Enhancing Electronic Medical Record Creation for Ward Rounds
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Meaghan Willis HealthCare Group CSC (Thursday, 3.25pm, Clinicians' Challenge) See associated video at
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Enhancing Electronic Medical Record Creation for Ward Rounds
- 1. HEALTHCARE GROUP HINZ CLINICIAN CHALLENGE 2012 ENHANCING ELECTRONIC MEDICAL RECORD CREATION FOR WARD ROUNDS Vendor presentation: Meaghan Willis, Healthcare Group | CSC
- 2. Clinician Challenge Enhancing Electronic Medical Record creation for ward rounds Clinician presentation • Video demonstration by Dr Angus Turnbull – Simultaneous clinical note taking via open source software Etherpad-Lite – (See associated video in description) NEXT Vendor presentation • A wider perspective on EMR creation for ward rounds • A mobile solution for anywhere, anytime access to patient and clinical information that includes: – Structured clinical note taking – Diagnostic result viewing & ordering – Observations CSC Proprietary and Confidential November 14, 2012 2
- 3. The Wider Context Electronic medical records • To be useful, electronic medical records must be: – Timely – Accurate – Accessible – Easy to use • Guiding principles for development of a successful solution that has given doctors access to a virtual medical record CSC Proprietary and Confidential November 14, 2012 3
- 4. CSC Mobility Suite A virtual electronic medical record • A mobile solution for anywhere, anytime access to the patient medical record plus: – Structured clinical note taking – Observations – Diagnostic result viewing – Test ordering • Connectivity via wireless and 3G/4G telecommunications • Social media style interface for easy updates and viewing CSC Proprietary and Confidential November 14, 2012 4
- 5. The Ward Round Mobility Suite Access to Ward Patient List 1. Select ward 2. Select order: bed, name, unit or doctor 3. Touch patient to open medical record view Order Ward CSC Proprietary and Confidential November 14, 2012 5
- 6. The Medical Record View Mobility Suite Medical Record View Positive patient identification with photo ID Alerts and allergies highlighted when medical record opened Access to components of the record can be configured based on the user’s security Tab colors and profile naming can be configured to match common medical record layout CSC Proprietary and Confidential November 14, 2012 6
- 7. The Medical Record View Recording ward round progress notes via a Collaborative Document (Etherpad-Lite) Menu action configured to use Etherpad-lite to record ward round notes. collaborative document. with patient and users context passed to document. CSC Proprietary and Confidential November 14, 2012 7
- 8. The Medical Record View Recording ward round progress notes via Mobility Suite Multiple users adding notes at same time When shown as age and date/time CSC Proprietary and Confidential November 14, 2012 8
- 9. The Medical Record View Recording ward round progress notes via Mobility Suite Touch Add Note Simple note taking using any features available on device. Pop Up keyboard, attached keyboard, voice recognition, Spell Checking CSC Proprietary and Confidential November 14, 2012 9
- 10. The Wider Context Viewing and recording observations CSC Proprietary and Confidential November 14, 2012 10
- 11. The Wider Context Viewing and ordering diagnostics at the bedside November CSC Proprietary and Confidential 11 14, 2012
- 12. The Wider Context Structured information input for data quality and ease of use Structured forms for referral/assessment/research/discharge summary CSC Proprietary and Confidential November 14, 2012 12
- 13. Feasibility • Implemented in Australia at Cabrini / Healthscope / St Vincent's • Supported by underlying webPAS patient administration system used in many New Zealand hospitals • Enthusiastic user acceptance “ I have to say that the CSC Mobility Suite, is quite simply the best IT development that I have ever seen anywhere in healthcare.” Cabrini Anesthetist CSC Proprietary and Confidential November 14, 2012 13
- 14. Effective Use of Health Workforce and Resources Results at Cabrini • 792 nursing hours saved annually – Based on only 2% of results viewed through system instead of provided over the phone • 12,800 clinician hours saved annually – Based on each doctor saving 10 minutes per day • 480 bed days saved annually – Based on only 0.2% of results viewed through system resulting in the investigation being initiated on that day instead of the next CSC Proprietary and Confidential November 14, 2012 14
- 15. Potential Health Outcome Benefits Mobility Suite solution • No delay waiting for handwritten notes to be entered • Reduces transcription errors • Improves clinical decision making – Complete information available for consideration • Reduces delay in initiating treatments – Test results immediately available to clinician • Returns time to clinical care CSC Mobility Suite Anywhere, anytime medical record access for results viewing, ordering, observations and note taking on the go. CSC Proprietary and Confidential November 14, 2012 15
- 17. Innovation CSC Proprietary and Confidential November 14, 2012 17
Editor's Notes
- I’d like to start by thanking Angus for first setting this important challenge and then for demonstrating his idea in this video.[possibly address how this could be incorporate into our systems]Featured in Angus’ video demonstration was the open source Etherpad-Lite software.Angus has focused on simultaneous clinical note taking as a way of efficiently entering information into the medical record.In my presentation now, I am going to take a wider perspective as I walk you through our solution to electronic medical record creation on the ward.
- At CSC we believe it is not just about recording clinical notes at the bedside but it is about access to timely, accurate information, anywhere anytimeThese are the guiding principles for development of a successful solution that has given doctors access to a virtual medical record
- At CSC we believe it is not just about recording clinical notes at the bedside but it is about access to timely, accurate information, anywhere anytime
- The solution provides quick and easy access to patient records.In this example the patient list is sorted by ward, but it could also be done by consultant or unit.One or more clinicians can simultaneously access and update a patient’s record.Changes to the medical record are time stamped and the user identified.
- This demonstrates that we were able to integrate Etherpad-Lite into our solutions through a simple menu configuration that allows access to a shared document for the patient. Both the user and patient context are automatically passed by the software. While we can demonstrate this we did have issues with the performance of this model over typical secured network connection and a full implementation of this model would require more research to solve this and other implementation challenges.
- Our solution already provides a way to record clinical notes – this has been deployed at a number of hospitals in Australia.Instead of using a shared document, we have taken a social media style approach to viewing and updating information in the medical record.This makes it easy to use and provides data control over the different elements that make up the patient record.An alternative approach is to use the familiar social media model of recording notes which is currently a feature of our solution and has been deployed successfully at a number of hospitals in Australia. In this model multiple users are able to record notes at the same time or could be recording observations and clinical orders.