Training Strategies: Optimization Schedule, Competency Checklist, and Scorecards.

North Country HealthCare

• Anabel Ledford, EHR Department Lead

• Sabrina Lakin, EHR Specialist

About North Country HealthCare

• In 1991 NCHC was founded by a group of local healthcare providers and administrators.

• Flagstaff Location “Free Clinic Services” in 1991.

• In 1996 became a Federally Qualified Health Center (FQHC).

• Services 14 communities across Northern Arizona.

• Services include Mobile Unit (school base and other organization employee health), Behavioral health integration, Behavioral Health Services, Prenatal Care, Ultrasounds, Pediatric Care, Family Medicine, Urgent Care, Radiology, Dental, Physical Therapy, Acupuncture, OMM, Telemedicine, and Pharmacy.

• Outreach Services: PWW, RESEP, HIV, NACASA, FIT, Ryan White, Hepatitis C, PT INR, Diabetic Nutrition, SBIRT, Care Management, Hermosa Vida, and many more.

Training Strategies

Training

•Onboarding new users for basic training

•Department specific additional training

Audit

•Chart reports

•Competency tool

•Clinic specific inconsistency review

Optimization

•Block clinic time

•User tips and preferences

•Navigation and documentation

•User request for specific topic review

Training

Basic EHR Training

Training

Basic EHR Training

Job Role Specific Training

Basic EHR Training

Job Role Specific Training

Training

Basic EHR Training

Job Role Specific Training

One on one additional training as requested

Audit

Reports and Chart Audits

Audit

Reports and Chart Audits

Optimization Checklist and Shadowing

Audit

Reports and Chart Audits

Optimization Checklist and Shadowing

Scorecard

Optimization

Team approach:

Manager

Provider Clinic Lead

Front office

Back Office

Providers

Optimization

Presentation:

Topics based on areas in need for

improvement.

Quality measures.

New workflows, new applications, etc.

Optimization

Shadowing:

Navigation

Documentation

Tips

Q&A’s

Follow up…

A copy of the Provider Optimization checklist is given to Provider, CMO, Clinic

Lead and Manager. This is also used in their reviews.

Back office staff receives optimization checklist as well as Clinic Manager and

Supervisor. Also used in their reviews

Based on score card follow up is scheduled.

Optimizations are done every 90 days for each clinic.

New topics are added quarterly.

The results…

Better Navigation

Improvement in documentation

- Increase in productivity.

- Less time charting after

hours.

- Quality of patient care!

QUESTIONS?

Anabel Ledford – aledford@nchcaz.org

Sabrina Lakin – slakin@nchcaz.org