1. TECHNOLOGY AND PRACTICE AS ONE Enhanced Technology Support Model

2. Disclosure Statement  None of the nurse planners or speakers have anything to disclose relevant to the content of this program.

3. Learning Objectives  Describe current and ongoing challenges with technology adoption in a large community health system  Discuss the technical and skills gaps identified after a multi- year journey implementing clinical information systems  Provide solutions which can be leveraged to increase technology adoption, staff engagement and competency  Describe outcome measurements

4. About Virtua  Comprehensive healthcare system headquartered in Marlton, NJ  3 Hospitals  Health and Wellness Centers  Urgent Care Clinics  Occupational Health  Post Acute Care  Retail Fitness Centers/Spas  EMR implemented in most inpatient care areas  Achieved the Stage 6 designation of the HIMSS Analytics Electronic Medical Records (EMR) Adoption Model™.

5. Where We Started Began EHR journey in 2006 Best in breed System Over 100 applications that are supported and used Technology Over 100 Super Users Staff involved in the design team Support

6. Barriers Technology Adoption Barriers Pace of Change EngagementCompetency Organizational Structure

7. The wake up call

8. New Culture where Technology and Practice are One “We are not installing technology for its own sake, but rather to enable a clinical practice change. So if we want to deliver real value through IT, we need to ensure we use Information Technology to change practice; in our case, change nursing care delivery.” (Murphy, 406) PracticeTechnology Improved Patient Outcomes

9. Key Stakeholder Change Agents Clinical Transformation Team LeadershipEnd Users

10. Clinical Transformation Team Then Central Location Education Focus Two Teams Implementation Focus Now Divisionally Based Support Focus One Team Structured Rounding

11. Learning Delivery Simulation and Gamification Conversion of Orientation Competency Partnerships with Academia Learning Delivery

12. Leadership Engagement Competency & Education

13. Super User Revival Education Roles/ Expectations Alignment with Shared Governance Structure Support Partners iTeam End Users

14. Nursing Structure Nursing Executive Council Nursing Congress Councils Nursing Practice Council Unit Based Shared Governance Councils IT StructureIT Board Clinical IT/Physician IT Council Staff IT CounciliTeam Two way Communication & Collaboration at all levels

15. Outcomes Help Desk Calls End User Satisfaction CTT Team Trends Issues End User Satisfaction Rounding Metrics Recognition Criteria Mentor communication I-Team Cost Savings End User satisfaction Learning Delivery Clinical Champions

16. Ongoing Challenges Engagement Leadership Competency Technical Support