EP04.05 - Collaboration to Improve Patient Outcomes in Mental Health
e-Health ePoster Library. Belcourt K. Jun 7, 2016; 131579; EP04.05
Ms. Karen Belcourt
Ms. Karen Belcourt
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Abstract
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Purpose/Objectives: As two of only four stand-alone specialized mental health hospitals in Ontario, Waypoint Centre for Mental Health Care (Waypoint) and Ontario Shores Centre for Mental Health Sciences (Ontario Shores) provide an extensive range of specialized assessment and treatment services, including forensic services. The purpose of the collaboration between Ontario Shores and Waypoint is to create a shared standardized Electronic Health Record (EHR) utilizing a shared system and a single, shared database. These organizations are similar in size and culture, including a focus on evidence-based clinical practice grounded in recovery-oriented care, within a culture promoting least restrictive, least intrusive practices. Our shared approach and objectives for this project included: Improved patient outcomes The development and implementation of evidence-based best practices and clinical standards Enhanced opportunity to collaborate and support mental health research aimed at improving patient care and advancing evidence-based practice Use of common technology, nomenclature and standardized processes Shared, standardized reporting and business intelligence to advance patient care Cost effectiveness and efficiency The objectives of this presentation are: Share where we are in the journey Discuss lessons learned and provide an open discussion forum to help others with shared systems Methodology/Approach: The approach to this collaborative, shared system project was to first establish a secure, solid infrastructure by moving the Ontario Shores data centre to the Waypoint facility. Guiding principles were created to help clinical working groups standardize documentation and a strong joint project governance structure was established, which will be shared in the presentation. Decision Documents are created and escalated throughout the project structure to ensure decisions are made in a timely manner to meet timelines. Finding/Results: Key findings/results include: Improved Standardization & Documentation Practices (e.g. standardized clinical documentation, order sets) Efficiencies for implementing provincial initiatives (eg CGTA) Improved ability to provide coverage for Information Technology and Clinical Informatics support Indicator measurements will be presented at the EHealth conference, for example, Clinical documentation is currently - 98% standardized with 60% of documents reviewed. Conclusion/Implication/Recommendations: Key recommendations include: Strong governance structure is required Methodology for standardization must be developed and used for reporting purposes A clear process to escalate issues must be determined Strong project management skills are required and must be coordinated between the organizations Communication and teamwork is key to a complex project such as this 140 Character Summary: Jeannie Borg is the Director, Clinical Informatics at Waypoint. Wendy Odell is the Manager, Clinical Information at Ontario Shores.
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