2.10pm Leveraging Clinical Informatics to Streamline ... · • strategically leveraging technology to empower people, , and CHANGE LIVES FOR THE BETTER. OUR DEFINITION s Enablement

CLINICAL INFORMATICS

Dr. Carla Giannoni M.D. Dr. Anita Harris DNP, MHA, RN, NEA-BC

Leveraging Clinical Informatics to Streamline Technology




• DIGITAL ENABLEMENT is

• strategically leveraging technology to empower people,

, and CHANGE LIVES FOR THE BETTER.

OUR DEFINITION

Our internal & external customers

Enablement = 1) WHY – are we solving the right problem?2) HOW – how do we enable this technology, with changes

from people & processes, for success?


I wish IT would listen. The process is too slow and there is too much bureaucracy for something this important.

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Why did they start this without involving IT? And why do they keep changing their mind? Don’t they know this won’t work in our system?

Echangerequest

Echangerequest


https://www.youtube.com/watch?v=IPBcRW8NQPY

Nurse Innovation: Saving the Future of Healthcare | Rebecca Love | TEDxBeaconStreet (December, 2018)

https://www.youtube.com/watch?v=IPBcRW8NQPY


Nursing & Medical LeadersDetermine clinical problem

Gather dataMakes decision

Gathers feedbackManages the change

IT AnalystsMaps EHR process

Gather dataResearche optionsExecute solution

Builds IT workflowTest solution

Resolve Issues

Inefficiency

Clinical impact?Informatics impact?

Poor adoption

Different languages

Variability

Unintended Consequences

Clinical InformaticistDefine the problems

Analyzes clinical & IT workflowsExecute workflow process analysis &

improvementsPartners with IS & Clinical teams

Proposes & refines solutionChange management strategy

Metrics and analyticsProject management

Post go-live analysis and enhancement


Foundation: A Strong Digital PlatformLocal Experts in Information, Innovation and Improvement

Engage PatientsEnable Care TeamsIncrease Operational

Efficiencies

DES

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USE

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Implement(Partner)

Use of Technology(Advocate)

Design(Thought Leader)


Texas Children’s Strategic ImperativesInstitute for the Future FY19 Budget PlanningSullivan Cotter

CustomerObsession

Cost Structure/ Finances

Business Development

& Partnerships

Innovation, Quality & Research

Objectives and Key Results (OKR’s)

Digital Enablement

Talent Strategy

MAW



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Sociotechnical model for

studying HIT

Meeks DW, Takian A, Sittig DF, Singh H, Barber N. Exploring the sociotechnical intersection of patient safety and electronic health record implementation. J Am Med Inform Assoc. 2014;21(e1):e28–e34. doi:10.1136/amiajnl-2013-001762


Interoperability Design Sepsis

Adoption BCMASustain


Interoperability – Complexity of Systems


Clinical Decision Support - Sepsis

• How do we deliver antibiotics timely to the patients who need them the most?


Clinical Decision Support - Sepsis


Clinical Decision Support - TCHP Shared Savings

• How do we encourage use of preferred drugs?


Clinical Decision Support - TCHP Shared Savings

• How do we encourage use of preferred drugs?• Switching to preferred for 3 drug pairings for a projected net savings of $750k

• Q1 achieved a 73%preferred rating, an 86% increase from baseline


Reducing Errors – A Partnership with Technology

“I scanned my patient’s ID band and then scanned the medication. Immediately I received a hard stop from the device! Rover was telling me that this was the wrong medication for my patient… This medication belonged to a patient in the

next room. Thanks to the technology now in place at Texas Children’s, this

potential error was avoided.”

-Sheba Ninan, PCU Nurse




• Faster innovation to adoption curves

• Easier to “get behind"

• Users must become more facile with rapid changes

TECHNOLOGY ADOPTION: INNOVATION TO ADOPTION



Documents

2.10pm Leveraging Clinical Informatics to Streamline ... · • strategically leveraging technology to empower people, , and CHANGE LIVES FOR THE BETTER. OUR DEFINITION s Enablement