EHR and data literacy training can be arduous, time-consuming, and costly. Furthermore, learning science demonstrates that a one-size training approach is ineffective and fails to meet individual learners' needs. Dr. Brent James; Tom Burton, Health Catalyst Co-Founder; Bob Burgin, CEO of Amplifire; and leaders from UCHealth share how they developed an EHR training solution that shortens time to proficiency, significantly reduces costs, and keeps clinicians where they are needed most—on the floor with patients. During this webinar, you will learn about: - Advances in learning science that are transforming training and learning in healthcare organizations. - Evaluating your competency gaps in clinical practices, EHR use, analytics, and improvement literacy. - Developing a business case for a more effective training approach that could save your organization millions of dollars and deepen analytics, improvement, and clinical learning across your organization.

1. Skip Out on the Classroom:
How to Transform Learning in the Clinical Setting
October 14, 2020
Brent James MD, MStat – Senior Advisor, Health Catalyst and Chairman, Amplifire Healthcare Clinical Innovation Board
Tom Burton – Co-Founder and Chief Learning Officer, Health Catalyst
Bob Burgin – Chief Executive Officer, Amplifire
Lori Reece – Director of Client Engagement, Amplifire
Steve Hess – Chief Information Officer, UCHealth
CT Lin, MD, FACP, FAMIA – Chief Medical Information Officer, UCHealth

2. © 2020
Health
Catalyst
Familiarity versus Mastery
2

3. Mastering competencies can dramatically increase revenue,
decrease costs and improve quality
Tom Burton
Co-Founder and Chief Learning Officer
Health Catalyst

4. © 2020
Health
Catalyst
• Describe how mastering competencies can dramatically increase
revenue, decrease costs and improve quality - Tom Burton
• Describe how new tools can enhance the speed and depth of
learning – Dr. Brent James and Bob Burgin
• Describe how UCHealth leveraged tools to produce a massive return
on their learning investment – Lori Reece, Steve Hess, Dr. CT Lin
Webinar Learning Objectives

5. © 2020
Health
Catalyst
The “new normal” will be like preparing
to compete in an Olympic level decathlon
5
Key questions:
• Are we ready?
• How do we get “in shape?”

6. © 2020
Health
Catalyst
The Healthcare Success Framework
6
Key questions:
• How do we prepare?
• What core capabilities are needed for ALL events?
• What specific capabilities are needed for individual events?
We must compete in a wide
variety of events at an
Olympic level

7. © 2020
Health
Catalyst
Identify Variation and Generate Actionable Analytics Insights2
Integrate All of Your Revenue, Cost, and Quality Data1
Quantify and Communicate Value4
Apply Expertise to Drive Sustainable Improvements3
ExpansionVolume Labor
Supply
Chain
OtherPayment
Population
Health
Revenue Cost Quality
⇩ Pharmacy
Supply Costs
⇩ Surgical
Supply Costs
⇩ General
Supply Costs
⇩ Blood
Utilization
⇧ Capacity
⇧ Access
⇩ Referral
Leakage
⇧ Care
Expansion
⇧ Collection
Rate
⇧ Cash
Acceleration
⇧ Payer
Contracts
⇧ Service
Lines
⇧ M&A
⇧ Trials
Revenue
⇧ Digital
Retail
⇧ Care
Management
⇧ Quality
Measures
Performance
⇧ Financial &
Operations
Competing in Multiple Events
Patient
Safety
Clinical
Operations
⇩ Readmissions
⇧ Outcomes
Excellence
⇧ Research &
Operations
⇩ Events &
Infections
⇩ Liability
⇧ Safety
Excellence
⇧ Voluntary
Reporting
–––– ⇧ Cost Accuracy and Transparency ––––
⇩ Labor Costs
⇩ Staffing
Contracts
⇧ Provider
Contracts
⇧ Outsourcing
⇧ COVID-19 Response
Confidential and Proprietary
⇩ Vendor Costs
⇩ Clinical Support
Services Costs
⇧ Ambulatory
Operations
Efficiency
⇧ Analytics
Processes &
Capabilities
⇩ Building &
Equipment Costs
7
Analytics Literacy
Education
Improvement Literacy
Education
Embedded Education
(in each solution)
Strength Training
Cardiovascular
Conditioning
Specific Skill Training –
Hurdles, Javelin, etc.

