1.
Hamad Medical Corporation
Implementing Evidence-Based Order Sets to Drive
CPOE Adoption and Improve Clinical Outcomes

2.
Agenda
Addressing IT Challenges
The Zynx Solution
Addressing Clinical Challenges
Introduction to Hamad Medical Corporation
Overview of Order Sets

3.
HMC
Introduction
Grant Goodman
Clinical Transformation Lead, HMC
(May 2013 – May 2016)

4.
Hamad Medical Corporation
Hamad Medical Corporation (HMC):
• The main provider of secondary and tertiary healthcare in Qatar.
• Manages 8 hospitals
• 5 specialist hospitals
• 3 community hospitals
• National Ambulance Service
• Home care and residential care.
The first healthcare system across the globe to have all its hospitals accredited
by Joint Commission International under the Academic Medical Center
accreditation program.

5.
Order Sets
Overview

6.
Why Order Sets?
Order Sets help to reduce unwarranted variation by ensuring all clinicians
treat patients with the same clinical condition in a similar way according
to Evidence-Based Best Practice
• Avoids duplication of tests
• Prevents over-ordering of drugs
• Ensures appropriate interventions are prescribed first time
Definition:
noun | or·der·set | ˈȯr-dər-,ˈset
1. A list of evidence-based and/or practice-based actions for a specific
disease, condition, problem or procedure carried out at specific points
during patient care journey
2. Care protocol or bundle
3. Cerner PowerPlan

7.
Electronic Evidence-Based Order Sets
Effectiveness of Evidence-based
Pneumonia CPOE Order Sets Measured by
Health Outcomes
Jacob Krive, Joel S. Shoolin, Steven D. Zink
Online Journal of Public Health Informatics 2015
http://ojphi.org
DOI: 10.5210/ojphi.v7i2.5527
Evidence-based ordering practices
improved pneumonia outcomes:
• Reduced Mortality
• Reduced Readmissions
• Reduced Length of Stay
• Reduced Cost of Care

8.
Zynx Health Order Set in Cerner

9.
HMC
Clinical Challenges

10.
Clinical Challenges
Producing Safe and Optimal Care

11.
Our learnings
Clinical Learnings
More education on philosophy of
evidence based order sets
Proactive engagement with
Physicians with rapid changes to
order sets as required
Review process leads to more
robust order sets
Our challenges
Physicians pushed to include non
evidence based orders into the
order sets
On implementation Physicians
then complained that there were
to many order components
Review after some time saw
closer alignment with evidence
base with less order components
Clinical engagement is paramount

12.
HMC
IT Challenges

13.
HMC’s Transformation Journey
HIMSS EMR Adoption Model

14.
IT Challenges
CPOE functionality enhanced by Zynx Order Sets
Why use Zynx Order Sets?
Zynx delivers a library of 500+ evidence-based templates
Flexible SaaS-based solution, deployed quickly & securely
Content management tools to support consensus building

15.
The Project so far…
Things we have done well:
Zynx Order Sets and Care Plans integrated within Cerner
across 8 hospitals and 22 clinics:
• Rapid implementation capability: 240 Order Sets in 1 year
• Results achieved through local expertise with on-site support
from Zynx Health
• Onsite multidisciplinary workshops to localise order set content
• Clinical leadership / teamwork.

16.
The Project so far…
Opportunities for improvement:
Driving end-user adoption of the new order sets:
• Focused Change Management.
• Consider using Favourites Folders for Order Sets NOT Order
Sentences.
• Training and communications.
• Periodic review of Order Set content to ensure alignment with
the evidence base.
• Publish usage and outcomes (share benefits realisation).

17.
ZynxOrder
The Solution

18.
What is the Zynx Solution?
Continuous evidence
surveillance of
national guidelines,
clinical research, and
quality measures.
Evidence search Appraise/Synthesise Publish
Performance
measures and high-
impact interventions
Evidence links in
Cerner PowerPlans
automatically direct to
updated evidence
summaries.
Zynx has a team of
clinicians that systematically
search the latest guidelines
Evidence is critically
appraised and then
classified/organized
The evidence-based content
is then published
electronically

19.
Why did HMC select Zynx?
19
KEY DIFFERENTIATORS
Local Expertise & Proven Track
Record
• 13 hospitals & 62 clinics in the UAE
• Over 1,600 hospitals in North America
• Clinical experts based in Dubai
High-level Support • On-site programme management and
clinical engagement
• Localization workshops
Seamless Cerner Bi-directional
Integration
• Deployed by 130+ Cerner health systems
• Originally a Cerner solution
• SAAS solution, easy to deploy
Best in “KLAS” Tooling • Solution specifically built to focus on
improving outcomes
• Intuitive Content Management tools to
support collaboration and consensus
building
ZynxOrder & ZynxCare: #1 Order Set & Care Plan
2015/2016 Best in KLAS Awards: Software & Services

20.
20
T: +971-5577-30456
E: international@zynx.com
www.zynxhealth.com