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This project aims to improve patient outcomes and reduce care variation through Clinical and Systems Transformation in Community Care, aligning with the eCommunityNEXT vision. It involves integrating the PARIS v6.0 and Cerner systems, establishing a new Care Plan Application, and fostering regional clinical support. The project also focuses on involving vendors using agile methods, conducting roadshows, and implementing a roll-out and sustainment model. The transformational approach emphasizes engaging subject matter experts and driving system design through collaborative workshops and validation from stakeholders. Implementation includes education and support waves over six months, with emphasis on feedback and continuous improvement for efficient care coordination and quality care delivery.
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Project Presentation BC Nursing Informatics March 31, 2017
Agenda • What is eCommunityNEXT? (Initial vision, plans, structure and timelines) • Care planning workshops • Vendor Involvement: Agile method • Roadshows • Roll-out and Sustainment Model • What is the CCP (Demo)
Clinical and Systems Transformation Acute & Ambulatory Community Care Primary Care * Improving patient outcomes and reducing unnecessary variation in care through CST across the continuum IntraHealth Profile PARIS v6.0 Cerner * VCH funded Primary Care Clinics Link the electronic health record across all sectors System Enablers for Quality Care
Why a new Care Plan Application? Key clinical aspects of system design • Supports efficient retrieval of clinical information • Enables clinical care coordination and information flow across program boundaries • Ability to measure the effectiveness of care Key technical aspects of system design • Integrated, inter-disciplinary and accessible within and across programs • Standardization of location and content in PARIS • Minimal to no duplication of documentation
Design • Identify cross-program, cross-COC Subject Matter Experts (50+) – not front line staff • 4 care plan “ideal state” sessions to define care planning ( assessment, identification of needs /problems, interventions followed by re-assessment) and the required Components – Needs, Goals and Interventions • 7 detailed design sessions facilitated by the vendor and with a sub group of 15 from the care planning sessions
Development • Vendor led agile approach to development of the care plan • Total of 7- 3 week sprints ( 5 months overall) • Delivered product essentially bug free and functioned as designed • Some components of the care plan VCH retained control of ( pick lists)
Clinical Transformation: Engagement Plan Clinical Workflow Designs drive system design Review & Validate design with Peers, Practice Committees, Physicians & impacted stakeholders Review & Validate Design with Managers & Directors Validate & Recommend design with Project Steering Committee
Implementation • Utilizing new education/support model • In waves over approx 6 months ( target June 30)with returning to teams after initial roll out • Feedback to teams/Managers on how they are meeting their targets
Regional Clinical Support Decision Support & Application System Support Education Support Model Practice Leads, & Professional Practice Decision Support Team Local Clinical Support On site Support (Clinical Educators, Clinical Leads, Team Lead) IMITS Application Support Team & PARIS Educators Community System Users Coaches- formal or informal Transformation Leads, Clinical Systems Support Educators (CSSEs) HSSBC Service Desk
