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OTTR - A Compilation of Best Practices. SBMC – OTTR install 12/2009 Oracle – initial upgrade to 5.1.3 in 2005 Upgrade in 5/13 from Oracle to SQL plus upgrade from 5.1.3 to 6.0 NBI – OTTR Install 4/2006 Pending upgrade from 5.4 to 6.0 10/2013 Goal-Enterprise solution for both centers:
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SBMC – OTTR install 12/2009 • Oracle – initial upgrade to 5.1.3 in 2005 • Upgrade in 5/13 from Oracle to SQL plus upgrade from 5.1.3 to 6.0 • NBI – OTTR Install 4/2006 • Pending upgrade from 5.4 to 6.0 10/2013 • Goal-Enterprise solution for both centers: • one OTTR application for both transplant programs – heart, kidney, pancreas, lung Our history…
.5 FTE shared between two facilities for OTTR Admin and Software • Hardware maintained by IT Our history…
Discreet data: • Action • Diagnosis • Medication • Progress Notes tell the story Our OTTR Philosophy…
OTTR Admin – Query Builder • Uses tables to select fields • Export to Excel • Shows SQL for report building Our OTTR Philosophy…
What is “Best Practice”? A best practice is what will work best at your center or facility with your staff. Best practices are easy to identify but challenging to successfully implement.
It’s not about what our center is doing right… it’s about finding what has worked for others and determining if that solution, or a version of that solution, will help your team.
Solicit feedback and questions of staff… • What would make Ottr work better? • Investigate possibilities/solutions • Query users/ OTTR support • Shamelessly steal • Implement • Repeat Formula for success
Determine what is really needed…- Do staff know how to use the system?- What are they trying to accomplish?
Don’t over-react and rush to create reports or change systems…Listen, assess, research and work with staff to find the best solution.
Inpatient Pre-Transplant Transplant Administration Research Post-Transplant
How has this helped… Patient quality of care/patient safety Staffing Increased efficiency/effectiveness Increased staff satisfaction Marketing opportunities Managed Care contracts Data necessary for analysis Regulatory compliance Process review and due diligence Continuous monitoring Frequent refocus on goals Identify and recognize achievements
OTTR Database = $ XX,XXX Server = $ x,xxx Data/IT Staff = $ xx,xxx Cost of Improved Patient Care… Priceless