vch/phc march 2014. cst lunch and learn with demo august 12, 2014 dr. kellé payne, executive...
TRANSCRIPT
VCH/PHC March 2014
CST Lunch and Learn with Demo
August 12, 2014
Dr. Kellé Payne, Executive Director and Transformation CST Lead, VCH
Dr. Bruce Long, Chief Medical Information Officer, VCH/PHC
3 A joint initiative of VCH, PHSA, and PHC
Objectives of Lunch and Learn Session
Topic Who Time
1. A better understanding of CST Project and timelines
2. Know how to get involved or find out more
Kellé Payne 10 min
3. Better visualize our new system through a demonstration of Cerner technology
Bruce Long ~30 min
4. An opportunity to ask questions
Panel 15 min
5. Close: 1st of many interactions with the CST project team
Senior Leaders
2 min
4 A joint initiative of VCH, PHSA, and PHC
Evolving Together With Our Patients Front and Centre
This is our path to smarter, seamless care through:
1. a patient-focused clinical transformation; and
2. smarter technology tailored by us.
The large scale and scope mean it won’t be easy, but it will be worth it.
Our Shared Vision
Our patients experience the best care in Canada because our world-class health professionals are supported by the highest-quality clinical information.
5 A joint initiative of VCH, PHSA, and PHC
Scope of Project
Inpatient Areas
Outpatient Services
Ambulatory Care
Oncology (TBD)
Enhanced Ambulatory Care
(TBD)
Residential
Clinical standardization
CPOE
Closed loop medication management
Electronic clinical documentation
Clinical Decision Support
Pharmacy, laboratory, and radiology systems integrated
6 A joint initiative of VCH, PHSA, and PHC
Evidence Indicates That….
Clinical automation and standardization is now
recognized as a significant means to reduce medical
error and improve outcome
Source: Canada Health Infoway
7 A joint initiative of VCH, PHSA, and PHC
What is CPOE?
Computerized Physician/Provider Order Entry
−Yes, it means the physicians enter the orders, rather than write them
Becomes:
This:
8 A joint initiative of VCH, PHSA, and PHC
Why Are We Doing This?
Improve patient outcomes
Reduce medication errors
Improve ability to use current data to monitor performance/guide decisions
Replace old and separate clinical information systems
9 A joint initiative of VCH, PHSA, and PHC
Current Healthcare Model Being Challenged
For every … … in Canada
1000 hospital admissions 75 people suffer an adverse event
1000 patients discharged from hospital90 suffer a serious problem from drugs received upon discharge
1000 laboratory & radiology tests Up to 150 are unnecessary duplicates
1000 women at risk of cervical cancer 300-400 are not screened
1000 patient visits with a Specialist 680 Specialists received no patient info
1000 post-heart attack patients370-460 do not receive recommended Beta-blocker therapy
168 traditional health records received136 did not have the information required to make patient care decision
Source: Canada Health Infoway
10 A joint initiative of VCH, PHSA, and PHC
How Other Organizations Have Benefited
• University of Pittsburg Medical Center decreased serious medication errors by 92% and medication safety events decreased by 60%
• Ohio State University Health System reduced medication turn-around times by 64%
• Implementation of CPOE has been shown to reduce adverse drug events by 70%
• North York General reports 91% of their eCare patients have medical histories taken
• North York General reports mortality rates for preventable in-hospital deaths for pneumonia or CPOD decreased 45%
11 A joint initiative of VCH, PHSA, and PHC
Overview Of Project
April 2013 January 6 2014 Fall 2015 2018
Phase 1: Strategy &Verification
Phase 2:Enterprise-wideDesign, Build &
Integrate
Phase 3:Implementation across VCH, PHSA, and PHC
Cur
rent
Pha
se
Com
plet
ed P
hase
Fut
ure
Pha
se
12 A joint initiative of VCH, PHSA, and PHC
The diagram below represents the phased rollout of the new clinical practices and clinical information systems across VCH, PHSA and PHC. The order of the sites rolling out and associated timeframes are subject to change.
Phase 3: Implementation 2015 – 2018
13 A joint initiative of VCH, PHSA, and PHC
Ways To Get Involved
Providers (Physicians, Nurse Practitioners, Midwives, Dentists, Pharmacologists)
Inquire about the:
• Provider Decision Group
• Device Strategy Task Group
• Order Sets Design Teams
All Staff
• Connect with design team members or colleagues participating in testing
• Participate in the last part of testing (May 2015)
• Become a CST Champion to provide peer support
14 A joint initiative of VCH, PHSA, and PHC
How to Find Out More
• Talk to your manager
• Visit CSTproject.ca or email a question to [email protected]
• Watch for CST bulletins and newsletters
• Contact a member of the CST Clinical Leadership Team:
Dr. Bruce Long, Chief Medical Information Officer, VCH/PHC - [email protected]
Dr. Alain Gagnon, Chief Medical Information Officer, PHSA - [email protected]
Dr. Kellé Payne, CST Executive Director/Transformation Lead, VCH - [email protected]
Donna Stanton, CST Executive Director/Transformation Lead, VCH - [email protected]
Vicky Crompton, CST Executive Director and Transformation Lead, PHSA - [email protected]
Grant McCullough, CST Corporate Director/Transformation Lead, PHC - [email protected]
15 A joint initiative of VCH, PHSA, and PHC
A Demo Followed By Question Time
• You’re about to see a demo of the Cerner technology to help you visualize what our system will look like
• Follow a patient through the Emergency Department to see how providers will interact with the system and the patient’s experience.
• Our clinical information system is in development (due Spring 2015)
We want to hear from you in question time…
• What excites you about CST?
• What are your questions or concerns?
A Day in the Life: A Patient’s Journey through the ED
Bruce Long
17 A joint initiative of VCH, PHSA, and PHC
What you will see during today’s demo – as a Nurse and as a Physician
• How a patient “flows” through the system
• How the Tracking Board is instantly updated with real time information on your patient
• How orders are entered and medication administered through closed loop medication
• Decision support and access to legacy systems
• Customizable preferences
• “On demand” access to patient documentation, including past history, clinical and discharge summaries
18 A joint initiative of VCH, PHSA, and PHC
Quick Registration
19 A joint initiative of VCH, PHSA, and PHC
Benefits• Patient information available “real time” through the Tracking Board
• An electronic patient chart available at your fingertips, no more searching for the chart, or manual updates on paper or a whiteboard
• Closed loop medication with bar coding – the right medication for the right patient at the right time
• Decision support (i.e., stroke screening indicators)
• Access to legacy systems (i.e., MUSE)
• Customizable preferences for care providers
• “On demand” patient documentation (i.e., ED Summary, Patient Summary and Clinical Summary)
• Easy access to patient history, including prior clinical and discharge summaries
Question Time and Group Discussion