Electronic Health Record – Friend or FoeSheranga Jayasinghe and Brenda LeppingtonThis Session is sponsored by:
Working together…for healthy people in healthy communities.The Electronic Health RecordBuild it and they will come.Or WILL...
Working together…for healthy people in healthy communities.About Sunrise..Sunrise Health Region stretches from thebreathta...
Working together…for healthy people in healthy communities.The VisionThe vision presented to care providers was a singlepa...
Working together…for healthy people in healthy communities.The Reality• Paper records still exist and continue toform an i...
Working together…for healthy people in healthy communities.The Challenge• Was it faster to retrieve information electronic...
Working together…for healthy people in healthy communities.The Power
Working together…for healthy people in healthy communities.The “Unauthorized” Solutions• Shared usernames and passwords• N...
Working together…for healthy people in healthy communities.1) Add additional content.Make it “worth it”Sunrise Clinical Ma...
Working together…for healthy people in healthy communities.2) Make it easier for Care ProvidersAccess to information from ...
Working together…for healthy people in healthy communities.Follow Me Computing1.Follow Me Desktops2.Follow Me Profiles3.Fo...
Working together…for healthy people in healthy communities.Follow Me ComputingSunrise became the first Health Region inthe...
Working together…for healthy people in healthy communities.Follow Me ComputingWhat is ‘Follow Me Desktop’?Your Desktop wil...
Working together…for healthy people in healthy communities.Follow Me ComputingComponents of ‘Follow Me Desktop’?Single Sig...
Working together…for healthy people in healthy communities.Follow Me ComputingSmart CardA card that has anembedded chip in...
Working together…for healthy people in healthy communities.Follow Me ComputingWhat is ‘Follow Me Profile’?A profile stores...
Working together…for healthy people in healthy communities.Follow Me ComputingWhat is ‘Follow Me Application’?All Applicat...
Working together…for healthy people in healthy communities.Follow Me ComputingWhat is ‘Follow Me Printing’?A secure user a...
Working together…for healthy people in healthy communities.Follow Me ComputingWhat is ‘Follow Me Printing’?Authentication ...
Working together…for healthy people in healthy communities.Follow Me ComputingAccess to the “Follow Me Desktop”
Working together…for healthy people in healthy communities.Follow Me ComputingWhat we have learned so far?1. Unexpected te...
Working together…for healthy people in healthy communities.The Experience•Technical issues• Frustration of learning new te...
Working together…for healthy people in healthy communities.The Hope•Six months post go-live with ED Manager, thephysicians...
Working together…for healthy people in healthy communities.The Proof• User Surveys have shown increased supportfor electro...
Working together…for healthy people in healthy communities.The Future• Nurses and physicians have expressed adesire to mov...
Working together…for healthy people in healthy communities.The Cooperation• We do not host our own applications.• We are w...
Working together…for healthy people in healthy communities.A BIG Thank you to….1. Registration Team2. Emergency Room Physi...
Working together…for healthy people in healthy communities.Demo
Working together…for healthy people in healthy communities.The END
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Electronic Health Record – Friend or Foe

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Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.

How Sunrise Health Region increased access to clinical applications by using proper technologies that are convenient, fast, efficient and secure.
Better Care

Sheranga Jayasinghe, Sunrise Health Region, Brenda Leppington, Sunrise Health Region

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Transcript of "Electronic Health Record – Friend or Foe"

