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

CST Project and timelines

• 2. Know how to get involved
• r find out more

Kellé Payne 10 min

• 3. Better visualize our new

Bruce Long ~30 min

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A joint initiative of VCH, PHSA, and PHC

• 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

Scope of Project

Inpatient Areas Outpatient Services Ambulatory Care Clinical standardization CPOE Closed loop medication management

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A joint initiative of VCH, PHSA, and PHC

Oncology (TBD) Extended Ambulatory Care (TBD) Residential Electronic clinical documentation Clinical Decision Support Pharmacy, laboratory, and radiology systems integrated

Evidence Indicates That….

Clinical automation and standardization is now recognized as a significant means to reduce medical

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A joint initiative of VCH, PHSA, and PHC

means to reduce medical error and improve

• utcome

Source: Canada Health Infoway

Why Are We Doing This?

Improve patient outcomes Reduce medication errors

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A joint initiative of VCH, PHSA, and PHC

Improve ability to use current data to monitor performance/guide decisions Replace old and separate clinical information systems

Overview Of Project

April 2013 January 6 2014 Fall 2015 2018 Phase 1: Strategy & Verification Phase 2: Enterprise-wide Design, Build & Integrate Phase 3: Implementation across VCH, PHSA, and PHC

hase d Phase hase

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A joint initiative of VCH, PHSA, and PHC

Current Ph Completed Future Pha

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

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)

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A joint initiative of VCH, PHSA, and PHC

• 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

Appendix

Current Healthcare Model Being Challenged

For every … … in Canada

1000 hospital admissions 75 people suffer an adverse event 1000 patients discharged from hospital 90 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

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A joint initiative of VCH, PHSA, and PHC

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 patients 370-460 do not receive recommended Beta-blocker therapy 168 traditional health records received 136 did not have the information required to make patient care decision

Source: Canada Health Infoway

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%

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A joint initiative of VCH, PHSA, and PHC

• 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%

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:

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A joint initiative of VCH, PHSA, and PHC

• 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