EMR Clinical Specialist (RN)
Arkansas Children's Hospital - Little Rock, AR

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Position Summary
This position works under the direction of the EMR Director to design, develop, and implement clinical electronic solutions that will increase the efficiency and quality of Ambulatory Care Services. Requires a high degree of creativity and foresight in order to overcome obstacles and find innovative ways to improve clinical delivery of ACS processes and software. Consistently exhibit a high level of competency using the following: Microsoft Office products Meditech software. Assists the project coordinator and other ACS administrative staff in planning, development, implementation, and evaluation of this large and highly complex project, particularly related to the clinical portion. Must have an in-depth understanding of the actual clinic operations at ACH and be involved with all aspects of the Clinical implementation including all training visits specific to this phase of implementation.

Position Duties

Work with vendors, ACH, ACS, and specifically IT Department and SDG staff to automate processes for Ambulatory Care Services specifically related to the Electronic Ambulatory Record clinical process.
  • Work directly with SDG and IT teams to expand knowledge base in the areas of ACH information systems current operations, management and development.
  • Consult with the EMR Director & ACS Administrative team members to understand functions to be automated, the end user needs, objectives, desired outcomes.
  • Determine the impact of automated documentation with inpatient services and assist in ensuring a smooth transition and full disclosure, training, and support of any impact this project my have on this department.
  • Serve as an interdepartmental liaison.
  • Maintain constant communication of project status.

Under the direction of EMR Director, provide technical assistance, training and support for EMR functions in ACS in coordination with IT and SDG using agreed upon tools and standards.
  • Develop, maintain, modify, and update reports, dictionaries/tables and application processes in coordination with IT.
  • Assist with the interface of the Electronic Ambulatory Record programs with other systems.
  • Work with users to analyze, define and document system requirements, business logic, and workflow.
  • Examine current resources and current technology for appropriate solutions.
  • Perform testing of the Electronic Ambulatory Record system in coordination with IT.
  • Assess problem/request and guide user in documenting accurate and complete problem statement and functional needs statement.
  • Use expert knowledge, skills and experience to evaluate all possible solutions to determine most efficient and cost effective solution to meet goals and objectives of user area and ACH.
  • Evaluate and present innovative alternatives to solving problems.
  • Analyze, develop, produce, and maintain the programming of reports in coordination with IT and SDG. Be proactive in understanding the reporting to assist in coordination of reports to maximize the benefits throughout ACS.
  • Establish relative priority of all requests keeping in mind such factors as regulatory requirements and deadlines and effectiveness of alternative interim solutions.
  • Maintain close communication with requestor or user department and others as appropriate to continue refinement of deliverable product, to keep requestor well informed and to establish and meet completion date.
  • Assist the EMR Director in composing hospital wide or user department announcement of changes/updates and establish appropriate date and mechanism for releasing changes/updates.
  • Provide front-line technical support.
  • Train end users on databases and programs.
  • Monitor to ensure successful implementation and maintain EMR databases to ensure continuous operation of these critical systems used by ACS and other end users by soliciting user feedback.
  • Create and maintain internal and external controls and checks on systems including quality assurance, improvement and validation of data integrity.
  • Improve, maintain, modify, and evolve existing applications for ease of operation, greater reliability and efficiency.
  • Maintain indepth understanding of all processes and systems in place.
  • Determine maintenance schedule and train appropriate staff to ensure appropriate backup and maintenance process.
  • Maintain appropriate documentation and audit trails according to department and ACH policies.
  • Assist IT in development and support during downtime procedures when necessary.

Manage design, development and implementation of technical solutions concerning ACS clinical electronic documentation.
  • Use cognitive reasoning skills, expert application knowledge and experience to research reported or discovered problems to determine cause and appropriate solution.
  • Use internet, system resources, user documentation and training manuals to identify possible solutions.
  • Evaluate options and determine best possible solution to provide best quality, most compliant, cost effective and efficient solution.
  • Assist in issue resolution with vendors to ensure that the resolution meets the needs of ACH in providing cost effective, efficient patient care and financial practices.
  • Develop plan to implement solution in coordination with project team.
  • Implements changes according to project methodology and all other pertinent policies.
  • Maintain appropriate documentation and audit trails according to department and ACH policies.

