Johns Hopkins Community Physicians (JHCP) provides primary care, hospital, and specialty care for 250,000 patients at 40 sites in the Baltimore-Washington area. The organization’s Manager Report Overview Course (MROC) is a training course targeting managers who underutilize the Performance Reports based on electronic health record (EHR) data. This underutilization has multiple effects on the overall performance of the organization. Leadership identified a need for a training program to address these issues, and the MROC project then was initiated in November 2015.
Program Details
A collaborative group consisting of Training, Leadership, and Operations representatives created and implemented the MROC. A written survey of managers was completed to assess needs, and these were reviewed in focus groups. An outline of four core learning areas was developed, and a team including a subject matter expert (SME) and Training representative (instructional designer, ISD) was identified to develop each module. The SME-ISD team also taught modules together during the first six classes, as ISD expertise increased.
The four core competencies are:
- Use of reports to meet management objectives
- Locating key clinical and operational reports
- Utilization of the most appropriate reporting tool
- Understanding how to create and utilize opportunity reports within the EHR
The course is presented in four major sections:
1. Data safety and integrity (HIPAA, data storage and sharing)
2. Operational reports (appointment statistics, missed appointments, fill rate)
3. Business reports (missing charges, billing errors, rejections report)
4a. Clinical safety reports (high-risk orders, inbasket monitoring report)
4b. Clinical data reports
Results
A total of 44 of 45 targeted managers completed the course in fiscal year 2016. Evaluations revealed that 89 percent of participants felt proficient in knowing how to safely and securely share data after the course. Participant knowledge of how to appropriately use the High-Risk report rose to 78 percent post-course, and 67 percent adjusted the schedule for running and reviewing reports after MROC. Some 78 percent improved interpretation of the Site Level Dashboard. High-risk orders open two months after the order was placed fell from 90 percent in fiscal year 2015, before the training intervention, to less than 5 percent in FY2016, after the training intervention.
