Transcript What IMPACT Means to Physicians

What IMPACT Means to Physicians
November 2014
Physician Champion: William Bradshaw, MD, FACS
A Glimpse of Our Future with IMPACT
 Changes for nurses and other departments will include:
– All medications will be bar-coded, including IV Fluids.
– Bedside monitors will automatically feed vital signs into the electronic
chart for patients in the ICU, PACU, and certain beds in the Emergency
Department.
 Clinicians and staff will continue to perform the following
daily functions:
– Administer medications only after cross-checking the bar-coded label
on the drug with the bar-coded wrist band on the patient’s arm.
– Document directly into the computer as care is delivered (not on sticky
notes or kardexes).
– Give shift reports by looking at the information that was documented
directly into the computer.
2
A Glimpse of Our Future with IMPACT
 Changes for physicians
– Physicians will look up patient information in the Cerner electronic
chart from any wireless-enabled location (within the hospital or from
their office, home, or remote location).
– Orders will be entered electronically or immediate action by all
departments in Cerner. With Cerner CPOE, physicians will enter their
own orders to ensure that all the rules, alerts, contraindications, drug
interactions, and other clinical decision support are acted upon at the
time of order entry.
 Changes for our hospital
– Hospitals must attest to the U.S. Department of Health and Human
Services that we are “meaningful users” of technology, based on
information that we capture (including physician use of CPOE) in our
Cerner electronic records.
– Our compliance affects eligibility for ARRA incentives in the form of
Medicare/Medicaid reimbursement.
3
Benefits for Physicians
 Improved safety for your patients
–
–
–
–
–
–
–
4
Immediate notification of critical results
Decreased adverse drug events
Allergy checking
Clinical decision support at the time of order entry
Duplicate orders checking
Clinical alerts
Immediate communication of authorized physician order to all
departments for follow up action (with CPOE)
Benefits for Physicians
 Electronic Health Record
– You will have electronic access to Cerner’s legible, complete, organized
patient chart from a variety of locations
 Computerized Provider Order Entry
– You will streamline your ordering process by the use of Cerner’s
evidence-based order sets, which were developed from order sets in
use by doctors across Tenet (including yours) and compared against
leading clinical practices
– The time spent by physicians entering orders through Cerner’s CPOE
will improve patient safety and save time in the long run by reducing
manual communications to:
– Clarify order legibility
– Follow up on alerts or contraindications
– Obtain signature for paper or phone orders
5
Benefits for Physicians
 Enhanced communication and physician work flow
– You will have improved access to patient records through Cerner
• Immediate access to electronic patient record from anywhere you have a
PC and Internet connection
• Easy access to your patients using Rounds List
• No lost charts
 Improved communication
– With Cerner, handoffs between venues of care and care providers can
happen seamlessly with information at your fingertips
 Integration of bedside monitoring devices
– Eliminates transcription errors
– Will provide you with ease of access to monitoring data
6
Benefits for Physicians
 Use of order sets for your convenience
– Evidence links and treatment pathways embedded in order sets
– The suggested order sets will be based on diagnosis and problems
– You will have the ability to save your favorite orders
 Your orders are communicated directly to other care providers
for action
– Decreases turn-around time
– Eliminates transcription errors
7