8. © 2020
Health
Catalyst
The Problem
8
Success in this new Olympics requires
new knowledge, skills, and attitudes
throughout the organization at all levels.
Unless new competencies are
developed, an organization will
struggle to succeed in implementing
the Healthcare Success Framework.
KNOWLEDGE
SKILLSATTITUDES

9. © 2020
Health
Catalyst
The Vision
9
Help the following roles in your organization build new competencies:
Gain the competencies to
establish the analytics and
improvement vision and
priorities; plan and sponsor
significant and sustained
improvements.
Executives
Gain the competencies to
derive and communicate
improvement insights from data.
Analytic Engineers
Gain the competencies to
identify, propose and
implement significant and
sustainable improvements.
Front-line Managers
Gain the competencies to
help managers design and
implement significant and
sustainable improvements.
Improvement Teams

10. © 2020
Health
Catalyst
as a Lever for Transformational Change
10
How do we actually change?
• Leading change (Pro Services)
• Investing in talent (Education)
Knowledge | Skills | Attitudes
What should we
be doing?
• Standard work
• Protocols
• Guidelines
Can we measure progress and
predict our results?
• Analytic platform
• Analytic tools and applications
Are we achieving results?
• Improving revenue
• Reducing costs
• Improving quality
• Clinical outcomes
• Experience outcomes
• Clinician
• Patient/family
Will our culture embrace change?
Are the financial incentives aligned? (e.g. value-based)
Education
Confidential and Proprietary - July 2020 version

11. © 2020
Health
Catalyst
Which role at your organization do you feel has the largest
Analytic and Improvement Literacy Gap?
• Executives – 34%
• Analytic Engineers – 4%
• Front-line Managers – 57%
• Improvement Teams – 5%
Poll Question #1
11

12. © 2020
Health
Catalyst
12
The New Normal: More Virtual Learning Experiences

13. © 2020
Health
Catalyst
“Seat Time” vs. Competency Based
13
“Have you gone
through the 2-hour
mandatory
training?”
“Have you mastered
and applied the
knowledge and
skills?”
Measured in “hours”
of training
Measured in
Competency Learning Units (CLUs)
Familiarity Mastery

14. © 2020
Health
Catalyst
Mastery at Scale Requires the Right Tools
14

15. © 2020
Health
Catalyst
Learning mastery at scale tool
15

16. New tools can enhance the speed and depth of learning
Brent James, MD, M.Stat
Clinical Professor, CERC
Stanford University, School of Medicine

17. Introduction
Bob Burgin
Chairman and CEO
Amplifire
First and Foremost:
THANK YOU for everything you
and your teams do everyday for
all of us in this pandemic.

18. What is the Amplifire Healthcare Alliance?

19. Cognitive Science-Based Algorithmic Learning
Knowledge Engineering:
Leveraging the Neuro Mechanics of Human Learning

20. The Path to Mastery: Micro-testing / Learning Bursts

21. The Path to Mastery: Micro-testing / Learning Bursts

22. The Path to Mastery: Socratic question format

23. The Path to Mastery: Socratic question format

24. The Path to Mastery: Socratic question format

25. The Path to Mastery: Socratic question format

26. The Path to Mastery: Socratic question format

27. The Path to Mastery: Socratic question format

28. The Path to Mastery: Socratic question format

29. The Path to Mastery: Socratic question format

30. The Path to Mastery: Socratic question format

31. The Path to Mastery: Micro-testing / Learning Bursts

32. The Path to Mastery: Learning Format

33. The Path to Mastery

34. Training Efficiency: 3,700 Nurses at 21 Hospitals—CLABSI

35. Predictive Analytics
58 Mins 27 Mins 9 Mins
Most Struggle Average Struggle Least Struggle
Content
Clinicians
Content
Clinicians
ContentClinicians

