SGHS Internship Presentation

Health Informatics Internship

BY JASON PURCELLHINF 4900 SUMMER 2014

Host : Southeast Georgia Health System(Brunswick Campus)

Southeast Georgia Health System is a not-for-profit healthcare system with multiple locations and services Serves the needs of residents from six counties in Southeast Georgia - Brantley, Camden, Charlton, Glynn, McIntosh, and Wayne.

Overview:

The Health System has served residents and visitors to the beautiful Golden Isles and surrounding areas of Southeast Georgia since 1888Over 2,000 employeesHas 27 specialty groups with over 300 physicians

Overview (cont.):

Main Campus

Overview (cont.):

Brunswick

Brunswick Campus2445 Parkwood DriveBrunswick, GA 31520912-466-7000

Camden Campus

Camden Campus2000 Dan Proctor Dr.St. Marys, GA 31558912-576-6200

Overview (cont.):

What types of services are offered?

• Breast Care• Cancer Care• Cardiopulmonary Services• Education• Emergency Services• Oncology

• Orthopaedic Care• Pediatrics• Radiology• Rehabilitation Services• Robotic Technology• Wound Care

Overview (cont.):

What types of services are offered?

• Hospital Medicine Program• Imaging Services• Laboratory Services• Maternity Care• Mobile Health Service Vehicle• Neurosciences

• Senior Care• Sleep Management• Spine Care• Sports Medicine• Surgical Services• Women’s Health Services

Overview (cont.):

Overview (cont.):

Overview (cont.):

Nunnally House

What is Health Informatics?

“Health Informatics is the interdisciplinary study of the design, development, adoption, and application of IT-based innovations in healthcare services delivery, management, and planning.”

Intern Tasks:

• Assist with Cerner support - physicians and staff• Review and discuss upcoming changes • Shadow Nurse Informatics Analyst • Learn workflow processes

• Assist with staff training / auditing • Learn Cerner• Create sample patients for physician training• Attend Informatics and leadership meetings

Intern Tasks (cont.):

My Top 3 Projects!

Blood orderables(Original)

ABORHABSCCROSSMATCHTRANSFUSION ORDER

Four separate orders needed:

Multiple stepsIn one flow sheet

Blood orderables(New flow)

Dialysis Electronic Orders

Eliminate paper chartingBring Dialysis onlineEase of orderingPatient tracking

Severe Sepsis Protocol

Identify at risk patientsEarly Intervention

Blood Orderables – ongoing status – not completed

Dialysis Electronic Orders – still in live testing – mostly completed

Sepsis Protocol – went live on 6/10 – competed!

Projects Status

Intern Host Supervisors• Laura Grantham, RN, MSN, APRN• Director, Patient Care Services

• Ryan Kaylor, RN• Nurse Informatics Analyst • Registered Nurse

• Business casual

Dress Code Punctuality Deadlines• Flexible Schedule• Planned weekly

• Informal • Flexible• Work in progress

Formal Communication• Departmental • Meaningful Use Committee• Health Informatics• CHSI – outpatient

Informal Communication• One on one• Group discussions• Email• Forum chat

Qualifications / Interview

• No interview • No tests • No background check

Improvements:Current Process:

• Conduct interview / Tour• Meet preceptor before start date

Surprises…Most Challenging…

Best Experience…

RecommendationsIntegrate Cerner into EHR class Use of Dragon software – being used for dictation and

notesLess programming classes – more work flow design

and change managementLonger internships – Fall + Spring semesters