A regional health system’s decision to rapidly implement a new electronic health record (EHR) in order to meet Stage 2 meaningful use requirements led to a need for innovative cost-containment strategies. Tapping the local pool of unemployed newly graduated nurses as half the required super user workforce leveraged the technology skills of novice nurses registered nurses 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 also reduced the amount of contract labor required to backfill nurse super users’ clinical shifts. The innovative model reduced labor costs associated with super user staffing by 31.8%, while positioning the organization for successful attestation to Stage 2 meaningful use objectives. 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, and to rapidly achieve Stage 2 meaningful use compliance.
","abstract_html":"<p>A regional health system’s decision to rapidly implement a new electronic health record (EHR) in order to meet Stage 2 meaningful use requirements led to a need for innovative cost-containment strategies. Tapping the local pool of unemployed newly graduated nurses as half the required super user workforce leveraged the technology skills of novice nurses registered nurses 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 also reduced the amount of contract labor required to backfill nurse super users’ clinical shifts. The innovative model reduced labor costs associated with super user staffing by 31.8%, while positioning the organization for successful attestation to Stage 2 meaningful use objectives. 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, and to rapidly achieve Stage 2 meaningful use compliance.</p>","abstract_has_math":false,"creators":["Bullard, Katherine L"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Project","degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":["Marjorie Barter, RN, EdD, CNL, CENP","Elena Capella, EdD, MSN/MPA, RN","Ann Dechairo-Marino, PhD, RN, NEA-BC"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2014,"date_issued":"2014-12-12T08:00:00Z","date_published":"2014-12-12T08:00:00Z","updated_at":"2026-07-24T05:42:56Z","subjects":["EHR implementation","EHR super user","technology adoption","nurses as EHR super users","promoting EHR meaningful use","Health Information Technology"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://repository.usfca.edu/dnp/50","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Marjorie Barter, RN, EdD, CNL, CENP","Elena Capella, EdD, MSN/MPA, RN","Ann Dechairo-Marino, PhD, RN, NEA-BC"]},{"key":"dc:creator","label":"Author","values":["Bullard, Katherine L"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2015-05-15T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Project"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["EHR implementation","EHR super user","technology adoption","nurses as EHR super users","promoting EHR meaningful use","Health Information Technology"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://repository.usfca.edu/dnp/50"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["A regional health system’s decision to rapidly implement a new electronic health record (EHR) in order to meet Stage 2 meaningful use requirements led to a need for innovative cost-containment strategies. Tapping the local pool of unemployed newly graduated nurses as half the required super user workforce leveraged the technology skills of novice nurses registered nurses 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 also reduced the amount of contract labor required to backfill nurse super users’ clinical shifts. The innovative model reduced labor costs associated with super user staffing by 31.8%, while positioning the organization for successful attestation to Stage 2 meaningful use objectives. 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, and to rapidly achieve Stage 2 meaningful use compliance.
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