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IS/Clinician Partnership Clinical Information Systems Steering Committee (CISSC) Update to COEC

IS/Clinician Partnership Clinical Information Systems Steering Committee (CISSC) Update to COEC. John D. Halamka MD Justine M. Carr MD. CISSC Purpose. Provide a multidisciplinary forum to communicate and coordinate projects among our various IS governance committees. CISSC Membership.

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IS/Clinician Partnership Clinical Information Systems Steering Committee (CISSC) Update to COEC

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  1. IS/Clinician PartnershipClinical Information Systems Steering Committee (CISSC)Update to COEC John D. Halamka MD Justine M. Carr MD

  2. CISSC Purpose • Provide a multidisciplinary forum to communicate and coordinate projects among our various IS governance committees

  3. CISSC Membership • Chair of the Laboratory Information Systems Committee • Chair of Radiology Information Systems Committee • Chair of Critical Care Information Systems Committee • Chair of Inpatient Information Systems Committee • Chair of Ambulatory Information Systems Committee • Chair of Health Information Management Committee • Chair of Community Information Systems Committee • Chair of Decision Support Information Systems Committee • Chair of Revenue Cycle Information Systems Committee • Medical Executive Committee Representative • Operating Room Executive Committee Representative

  4. ICU 2008 • ICU Documentation System (Vendor Metavision) • Live in NICU and Finard, ongoing rollout to other ICUs in 2008 • Clinical documentation and monitoring program that replaces Carevue • Benefits: Quality, Safety, Efficiency • Multidisciplinary electronic documentation, enhanced by data from electronic monitoring. • Standardized terminologies and problem list drive documentation. • All notes by all caregivers will be completed electronically during ICU stay

  5. Perioperative (PIMS) 2008 • Peri-anesthesia modules (Built in-house) • Pre-Op assessment in PAT clinic • Holding Area assessment • Pre-op Checklist RN and MD • Patient arrival (replaces old CCC function) • PACU log (replaces old CCC logs) • Benefits: Quality, Safety, Efficiency, Compliance • RN documentation on line • Check list signed • H&P update real time • Identification of sleep apnea risk

  6. Inpatient H&P/Med Rec 2008 • Inpatient H&P with med reconciliation pilot • June 2008 (Built in-house, P4P) • Benefits: • Quality, Safety, Efficiency, Compliance • On-line documentation of H&P • Medication reconciliation interfaces with webOMR medication list • H&P interfaces with discharge summary now, and with progress notes when developed

  7. Oncology Management 2008 • Oncology Management System (Built in-house) • Outpatient launched in 2007 • Inpatient launches in June 2008 • Patient dashboard with results • Benefits: Quality, Safety, Efficiency • Chemotherapy ordering system that captures both inpatient and outpatient drug history and insures correct dosing.

  8. Emergency Department 2008 • Medication Reconciliation • Vendor partnership with Fore runner • Live in 2008 • History and physical and documentation • Vendor partnership with Fore runner • Under development

  9. Web OMR 2008 webOMR (Built in-house) • Rolled out to all physician practices • By July 31, 2008 all providers will use: • Medication List • Notes • Orders • Problem List • Results • Benefits: Quality, Safety, Efficiency, Compliance • Medication reconciliation, • Decision support • Continuity of care across providers

  10. Ambulatory Projects • E-prescribing (P4P) • Fully implemented with eligibility checking, formulary enforcement, routing to retail and mail order pharmacies, and community-wide medication history with drug/drug and drug/allergy checking. • Benefits: Quality, Safety, Efficiency • Outpatient document scanning • Begun May 2008 • Dermatology notes (including drawings) scanned • Integrated with webOMR • FY09 evaluate addition of other applications

  11. Laboratory System 2009 • Lab Information System (Vendor Soft Lab) • Goes live September 2009 (replaces CCC) • Benefits: Safety and Efficiency • Eliminates need for relabeling samples • Transfers to vendor the responsibility for ongoing alignment with FDA certification (Blood Bank) • Eliminates need for customized interface with each new laboratory instrument • Eventually will be able to show glucometer results

  12. Clinical Systems Plan

  13. Examples of CISSC Discussions • How to coordinate QI Directors, PCAC and IS processes • How to coordinate OREC, Critical Care, and anesthesia processes • How to coordinate inpatient and outpatient oncology ordering and pharmacy systems • How to communicate changes in lab and radiology systems to clinicians

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