As a requirement of the program, each student must complete a practicum to give them direct exposure to the healthcare system. These projects must be approved but can be conducted in or outside of the Duke system. Examples of Practicum projects are as follows:
- Evaluation of the Impact of a New EHR on Financial and Quality Metrics. Duke Medicine is deploying an enterprise EHR (Epic Care) in order to improve provider satisfaction, streamline and standardize patient care workflows, reduce cost-related inefficiency, and be responsive to an evolving regulatory landscape. Given this is a significant investment for Duke Medicine, a targeted research effort is required to evaluate the qualitative and quantitative benefits (as well as unintended consequences) of this initiative.
- Definition of Meta-Data for Selected Areas of Care Inside Duke Medicine. Duke Medicine is deploying Epic as the enterprise EHR to improve provider satisfaction, streamline and standardize patient care workflows, reduce cost-related inefficiency, and be responsive to an evolving regulatory landscape. As streamline and standardization efforts, it is critical to have common/ standardized/ consistent meta-data definition across hospitals for all areas of care – this is key to share information across different areas inside Duke Medicine – via reporting or analytical studies.
- mHealth Framework and Strategy – an appropriate strategy and executed correctly has the potential to lower health care costs and overcome distance barriers to delivering care. Consumers and patients are requesting telemedicine and remote monitoring. Prepare a mobile healthcare framework and strategy working with Enterprise Architecture, Entity Engagement, Office of Chief Medical Information Officer, and business areas within Duke Medicine.
- Quality of Provider Documentation in a Community Hospital: review of provider documentation for required components, dealing with such issues as inconsistent or inaccurate documentation (eg ‘note bloat’ and ‘copy and paste’ issues) which have plagued other EHR implementations.
- Use of Electronic Devices within Health Care: exploring human computer interactions in a rapidly changing paradigm of EHR use and reduced reliance on paper health records. Evaluation of mobile device options, in room computing and real time clinician documentation.