Deploying Solutions, Delivering Value, Building a Sustainable Adoption Strategy

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Deploying Solutions,Delivering Value,Building
a Sustainable Adoption Strategy

• Sue Reshetylo Lynn MacKinnon
• November 30, 2007

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(No Transcript)
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Why the Need for CareConnect?

• Todays Health Care Environment
• Abbreviated hospital encounters
• Need for exchange of collateral information
• Community, acute care, primary care providers,
  intake etc
• Tertiary/Quaternary care for Province
• Care delivery approach
• More teams, multidisciplinary
• Clinicians moving between programs / services /
  facilities
• Clinician shortages thin edge of the wedge
• ED use for primary care
• Chronic Disease Management

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Current Method of Care Delivery

• Abbreviated hospital encounters
• Need for exchange of collateral information
• Care delivery approach changing

Primary Care
Community
Acute
Patients
Clinicians
Clerical / Administrative Staff
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Current Availability of Information
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The CareConnect Vision

• Value based approach - matching technology with
  care delivery needs.
• Longitudinal record across the continuum of Care
• Support the processes of Intake / transfer across
  the continuum
• Support the sharing of collateral information
• Provides teams with to information
• when where it is needed

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CareConnect Information Flow
Van Acute/ Richmond
NS/CG
Community
Providence
PCIS VA (CareCast)
PCIS PHC (SCM)
PCIS NS (McKesson)
PARIS
PharmaNet Private labs Other health authorities
etc. (via emerging provincial iEHR)
CareConnect
EMPI
?
?
?
Care providers
?
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CareConnect Functionality

• A longitudinal view
• Leverages the Enterprise Master Person Index
• identifying patient creating the data set for
  retrieval of information from the source system
• Encounter data - across the health authority
• Lab data
• Transcribed Reports
• Contact information
• Diagnostic Imaging coming soon

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Initial Approach

• Deployment primarily to Physicians across the
  HSDAs with limited uptake.
• We knew the gaps in delivery model
• Had a technological solution that provided value
• Not enough to support adoption - Why?

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Analysis of Initial Approach

• Review of Utilization Data
• Functionality in CareConnect
• Training approach
• Technical barriers

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Change in Approach

• Move toward a service/program approach
• All team members involved in provision of care
• Need to know vs Need to access
• Identification of key value areas
• Areas that rely on collateral information,
  information impoverished
• ED, Transition services, intake programs,
  pre-admission clinics
• Determined depth of functionality was sufficient
• Training approach linked to workflow

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Current Adoption Process

• Engagement - is there value?
• Approach areas with high value
• Work with HSDA representatives to identify
  programs and priorize
• Demo to service area
• Discussion on fit with workflow
• Does CareConnect add value?

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Current Adoption Process

• Data Collection and Provisioning
• Clarify project and service/program roles and
  responsibilities
• Training and Support
• How application may improve workflow pt care
• Build expertise within the clinical program
• Evaluation
• Measure improvement in patient care processes

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Has the Approach Worked?
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Sustainable Adoption

• Regional Access Model - Defined
• Difference in who needs to access information,
  versus who needs to know.
• Anticipate clinician shortage
• User input for future enhancements, continued
  development
• Training Strategy
• CBT for application orientation
• Point Person to integrate tool within business
  processes

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Sustainable Adoption

• Support Model
• Functional
• Technical
• desktops
• profiles
• helpdesk processes, etc
• Ongoing evaluation - what difference does
  CareConnect make to delivery of care?

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Is it worth it?

• Access to specialist consults has avoided repeat
  consultations/ investigations.
• It helped me make a clinical decision regarding
  a patient presenting with CP, who had prior
  cardiac investigations at another facility.
• It helps me determine if patients have been to
  SPH or RGH ED in the last few days for the same
  or similar complaint.
• I was coordinating services for a community
  client who is often in acute hospital. I provided
  info to her case manager that streamlined service
  to the client.
• Inpatient assessments and documents are
  invaluable to us in triaging intakes and routing
  patients to the best resource as soon as
  possible.

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• Questions? Comments?