Dr Bart Nuysink & Ray Delany The Selwyn Foundation

1. Achievements to date
HINZ Seminar 25 May 2007
Dr Bart Nuysink
Medical Director & CIO
Agenda
• Selwyn Overview
• Implementation of iDT time and
attendance software
• Going paperless with the Electronic
Medical Record using MedTech
• Some issues
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2. Selwyn Village
• Large retirement village in Point
Chevalier
• Accommodates 565 residents
• Need levels include
– Fully dependent (private hospital level care)
– Rest home
– Secure dementia
– Independent living
• Fully operational medical centre on site
iDT
• Time & Attendance system
• Monitors staff arriving and leaving via a
finger scanner.
– Replaced a time-card system.
– Complexity of software and business rules
– Excellent reporting base
– Visibility of sick and other leave
– Has reduced staff workload
– Moderate cost savings
– Only pays the schedule
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3. ERM
• MedTech practice management system
• Initially using a laptop to record consultations
• Printed out and then pasted into the clinical record
• Selected one RH to fully electronise care notes
• Previously caregivers wrote their notes in the paper
record separated from the medical section.
• Nurses would write in either/both/?neither.
• This process on computerizing the notes would also fully
integrate the notes.
• Result is a truly chronological record
• Doctor knows what the caregiver or nurse was thinking
• Care-giver and nurse can immediately see what the
doctor had instructed.
ERM Benefits
• Multi-user access
• No getting the notes
• Immediate access to notes
• Notes not lost
• Legibility
• non-English speakers can type well
• Lab results
• It was thought to save staff time but
the CFO did not see any decrease in
staff hours
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4. Key Elements
• Positivity
• Momentum
• New users teaching new users
• Simple instruction manual - Idiots guide
• Individual user IDs – allows brief
walkthrough the manual
Being There
• Can’t sign on?
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5. Keyword Careplans
.uti
UTI
symptomatic Yes /No
confused Yes/No
Urine dipstick; +ve for ...
Lab result: awaited/+ve
PLAN;
Push oral fluids Yes/No
Fluid Balance Chart Yes/No
Spec to lab Yes/No
Notify Dr Yes/No
Antibiotics Yes/No
Ural tds Yes/No
The Future
• 24hr alerts
• Nursing Careplans
• Medication charts – doctors drug charts
to reduce transcribing.
• Medication administration charts. Staff
would take a portable electronic device
with them to the resident a record all
medication given. Particularly useful for
prn medication.
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6. Summary
• Simple interventions
• Training on the job
• Low costs – big benefits
• Better information for care
• Better Compliance
• Ability to involve residents families
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