CST Lunch and Learn with Demo August 26, 2014 Dr. Kell Payne, - PowerPoint PPT Presentation

CST Lunch and Learn with Demo August 26, 2014 Dr. Kellé Payne, Executive Director and Transformation CST Lead, VCH Dr. Bruce Long, Chief Medical Information Officer, VCH/PHC

Objectives of Lunch and Learn Session Topic Who Time 1. A better understanding of Kellé Payne 10 min CST Project and timelines 2. Know how to get involved or find out more 3. Better visualize our new 3. Better visualize our new Bruce Long Bruce Long ~30 min ~30 min system through a demonstration of Cerner technology 4. An opportunity to ask Panel 15 min questions 3 A joint initiative of VCH, PHSA, and PHC

Scope of Project Inpatient Areas Clinical standardization Outpatient CPOE Services Closed loop medication Ambulatory Care management Electronic clinical Oncology (TBD) documentation Extended Clinical Decision Support Ambulatory Care (TBD) Pharmacy, laboratory, and radiology Residential systems integrated 4 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 means to reduce medical error and improve outcome Source: Canada Health Infoway 5 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 6 A joint initiative of VCH, PHSA, and PHC

Overview Of Project April 2013 January 6 2014 Fall 2015 2018 Phase 2: Phase 1: Enterprise-wide Phase 3: Strategy & Design, Build & Implementation across VCH, PHSA, and PHC Verification Integrate d Phase hase hase Future Pha Completed Current Ph 7 A joint initiative of VCH, PHSA, and PHC

Phase 3: Implementation 2015 – 2018 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.

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) 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 9 A joint initiative of VCH, PHSA, and PHC

Question Time and Group Discussion

Appendix

Current Healthcare Model Being Challenged For every … … in Canada 1000 hospital admissions 75 people suffer an adverse event 90 suffer a serious problem from drugs received 1000 patients discharged from hospital upon discharge 1000 laboratory & radiology tests Up to 150 are unnecessary duplicates 1000 women at risk of cervical cancer 1000 women at risk of cervical cancer 300-400 are not screened 300-400 are not screened 1000 patient visits with a Specialist 680 Specialists received no patient info 370-460 do not receive recommended Beta-blocker 1000 post-heart attack patients therapy 136 did not have the information required to make 168 traditional health records received patient care decision Source: Canada Health Infoway 12 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 COPD decreased 45% 13 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 info@CSTproject.ca • Watch for CST bulletins and newsletters • Contact a member of the CST Clinical Leadership Team: Dr. Bruce Long , Chief Medical Information Officer, VCH/PHC - Bruce.Long@vch.ca Dr. Alain Gagnon , Chief Medical Information Officer, PHSA - Alain.Gagnon@phsa.ca Dr. Kellé Payne , CST Executive Director/Transformation Lead, VCH - Kelle.Payne@vch.ca Donna Stanton , CST Executive Director/Transformation Lead, VCH - Donna.Stanton@vch.ca Vicky Crompton , CST Executive Director and Transformation Lead, PHSA - VCrompton@phsa.ca Grant McCullough , CST Corporate Director/Transformation Lead, PHC - GMcCullough@providencehealth.bc.ca 14 A joint initiative of VCH, PHSA, and PHC