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VCH/PHC March 2014. CST Lunch and Learn with Demo. August 12, 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. This is our path to smarter, seamless care through:
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CST Lunch and Learn with Demo • August 12, 2014 • Dr. Kellé Payne, Executive Director and Transformation CST Lead, VCH • Dr. Bruce Long, Chief Medical Information Officer, VCH/PHC
This is our path to smarter, seamless care through: a patient-focused clinical transformation; and smarter technology tailored by us. The large scale and scope mean it won’t be easy, but it will be worth it. Our Shared Vision Our patients experience the best care in Canada because our world-class health professionals are supported by the highest-quality clinical information. Evolving Together With Our Patients Front and Centre
Evidence Indicates That…. Source: Canada Health Infoway
Computerized Physician/Provider Order Entry Yes, it means the physicians enter the orders, rather than write them What is CPOE? This: Becomes:
Current Healthcare Model Being Challenged 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% • 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 CPOD decreased 45%
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 Completed Phase Current Phase Future Phase
Phase 3: Implementation 2015 – 2018 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.
Ways To Get Involved • Providers(Physicians, Nurse Practitioners, Midwives, Dentists, Pharmacologists) • Inquire about the: • Provider Decision Group • Device Strategy Task Group • Order Sets Design Teams • All Staff • Connect with design team members or colleagues participating in testing • Participate in the last part of testing (May 2015) • Become a CST Champion to provide peer support
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: 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
A Demo Followed By Question Time • You’re about to see a demo of the Cerner technology to help you visualize what our system will look like • Follow a patient through the Emergency Department to see how providers will interact with the system and the patient’s experience. • Our clinical information system is in development (due Spring 2015) • We want to hear from you in question time… • What excites you about CST? • What are your questions or concerns?
A Day in the Life: A Patient’s Journey through the EDBruce Long
What you will see during today’s demo – as a Nurse and as a Physician • How a patient “flows” through the system • How the Tracking Board is instantly updated with real time information on your patient • How orders are entered and medication administered through closed loop medication • Decision support and access to legacy systems • Customizable preferences • “On demand” access to patient documentation, including past history, clinical and discharge summaries
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) • 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