FAQs: myCHU HealthStream KB (Knowledge Base)

The My Team dashboard enables supervisors to see which of their direct reports have assignment items that are past due or approaching their due date, or expired/expiring licenses or certifications. Supervisors can also view profile information about their direct reports, which includes To-Do List items and assignment completions.

The dashboard contains widgets, each of which displays data about a certain type of item (e.g., certifications, learning items). Widget data is updated hourly. Clicking a widget opens an employee list that displays the employees associated with the widget type (employees with expired certifications, employees with outstanding learning items, etc.).

The Employees panel on the left-hand side of the dashboard provides direct access to profile information about each direct report.

You can even assign someone else to be your proxy so that they can view your My Team Dashboard.

Learn More:

Click to see a Show Me How Video tutorial list.

Students:

Review the Login Tip Sheet and search the HealthStream Online Help System which will provide you with the information you need to get the most out of your HealthStream experience.

HealthStream automatically imports people via data files from other systems. They would need to be termed according to the processes used in those systems. Once they are termed, HealthStream will automatically update twice a day.

Internal associates in Lawson: direct reports should be termed in Manager Space.
3rd party vendors (not in Lawson): send a termination email to Helpdesk@chsbuffalo.org (Subject: Terminate Access; Body of message: their name; company name; associate ID, if they have one).

Within each American Red Cross resuscitation online course (ALS, BLS, PALS), there is a pre-assessment available for each Lesson 1 – 5. By answering the questions in the pre-assessment correctly, you will save time by not having to review the content for that section.

Please note: If you click on the Pre-Assessment and have to close out of the course before completion of the test, you will NOT be able to re-take the Pre-Assessment.

You will select Begin My Learning Plan to complete only the topics that need review.

After beginning your learning plan, you may see another pop-up window come on screen. Here you will click Continue My Learning Plan to skip topics that have successfully been tested out of.

The final assessment (after Lessons 1-5) must be completed regardless of the score on the pre-assessment.

If you have two separate resuscitation credentials that expire at the same time, you can receive credit for completing the hands-on skills component for both under the following conditions:

• Complete an in-person skills session with a self-directed manikin and iPad where you will perform the skills you learned in the online session in order to receive your digital certificate.
• Make sure that you have completed ALL online components (including the Evaluation and the Important Information for Completing Skills) of ALL assigned courses (BLS, ALS, PALS).
• If an Evaluation or the Important Information for Completing Skills has not been completed PRIOR to skills completion, you will not receive credit for that specific certification and you will need to repeat the skill again for that credential.

The manikins are located at the following:

• KMH: 3 West 3309
• MHB: 446
• MSMH: Basement Education Room
• SCH: 6th Floor (Next to Library)
• SJC: 3075
• NASC: Exam Room 7 (access only during Niagara Ambulatory Surgery Center normal business hours)

With the exception of MHB, rooms are locked and badge access is required.

If the iPad is locked, use 3600 as the unlock code.

To be able to login into the iPad to complete the skills, you must first complete the Evaluation in the online course and also click on the Important Information for Completing Skills. If you did not complete both tasks first, then the iPad will not accept your login credentials.

If you have completed all required tasks, make sure that you are using your hStream ID and password which is separate from your AD credentials. 

Before starting the course, you created your hStream ID with either an email or phone number. You will need this information to login to the skills app on the iPad. Your hStream ID is different than your AD that you use to login to the computers. You may have used a personal email address that is different than your work email.

If you cannot remember your information, login to your American Red Cross assignment. Your email or phone information will be listed in the hStream learning activity.

If you cannot remember your hStream ID password, you can reset it. Once again, this password is different from your AD password. You can click on the reset password on the iPad skills app. The password reset link will go to the email or phone number that you used to create the hStream ID. 

You can also reset your hStream ID by going into your American Red Cross assignment and going to the hStream learning activity or on your student profile.

