Bridging the gap across regional and rural Mental Health care - PowerPoint PPT Presentation

Bridging the gap across regional and rural Mental Health care through digital transformation Community Psychiatry Digital Medical Record (CP-DMR)

Community Psychiatry Digital Medical Record CP-DMR Project Project Team Bendigo Health in partnership with Executive Sponsors: Phillip Tune and Bruce Winzar Data Capture Experts (DCE) Project Directors: Danny Lindrea and Tim Lenten Project Manager : Trish Arnold Psychiatry Clinical Lead : Bianca Matthews Technical Leads : Graham Hynman and Luke Garton CP-DMR Care Co-ordination Platform Project Officer : Enya Murray Education Leads : Michael Thompson and Billie-Jo Bolch

Overview - Bendigo Health Psychiatric Services Loddon Campaspe Southern Mallee Region  37,036 square km  300 km from top to bottom  200 km at its widest point  23 Small Rural Hospitals LGA Profile  Population - 274,129 increasing by 4,000 per year  In the state of Victoria, per 1,000 population:  2 nd highest registered Mental Health patients  3 rd highest intentional injuries treated in hospital

Overview - Bendigo Health Psychiatric Services Services are:  provided across 3 service settings; Inpatient, After hours Regional Triage Residential and Community Service also covers the  based from 11 sites; Greater Bendigo (6), Echuca, Northern Mallee region Swan Hill, Castlemaine, Maryborough and Kyneton 2016/17 Service Data  Triage phone screenings: 11,564 (avg. 31 per day)  Psych ED Presentations: 1413  Total admissions: 1150 (Inpatient) 602 (Residential)  Current active cases: 1157

How could we achieve this? Developed and deployed on Microsoft Azure Cloud

What has been delivered  Full Triage screening and assessment  In context link with hospital Acute DMR application  Alerts and Allergies Profile : integrated with  Interactive Patient Banner broader hospital Acute Digital Medical Record system (DMR)  Patient Profile ; Demographics and Mental Health  Interoperability via HL7 messaging with Patient Administration System (iPM) and  53 e-Forms including: Acute DMR  Dual signature functionality  Patient timeline including live feed of all  Patient Mode  Automated notifications to a clinicians Outlook iPM episodes and their ‘My View’ dashboard  Decentralised Scanning functionality : via  Forms Management module Kofax across the region  Medication Profile

e-Forms and Instant PDF Generation

What has been delivered  Letter writing module with talk to text  System security including: functionality, including talk to text across six  Multifactor authentication for mobile device users e-forms  System time-out  Full audit log functionality  Export functionality at the clinician level  System compliance with: inclusive of Medication Profile and Alerts and Allergies Profile  IRAP requirements in relation to Data Centre Security requirements  Business Continuity across the Triage  AS2828.2 requirements for digitised medical Dashboards as well as full suite of patient records documentation  Device Agnostic ; allowing use of a range of  Interactive online Help module for both the desktop and portable devices clinical and scanning applications

Patient Timeline and Interoperability Benefits in practice

Patient Timeline and Interoperability Benefits in practice Clinical Benefits Functionality  High level information is ‘pushed’ to clinicians in real  Live feed from Patient Administration System time to flag the presence of potentially relevant clinical (PAS) iPM including all: information  Inpatient and Residential Admissions  In context link provides immediate access to all  Emergency Department Presentations relevant patient information  Outpatient Appointments  Day Surgery Admissions  Integrated and complete list of all patient Alerts and  Interactive filtering of clinical documentation; Allergies e-forms and scanned documentation  User friendly filtering of the patient record  In context link with the Acute hospital DMR Full system audibility and user permission groups including active Alerts and Allergies ensure clinical information is only accessed as required Staff have real time access across the region to all relevant clinical documentation to enhance clinical decision making and enable proactive service responses

Patient Mode and Document Exporting Benefits in practice

Patient Mode and Document Exporting Benefits in practice Functionality Clinical Benefits  Patient Mode locks down and secures the  Provides secure and restricted access by the patient system and/or carer to the system in order to:  review and complete treatment planning documents  Clinician Mode requires staff log in with the level of staff support that the patient requires verification to open the system back up at the time  Device agnostic technology  provide or decline consent to treatment or the sharing of clinical information between third parties  Full export functionality at the clinician level  Allows the use of portable devices appropriate for the setting, allowing user friendly interaction with the system on the patient level in all environments including their own home Supports and protects a patients right to be involved in decision making and treatment planning according to their needs in a digital environment

Dashboards and Notifications Benefits in practice

Dashboards and Notifications Benefits in practice Functionality Clinical Benefits  Ability for a clinician to tailor a document  All staff, clinical or administrative, have real time notification to a specific user notification of the completion of documentation relevant to their role enabling timely action to be  Notifications received by clinicians through an taken concurrently Outlook email and flagged on the clinicians  Tailored notifications enable clear allocation of ‘My View’ tasks list clinical tasks and clinical authorizations to be sought  Live dashboards with multiple views; and received across the region both within and out of  Administration hours  Clinical; Triage and Assessment  Dashboards manage critical workflows on a regional,  Mental Health Act (Vic MHA14) team and individual level allowing work to be communicated in real time across all teams, prioritised and actioned Streamlined workflows and real time notifications supports clear communication, allocation of tasks and real time support across teams

How it was received “ This feels like we are moving with the times ” “ This makes it so much easier to keep track of my notes ” “ It is an exciting new system (about time!) .” – written feedback “ Less paper forms which means everything will stay together and make everything flow together and also less paper which is amazing! So much easier ” – written feedback “ I think this system is brilliant and quite user friendly ” – written feedback “ I’m still getting the hang of it, but I am loving the system ” “ Faster, comprehensive electronic management of patient information ” – written feedback

Future Opportunities  Patient Portal  Virtual Healthcare Enabling patients and carers to securely interface with Increasing availability and ease of use for patients and the platform through an app allowing: carers, particularly those living remotely, to maximise access to service supports in a timely manner  Information to be pushed both to and from the patient and/or carer and the service (i.e. Recovery Plans, Medication lists and Advanced  Scheduling Module Statements) Allowing individual clinical appointments, clinical team  Clinical appointments with the service to be set meetings to be scheduled and monitored for both staff and accepted in the patient calendar and patients, integrated with MS Outlook  Digital resources to be shared and stored  Invitations to be sent and connection to  Integration with broader applications ; i.e. meetings with the treating team (i.e. Family meetings) enabled across the region My Health Record

Thank you Trish Arnold Project Manager, Community Psychiatry Digital Medical Record Bendigo Health tarnold@bendigohealth.org.au Ph: 0400 238 783