A clear path to benefits realisation
Brochure title Page 3 3 Medication use is the single most common cause of unintended harm and is responsible for 20% of adverse events. Not only is this harm frequent, expensive and often serious, much of it is also preventable 1. image area Evidence to Act Now Research studies and post implementation results from hospitals with electronic medication management (emm) systems; all articulate the benefits and improvements achieved when moving from paper to electronic systems to manage medications. emm is now considered an imperative. DXC Technology has partnered with healthcare providers since early 2000 to define, plan, configure and implement MedChart electronic medication management into clinical workflows for hospitals, clinics and aged care facilities across Australia, New Zealand and The United Kingdom. MedChart, Proven Results MedChart brings together a range of workflows from admission to discharge, in one system for optimal medication management processes, reducing errors, improving efficiency and enabling greater communication and coordination within the clinical teams for better patient care. In a published study lead by Professor Johanna Westbrook, prescribing error was reduced by 57.5 percent in wards using MedChart. Serious medication errors were reduced by 44 percent. St Vincent s Public Hospital Sydney was Hospital B in the paper 2. St Vincent s completed implementation of MedChart in 2010 across all 340 beds including high dependency and intensive care. St Vincent s achieved an Outstanding Achievement (OA) for their ACHS Accreditation, EQuIP5 1.5.1, in April 2012. MedChart emm in One System Electronic Medication Reconciliation Medication charts are NIMC compliant, assisting adoption and transition Comprehensive eprescribing Country specific drug data PBS prescribing functionality Integrated Pharmacy Review Electronic medication administration at bedside Mobile MedChart on ios Supports Antimicrobial Stewardship Decision support, reference viewer and ward overview aid clinical workflow Facilitates attaining hospital accreditation (EQuIP5 1.5.1).
5 Waitemata DHB has MedChart deployed across approximately 970 beds on three campuses with the remaining 130 adult beds scheduled to be deployed by the end of 2017. Over 1000 active prescribers can access MedChart from any device that has access to the DHB s network, and 2,500 nurses use ipad mini devices to administer more than 300,000 doses of medication per month. Feedback has been that MedChart reduces administration errors, and reduces the time spent trying to locate paper medication records. MedChart has certainly had a positive impact on medication management at Waitemata DHB. David Ryan Project Manager, Waitemata DHB Benefits realisation across diverse care settings with MedChart MedChart, Clinical Credibility MedChart, designed by clinicians, guides the delivery of best practice medication management as defined by the Australian Commission on Safety and Quality in Health Care (ACSQHC) 3 and the NSW Health Clinical Excellence Commission (CEC). Clinical decision support (CDS) within MedChart is configured according to hospital defined protocols and business objectives to promote a consistent approach for best practice. Analysis of responses to CDS prompts (override, remove, modify etc) logged in MedChart, enables assessment and amendment of CDS to ensure current and effective rules across the facility. With hospital accreditation becoming more complex with the mandated EQuIP5 National Standards, MedChart significantly reduces the effort required to achieve EQuIP5 criterion 1.5.1 governing the use of medications in hospitals. MedChart, Delivering Benefits MedChart is a proven local solution already delivering benefits to the healthcare sector. It ticks all the right boxes: Intuitive and modern interface developed with clinicians to support clinical workflows and mirror the NIMC Mobile optimised for display and operation on tablets Local developed and supported in Australia with the global strength of DXC Interoperable open architecture enables MedChart to integrate with other systems Faster benefits realisation MedChart can be running in your first ward in only six months Scalable and robust to enable deployment to all facilities; hospital, aged care or community providing equity of access to emm where it is needed. MedChart Momentum The consistent selection of MedChart is testament to the richness of functionality, intuitive interface, clinical workflows and proven speed to benefit. Achieving adoption of MedChart in the first ward in a six month period from the start of the implementation planning study provides immediate benefits for staff, patients and the hospital. DXC s approach to planning and implementation ensures faster benefits realisation and lower total cost of ownership. NOV 2015 NOV 2011 SEP 2013 JUL 2012 JUN 2011 MAY 2011 JUL 2011 JUN 2011 SEP 2011 JAN 2013 JUL 2013 First Ward Live in 6.7 Months on Average Months from start of Implementation Planning Study to Go Live 0 2 4 6 8 10 12 Hunter New England Health Calvary Health Care Bethlehem (LCOM) Australia Cabrini Australia Waitemata DHB New Zealand Taranaki DHB New Zealand Pennine Acture Hospitals NHS Trust UK University Hospitals of Leicester NHS Trust UK Stockport NHS Foundation Trust UK Harrogate & District NHS Foundation Trust UK Bedford Hospital NHS Trust UK Guy s & St. Thomas NHS Foundation Trust UK With MedChart we can effectively use the clinical decision support tools, such as rules, protocols and local documents to support our clinicians with evidence-based standards and best practice guidelines available contextually at the point of patient care Kate Richardson IT Application Support (emedicines Specialist Pharmacist), St Vincent s Health Australia
