Transcript HERE - HIMAA
Slide 1
The gold in the thread
Michelle Martella
HIS Operations Manager – Barwon Health
Anna Coote (HIM)
Managing Director PH Primecare P/L
Heather Grain (HIM)
E-Health Education P/L
Slide 2
Introduction
Why are we talking about…?
The process of replacing paper with a Digital
Medical Record (DMR), the progression to an
Electronic Health Record (EHR) and the gold
found when doing so.
Slide 3
Barwon Health Overview
A truly great place to work
•
•
•
•
390 acute beds
511 sub acute and aged beds
40 mental health beds
Unique patient identifier across all 23
sites
• Largest employer in the region
• Regional receiving hospital servicing
400,000 people across Barwon
South West Region
• 40,000 presentations to ED annually
Slide 4
What is the DMR?
An umbrella term covering electronic capture and delivery
of information that has traditionally been stored on paper a health record in computer readable format.
• It is a combination of the:
– Electronic Health Record (EHR) –information is entered
electronically or imported via external electronic systems
– Scanned Medical Record (DMR)- information is created using
paper, then archived in an electronically viewable format.
Slide 5
The project
• Our chosen system BOSSnet by Core Medical
Solutions
• Embedded on site since 2001
• DMR Go live 2007
• Multiple user access, all locations
• Access to all patient related health information
via one access point with one password
• Configurable to specific filtered views
• Audit trail – read/write
Slide 6
How are we looking now?
• COST NEUTRAL in 18mths
(projected 5 years)
• Record requests have significantly
reduced, all pre existing records now
offsite
• HIS clerical staff up skilling
• DMR spawned to finance and HR
Slide 7
The DMR - a snap shot of how do we do it
•
•
•
•
•
No back scanning
Bar-coded MR forms
Current folders on wards
Scanning controlled in HIS, 24/7
Post discharge 24 hours, 30 mins for patient
transfers
• Archived and sent offsite for storage
• No intention to destroy, at this stage!
• 10,000 sheets scanned per day
Slide 8
The benefits of a DMR
?
Gold – interoperability of the electronic
record through
• Consistent structure for information
• Application of computer logic and algorithms to the
content of the medical record
• Medications profile from one system available in
another
• Information sharing
The thread, the processes linking the gold
Slide 9
The threads and their attributes
Electronic Health Record (EHR)
• Sharing of complete/summarised information
across multiple health organisations/health
care professionals
• Automation, streaming workflow, improved
decision support, ……improved patient
outcomes
Slide 10
Digital Medical Record (DMR)
The progressive removal of noncomputable, paper-originated, records
towards computable information
Slide 11
Health Information
Health related information that is
accessible and usable from the point
of capture … through to national
health statistics
Slide 12
What did we dig up?
•
•
•
•
•
Paper
Electronic
Digital
Health Information
Clinical Coding
Slide 13
The mining operation
Gold
Workload figures
A smarter way to work
Slide 14
The production of priceless nuggets
Diamonds
Daily reporting
Slide 15
Digging further we uncovered more
priceless gems
Sapphires
Administrative monitoring
Remote coding and auditing
Slide 16
Now in regular production
Rubies
The audit trail – is it really just a way to
police patient confidentiality?
Silo sites – to share or not to share?
Slide 17
In hindsight….
•
•
•
•
•
•
Training
Communication
Dr/patient relationship
HIS support at “Go-Live”
Silo sites
Audit trail – new uses
Slide 18
What would have helped?
• Standards
• Greater working parties with other health
organisations
Slide 19
Where to from here….?
Clinical teams are now driving the move to electronic entry
2010/2011
• Medication management and administration
• Electronic alerts
• Continue with our professional partnership with CMS to
find smarter and safer ways to work
• Continue progression from DMR > EHR
• EHR > PHR ???
Slide 20
Fruits of our labour
• 2009 Outstanding Achievement’
for Information Management from
the Australian Council on
Healthcare Standards Surveyors
• 2010 Gold award at recent
Victorian Health Care Award for
‘Delivering sustainable & efficient
healthcare services’ by ‘Increasing
information availability in health
care’
Slide 21
Conclusion
Was it worth it?
Would be do it again?
