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SGHS Internship Presentation
- 1. Health Informatics Internship BY JASON PURCELL HINF 4900 SUMMER 2014 Host : Southeast Georgia Health System (Brunswick Campus)
- 2. Southeast Georgia Health System is a not-for- profit healthcare system with multiple locations and services Serves the needs of residents from six counties in Southeast Georgia - Brantley, Camden, Charlton, Glynn, McIntosh, and Wayne. Overview:
- 3. The Health System has served residents and visitors to the beautiful Golden Isles and surrounding areas of Southeast Georgia since 1888 Over 2,000 employees Has 27 specialty groups with over 300 physicians Overview (cont.):
- 4. Main Campus Overview (cont.): Brunswick Brunswick Campus 2445 Parkwood Drive Brunswick, GA 31520 912-466-7000
- 5. Camden Campus Camden Campus 2000 Dan Proctor Dr. St. Marys, GA 31558 912-576-6200 Overview (cont.):
- 6. What types of services are offered? • Breast Care • Cancer Care • Cardiopulmonary Services • Education • Emergency Services • Oncology • Orthopaedic Care • Pediatrics • Radiology • Rehabilitation Services • Robotic Technology • Wound Care Overview (cont.):
- 7. What types of services are offered? • Hospital Medicine Program • Imaging Services • Laboratory Services • Maternity Care • Mobile Health Service Vehicle • Neurosciences • Senior Care • Sleep Management • Spine Care • Sports Medicine • Surgical Services • Women’s Health Services Overview (cont.):
- 10. What is Health Informatics?
- 11. “Health Informatics is the interdisciplinary study of the design, development, adoption, and application of IT-based innovations in healthcare services delivery, management, and planning.”
- 12. Intern Tasks: • Assist with Cerner support - physicians and staff • Review and discuss upcoming changes • Shadow Nurse Informatics Analyst • Learn workflow processes
- 13. • Assist with staff training / auditing • Learn Cerner • Create sample patients for physician training • Attend Informatics and leadership meetings Intern Tasks (cont.):
- 14. My Top 3 Projects!
- 15. Blood orderables (Original) ABORH ABSC CROSSMATCH TRANSFUSION ORDER Four separate orders needed:
- 16. Multiple steps In one flow sheet Blood orderables (New flow)
- 17. Dialysis Electronic Orders Eliminate paper charting Bring Dialysis online Ease of ordering Patient tracking
- 18. Severe Sepsis Protocol Identify at risk patients Early Intervention
- 19. Blood Orderables – ongoing status – not completed Dialysis Electronic Orders – still in live testing – mostly completed Sepsis Protocol – went live on 6/10 – competed! Projects Status
- 21. Intern Host Supervisors • Laura Grantham, RN, MSN, APRN • Director, Patient Care Services • Ryan Kaylor, RN • Nurse Informatics Analyst • Registered Nurse
- 22. • Business casual Dress Code Punctuality Deadlines • Flexible Schedule • Planned weekly • Informal • Flexible • Work in progress
- 23. Formal Communication • Departmental • Meaningful Use Committee • Health Informatics • CHSI – outpatient
- 24. Informal Communication • One on one • Group discussions • Email • Forum chat
- 25. Qualifications / Interview • No interview • No tests • No background check Improvements:Current Process: • Conduct interview / Tour • Meet preceptor before start date
- 27. Recommendations Integrate Cerner into EHR class Use of Dragon software – being used for dictation and notes Less programming classes – more work flow design and change management Longer internships – Fall + Spring semesters
Editor's Notes
- Cooperative Healthcare Services Inc. Or CHSI.
- Cooperative Healthcare Services Inc. Or CHSI.
- SGHS has 27 physician practices, all different kinds of specialties. They are under Cooperative Healthcare Services Inc. The Brunswick campus has a little over 316 beds, ER has 5 intake rooms and 19 emergency care rooms. Camden has 40 beds with a 17 emergency care rooms.
- SGHS has 27 physician practices, all different kinds of specialties. They are under Cooperative Healthcare Services Inc. The Brunswick campus has a little over 316 beds, ER has 5 intake rooms and 19 emergency care rooms. Camden has 40 beds with a 17 emergency care rooms.
- SGHS is has one of the two Cyber Knife system in the state of Georgia. Cyber Knife is a robotic system that uses pinpoint accuracy to shrink and kill tumors. They also have the Da Vinci robotic arm used for minimally invasive robotic surgery.
- SGHS is has one of the two Cyber Knife system in the state of Georgia. Cyber Knife is a robotic system that uses pinpoint accuracy to shrink and kill tumors. They also have the Da Vinci robotic arm used for minimally invasive robotic surgery.
- Nunnally House will be a one-story residential building with three wings. The cancer patient wing will include 16 one-bedroom units, the critical care family wing will consist of 12 two-bedroom units and the student/on-call unit will have 16 one-bedroom and 2 two-bedroom units.
- Nunnally House is a one-story residential building with three wings. The cancer patient wing will include 16 one-bedroom units, the critical care family wing will consist of 12 two-bedroom units and the student/on-call unit will have 16 one-bedroom and 2 two-bedroom units.
- Electronic Healthcare Records (EHR), Citrix, Cintricity are examples of innovated applications.
- Electronic Healthcare Records (EHR), Citrix, Cintricity are examples of innovated applications.
- Use to be completed by a clerk. Now doctors has to answer same redundant questions. ABORH= blood type match, ABSC= antibody secreting cells in blood could indicate infection, CROSSMATCH= match pt and donor blood, then TRANSFUSION order to nurse.
- Top 3 projects, blood ordering
- Responsibilities: are to continually assess nursing work flow
- Schedule was flexible, I could take off anytime I needed to, planned each week as we go.
- Both forms of communication where used. The most important was formal – that’s where we finalized most plans.
- Both forms of communication where used. The most important was formal – that’s where we finalized most plans.
- New process @ SGHS we had to go through. It would benefit both student and host to be able to sit down and interview to talk about expectations, skills, and possible projects. Have preceptor present during interview.
- I was surprised to learn that the applications analysts did not program their applications but they are given a set of powerful tools and a environment to create applications, some fully functional, and others that are limited. The most challenging for me and my preceptor was to stay on task with just one project. We had to do as much as possible on multiple projects, while giving Cerner support and fixing EHR related issues that come up on a daily basis. My best experiences is when we finally did finish a project and got to see the finished product and helping with creating test patients for physician training.
- Teach Cerner EHR and build and prod domains, since most hospitals in the surrounding areas use Cerner. Introduction to Dragon software should be implemented into a technology class since both Cerner and Epic is using this software for physician dictation and and power notes. Less programming classes, and more emphasis on work flow design and change management. Internships should be at least 2 semesters long.