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Debra McGrath

Publications and source records attributed to Debra McGrath.

6 recordsLinked to original sources

Teaching on the front lines: using the Internet and problem-based learning to enhance classroom teaching.

Working on the front lines in health care at the bedsides, in the primary and specialty care offices and in the community with patients; and in health care education, teaching graduate and undergraduate students, is more challenging today than ever before. Shifts in reimbursement from fee for service to a managed care model, increasingly informed consumers, and increasingly complex health problems create a tension that often leaves the advanced practice nurse (APN) managing conflicting human and business interests. Nurse educators must prepare providers to function in that world. Using Problem-Based Learning (PBL) to provide APN students with experiences that will supply them with rehearsal will better prepare them to function in today's primary care environment. Providing PBL using the Internet is the next logical step and may insure that this type of experience is more widely available to students.

Clinical Competence↗

Preparing your practice for EMR: are you ready?

Practices considering an EMR system purchase and implementation must first consider if the practice is ready to undertake a project of this size and magnitude, with such far-reaching implications for the organization. Before considering EMR, an evaluation of the existing PM system is in order. Incorporating an EMR system when the PM system is inadequate decreases ROI, minimizes the efficiencies gained through EMR and ultimately may not support the long-term goals of the practice. The first step for any group or solo medical practice is to understand itself: what are the practice's goals; where will the practice be in terms of maturity, market share, and community presence in five or 10 years; what are the requirements for a system to support the needs and goals of the practice? Understanding each of these aspects improves the negotiating strength of the practice, ensures a successful implementation plan, and decreases the time to return on objective and subsequent ROI.

Diffusion of Innovation↗

How to motivate physicians and develop a physician champion.

Physician champions and leaders are essential to the success ofa CCIS implementation. Physician champions or leaders can be developed by recognizing the qualities of a leader and cultivating them. Finally, sustainable second-order change is facilitated bv a transformational leader--a leader who is charismatic, considers individual characteristics and needs of the constituency, and stimulates the constituency intellectually. A transformational leader does not accept the status quo but rather is continually questioning and offering constructive problem solutions. Transformational leadership may require more patience, time, tolerance, and resources, but it is worth the effort.

Leadership↗