hugo Clinician Engagement Session February 2013 Deb Karcz

hugo Clinician Engagement Session February 2013 Deb Karcz Healthcare Undergoing Optimization

Together hugo will transform our world Healthcare Undergoing Optimization

Agenda • • What’s not on the e. MAR clarification PAC/CAC decisions Device Simulation & Evaluation Update/Upcoming events Change Management Open discussion/Concerns Open House demonstration Healthcare Undergoing Optimization

Participating Hospitals Healthcare Undergoing Optimization

HUGO Overview Operationalize Quality Assurance Launch Optimize the Provider Experience Go-Live Client Executive Session Project Kickoff Prep. Session GATEWAY System Review Design Review System Validation Project Startup Trainer Go-Live Prep Maint. Training Integration Testing GATEWAY Y Testing Go-Live Readiness Move to Production Post. Go-Live Assess. GATEWAY Stabilization End-User Training Discrete Events Workflow Localization GATEWAY Design 5

Clinical Informatics (CI) Matrix Clinician Track Lead: Deb Karcz CI : Laurie Young covers VH IP, Critical Care, Mother Baby, CI: Lori Sashegyi Orr covers: UH, SJHC, Parkwood IP, Mental Health, & Peri-Op Ambulatory Track Lead: Janine Riffel CI: Jan Linner Regional Leads and teams Site Clinical Informatics Specialist London Allied Health : Joanne Andrews, Kayley Perfetto Provider Track Lead & Order Sets: Andrew Nemirovsky CI: Tina Holden covers ED and providers

Clarification What is not on the e. MAR? • Oral contrast dye e. g. Hypaque • Barium used in DI • Non medicated creams e. g. Vaseline • Blood products e. g. packed cells, cryoprecipitate • Blood derivatives e. g. albumin, Rh Immune Globulin Healthcare Undergoing Optimization

Clinician and Physician Advisory Committees The Clinician Advisory Committee (CAC) and Physician Advisory Committee (PAC) provide strategic leadership in the transformation of the clinical service delivery model. • Provide advice to the HUGO Steering Committee • Function as an accountable decision making body • Promote the design of the system and content Healthcare Undergoing Optimization

Joint Clinician and Physician Advisory Council Update • Overview of HUGO Project Case Study – presented by Deborah Compeau, Professor of Information Systems, and Nicole Haggerty, Associate Professor of Information Systems, Ivey Business School • Previous decisions from CAC reviewed by all – What is and is not going to appear on the e. MAR – What limited clinical documentation on e. MAR e. g. vital signs, POC glucose, INR/PTT – What limited clinical documentation to support CPOE i. e. allergies, medication history, height, weight – Who will document on e. MAR i. e. all RHP including providers Healthcare Undergoing Optimization

Joint Clinician and Physician Advisory Council Update • Provider Renewal Notification – Do providers want notification when medications are outdating and sent to message centre? More work to do re: message centre pools and functionality • Wrist Band Content Recommendation 2 D Data Matrix supported in principle – Working with organizations to place on armbands. Have owner for London and working to try to standardize armbands across SJHC and re-examine practices across the 2 London orgs. • Order Set Status Report • • • Communication Type Decision – approved but more work to be completed Hugo Positions in Cerner – obtained consensus to move ahead with investigation of decreasing the number of positions. MRP update Healthcare Undergoing Optimization

Devices Events Update CSTAR Feb. 8 & 14 • RFP Evaluation – 3 device types • WOW carts • Wall mounts • Cordless bar code scanners – Evaluation time underestimated • Workflow Simulation – 194 attendees over 2 days – Very interactive, positive feedback Healthcare Undergoing Optimization

Future Devices Events • STEGH Device Fair – Apr. 30 – May 2 • Device Drop-in Days – – – Apr. 23 & 24 – VH Care Theatre Apr. 26 – Parkwood Aud. B-283 May 13 – UH Aud. A May 15 – St. Joseph’s Livingston Lounge E 1 May 17 – RMHC London Wickware Aud. Healthcare Undergoing Optimization

Updates • CT-MR Powerform update • Lab collect update • Standardized lab collection time • AM 0300 -0400 label print • PM 1300 label print Healthcare Undergoing Optimization

Upcoming Events • Workflow Localization workshop Ø March 4 th Allied Health Ø March 6 th Provider Ø March 7 or 8 Clinician • System Validation workshop: April Healthcare Undergoing Optimization

hugo Change Management Engagement Meeting February 2013 Stephanie Luxton Healthcare Undergoing Optimization

The only way to make sense out of change is to plunge into it, move with it, and join the dance. -Alan Watts Healthcare Undergoing Optimization

Promoting Engagement • How do I get people engaged in planning for HUGO? – First they have to understand what is changing and why – Then they have to know what they can do to get involved Healthcare Undergoing Optimization

Create the Case for Change A Clear Strategy • Why are we doing this? • What will happen if we don’t? • What is the vision for the future? Where are we going? Healthcare Undergoing Optimization

Why are we doing this? • It’s the right thing for the patient Healthcare Undergoing Optimization

Create the Case For Change: HUGO benefits Improved Access through decreased turn around time Improved outcomes through standardized evidence-based care Decrease medication errors Improved compliance with medication reconciliation Meet ROP Accreditation Standards Reduction in duplicate orders Improved communication Improved antibiotic therapy Improved trending and reporting of quality indicators Healthcare Undergoing Optimization Reduced HSMR

What is HUGO? Healthcare Undergoing Optimization … optimizing patient safety and supporting continuous quality improvement. There are four elements to HUGO: 1. Computerized Provider Order Entry (CPOE) 2. Electronic Medication Administration Record (e. MAR) 3. Closed Loop Medication Administration (CLMA) 4. Electronic Medication Reconciliation (e Med Rec) Healthcare Undergoing Optimization

What’s coming? • Workflow Localization – Workshop participants will receive draft Future State Workflows for review – Workshops on March 5, 6, 7 or 8 – Take information back to the units and begin work on localization – Complete your localized workflows in April Healthcare Undergoing Optimization

Identify Vital Behaviours 1. People engage in discussions about workflow MOTIVATION ABILITY PERSONAL HUGO is the right thing for the patient Participating will allow you to have a say and help prepare you for what’s coming Ensure activities are communicated broadly Clearly explain what is meant by workflow and what will be discussed SOCIAL Share the names of those who are participating Identify your “champions” Enlist support from leadership Approach people one-onone for feedback Reward participation – public acknowledgement, e-cards Create a competition Post signs advertising meetings & timelines Posters about HUGO Post the workflows Have a discussion board or comment box STRUCTURAL Healthcare Undergoing Optimization

Open Discussion/Concerns Healthcare Undergoing Optimization

For more information HUGO Clinician Track Lead : Deb Karcz HUGO Ambulatory Track Lead: Janine Riffel HUGO Provider Track Lead: Andrew Nemirovsky HUGO website: link from intranet homepage E-mail HUGO: hugo@lhsc. on. ca Thanks for your participation! Healthcare Undergoing Optimization

Open House Demonstration Healthcare Undergoing Optimization