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
Topic
Who
Time
1. A better understanding of
CST Project and timelines
Kellé Payne
10 min
3. Better visualize our new
system through a
demonstration of Cerner
technology
Bruce Long
~30 min
4. An opportunity to ask
questions
Panel
15 min
5. Close: 1st of many
interactions with the CST
project team
Senior
Leaders
2 min
2. Know how to get involved
or find out more
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A joint initiative of VCH, PHSA, and PHC
Evolving Together With Our Patients Front and Centre
This is our path to smarter, seamless care
through:
1. a patient-focused clinical
transformation; and
2. 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.
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A joint initiative of VCH, PHSA, and PHC
Scope of Project
Inpatient Areas
Outpatient
Services
5
Clinical standardization
CPOE
Ambulatory Care
Closed loop medication
management
Oncology (TBD)
Electronic clinical
documentation
Enhanced
Ambulatory Care
(TBD)
Clinical Decision Support
Residential
Pharmacy, laboratory, and radiology
systems integrated
A joint initiative of VCH, PHSA, and PHC
Evidence Indicates That….
Clinical automation and
standardization is now
recognized as a significant
means to reduce medical
error and improve
outcome
Source: Canada Health Infoway
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A joint initiative of VCH, PHSA, and PHC
What is CPOE?
Computerized Physician/Provider Order Entry
−Yes, it means the physicians enter the orders,
rather than write them
This:
Becomes:
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A joint initiative of VCH, PHSA, and PHC
Why Are We Doing This?
Improve patient outcomes
Reduce medication errors
Improve ability to use current data to monitor
performance/guide decisions
Replace old and separate clinical information systems
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A joint initiative of VCH, PHSA, and PHC
Current Healthcare Model Being Challenged
For every …
… in Canada
1000 hospital admissions
75 people suffer an adverse event
1000 patients discharged from hospital
90 suffer a serious problem from drugs received
upon discharge
1000 laboratory & radiology tests
Up to 150 are unnecessary duplicates
1000 women at risk of cervical cancer
300-400 are not screened
1000 patient visits with a Specialist
680 Specialists received no patient info
1000 post-heart attack patients
370-460 do not receive recommended Beta-blocker
therapy
168 traditional health records received
136 did not have the information required to make
patient care decision
Source: Canada Health Infoway
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A joint initiative of VCH, PHSA, and PHC
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 turnaround 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%
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A joint initiative of VCH, PHSA, and PHC
Overview Of Project
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Phase 2:
Enterprise-wide
Design, Build &
Integrate
Fall 2015
2018
Phase 3:
Implementation across VCH, PHSA, and PHC
Future Phase
Completed Phase
Phase 1:
Strategy &
Verification
January 6 2014
Current Phase
April 2013
A joint initiative of VCH, PHSA, and PHC
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.
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A joint initiative of VCH, PHSA, and PHC
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
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A joint initiative of VCH, PHSA, and PHC
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
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A joint initiative of VCH, PHSA, and PHC
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?
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A joint initiative of VCH, PHSA, and PHC
A Day in the Life: A Patient’s
Journey through the ED
Bruce 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
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A joint initiative of VCH, PHSA, and PHC
Quick Registration
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A joint initiative of VCH, PHSA, and PHC
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
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A joint initiative of VCH, PHSA, and PHC
Question Time and
Group Discussion