Date of Graduation

Fall 12-12-2014

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions



First Advisor

Marjorie Barter, RN, EdD, CNL, CENP

Second Advisor

Elena Capella, EdD, MSN/MPA, RN

Third Advisor

Ann Dechairo-Marino, PhD, RN, NEA-BC


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.