View this video on how to reset your hStream ID password from within myCHU HealthStream.

https://vimeo.com/811334867/38c3fd2823

Complete an in-person skills session with a self-directed manikin and iPad where you will perform the skills you learned in the online session in order to receive your digital certificate. Make sure that you have completed ALL online components of ALL assigned courses (BLS, ALS, PALS) if you are attempting to receive in-person skills completion credit for multiple courses. If an online component has not been completed PRIOR to skills completion, you will not receive credit.

On the iPad, clear the cache by closing all apps (click 2x on the Home button then Swipe up on the Resuscitation Skills app). Once this has been completed, open the Resuscitation Skills app and follow the instructions.

Here’s an image from the iPad that you will see while doing your skills. Some people will see that they are doing well in the upper-left icon but still fail the overall score. That is due to not doing well on the other components of the skills that are used to calculate the overall score.

View the icon on the lower-left which is very important. That displays your compression depth and rate. You want the dots to appear in the middle green square:

• Above the top horizontal line - compressions are too shallow.
• Below the bottom horizontal line – compressions are too deep.  
• Left of the first vertical line – compressions are too slow. 
• Right of the far vertical line – compressions are too fast.

Most people do not compress deep enough or go fast enough. Yes, sing the Staying Alive song – it helps. Make sure that your hands are in the correct position (lower-right icon) and that you have a good seal on the mask for the ventilations (upper-right) and that you have the adult head tilted all the way back.

The compressions on the infant can be tricky. There's a sweet spot. Make sure you are completing at the correct rate and depth. Also, make sure you are letting the chest fully recoil between compressions. If you do not, you will fail the skill and may receive a score that displays "--". You will receive a message on the top of the review page "Try Again".

Here are some tips on how to complete the infant ventilations when both the infant ventilation rate and volume scores were high, but the overall score was too low to pass:

1. Ventilation delivery, or force, is also part of the scoring algorithm. Breaths that are too forceful will show as a red outline around the lung icon.
2. Verify correct ventilation technique is being performed.
   • Place the head in a neutral "sniffing" position. Use a shoulder roll to assist with proper placement.
   • The Brayden manikin has an open nasal passage. Be sure to obtain a proper mask seal over both the mouth and nose.
   • Deliver smooth, effortless ventilations that last about one second and make the chest begin to rise.
   • If the breath is delivered too forcefully, a red outline will appear around the lungs.

Note: a "correct" audible tone may still be heard, even if the breath delivery was incorrect. The audible tone is for ventilation volume only.

Make sure that you review the results of your skills. You can click on each section to view where you were competent and also where you were deficient and what you need to correct.

Red Cross Resuscitation Suite - Skills App Feedback Explained - Quick Reference

Your grade is automatically calculated when finished with the skills. Tap the different topics like "Compression Depth" or "Ventilation Rate" to see a detailed analysis of your performance to view where you may be deficient and in need of improvement.

Scan the QR Code to watch videos to assist with completing skills on the American Red Cross adult and infant manikins.

Completing Skills Techniques - Adult

The videos in this section will provide instructions, guidance, best practices for delivering compressions, ventilations, and transitioning between the two on the Brayden Pro Adult Manikin.

Adult Compressions

Adult Compressions Demonstration

Adult Ventilations

Adult Ventilations Demonstration

Adult 1-Provider CPR

Adult Transition Demonstration

Completing Skills Techniques - Infant

The videos in this section will provide instructions, guidance, best practices for delivering compressions, ventilations, and transitioning between the two on the Brayden Pro Infant Manikin.

Infant Compressions

Infant Compressions 2F Demonstration

Infant Compressions 2T Demonstration

Infant Ventilations

Infant Ventilations Demonstration

Infant 1-Provider CPR

Infant Transition Demonstration

In some situations, a skills validation will display “- -” instead of a numerical score. To determine the appropriate corrective action, read the text above the “Try Again” button.

There are five other common reasons for the dashes to display:

1. Poor hand position: Text will display “You were doing well but compress in the middle of the chest. No score will be provided.”
2. Poor pressure release: Text will display “You were doing well but allow the chest to fully recoil between compressions. No score will be provided.”
3. Too few compressions in one cycle of CPR: Text will display “You were doing well but compress the chest 30 times each cycle. No score will be provided.”
4. Too many compressions in one cycle of CPR: Text will display “You were doing well but compress the chest 30 times each cycle. No score will be provided.”
5. The user stopped the skill early by tapping the End Skills Check button.

