Right Information, Right Place, Right Time Chris Giles - CEO Portland District Health
I would like to respectfully acknowledge the Traditional Owners of the land on which this event is taking place and Elders both past and present. I also recognise those whose ongoing effort to protect and promote Aboriginal and Torres Strait Islander cultures will leave a lasting legacy for future Elders and leaders.” Portland Traditional Owners – Gunditjmara
Wisdom Compassion Courage Tak Take e Ho Home me Me Mess ssage age
Setting the Scene 1987 2017
Heading
Tradition vs innovation
2001 Caroline Anderson – LUSCS ◦ Fragmented paper record – previous presentation not available ◦ Moved from one hospital to another ◦ Pathology undertaken not reviewed ◦ Lack of clinical handover at multiple points 2 016 Djerriwarrh Victoria- Cluster of Baby Deaths ◦ Targeting Zero (Duckett review) highly critical of the Systems in Victoria that failed to identify issues because of fragmented structures and data sources not talking to each other. 2017 – What are you doing to make a difference
The problem is NEVER the patient The health system is extremely complex to navigate for a health professional – put yourself in a patients shoes and its suddenly 100 times worse. As your patients care giver – advocate are you giving them the tools they need to take ownership of their health or are you disempowering them. Use every avenue to listen to your patient or their family – an electronic tool would assist but very few exist nurses could lead the development of the patient app/portal.
Google searched everything they can find about their health – asks endless questions Has apps that record assessments, observations, medications, alerts Lets make our communities health literate, develop tools to help this journey At Portland we are looking at an “I - care” program every day, every patient, every clinician ◦ spends 10minutes sitting beside their patient listening C- communicate, A – answer questions, R – research E- explain
Clinical Intelligence vs Artificial Intelligence Wisdom is the Nurses most important tool – the eHR is a piece of clinical equipment and does not replace clinical intuition and knowledge Even the best decision support tools will not see, ’ hear and touch your patient – don t just do the task assess the patient.
eHR – not management program Designed by clinicians for clinicians ◦ Clinical Experts inform decision support ◦ Evidence based ◦ Flags, mandatory fields, alerts carefully considered ◦ Needs to improve productivity not duplicate workload Management – extract data from the system but not by changing the clinician friendly format Must have a business continuity plan – it will go down
Get involved make a difference Healthcare workers don ’ t come to work to provide bad care CEO’s don ’ t want to see patients harmed If you don ’ t have to tools you need to provide high quality care get them!!!!! Hig High Quali h Quality Car ty Care e
Wisdom Compassion Courage Or Head Heart and Guts
Gannet Colony Danger Point Portland
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