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 of 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 ?