Organization: SHARP HealthCare
Project earned hours: 42.
Friday, May 1 – Thursday, May 7, 2020
I started working on the project as soon as I finished the training with Mis. Allshouse. I spent six hours on average for seven days working on this project. I was given a file with content resources to understand the process of change management. Resources include change management system workflow, system manuals, example Excel sheets, and educational materials. After reviewing all the files, I start making the presentation using PowerPoint Software. Despite my lack of experience in change management, The change management workflow is pretty complicated and diverge, therefore it took me an intensive effort to comprehend. I sent an initial version of the presentation to Mis. Allshouse asking for guidance. I applied her feedback on and comments and such helped my progress. Finally, I was able to complete and submit the final version of the presentation by Thursday, May 7 to the instructor.
Training earned hours: 3 Hours
Friday, May 1, 2020
To start this project, the first phase was to understand the elements of the project and how it works together. Professor Allshouse, started with the most complicated task, to ensure what comes after will be less intense. She explained the process of system change requests and management.
The initial part was the Change management Excel file, that includes few tools. First, SBAR tool (Excel sheet form) which is an acronym for Situation, Background, Assessment, and Recommendation. The situation section is meant to clearly and briefly define what the problem is, what issue or concern that needs to be resolved/addressed. The Background section determines the history and relevance of this problem, issue, or concern. Assessment Section explains what data and/or documentation support this request, what is the ‘current’ workflow, and evaluation of the proposed solution feasibility. Recommendation section is about selecting and obtaining the approval of the recommended option(s), the proposed/preferred future workflow, and What does the education rollout look like and evaluation.
The Second step was Clinical Informatics Change Management Ticket Journey. It consists of five steps process called PARMI. It stands for (P) Process the owner of change (A) Approver for Change, may require multiple approvers (R) Resource, may provide information or assistance (M) Team Member, groups or members assisting with change (I) Interested Party, all parties that may be impacted by the change and need to be aware. This step is critical to the big changes that involve multiple stakeholders.
The third step was the Change Management Ticket Scoresheet. It is evaluating the Safety, Quality, Compliance, Revenue, Productivity, and Scope of the change. The formula is provided in the sheet and the total score is out of 30.
The fourth step was Mockup. Mimicking the final outcomes help the change participants and analysts to see how the final result would look like. Besides, it’s not required for change management ticket, but extremely useful for end-users to see what they're asking for in change request.
The fifth step was entering data into the appropriate Spec. sheet. There are two specific Spec. sheets, the i-view Spec and PowerForm Spec. The parameters are the same, but it has different uses. Also, there is a color pallet indicate the requested actions. Green for new requests, orange for modification requests, red for deletion requests, blue in new to form but existing DTA, yellow indicate required field, and light purple is comments to the analyst. The Spec. sheet has divided the PowerForm/i-view to sections into levels, that will make it easier to locate any element on the screen.
Furthermore, she went over Cerner Millennium Change Management Specification Resource and Training Guide. This document considers the reference for all the project’s steps and processes. Additionally, professor Lori presented the workflow diagram and highlighted the role of the healthcare informaticist and where it’s needed the most.
Lastly, she did an example application of the change requests procedure to clarify any misunderstanding concepts opened a room for questions.
Organization: Serving Seniors Non-Profit Organization
This is a part of my capstone project as well as my practicum activity. In this reflection, I am drawing the relation between what I have learned in the work field and the program outcomes and competencies. Please click here to download the file.
Earned Hours: 10 Hours
Our first activity for the capstone project, we started recruiting patient at Serving Seniors non-profit organization. i was responsible for answering technical questions and the demonstration of the feature of the Nucleus Telehealth device. By the end of the day we were able to recruit three participants.
Earned Hours: 10 Hours
Today, we were aiming to recruit more people to expand our sample for our Telehealth project. We started with providing information about the device, and what is the benefit of Telehealth service and device on the health of the users. additionally, we explained to prospective members how the device work, as well as we discussed with the facility caregivers and the facility managers about how this device can facilitate their work and lower emergency situation and other risks, such as risk of fall and adherence to medication. By the end of the day we recruited two people.
Earned Hours: 10 Hours
In this session, we met with the first participant of the study at his residence and we explain how use the device and and the other features such as adding a family member. Additionally, we did configure the device to the proper network as well as link it to the app in the volunteer mobile phone. Finally, we did administration work, which include the consent forms and the initial interview.
Earned Hours: 10 Hours Today, we met three people to conduct the initial session that include device demonstration and basic hardware configuration. The first patient had a WIFI issue where his room was not covered by the facility network. We tried to discuss that matter with the center manager, but unfortunately he couldn't help much. Therefore, we decided to install a WIFI Range Extender in the next visit to ensure internet coverage. Also, we obtained the patient consent and all the required paper work. For the second and the third patient, we were able to do all hardware and and administrative work without any problems and eventually we test the devices and concluded our visit.
Location: participant private residence
Earned Hours: 10 Hours
The previous study on Nucleus devices were only included two people, which caused a limitation in the outcomes. As a team, we discussed how we can enlarge our sample and increase the number of the participants, however, the struggle was real and most of the people we talked with did not have internet service at their residence. Due to that, we started looking for prospective member in other places and via other channels such as seniors we worked with in other project who's interested in our study. Consequently, two people joined and we had total number of seven participants. As Healthcare Informatics team leader, we met the two new members and immediately started the configuration process as well as technical instruction. My teammate worked on the consent form and other administrative papers. By the end of the day we were able to set up the devices and test it before we leave.
Location: participant private residence
Earned Hours: 10 Hours
Two individuals who we met before gave me a call on the google phone number (virtual phone number services from google to avoid using our personal number) asking about the possibility to join the study. I gave the first one a visit and I start explaining how this device work and its positively effect on their health. After that, I went through basic requirements for the device like the WiFi service. The prospective member agreed to the terms and I started working on configuring the device while he’s filling the intake forms. I walk him through a demo to show him how the device work as well as adding one of his family members to the contact list. Consequently, I concluded with this him and moved to the other individual. The process was the same with the first guy and the only issue was that the second guy hadn’t had proper wireless connection. I was able to work the device by extending the wireless range in the device settings so there was no need to get him a WiFi range extender. Finally, I greet him and set a weekly visit call. The whole process took the whole day starting from 8 AM until 6 PM.
Location: participant private residence
Earned Hours: 15 Hours
At December 15th we concluded the study and we went to the individuals to collect the devices from them. I was responsible to collect each device while the clinical team starts taking the final survey. We had to manage our time as well as the patient’s availability. The whole process took three days in a row to acquire all the devices and surveys.