Design Document for

Increasing Orders Efficiency in the EMR for Clinicians

By Christopher Bland
Purpose of the
Course

The purpose of this course is to teach end users how to increase efficiency
with placing orders through the use of order preferences.

Audience Description Primary Audience (mandatory to complete)

Doctors - Residents and Attendings
Nurses & Dietitians
Techs and Therapists
Secondary Audience (not mandatory to complete)
Management staff of primary audience
Administration
General Learner Characteristics
Education - Associates degree to PhD.
Work experience - 1 week to 30+ years.
Age Range - 22-65 years old.
Gender - 55% men 45% women.
Younger employees use computers the most frequently, older not so much.
Major Course Objectives (Terminal)

1.0 Locate and open a Patients Chart.

2.0 Locate and open the Manage Orders module.
3.0 Search for and place Orders as a Clinician.

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Course Enabling Objectives

1.0 Locate and open a Patients Chart.

1.1 Identify two ways to find a patient in the hospital and two ways to open
the patients chart.
2.0 Locate and open the Manage Orders module.
2.1 Follow the pathway to the Manage Orders module and locate the orders
search box.
3.0 Search for and place Orders as a Clinician.
3.1 Identify how to search and place orders relevant to your clinical role in
the hospital.
3.2 Identify an order you want to save and reorder often.
3.3 Follow the workflow to save it as a favorite to the Preference List.

RLO Enabling Objective

Identify two ways to find a patient in the hospital and two ways to open the
patients chart.

Learning Assessment
for Course

There will be a brief assessment a the end of the course that tests the learners understanding of the concepts taught in the eLearning. It will also allow the user to put those concepts into practice to demonstrate understanding.

Learning Assessment
for RLO

Assessment questions will include the following question types:

Multiple Choice question - Pick two ways to find a patient in the hospital
Pick multiple - Select the correct method(s) to open a patients chart (select
all that apply)

Instructional Delivery The course will be presented in an eLearning format that has guided clickmethod for Course
and-do activities as well as accompanying voice and recorded video. The
(overall)
video will be screen-recorded demonstration that shows the end user how to
complete the objectives while explaining purpose and intent. At the end of
this will be a brief assessment that tests the learner on the concepts and how
to put them into practice.

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Instructional Strategy The eLearning will be in the form of a Guided Practice that allows the
for RLO
learner to listen to audio and interact with the screen. It will also include a
graded assessment that covers a review of the concepts, terminology, definitions, and workflows.
Media

Text
Audio
Screen Images from the EMR
Video Demonstration

508 Accommodations

Audio assisted eLearnings with the option to turn audio on/off

Text on screen with highlights to important areas
Large print keyboards available
Large monitors
Screen magnification availability
Headsets for amplified listening
Consistent font and text size, frame size, color, layout
Consistent image layout
Audio and visual prompts before user required action
Downloadable transcript and tip sheet with instructions
Audio in various languages
User controls pace of the lesson with stop, play, pause, rewind, and fast forward features
Guide the viewers eyes and prompt reading and viewing images from left
to right, top to bottom

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Course Structure Description

The course will have one lesson with two modules: Increasing User Efficiency - Module 1 Locating a Patient and opening a their Chart (review).
Module 2. Searching and Placing Patient Orders and Saving Orders as Favorites.

Seat Time of Course

Courses would be available 24 hours/day as self-guided, on average takes 4

hours to finish

Seat Time of RLO

10 minutes

RLO Outline

See Appendix A

RLO Flowchart

http://www.gliffy.com/go/publish/image/10651559/M.png
See Appendix B

Screens/Pages in
RLO

13 screens

Knowledge Checks or 1 Pick Multiple questions

Other Assessments or
1 Multiple Choice
Practices for RLO
1 True/False

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Rollovers/click events

__10 __Click Events

RLO Navigation

Paging buttons (next, previous, home)

Play, Pause, Skip ahead (Next)

Screen Layouts for

RLO

See Appendix C for a larger view.

Development Tools
for RLO

Udutu, Audacity, PowerPoint (and/or Keynote on Macbook Pro), MS Word,

picmonkey.com (photo editing), Google Images, Jing

Ownership

Christopher Bland from Hospital Education will develop the initial course
and the Hospital Education team will maintain the course. It is being developed for the clinical staff at University Medical Center of New Orleans

Development Time of
entire course and
RLO

The course should be created and developed in two weeks.

Support requirements for RLO and

course

SMEs needed - Trainers, EMR Analysts, Physician/Nurse/Therapists Champions

Project
Sign-off [optional]

Please sign below indicating agreement with the proposed course plan and
approving start-up of the storyboard and development phases.
Instructional Designer

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Date

Project Manager/Sponsor

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Date

APPENDIX A
RLO OUTLINE
Identify two ways to find a patient in the hospital and two ways to open the patients chart.
1. Introduction and Purpose What does User Efficiency mean?
User efficiency reduces clicks and saves time
What does User Efficiency REALLY mean?
Happy end users and patients.
2. Locating a Patient

Finding patients in the Unit System Lists

Finding patients using Patient List Search

3. How to use the Patient Search Tool

Purpose and efficiency

4. Opening the Chart Efficiently

Double click the Patient Name to open the chart

Opens the chart to view all activities

Accessing the patient chart through the Patient List activity icons

Chart opens to a particular Activity Module (Notes, Labs, Orders)

5. Conclusion - User Efficiency

6. Assessment with Feedback
7. Credits and References

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APPENDIX B

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APPENDIX C

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Appendix D
Narration Script
Slide 1
Hi! This is Christopher Bland, EMR Trainer at University Medical Center. In this lesson Ill be demonstrating the most efficient ways to locate
a patient and open a chart. Click next in the top right corner to get started.
Slide 2
Many clinical end users wonder about the fastest way to complete their work in the EMR. Its no secret that it takes time to see patients and
complete documentation. User efficiency means that you can consistently decrease time spent navigating the system while using shortcuts to
complete your documentation or to place orders.
Slide 3
What does all of this really mean? Happy end users and ultimately, happy patients! User efficiency reduces mouse clicks and saves time
while increasing a clinicians attention to patient care and satisfaction.
Slide 4
The first efficiency tool well review is the Patient Search option. Patient Search will look through every system list in the hospital or a
specific system list and find a patient using just the patients name. Proceed to the next slide to see how this is done.
Slide 5
As you know, the patient lists screen is where youll find every patient admitted to the hospital. There are so many of these to go through
that it can be time consuming. The patient search tool can help you with that. This will search the entire hospital in a few short steps. All
you need is the first and last name,or part of the name, of the patient. Keep in mind, you may see patients with the same or similar names
depending on how you searched. Make sure you select the right patient.
Click play to watch the video and follow the instructions beneath.
Slide 6
Now that youve found your patient, lets look at the two most efficient ways you can open a chart. The first option is to double-click on the
patients row with their name which opens the chart to Patient summary, which is the default chart activity. The second option is to double
click one of the chart activity icons to the far right of the patient row which jumps you right into that specific chart activity. For example, if
you want to go straight to viewing notes, double click the notes icon. The next two slides will demonstrate how this done. Click next to
proceed.

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Slide 9
Remember, the faster you can move through the EMR the more you can save time and focus on patient care. Every user can be more efficient
with awareness of the tools available to them. Here are a few ways to know that youve increased efficiency when working in the EMR. On
the next three screens you will complete a brief assessment to confirm your understanding of the concepts in this lesson.

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