It’s Not About The Box Improving Care at Group Health with People, Process and Technology

February 28, 2006

Epic Oncology Module

Filed under: Quality / Affordability — admin @ 5:35 am

Attached is a summary of a demonstration I viewed with our Oncology Team, kindly prepared by Kris Haight, RN, MN (Service Line Director, Women’s Health, Gastroenterology, Dermatology, Oncology, Genetics, Radiation Oncology)

On February 23rd, Dr Ted Eytan from Quality and Informatics and Dr. Sam Butler, the oncology clinical advisor for EPIC, demonstrated the EPIC Oncology Module to a group of Central providers, nurses, pharmacists, and Maureena Moran, Executive Director of Web Services (MyGroupHealth).

When Ted asked what they group thought….Dr. Ginsberg gave it 2 thumbs up!!

There is another demo at TSC in Conference Room 3 on March 16th 8:30-9:30 for Tacoma and Olympia staff.

We don’t know when we might acquire the module but the CIS team and the Service Line will discuss this after the second demo.

The CIS team is just about to start the rollout of two like-modules, Emergency Room/Urgent Care, and Nurse Triage, which will really inform us on “what it takes” to do this right.

We noticed that patient-centric functionality is not yet where we want it to be (treatment calendars, treatment plan on the Web), so Group Health will want Epic to move up the timeline on this. Epic was very receptive to this, given that Group Health is their flagship client on Web services.

Here’s a brief summary of what we learned from the demo:

February 27, 2006

Medication reconciliation

Filed under: Medications — admin @ 5:06 am

Medication And Allergy Reconciliation Final-2

I am attaching the overall plan for medication reconciliation, or “information continuity in the area of medications and allergies.” Bruce Wilson, MD, is the GHP champion for this work as identified clinical expert in this area and Chair of the Group Health P & T Committee. I am supporting Bruce from the Informatics side.

Both of us recognize that information systems are only a part of this work, which includes behavior change and different ways of communicating changes in medications in allergies. We are starting work on the hospital discharge process, where reconciliation has already been implemented under a mandate from JCAHO.

I welcome any comments based on the plan attached here.

February 24, 2006

Information Continuity: Overlake

Filed under: Information continuity — admin @ 5:03 am

Information Continuity And The Care Experience – Group Health Cooperative

The GHP Informatics Team is engaged with Overlake Medical Center to ensure ‘information continuity’ for our patients who will be admitted there on a regular basis in the future. We currently admit obstetrical patients there.

I am working with Chris Cable, MD, our hospitalist system chief, and Ruth Krauss, MD, who represents CSS on the GHP Informatics Team. Our CIO, Ernie Hood, and Executive Directors of Quality/Informatics and Web Services, Karl Hoover and Maureena Moran, respectively, are also involved.

What’s attached is our plan to be ready for the opening of Group Health Bellevue Medical Center.

February 23, 2006

Printing out medical records for patients

Filed under: Electronic Chart — admin @ 5:50 am

I have received questions in the past and more recently about when it is “ok” to print records for Epic for patients.

We’ve added an item to the CIS Help Site to help you with this.

In general, it is fine to print small quantities of information for patients. It is not true that HIPAA prevents providers from printing information for patients.

February 22, 2006

Update on the ED module

Filed under: Rollout — admin @ 5:00 am

The start of implementation of the ED module at Silverdale in March is still a “conditional go” which means there are some items that still need to be fixed/addressed before we can go live, but the the Core team is confident that these can be resolved before March 20th. Another round of testing occurred the week of February 13-16 which indentified a few new things to fix and a through review of all the known issues revealed there were still 4 areas for which there was not a good plan to make sure these are resolved before the GoLive date.

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