1. Verify correct ventilation technique is being performed.

1. Place the head in a just-beyond-neutral “sniffing” position. Use a shoulder roll to assist with proper placement.
2. The Brayden manikin has an open nasal passage. Be sure to obtain a proper mask seal over both the mouth and nose.
3. Deliver smooth, effortless ventilations that last about one second and make the chest begin to rise.

2. If the breath is delivered too forcefully, a red outline will appear around the lungs.

The infant chest compressions may indicate that you need to push deeper even when you are already pushing the chest all the way to its back because you are NOT allowing the chest to recoil back to its original position. After compressing the infant chest, you must allow the chest to release back to it's full original position. Continuing to press the chest in a downward motion without the chest release will result in an unsuccessful compression attempt.

If someone has successfully completed the American Red Cross Resuscitation course within myCHU, their credential expiration date will automatically be updated in HealthStream.
These directions are for manually entering resuscitation credential information into myCHU HealthStream when resuscitation has been completed outside of Catholic Health.

Students can enter their resuscitation credential information into their student profile. The student or the manager (with myCHU Administrator rights) can attach the document.
Students can utilize the myCHU HealthStream: Add Resuscitation Credential to Profile (Student) directions.

Admins can add or edit resuscitation credential information by utilizing the myCHU HealthStream: Add Resuscitation Credential to Profile (Admin) directions.

1. Manikin off.
2. Log into Skills app on the iPad and proceed to manikin Connections page.
3. On manikin, press and hold Bluetooth button & power on manikin.
4. Release both buttons.
5. Connect to the appropriate manikin on iPad.
6. Select manikin with SAFEMODE in the the name. This will begin the firmware update process.

Admins:

Review the Quick Tip Sheet and search the Administrator Online Help System.

Review the full myCHU HealthStream Administrator Reference Manual.

You can also self-enroll into the various Administrator courses in HealthStream to learn more (the direct links below will only open if you are currently logged into HealthStream as a Student. You can also self-enroll by searching for "Admin" in the HealthStream Catalog under the Student/Manager sign-in. After July 1, 2022 use the search term hstm fundamentals or hstm learn.):

• Administrator Academy - Welcome to the HLC: This interactive course provides the foundational knowledge and skills required by administrators to effectively access the system, the system support resources and manage system preferences.
• HSTM Fundamentals: Assignments (23 min): This interactive module provides the foundational knowledge and skills to: Define assignments. Differentiate between the two assignment types. Define assignment timing fields. Define recurring assignment fields. Add an individual assignment. Add a group assignment.
• HSTM Fundamentals: Assignment Management (16 min): This interactive module provides the foundational knowledge and skills to: Edit an assignment. Copy an assignment. Delete an assignment. Hide an assignment. Define exemptions. Exempt users from an assignment.
• HSTM Fundamentals: Reporting (15 min): This interactive module provides the foundational knowledge and skills to: Describe reporting. Describe required data. Navigate the reports page. Describe report groups. Describe report configuration options. Generate a report. Print a report. Export a report. Schedule a report. View a scheduled report. Manage a scheduled report. Run a scheduled report.
• HSTM Fundamentals: Student Groups (18 min): This interactive module provides the foundational knowledge and skills to: Describe the difference between individual and profile groups. Use the correct naming conventions when naming groups. Identify the groups to which any given user belongs.

Click on the link under your name in your Student account to switch back to your Admin account.

Click on the Administrator link next to your name to switch to your student account.

To add ILT class sessions you need Administrator Instructor access. If you do not have such access, complete a QSARF Request.

Once you have the proper admin access make sure that there is a course already created that you can link the class sessions to. If no course exists, submit a Service Request to have the course created.

Once all of the above has been completed, utilize the HS Creating a Class Checklist and Directions.