In a heartbeat
Slide 22
For further project information
Michelle Martella
Barwon Health
[email protected]
0403 605 306
The gold in the thread
Michelle Martella
HIS Operations Manager – Barwon Health
Anna Coote (HIM)
Managing Director PH Primecare P/L
Heather Grain (HIM)
E-Health Education P/L
Slide 2
Introduction
Why are we talking about…?
The process of replacing paper with a Digital
Medical Record (DMR), the progression to an
Electronic Health Record (EHR) and the gold
found when doing so.
Slide 3
Barwon Health Overview
A truly great place to work
•
•
•
•
390 acute beds
511 sub acute and aged beds
40 mental health beds
Unique patient identifier across all 23
sites
• Largest employer in the region
• Regional receiving hospital servicing
400,000 people across Barwon
South West Region
• 40,000 presentations to ED annually
Slide 4
What is the DMR?
An umbrella term covering electronic capture and delivery
of information that has traditionally been stored on paper a health record in computer readable format.
• It is a combination of the:
– Electronic Health Record (EHR) –information is entered
electronically or imported via external electronic systems
– Scanned Medical Record (DMR)- information is created using
paper, then archived in an electronically viewable format.
Slide 5
The project
• Our chosen system BOSSnet by Core Medical
Solutions
• Embedded on site since 2001
• DMR Go live 2007
• Multiple user access, all locations
• Access to all patient related health information
via one access point with one password
• Configurable to specific filtered views
• Audit trail – read/write
Slide 6
How are we looking now?
• COST NEUTRAL in 18mths
(projected 5 years)
• Record requests have significantly
reduced, all pre existing records now
offsite
• HIS clerical staff up skilling
• DMR spawned to finance and HR
Slide 7
The DMR - a snap shot of how do we do it
•
•
•
•
•
No back scanning
Bar-coded MR forms
Current folders on wards
Scanning controlled in HIS, 24/7
Post discharge 24 hours, 30 mins for patient
transfers
• Archived and sent offsite for storage
• No intention to destroy, at this stage!
• 10,000 sheets scanned per day
Slide 8
The benefits of a DMR
?
Gold – interoperability of the electronic
record through
• Consistent structure for information
• Application of computer logic and algorithms to the
content of the medical record
• Medications profile from one system available in
another
• Information sharing
The thread, the processes linking the gold
Slide 9
The threads and their attributes
Electronic Health Record (EHR)
• Sharing of complete/summarised information
across multiple health organisations/health
care professionals
• Automation, streaming workflow, improved
decision support, ……improved patient
outcomes
Slide 10
Digital Medical Record (DMR)
The progressive removal of noncomputable, paper-originated, records
towards computable information
Slide 11
Health Information
Health related information that is
accessible and usable from the point
of capture … through to national
health statistics
Slide 12
What did we dig up?
•
•
•
•
•
Paper
Electronic
Digital
Health Information
Clinical Coding
Slide 13
The mining operation
Gold
Workload figures
A smarter way to work
Slide 14
The production of priceless nuggets
Diamonds
Daily reporting
Slide 15
Digging further we uncovered more
priceless gems
Sapphires
Administrative monitoring
Remote coding and auditing
Slide 16
Now in regular production
Rubies
The audit trail – is it really just a way to
police patient confidentiality?
Silo sites – to share or not to share?
Slide 17
In hindsight….
•
•
•
•
•
•
Training
Communication
Dr/patient relationship
HIS support at “Go-Live”
Silo sites
Audit trail – new uses
Slide 18
What would have helped?
• Standards
• Greater working parties with other health
organisations
Slide 19
Where to from here….?
Clinical teams are now driving the move to electronic entry
2010/2011
• Medication management and administration
• Electronic alerts
• Continue with our professional partnership with CMS to
find smarter and safer ways to work
• Continue progression from DMR > EHR
• EHR > PHR ???
Slide 20
Fruits of our labour
• 2009 Outstanding Achievement’
for Information Management from
the Australian Council on
Healthcare Standards Surveyors
• 2010 Gold award at recent
Victorian Health Care Award for
‘Delivering sustainable & efficient
healthcare services’ by ‘Increasing
information availability in health
care’
Slide 21
Conclusion
Was it worth it?
Would be do it again?
In a heartbeat
Slide 22
For further project information
Michelle Martella
Barwon Health
[email protected]
0403 605 306