36. Initial Knowledge
5,336 instances of CHM
Struggle
1,521 instances
Regional Hospital (CLABSI): Learning > Observation > Consultation
Regional
Hospital
Initial Gaps and CHM
357 nurses
After Initial Training
225 nurses
After Refresher
31 Nurses
Consultations

37. CLABSI
51% reduction over prior 12 months
Health System Incident Cost Data provided by Health
System for CLABSI ($28,324) and CAUTI ($1,269):
Annual Savings of
$1,788,422
Compared to prior 12 months
National Average
CLABSI: Clinical Incident Data

38. © 2020
Health
Catalyst
What percent of your organization’s education is “Seat Time” vs.
“Competency Based”?
• All seat time – 20%
• Mostly seat time, some competency based – 51%
• Half seat time, half competency based – 14%
• Some seat time, mostly competency based – 13%
• All competency based – 2%
Poll Question #2
38

39. © 2020
Health
Catalyst
Health Catalyst has built competency-based learning for
analytics and improvement literacy. Would you be interested in a free
competency assessment of your organization’s analytics and
improvement literacy?
• Yes
• No
Poll Question #3

40. Cleveland Clinic
550 Residents
Begin with the end in mind. . .
1h 5m
8h

41. Steve Hess
Chief Information Officer
UCHealth
CT Lin, MD, FACP, FAMIA
Chief Medical Informatics Officer
UCHealth
Lori Reece
Director of Client Engagement
Amplifire

42. Who is UCHealth?
UCHealth
12 hospitals, 2,000 beds, 3.9M ambulatory
visits, 25,000 employees, and over 6,000
providers using integrated Electronic Health
Record (EHR) across all care settings
Affiliations
277 independent departments with 400+
providers and 1M+ annual visits; Two
independent hospitals live with one hospital
affiliation in process
Achieved HIMSS Stage 7
for our full adoption of
the electronic medical
record in the inpatient
and ambulatory setting
Received Most
Wired award
2014-2019
Received Analytics 50
award for advanced use
of analytics integrated
with EHR

43. The Vision
Classroom training is ineffective
Revolutionize training
Build it to share with other systems

44. © 2020
Health
Catalyst
• Training on material you already know
is frustrating waste of time
• Better to use a system that adapts to
the needs of each individual
• Only a few people need at-the-elbow
• Or, virtual labs focused on difficult
concepts to train those few en masse
Coaching the 7%
who really need it After
Training
Initial Knowledge
5,336 instances of CHM
Struggle
1,521 instances
At-the-elbow
Consultations
Topics
for Labs
From Training to Targeted Coaching

45. CT Lin, MD, FACP, FAMIA
Chief Medical Informatics Officer
UCHealth

46. Onboarding with Amplifire
• Shorten time to
proficiency
• Get physicians out
of the classroom
and on the floor
where they are
needed!

47. Welcome to UCHealth – Sit Here for 8 Hours!
Your Problem Learners:
“I already know the EHR.”
“I’m already done.” – Gen Z
“Can you go back?” – Aging Boomer
i.e. EVERYONE

48. EHR - Experienced Providers
Self-paced lab with coach (2-3 hours) to learn about EMR
Followed by Amplifire course (30-60 minutes)
Login granted upon completion – Start work!
Amplifire course (30-60minutes)
Login granted upon completion – Start work!
1:1 with Trainer. Focused content on days 1, 7, 30, 60, 90
• Additional tools: Speech Rec; 2-Factor Auth; Smartphone app
• Ideal - workflow videos
• Reinforcement of Amplifire “struggle” topics
• EHR Signal – EHR usage log feedback
• Plans for additional Amplifire courses based on UCHealth’s
EHR Sprint Optimization content
Provider Onboarding with Amplifire
More than 6 months of previous EHR use
EHR - Novice Providers
Less than 6 months of previous EHR use