In most cases, Epic Security courses are assigned in HealthStream automatically based on the Epic Security role that is requested for an associate. Epic Security roles are requested by the manager via QSARF process. Once a request has been approved, the associate is automatically assigned the required courses specific to that Epic Security role. Managers may still need to register the associate to specific available live ILT class sessions.  

For more information, contact the Epic Training team.

Creating student groups make it easier to assign education to a group of people all at the same time. It is recommended you set up your groups based on how you typically assign education.

Learn More

Tip Sheet: Creating Assignment Groups for Managers

Course: HSTM Fundamentals: Student Groups (18 min): This interactive module provides the foundational knowledge and skills to: Describe the difference between individual and profile groups. Use the correct naming conventions when naming groups. Identify the groups to which any given user belongs.

Review the directions on how to create Student Groups for assigning first. Using groups to assign CBLs will make it easier for you to make bulk assignments and decrease the amount of time spent on this activity. Since you have assigned the education, you will be able to track on your My Team tab (located on your Student login) if they are completing the required education on time.

Once you have created your Student Group, you can assign education to that Student Group.

Learn More

Tip Sheet: Assigning CBLs to a Group

Courses:

• HSTM Fundamentals: Assignments (23 min): This interactive module provides the foundational knowledge and skills to: Define assignments. Differentiate between the two assignment types. Define assignment timing fields. Define recurring assignment fields. Add an individual assignment. Add a group assignment.
• HSTM Fundamentals: Assignment Management (16 min): This interactive module provides the foundational knowledge and skills to: Edit an assignment. Copy an assignment. Delete an assignment. Hide an assignment. Define exemptions. Exempt users from an assignment.

Creating groups to assign CBLs will make it easier for you to make bulk assignments and decrease the amount of time spent on this activity (review Assigning CBLs to a Group for reference). These directions are for the times where you need to assign education to just a single individual.

Learn More: Assigning CBLs to an Individual

You can view your direct supervisees that have been assigned a course but are NOT yet registered for a specific class session. Managers can login to their Student account and click My Team tab. You will only have this tab if you have direct reports, as recorded in the HRIS (Lawson).

Locate the widget labeled Employees with Upcoming Classes to view associates that are registered and not registered. Click NOT REGISTERED and a list of associates will be displayed. Locate the Associate that you would like to register for an upcoming class. Click Register to view a list of available classes. Select the desired class session to register the student.

Some classes may have restricted enrollment so you will need to login to your admin account to register the students for the specific classes. If a student has NOT been assigned a specific course containing a class session, they will NOT appear on the widget.

Viewing Instructor Led Training (ILT) Live Class Schedules

Students:
Students can click Event Calendar tab to view classes that they can Register themselves into. Some classes will only have the option to View Info and they will need to have an Admin register them into the class. Note: some classes may NOT appear on the Event Calendar at the request of the Instructor where registration does not allow self-enrollment.

Admins:

Click Education tab then View Calendar.

Click on a specific date on the calendar to view classes for that date. You can also filter to display by Day, Week, or Month by clicking the corresponding tab. Click more under a date to view additional classes that may not be displaying. Review the How do I register an individual to a live ILT (Instructor Led Training) class session? to learn how to register students to a class. Note: You can also click on Class Management: Manage Classes to view upcoming classes.

To register an individual to a live ILT class session you need Administrator access. If you do not have such access, complete a QSARF Request.

Once you have the proper admin access you can search for a list of scheduled classes that are available for you to register an individual. Utilize the Assigning Live Classes for Individuals Directions.  

Assigning HRF 19 Required Computer Based Learning (CBL)

There are certain CBLs that ALL CHS Associates are required to complete under the HRF 19 Department Specific Orientation Checklist. Instead of searching for each individual course, you can assign the Curriculum that already contains these courses.

NOTE: some CBLs that are site or department-specific will still need to be assigned separately. This curriculum will ONLY assign CBLs that are required to be completed by all CHS Associates.

 Create an assignment and name it. Click Search Learning Items.

