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

1. Electronic Health Record – Friend or Foe
Sheranga Jayasinghe and Brenda Leppington
This Session is sponsored by:

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The Electronic Health Record
Build it and they will come.
Or WILL they?
Brenda Leppington – Director Information Management
Sheranga Jayasinghe – Director Information Technology

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About Sunrise..
Sunrise Health Region stretches from the
breathtaking beauty of the Qu’Appelle Valley to
the northern boreal forest, and from the bountiful
parklands of the Manitoba border into the rich
Saskatchewan prairie farmlands. Sunrise serves
58,000 persons – two-thirds living in our
comfortable, warm, friendly cities, towns and
villages, and 1,600 living in our historic First
Nations.
Sunrise employs more than 2,600 professional
and support staff to ensure the delivery of quality
care throughout the region.

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The Vision
The vision presented to care providers was a single
patient record. One place where care providers could
access patient information across the spectrum of health
care for their patient.
The perceived benefits:
• Information readily available when required
•Decreased need to have patient repeat information to
multiple care providers.
• Reduction of duplication of diagnostic tests
• Appropriate usage of medications
•Improved communication between care providers through
use of tracking boards (PSAG).
• And that was just the beginning………….

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The Reality
• Paper records still exist and continue to
form an integral part of patient information.
•Multiple electronic records exist and
contain pockets of information.
•Requiring multiple log-ins
•Multiple user names
•Multiple passwords
•Passwords expiring at
different times.
•Not enough information in a single
location to make it valuable.

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The Challenge
• Was it faster to retrieve information electronically?

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The Power

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The “Unauthorized” Solutions
• Shared usernames and passwords
• Non clinicians accessing information on behalf of care
providers
•Reduces effectiveness of seeing trends in diagnostic
tests that are not apparent in the paper record.
•Reduces effectiveness of ability to determine patients
seeking multiple prescriptions.
• Patient concerns regarding privacy
•Not utilizing electronic solutions and returning to paper
processes
•Usage statistics revealed low user adoption
•User surveys revealed a small percentage of care
providers were persevering.
•Printing issues
•Multiple log-ins to set default printer
•Privacy breaches

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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 interaction
The Solutions

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2) Make it easier for Care Providers
Access to information from any
device, any where, any time.

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Follow Me Computing
1.Follow Me Desktops
2.Follow Me Profiles
3.Follow Me Applications
4.Follow Me Print Jobs

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Follow Me Computing
Sunrise became the first Health Region in
the province and in Canada to implement a
fully functional ‘Follow Me Computing’
solution with Smart Cards and Single Sign-
On.

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Follow Me Computing
What is ‘Follow Me Desktop’?
Your Desktop will follow you from one
computer to another.

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Follow Me Computing
Components of ‘Follow Me Desktop’?
Single Sign - On
Single Sign - On will store your passwords
in a secure encrypted database and
automatically populate the credential
fields for all the applications you have
access to, when opened.

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Follow Me Computing
Smart Card
A card that has an
embedded chip in
it.(Same as your credit
card) This Chip will store
your PIN and a secure
certificate in encrypted
form.

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Follow Me Computing
What 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 to
another or receive a new computer you need to
recreate all these settings.
With ‘Follow Me Profiles’, regardless of what
Device you connect to, all your profile settings
will remain the same.

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Follow Me Computing
What is ‘Follow Me Application’?
All Applications opened within your current session
(desktop) will also follow you with your desktop.

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Follow Me Computing
What is ‘Follow Me Printing’?
A secure user authenticated solution.
When you print, it will no longer print to a printer. Instead
it will remain in a queue and print only when you request
for it.
You can walk to any printer (once fully implemented) in
any of the Sunrise Health Region facilities, authenticate
yourself using your smart card/PIN and print your print
job.

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Follow Me Computing
What is ‘Follow Me Printing’?
Authentication Device

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Follow Me Computing
Access to the “Follow Me Desktop”

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Follow Me Computing
What we have learned so far?
1. Unexpected technical issues.
2. Create more documentation for users
3. Separate the components when deploying the
technology so that it does not become overwhelming to
the end user
4. Need to establish the baseline before we proceed
further. ( Infrastructure, Network etc)
5. Better password management policy has to be
developed

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The Experience
•Technical issues
• Frustration of learning new technology at the same
time as new functionality.

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The Hope
•Six months post go-live with ED Manager, the
physicians indicated that the # 1 thing they liked
about the project, was Smart Cards and
single sign-on

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The Proof
• User Surveys have shown increased support
for electronic solutions.
• Volume of patient information being accessed
electronically, has tripled.
• 1,000 records a week are accessed
electronically.

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The Future
• Nurses and physicians have expressed a
desire to move forward with additional electronic
documentation and additional Tracking Boards
on our Medicine Units. The work is currently
underway.
• Computers at the bedside
• Better single sign-on solution

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The Cooperation
• We do not host our own applications.
• We are working in partnership with eHealth for
an improved single sign-on solution.

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A BIG Thank you to….
1. Registration Team
2. Emergency Room Physician and Nursing team
3. Information Management Team
4. eHealth Saskatchewan
5. Human Resources Team.
6. Lorelei Stusek and the Executive Leadership Team
7. Information Technology Team

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Demo

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The END