49. © 2020
Health
Catalyst
81%+
82+%
86+%
The course covered EHR skills
relevant to my role.
The tool’s unique question and
answer format helped me learn
strong EHR skills.
I enjoyed the Amplifire experience.
Learning Culture Shift
It efficiently covered the
important EHR topics without me
having to sit through an
unnecessarily long class.
I liked that I was able to
differentiate if I was sure or not
about an answer. In previous
training tools, if I just guessed
correctly the system assumed
that I understood it.
Can I take this again?
I didn't know some
of these tricks.

50. COVID-19 Response for RNs
240 RNs, rapid onboarding for inpatient care
Traditionally: 8 to 16 hours classroom training
During pandemic: trainers, RNs must avoid classrooms
With Amplifire: 1-2 hours, self-paced, online

51. • Savings calculated over 12 courses came in at
$1.45 million
Ø $433 per Provider
Ø $259 per RN
Ø $80 per Tech, CNA, MA
• Speed in which providers move from Investment
Zone into the Return Zone
• Gains in EHR proficiency not yet taken into
account
• Large system forecasts savings of $30 million
over 3 years
Financial Return

52. Health Catalyst Sponsoring free System Analysis:
EHR Training ROI. Analytics Literacy. Clinical Literacy.
Bob Burgin
Chairman and CEO
Amplifire

53. 1) Classroom Time Savings
• Cleveland Clinic: 8-hour training class in 1:05 hours
• UCHealth: 4-hour training class in 35 minutes
• Clinicians quickly take on responsibilities
2) Reduced Classroom Resource Requirement
• Substantially reduced and re-purposed training resources
• Potential savings in the millions
3) Less Time in EHR Due to Greater Proficiency?
• 19.8% proficiency increase at UCHealth poses a question…
• Does proficiency increase translate to less time in the EHR?
• Controlled time study analysis underway at UCHealth
Results and Return
Cleveland Clinic—550 Residents UCHealth—1,485 Providers
EHR Training

54. In-Depth ROI Analysis on Savings
Available by Improving EHR Education
• Amplifire Adaptive Training Platform
• Human performance without the
classroom
• Millions in potential savings you can apply
to quality and safety improvement
ROI Calculator: EHR Training
FREE
EHR Training ROI Calculator
You can discover millions in potential savings using this free tool

55. What analytic and improvement competency
gaps and confidently held misinformation are
impacting your organization?
• Finds and fixes misinformation and
uncertainty
• Analytics and Improvement Literacy for
Leaders
• Analytics and Improvement Literacy for
Analysts
SpotCheck – Analytics Literacy
SpotCheck: Generating Insights from Data for
Leaders and Analysts
Variation in topics such as data visualization and healthcare data.
FREE
Confidently Held Misinformation
Uncertainty
Confidently Held Comprehension

56. SpotCheck – Clinical Literacy
SpotCheck: Quality and Safety Assurance
Variation in topics such as sepsis, CLABSI, and injection
practices.
FREE
Confidently Held Misinformation
Uncertainty
Confidently Held Comprehension
What clinical competency gaps and
confidently held misinformation are impacting
your organization?
• Quality and Safety Assurance
• Finds and fixes misinformation and
uncertainty
• Designed for Providers, Nurses, and
Clinical Support Staff
• Takes 12 to 15 minutes

57. © 2020
Health
Catalyst
Poll Question #4
Health Catalyst and Amplifire have partnered together to offer free
assessments in the following categories below. Which of the following
free assessments is your organization interested in?
(Check all that apply)
q Analytics and Improvement Literacy Competency Gap Assessment
q ROI Analysis on EHR Classroom Training Replacement
q Clinical Competency Gap Assessment

58. © 2020
Health
Catalyst
Poll Question #5
Would you like to learn more about Health Catalyst and/or Amplifire
products and services?
• Yes
• No

59. Q&A

60. Thank you!