  1. 1. Electronic Health Record – Friend or FoeSheranga Jayasinghe and Brenda LeppingtonThis Session is sponsored by:
  2. 2. Working together…for healthy people in healthy communities.The Electronic Health RecordBuild it and they will come.Or WILL they?Brenda Leppington – Director Information ManagementSheranga Jayasinghe – Director Information Technology
  3. 3. Working together…for healthy people in healthy communities.About Sunrise..Sunrise Health Region stretches from thebreathtaking beauty of the Qu’Appelle Valley tothe northern boreal forest, and from the bountifulparklands of the Manitoba border into the richSaskatchewan prairie farmlands. Sunrise serves58,000 persons – two-thirds living in ourcomfortable, warm, friendly cities, towns andvillages, and 1,600 living in our historic FirstNations.Sunrise employs more than 2,600 professionaland support staff to ensure the delivery of qualitycare throughout the region.
  4. 4. Working together…for healthy people in healthy communities.The VisionThe vision presented to care providers was a singlepatient record. One place where care providers couldaccess patient information across the spectrum of healthcare for their patient.The perceived benefits:• Information readily available when required•Decreased need to have patient repeat information tomultiple care providers.• Reduction of duplication of diagnostic tests• Appropriate usage of medications•Improved communication between care providers throughuse of tracking boards (PSAG).• And that was just the beginning………….
  5. 5. Working together…for healthy people in healthy communities.The Reality• Paper records still exist and continue toform an integral part of patient information.•Multiple electronic records exist andcontain pockets of information.•Requiring multiple log-ins•Multiple user names•Multiple passwords•Passwords expiring atdifferent times.•Not enough information in a singlelocation to make it valuable.
  6. 6. Working together…for healthy people in healthy communities.The Challenge• Was it faster to retrieve information electronically?
  7. 7. Working together…for healthy people in healthy communities.The Power
  8. 8. Working together…for healthy people in healthy communities.The “Unauthorized” Solutions• Shared usernames and passwords• Non clinicians accessing information on behalf of careproviders•Reduces effectiveness of seeing trends in diagnostictests that are not apparent in the paper record.•Reduces effectiveness of ability to determine patientsseeking multiple prescriptions.• Patient concerns regarding privacy•Not utilizing electronic solutions and returning to paperprocesses•Usage statistics revealed low user adoption•User surveys revealed a small percentage of careproviders were persevering.•Printing issues•Multiple log-ins to set default printer•Privacy breaches
  9. 9. Working together…for healthy people in healthy communities.1) Add additional content.Make it “worth it”Sunrise Clinical Manager•Demographic and Visit History•Laboratory Results•Medical Imaging Results•Transcribed Documents•Link to Pharmacy Program (PIP)•Emergency Department Manager• Patient tracking/communication•Will require continuous interactionThe Solutions
  10. 10. Working together…for healthy people in healthy communities.2) Make it easier for Care ProvidersAccess to information from anydevice, any where, any time.
  11. 11. Working together…for healthy people in healthy communities.Follow Me Computing1.Follow Me Desktops2.Follow Me Profiles3.Follow Me Applications4.Follow Me Print Jobs
  12. 12. Working together…for healthy people in healthy communities.Follow Me ComputingSunrise became the first Health Region inthe province and in Canada to implement afully functional ‘Follow Me Computing’solution with Smart Cards and Single Sign-On.
  13. 13. Working together…for healthy people in healthy communities.Follow Me ComputingWhat is ‘Follow Me Desktop’?Your Desktop will follow you from onecomputer to another.
  14. 14. Working together…for healthy people in healthy communities.Follow Me ComputingComponents of ‘Follow Me Desktop’?Single Sign - OnSingle Sign - On will store your passwordsin a secure encrypted database andautomatically populate the credentialfields for all the applications you haveaccess to, when opened.
  15. 15. Working together…for healthy people in healthy communities.Follow Me ComputingSmart CardA card that has anembedded chip init.(Same as your creditcard) This Chip will storeyour PIN and a securecertificate in encryptedform.
  16. 16. Working together…for healthy people in healthy communities.Follow Me ComputingWhat is ‘Follow Me Profile’?A profile stores all your user specific settings(Your email settings, short cuts, favorites etc).Currently when you switch from one computer toanother or receive a new computer you need torecreate all these settings.With ‘Follow Me Profiles’, regardless of whatDevice you connect to, all your profile settingswill remain the same.
  17. 17. Working together…for healthy people in healthy communities.Follow Me ComputingWhat is ‘Follow Me Application’?All Applications opened within your current session(desktop) will also follow you with your desktop.
  18. 18. Working together…for healthy people in healthy communities.Follow Me ComputingWhat is ‘Follow Me Printing’?A secure user authenticated solution.When you print, it will no longer print to a printer. Insteadit will remain in a queue and print only when you requestfor it.You can walk to any printer (once fully implemented) inany of the Sunrise Health Region facilities, authenticateyourself using your smart card/PIN and print your printjob.
  19. 19. Working together…for healthy people in healthy communities.Follow Me ComputingWhat is ‘Follow Me Printing’?Authentication Device
  20. 20. Working together…for healthy people in healthy communities.Follow Me ComputingAccess to the “Follow Me Desktop”
  21. 21. Working together…for healthy people in healthy communities.Follow Me ComputingWhat we have learned so far?1. Unexpected technical issues.2. Create more documentation for users3. Separate the components when deploying thetechnology so that it does not become overwhelming tothe end user4. Need to establish the baseline before we proceedfurther. ( Infrastructure, Network etc)5. Better password management policy has to bedeveloped
  22. 22. Working together…for healthy people in healthy communities.The Experience•Technical issues• Frustration of learning new technology at the sametime as new functionality.
  23. 23. Working together…for healthy people in healthy communities.The Hope•Six months post go-live with ED Manager, thephysicians indicated that the # 1 thing they likedabout the project, was Smart Cards andsingle sign-on
  24. 24. Working together…for healthy people in healthy communities.The Proof• User Surveys have shown increased supportfor electronic solutions.• Volume of patient information being accessedelectronically, has tripled.• 1,000 records a week are accessedelectronically.
  25. 25. Working together…for healthy people in healthy communities.The Future• Nurses and physicians have expressed adesire to move forward with additional electronicdocumentation and additional Tracking Boardson our Medicine Units. The work is currentlyunderway.• Computers at the bedside• Better single sign-on solution
  26. 26. Working together…for healthy people in healthy communities.The Cooperation• We do not host our own applications.• We are working in partnership with eHealth foran improved single sign-on solution.
  27. 27. Working together…for healthy people in healthy communities.A BIG Thank you to….1. Registration Team2. Emergency Room Physician and Nursing team3. Information Management Team4. eHealth Saskatchewan5. Human Resources Team.6. Lorelei Stusek and the Executive Leadership Team7. Information Technology Team
  28. 28. Working together…for healthy people in healthy communities.Demo
  29. 29. Working together…for healthy people in healthy communities.The END
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