Professional Performance
  • Seeks new challenges and is self-directed in identifying resources/learning activities to enhance competence.
  • Consistently demonstrates that new knowledge and skills gained from education are incorporated into actual practice.
  • Takes a lead role in sharing knowledge and expertise with other IT staff and other members of the health care team.
  • Takes a leadership role in developing policies and procedures that support the department and ACH goals and objectives.
  • Works to reduce duplication of effort within department and ACH whenever possible.
  • Actively participates in process and quality improvement.
  • Uses mentoring and role modeling skills to promote positive outcomes and professionalism within the department.

Clinic Process
  • Assess the needs of the patient, medical staff and ACS staff as related to electronic documentation.
  • Coordinate with medical staff to gather documentation and assess current process as directly related to patient care and outcomes. Identify areas in need of improvement.
  • Create solutions to observed impedances that prevent optimal care to the patient. Present to and work with medical staff to ensure solutions meet ACH policies and procedures.
  • Ensure quality of clinical electronic notifications and electronic documentation to procedure changes i.e. panic results, sedation, evidence collection, critical patients, complex procedures, education, medication.
  • Train ACS and medical staff on new process prior to implementation.
  • Implement using a deliberate, systematic approach with increased awareness of patterns of patient responses in recurring situations.
  • Support clinical staff through entire process of implementation including patient care. Ensure clinical staff is provided with the appropriate tools in order to provide acceptable patient care. Respond efficiently and appropriately to clinical staff requests when directly related to patient care to ensure patient safety at all times.
  • Observe new process in relation to patient outcomes and respond appropriately if impact is negative. Observe process from patient and care giver perspective. Communicate pertinent patient/family data and observation to appropriate health team members. Assess patient outcomes in relation to new process to ensure adequate medical documentation and care is provided.
  • Work with clinical staff to create patient education tools that meet ACH policy and procedure requirements. Assess patient populations for positive response in relation to the new process to ensure adequate teaching is provided.
  • Monitor electronic pharmacy implementation to ensure patient safety.
  • Interpret feedback from all ACS staff members and observe reported needs for improvement. Work with nursing, physicians and support staff to resolve and implement necessary changes.
  • Utilize experience, rely on technical skills and knowledge of ACH policy and procedures to ensure current working process is not negatively affected, potentially causing harm to the patient. Integrate theoretical knowledge with clinical experience to ensure patient safety during and after electronic documentation implementation.

Position Qualifications

Education Requirements

Associate's degree or equivalent from two-year college program or technical school or nursing diploma Field of Study: RN Note: Must complete certification specific to patient population by December 2015.

Bachelor's degree from four-year college or university Field of Study: BSN

Experience Requirements

5 years total experience required • •
which includes 5 years of ambulatory clinic nursing experience


Certification/License/Registry Requirements

RN License (AR or Compact State) Candidate must possess at time of hire

Skill Requirements

Excellent written and oral communication skills

Experience in the clinical operations and related services in the ambulatory care setting

Ability to manage multiple deadlines and tasks

Excellent project managment and problem solving skills

Competency of Microsoft Office Suite

Competency with Meditech software

Physical Requirements

Physical Activity - Stand

Physical Activity - Walk

Physical Activity - Sit

Physical Activity - Use hands to touch, handle, or feel

Physical Activity - Reach with hands and arms

Physical Activity - Climb or balance

Physical Activity - Stoop, kneel, crouch, crawl, twist, or bend

Physical Activity - Talk or hear

Physical Environment - Inside Office Environment / conditions

Physical Environment - Outdoor weather conditions

Lifting/Pushing/Pulling Weight - Up to 10 pounds

Lifting/Pushing/Pulling Weight - Up to 25 pounds

Lifting/Pushing/Pulling Weight - Up to 35 pounds

Noise Level - In general, the noise level for this position is considered to be:

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As the only pediatric medical center in the state, Arkansas Children's Hospital (ACH) serves the youngest Razorbacks from birth to age...