and nursing subject specialists to provide practical experience in building an extendable EHR for classroom use across disciplines.

Method:  Informatics nursing students and computer science students collaboratively designed and built the EHR for use in the School of Nursing (SON) and School of Informational Sciences (SIS).   Students learned the developmental processes of an information system and the value of interdisciplinary collaboration. Presently, a testing and evaluation plan is being conducted by computer science students.   One evolving clinical patient record is being tested and evaluated by nurse practitioner (NP) students in the classroom. 

Results:  The patient history and physical examination sections of the patient record have been designed in the EHR.  The completed web-based patient history section is available for use.  The physical examination section, along with other sections of the patient record, is being further developed.  There is now an established relationship between the SIS and SON to continually develop and utilize this EHR in academia.

Conclusion:  Through development of an EHR, a shared learning experience occurred and a collaborative partnership model was developed among faculty and students.  Graduate NP students now have the opportunity to use health information technology as a decision support tool in the classroom.  Graduate nursing informatics students have an in-depth understanding of communication between disciplines.