EP02.02 - Chronic Obstructive Pulmonary Disease Integrated Care Pathway within Cerner
e-Health ePoster Library. Nemeth E. Jun 7, 2016; 131569; EP02.02
Elizabeth Nemeth
Elizabeth Nemeth
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Abstract
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Purpose/Objectives: Measuring efficacy of COPD integrated care pathway built within Cerner at Grey Bruce Health Services Integrated care pathways are structured multidisciplinary care plans which detail essential steps in the care of patients with a specific clinical problem[1]. More hospitals are now trying to implement guidelines and setting pathways to improve patient care. With the implementation of hospital information systems, clinicians are becoming more interested in transferring these pathways from paper to electronic to maintain one consolidated patient record instead of maintaining multiple electronic and paper records for their patients. [1] Campbell, H., Hotchkiss, R., Bradshaw, N. and Poeteous, M. (1998). Integrated Care Pathways. Education and Debate. BMJ: Vol 315 Methodology/Approach: Healthtech Consultants in collaboration with Grey Bruce Health Services (GBHS) implemented Chronic Obstructive Pulmonary Disease Pathway (COPD) pathway within their Cerner System. This 5-7 day pathway including all checklists, questionnaires, forms was built in within Cerner using Powerforms, and Interdisciplinary Plan of Care (IPOCs) documentation or Nursing Order Sets (Powerplans). All terminology and nomenclature was built in to Cerner using CMT tool, DTA Wizard, Outcome Catalog Tool and Powerplan Tool within the DCP Tools Application. The pathway was built using multi-phase powerplan functionality to ensure all phases (including ED/ phase 0 all the way to depart/ phase 3) beginning at different times were part of one powerplan. Once the pathway and powerform were built in the BUILD Domain by Healthtech Informatics analysts, they were tested on the front end by both the informatics analysts and subject matter experts/ clinicians (from Grey Bruce) involved in the development of the pathway. Once tested and validated as applicable, the pathway was transferred into Production Domain. It was introduced to one unit/ clinic before going live within the entire hospital to ensure clinicians were sufficiently trained to maximize adoption of the pathway. Finding/Results: Due to the collaborative work between Healthtech informatics analysts and GBHS super users/ clinicians, COPD pathway was successfully implemented within Cerner with successful adoption by clinicians. Conclusion/Implication/Recommendations: COPD pathway is currently being assessed by the clinician champions in the area to ensure it has been widely adopted by the clinicians through monthly reports. Nurse champions involved in the development of the pathway are also ensuring that clinicians are proper educated and trained in order to be able to use the pathway more efficiently and to be able to improve their documentation and quality of data available on their patient. 140 Character Summary: Measuring efficacy of COPD integrated care pathway built within Cerner at Grey Bruce Health Services.
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