Innovation Poster Session HRT1317 Innovation Awards Brisbane 7 th and 8 th Nov 2013 Electronic Patient Journey Boards Presenter: Angi Bissell Hospital Code Name: The Prince Charles Hosp
Electronic Patient Journey Boards Metro North Mental Health The Prince Charles Hospital Experience
First Steps Identified need, to improve integrated handover from inpatient teams to continuing care teams. Need to review existing whiteboard system and improve the flow of communication. Exposure to Electronic Patient Journey Boards and identification of value of implementation in MH.
This is what we started with..
This is what we have now!
How to improve? Identified EPJB as way to improve communication, monitor observations, manage risk and potentially impact discharge dates. Needed funding for technology 2 x 55inch commercial grade screens. ($10,000) Needed access to software. Communication with staff who felt new system would be burdensome and complicated.
Way Forward Funding from CPIC money (GP) Contacted Access Improvement Team AIS advised no further installation of Access Database that we had seen in use across hospital site. Able to negotiate installation and limited support. Commenced discussions at Clinical Handover Working Group to ensure support of Team Leaders and NUM s Commenced communication strategy with staff, series of posters to answer questions and provide information.
Barriers Clinician attitudes to use of systems / workforce readiness Solution Update Novell access for all nursing staff. Training booked for all staff on date of installation On site for first few days of implementation to talk about system Hands on demonstrations
Lessons Learned Cannot communicate too much, listen to the rumours and have a strategy to manage the negative attitudes. Need to get champions on board early. Share experiences with others and listen to experiences of others great support from AIS in this area. Focus of training needs to be on quality and quantity of information entered. Everyone's responsibility to contribute to entering information.
Limitations Communication tool not clinical record Still lack of consistency across district awaiting software changes late 2013 Only as good as information entered Impacted by network speeds, some centres have more slowing at peak times of day Only able to print snapshot not individual consumer records Need drivers link to patient flow meetings and make processes open and transparent
Evaluation System went live on 25 th July 2012, software updated from MS Access to SQL server, further solution designed and coming MNMH wide in February 2014 Now focus is not on use of tool but of content and ensuring consistency of practice Now ready to collate data and commence measurement of impact of EPJB on length of stay, EDD, consumer outcomes, integrated planning and clinical handover
Where to from here.. Focus on length of stay EDD s, completion of discharge summaries and getting medical staff using the system. Await software that will talk to HBCIS. Projectors in handover rooms and all community teams, using boards in patient flow meetings Use flag system to monitor length of stay for stranded patients Need to have similar systems in place for Acute Care Team/CCT improve flow and bed management Future expansion to Extended Care Services
Any Questions? If you would like to know more about our experience, please contact: Keryn_fenton@health.qld.gov.au Angi_bissell@health.qld.gov.au