11th Edition of the eHealth for Every Nurse

Newsletter
Coming Soon: Nurse Educator eHealth
Resource in FRENCH!
2014 eHealth Champion Workshops
eHealth Champion received the 2013
Nursing Faculty eHealth Award
Nurse Peer Leadersreaching out to Nurse
Practitioner Led Clinics
Pediatric Monitoring GoesMobile at
Kingston General Hospital
ClincalConnect ExpandsAcrossSouth
Western Ontario
eDoc AJourney of ContinuousCare
Improvement
ParaMed DeploysMobile Solutionsto
Improve Care to Home-Based Clients
Continuing the Journey Toward a Paperless
Patient Record in Northwestern Ontario
Capturing Nursing Care and Workflow using
eHealth
Innovative Patient FlowTechnology at
Southlake CapturesMinister of Healths
Attention McKesson Performance Visibility
project improvespatient safety and flow
Building ConnectingGTAfor Clinicians
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eDoc A Journey of Continuous Care Improvement
Kayleigh Klajnscek
CommunicationsIntern
Cambridge Memorial Hospital
Our electronic patient record system
was like an overgrown garden, filled
with weeds and nearly
unmanageable, said Paul Lacey, RN
at Cambridge Memorial Hospital
(CMH), of the old electronic system.
There were a lot of add-ons over the
years and this is what brought us to
begin the Meditech electronic
documentation refresh project (eDoc)
in 2012. Paul, along with Louise
Bailey, RPN and application
specialist, and their clinical
informatics student Nejla Ozkan,
began the project in September, 2012,
to refresh CMHs electronic
documentation for nursing and allied health professionals.
The goal of the eDoc project is to ultimately have staff spend more time caring for patients
and less time at the computer. One of the key priorities was to reduce the number of
admission assessments. Larger institutions often manage with one or two admission
screens. We had 19, explains Paul, Many of these screens were obsolete and inefficiently
used the nurses time. CMH now only has one general admission assessment, and
unique admission assessment for specialty areas, such as Mental Health, Paediatrics,
Obstetrics, and Medical Day Care.
When redesigning documentation
screens, a lot of thought was put into how the information was going to be used
and by whom, describes Paul. In some cases, queries were created so that
they could be used in quality monitoring and improvement.
Admission assessments werent the only source of obsolete information. It was
found that within the available interventions many were duplicated or outdated.
Through careful review by the project leaders, over 1,700 interventions were
removed from an initial list of over 4,600. Anything that we have removed from the system can be turned back on, users just have to
contact us to do so, says Paul of the process. This allows the project to continue to be relevant even as changes occur in the health-
care field. This new process that has been created will allow new documentation requests to be reviewed and approved prior to
being implemented. It is hoped that this will prevent the overgrown garden effect, and keep available documentation current and
relevant.
CMH also had over 100 patient care plans in the system that
created a challenge to maintain and keep updated as
requirements changed. Each clinical department reviewed the
interventions in their care plans, updating and streamlining
them to reflect current practice. Once this was completed,
through the eDoc project, CMH saw a 35% reduction in care
plans, while still being able to provide patient specific care.
Through the project, Paul and his team worked with 18 unit
eDoc Champions, other institutions, and allied health leads to
determine the most efficient system for users. Because this
was promoted as a clinical project rather than an Information
Management Technology project, staff engagement as subject
matter experts ensured project success.
All of the eDoc initiatives have generated a lot of positive feedback from end users. The project challenged me to further explore
eHealth, said Alina Labau, RN, Nursing Resource Pool,it has greatly impacted my nursing care. Another area of improvement is
how I approach change management among my co-workers. The knowledge I acquired as an eDoc Champion also allowed me to
improve my own documenting approach.


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