Jill Horat
May 2023
Jill
Horat
,
BSN, RN
Oracle Cerner
Kansas City
,
MO
United States
She facilitated working sessions twice a week and delegated presentations among team members to conduct teach-backs.
Jill Horat is a Registered Nurse and manager aligned to the Federal Clinical Adoption Oracle-Cerner VA Project. Her role supports solution-specific workflows to foster end-user adoption during deployment and the medical center’s subsequent go-live. VA Medical Centers offer specialized and complex services that are not frequently seen among commercial clients. As such, Jill faced a mission-critical business opportunity during 2022. There was a significant gap in the Oracle-Cerner generalized methodology for preparing Oracle-Cerner staff to deploy clinical adoption activities within the VA specialties of Home and Community-Based Care (HCBC) and Home-Based Patient Care (HBPC) services. Existing staff were skilled in one service area but not cross-trained to both services. She implemented three changes to prepare her staff to meet client expectations during deployment which included: (1) Forming a combined Geriatrics team, (2) streamlined event support during deployment, (3) developed an onboarding model to her Geriatrics team.

Combined HCBC and HBPC Clinical Consultants to one Geriatrics Clinical Consultant team.

Jill’s main priority involved preparing her team to support HCBC and HBPC. She started by creating an action plan to cross-train workflows for each service. She facilitated working sessions twice a week and delegated presentations among team members to conduct teach-backs. As a result, her staff can now fully support both Geriatric specialties. Staff can easily mitigate conflicts across multiple meetings. Presentation and demonstration skills have significantly improved, with clients consistently providing favorable feedback following client-facing engagements. Resourcing efficiencies have been achieved for both VA and Oracle clinical consulting staff through combined workshops and workflow adoption sessions. The one team model has boosted morale, and staff feel confident and prepared for work.

Streamlined Event Support

Jill led a committee that provided recommendations to make the Current State Review (CSR) event more efficient and streamlined for all associates. She facilitated a weekly meeting with team members from across the VA project solution teams to identify areas for improvement. This included removing repetitive questions in the CSR Questionnaire, combining and/or reducing sessions, and reducing the administrative burden of the overall CSR deliverable by creating a standardized tool that allows responses to be added in real time during CSR sessions. As a result of this work, Clinical Consultants can now quickly identify site differences, gaps, and opportunities during CSR and submit findings in real time.

Geriatrics Onboarding Model

Last, Jill developed a repeatable process for onboarding new Clinical Consultants as well as Solution Consultants onboarding to Geriatric Services. She developed standardized collateral to prepare staff to demonstrate High Impact Geriatric Workflows. She also created event preparation guides with agendas and workshop agendas to prepare staff for deployment.

Additional collaborative efforts include her serving as a clinical lead representative on the VA’s Home-Based Primary Care National Council to support local medical center and national Veterans Health Administration change requests and other topics within the Geriatrics space. She consistently makes herself available to all staff across the VA project to offer her support. Jill embodies the Oracle vision of cross-team collaboration and a desire to create a healthy work environment. As such, the Federal Clinical Adoption leadership is pleased to nominate Jill Horat for this year’s DAISY Award.