Search for hrf. HRF 19 Curriculum will be displayed (noted by the stacked books icon). Note: version date may be different if the curriculum has been updated. Click to select the curriculum then click Select button.  

Curriculum has now been added.

Enter the Go-Live, Due, and End Date (recommended to be later than Due Date). Enter an earlier Effective Date (recommend 1/01/current year) to Apply completions so that they do not get reassigned a course if they have already completed it prior. Click Save.

Student has now been assigned the HRF 19 curriculum which contains the required CBLs for all CHS Associates. If other CBLs are required for a specific site or department those would need to be assigned separately.

Go to Education tab > locate the assignment > Enter a date in the End Date.
This will remove all of the courses from the targeted group's To Do tab as a required assignment and stop the overdue alerts from being generated.

Use the condensed directions below or view the full End Group Assignment directions. 

You will need to be assigned to an Evaluator Student Group by an admin so that you can validate the students. Once you have been added to the Student Group, login to your Student account and click the To Do tab. On the Options widget, click Evaluate Checklists.

Learn More: 

Complete the course Checklist: Evaluator Overview (9 min). This course is designed to provide you with the foundational knowledge and skills needed to 1. Describe the roles and responsibilities of Checklist. 2. Complete the validation of a checklist.

NOTE: This course is designed for validating the HealthStream Checklists. The Elsevier Checklists are very similar but may have a slightly different process for the actual grading of the checklists. 

• Review the full Reports - Running Course Completions and Reoccurring Reports. This will allow you to run reports under your admin account.
• Self-Enroll into this Admin course:
  • HSTM Fundamentals: Reporting (15 min): This interactive module provides the foundational knowledge and skills to: Describe reporting. Describe required data.Navigate the reports page.Describe report groups.Describe report configuration options.Generate a report.Print a report.Export a report.Schedule a report.View a scheduled report.Manage a scheduled report.Run a scheduled report.
• Managers can login to their Student/Manager account and click on My Team tab:
  • Click Past Due to view people with overdue learning. You can also download the report.
  • Run a report on the Reporting widget.

Follow these directions to run a completion report for system-assigned education such as for the Annual Mandatory.

Directions 01 (may contain duplicate assignments if a manager re-assigned the education):

1.Report tab >  Assignment Completion – Schedulable

2. Learning: Select an Assignment > Assignment Name: [search for 0] > [Select desired assignments] > [Example: 0 20230102 Annual Mandatory - CHS Only (Excludes Acute Nurses)] > Select

3. Click Continue

4. Export as Excel

5. Filter  Due Date so it only shows 6/30/2023 (for CHS Only (Excludes Acute Nurses)]

6. IF you selected the 0 20230102 Annual Mandatory - CHS Only (Acute Nurses) assignment you would filter by 11/30/2023. HC and LTC have different assignments and possibly different Due Dates

7. Filter Completion Date >  Select [Blanks].

You now have the people that were assigned but haven’t completed the course. Keep in mind a few people may have completed it but were re-assigned by a manager.

Directions 02 (this will ONLY display people specifically assigned by the system but it may be a little slower and only slightly more complicated):  

1. Reports tab > HealthStream Analytics: View Reports

2. Click Subscribed Custom Report Libraries; Click Magnifying Glass Search icon

3. Select Learning - Assignment Completions

4. Assignment Name: [Select desired assignment. Example: 0 20230102 Annual Mandatory – CHS Only(Excludes Acute Nurses)

5.  Assignment Due Date > Current Year

6. Click Update Results

7. Click down arrow next to Excel icon > Export to Excel

8. Filter Completion Date > Blanks

9. Filter Supervisor > Sort A to Z

Please review the corresponding Tip Sheet:

• Student Tip Sheet
• Instructor Tip Sheet:
  • Click to go to the NRP Learning Platform and follow the directions below.
    • How to find your 7th Edition eCard
    • How to Link NRP 7th Edition Course History with NRP 8th Edition Account
• Becoming a NRP Instructor
• Administrator Tip Sheet
• CHS NRP Platform: https://catholichealthsystem.nrplearningplatform.com