1 / 27

UHN Fast Facts Canada’s leading research and academic hospital 4 Sites: Toronto Western Hospital

The Implementation of Advanced Clinical Documentation for Bariatric Services at University Health Network: Lessons From the Field Vicky Ramirez, Giuseppe Cammisa e-Health 2013: Accelerating Change May 27, 2013. UHN Fast Facts Canada’s leading research and academic hospital 4 Sites:

cleary
Download Presentation

UHN Fast Facts Canada’s leading research and academic hospital 4 Sites: Toronto Western Hospital

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. The Implementation of Advanced Clinical Documentation for Bariatric Services at University Health Network: Lessons From the FieldVicky Ramirez, Giuseppe Cammisa e-Health 2013: Accelerating ChangeMay 27, 2013

  2. UHN Fast Facts • Canada’s leading research and academic hospital • 4 Sites: • Toronto Western Hospital • Toronto General Hospital • Princess Margaret Cancer Centre • Toronto Rehab Institute • $1.8B revenue • 762 beds • 1,400 physicians • 12,000 employees • 966,000 amb visits • $265M in research • 4,465 OR visits 2

  3. UHN Advanced Clinical Documentation Strategy

  4. In support of UHN’s ACD strategic goals… UHN will be a global leader in reporting on patient outcomes Research hospital of the future road map will be developed and implemented 4

  5. ACD IP EPR ACD OP EPR ACD Bariatric Assessment Notes 5

  6. Program Overview

  7. Nurse Practitioners Social Workers Registered Dietitians Surgeons Psychologists Psychiatrists Psychometrists Support Staff Data Analysts Internists Endocrinologists 7

  8. The Team

  9. Project Team Privacy The Team Clinicians Mobility Partner • Human Factors Security Technical Teams 9

  10. Life before the iPad

  11. 12

  12. And the aftermath… 13

  13. Challenges • Patients repeatedly answering the same questions • Clinicians’ persistent difficulties locating charts or finding information in a chart • Other challenges: • Interdisciplinary rounds • Diminished productivity • Outcomes monitoring • Leveraging data for research 14

  14. The Solution

  15. 16

  16. Methodology

  17. Where we started Mapping the data flow Focus on outcome indicators Device & usability assessment 18

  18. Design Philosophy

  19. Agile and responsive development iOS design driving clear, standard documentation Free-text to synoptic Function (Human Factors) vs. flash Multidisciplinary lens – enable the breakdown of care silos 20

  20. Common Framework Elements 21

  21. Benefits

  22. Workflow: Before & After Early results: Summary report allows time at end of day to be used for other purposes The problem: Back to back assessments resulted in charting being stockpiled until the end of day ~30 minutes saved per clinician per day! 23

  23. Measuring Success: An Outcomes Approach • Baseline surveys and observations • Post-implementation surveys and observations Improving the ability to monitor and report on: Pre-Surgery Post-Surgery Health Status Time to Care Patient Errors Health Sustainability Patient & Clinician Satisfaction Data Collection & Access Cost Measures 24

  24. Start small → gather learnings → grow access The Bariatric Journey

  25. Critical Success Factors Leading edge technology; the ‘fun’ factor End to end change management Rapid prototyping/Agile documentation Improving data collection & access Sustainability model (leveraging existing infrastructure, MDM strategy) 26

  26. Bariatric Assessment Notes Demo 27

More Related