Cost-Effective Staffing for an EHR Implementation


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Abstract

EXECUTIVE SUMMARY▸ This case study explores costs of electronic health record (EHR) implementation with the nursing super-user role in a metropolitan, not-for-profit health care system.▸ Tapping the local pool of unemployed newly graduated nurses as half the required super-user workforce leveraged the technology skills of novice registered nurses (RNs) as trainers of experienced nurses in five hospitals.▸ The novel workforce migrated from hospital to hospital, thereby reducing the number of experienced nurses reassigned to super-user duties in each hospital.▸ This strategy reduced the amount of contract labor required to backfill nurse superusers’ clinical shifts.▸ Employment of the recently graduated nurses as RN residents upon completion of the EHR implementation enabled the organization to augment its clinical workforce with expert users of its EHR.▸ The proposed innovative model increases super-users, minimizes disruption of core staffing, and dramatically reduces expense.

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