TRA Implementation PinnacleHealth System Kim Barnett BSN,RN CCTC - - PowerPoint PPT Presentation

TRA Implementation PinnacleHealth System

Kim Barnett BSN,RN CCTC Director, Transplant Services Lori Spence MS, BSN, RN-BC Transplant Informatics Coordinator

Background

n Used TRA in Ottr 4.x n Upgraded to Ottr 5.4 in January 2007 n Decided to continue with TRA product n Implemented TRA over 4-6 month period

Disadvantages of TRA in 4.0

n Forms attached to encounters n Nurses completed at time of clinic follow up n Needed to also update information in ottr

as information did not cross

n Functionality of bridge was complicated

and time consuming

Advantages of TRA in 5.4

n Embedded in Ottr n No longer attached to encounters n Improved workflow processes for staff n Significantly decreased software

maintenance issues

n Updates Ottr and allows direct viewing of

screens if needed while completing forms

TRA Implementation

n Installed with 5.4 upgrade in Jan 2007 n Web demo and training sessions for

– support staff – nurses – software support persons

n Emphasized the benefits and advantages

to clinical staff

Personnel Roles

n IT/Software support

– Installation – Oversight – Trouble shooting – Education and reinforcement – Contact HKS as needed

Personnel Roles

n Secretary / data person / IT

– Initiates process to download and upload forms – Receives and addresses any error reports – Manages expected forms work queue – Prompts nurses when new forms downloaded

Personnel Roles

n Nurses

– Complete forms via TRA – Each nurse accountable for their patient forms – Requires on-going education and reinforcement regarding use of proper data fields in Ottr that populate TRA – Notifies necessary personnel when forms are ready for upload

Pinnacle Implementation Process

n Started with post transplant (TRF) forms

in kidney program

n Quickly realized we had some database

cleaning to do

n Required re-education and reinforcement

• f proper use of data fields

n Currently have TCR, TRR, and TRF forms

implemented for Kidney and Pancreas programs

Things Learned

n Would implement forms in different order

– Allows info to flow forward

n Importance of identifying proper people in the

process to make it work

n Importance of establishing dedicated resources

during transition and maintenance phases

n TRA is not a plug in and walk away component –

it needs on-going support!

Advantages

n Took some time and TLC but staff really

likes TRA now!

n One-step process which updates Ottr data n Do not have to change software programs

to get information – click on links and you are there!

n First few months will be a bit rocky at

times – but worth it!

Questions ?