Craig Stennett Implementation of an Electronic Medical Records

@ Craig Stennett Implementation of an Electronic Medical Records System: Amman RSP Hospital Muhima Mohamed 1, Abhinav Peddada 2, Yahya Kalilah 1, Rasheed Al Sammaraie 1, Marc Schakal 1, Caroline Seguin 3, Megan Mc. Guire 4 Médecins Sans Frontières – Amman, 2 Thought. Works Inc. , 3 Médecins Sans Frontières – Dubia, 4 Médecins Sans Frontières – New York 1 MSF Innovation Day, 20 MAY 2017 We confirm we have permission to use images from participants included in this presentation

Program Objective ‐ Reconstructive surgery project – multidisciplinary care ‐ Orthopedic ‐ Plastic ‐ Maxillo‐Facial ‐ 148 bed hospital ‐ 50‐ 55 admission / month ‐ ALOS – 4‐ 5 months

Challenge ‐ 100+ excel spreadsheets ‐Master patient index ‐Person dependent data collection and use processes ‐Lack of standard terminology / definitions ‐EMR project objective: ‐Streamline patient information flow ‐Provide real‐time feedback

Solution Centralized platform – automatically generate unique identifier Display key patient data Capture patient transition points and status Display key hospital indicators

Proposed Timelines Nov 2016 Apr 2017 Oct 2017

Process ‐ Hospital needs assessment ‐ Improvement of hospital infrastructure ‐ Governance structure ‐ Analysis of patient / information flow ‐ Creation and definition of medical data and content ‐ Feature Development

Implementation Impact ‐ Use of unique structured patient identifiers ‐ Standardized terminology (diagnoses / procedures) ‐ Change in bed management tool ‐ Patient / information flow changes ‐ Visibility of information collected by different care providers @ Megan Mc. Guire

Implementation Challenges ‐ Development of medical content ‐ Implementation of information + patient flow changes ‐ Revisions and delays in project timelines ‐ Communication of detailed requirements to third party ‐ Extended transition period for the hospital team

End User Feedback ‐ Release 1 = 6 users ‐ Release 2 = 52 users ‐ Self‐administered 6‐ item questionnaire to assess user satisfaction (n=20) *Paramedical = physiotherapist (n=9) and registered nurses (n=2)

Lessons ‐ Global vision and direction provided by coordinators ‐ Early and constant communication to hospital team about status of implementation ‐ Engagement and support of clinical staff in feature and content development ‐ Focus on patient flow, and information exchange rather than technology

Next Steps ‐ Onboarding remaining hospital staff ‐ Continuous training for end users ‐ Remaining content development ‐ Complete development of key features ‐ Knowledge transfer and ownership to the mission ‐ Development of a quality team ‐ Use of data for decision‐making and reporting ‐ Extend to select hospitals

Thank you!