7 emm of Choice, MedChart The selection and successful implementation across diverse care settings from rural to major tertiary teaching hospitals demonstrates the robust, scalable and clinical credibility of MedChart. epma has revolutionised antibiotic stewardship. Being able to identify all patients on broad spectrum antibiotics, as well as why they were prescribed it, has enabled targeted ward rounds. As a result, we have an intervention rate (changing to narrower spectrum, oral or stopping) of around 80% on stewardship rounds, contributing to C diff and CPC prevention, and earlier discharges Gillian Damant Lead Specialist Antibiotic Pharmacist Stockport NHS Foundation Trust Calvary Health Care progress deployment of MedChart Calvary selected MedChart for emm across their facilities, the most recent implementation at Clare Holland House (ACT), was live in three months. MedChart is used throughout Bethlehem Specialist Palliative Care Service (VIC). A number of implementations are planned for the near future. ACT Health selected DXC for territory-wide emm, June 2014 Two rehab wards are now live at Canberra Hospital. MedChart will be implemented across the 3 major hospitals in ACT Canberra Hospital, Calvary Hospital and the soon to be built University of Canberra Hospital. Northern Territory uses MedChart to enable safer and consistent medicines management MedChart is implemented in the five public hospitals and 50 rural and metropolitan Indigenous Healthcare Centres, advancing statewide healthcare delivery in Northern Territory, supporting the specific requirements of use in acute and primary care settings. Cabrini Health goes mobile with DXC s MedChart, July 2014 DXC and Cabrini Health developed the mobile version of MedChart for doctors to prescribe and review medications through ipads nurse access on Motion F5 tablet PCs. As at May 2017, MedChart is live across all five Cabrini Health Hospitals. Echuca Regional Health integrates MedChart with Automated Dispensing Machines Echuca has introduced automated dispensing cabinets, interfaced with MedChart to create a closed loop from prescribing to drug selection for each medication required for each patient. Hunter New England Health goes live with MedChart, November 2015 Hunter New England has seen positive staff engagement, a significant reduction in costs and improvements in quality of care since implementation. MedChart is currently being rolled out to its largest hospital, John Hunter. New Zealand selects MedChart for national rollout, June 2013 As at May 2017, there are seven DHB s using MedChart, with additional DHB s working through development of plans for implementation. View article published by 1 News December. Stockport NHS Foundation Trust has MedChart implemented across all in-patient areas which supports 700 beds (except Paediatrics) Stockport was selected as a Finalist for the 2014 EHI Awards Best use of IT to promote patient safety category with their use of MedChart epma to improve medication workflows and clinical practice. image area
References 1. Kaushal R, Jha AK, Franz C, Glaser J, Shetty KD, Jaggi T, Middleton B, Kuperman GJ, Khorasani R, Tanasijevic M, Bates DW; Brigham and Women s Hospital CPOE Working Group. Return on investment for a computerized physician order entry system. J Am Med Inform Assoc. 2006 May-Jun;13(3):261-6. 2. Westbrook JI, Reckmann M, Li L, Runciman WB, Burke R, et al. (2012) Effects of Two Commercial Electronic Prescribing Systems on Prescribing Error Rates in Hospital In-Patients: A Before and After Study. PLoS Med 9(1): e1001164. doi:10.1371/journal. pmed.1001164. 3. Australian Commission on Safety and Quality in Health Care, Electronic Systems A Guide to Safe Implementation, 2nd Edition, 2012. Critical considerations for a successful emm implementation a Clinical leadership and executive sponsorship to champion the project to completion a Effective change management strategy for project duration to ensure rapid user adoption a Adequate resources, from project initiation, to ensure timely implementation a Pragmatic implementation plan with clear scope, stages and benefits realisation a Predefined governance, workflow and best practice protocols to guide system configuration a Stakeholder engagement strategy including communication and feedback channels. Contact DXC today Our emm Subject Matter Experts can assist with your business case development for MedChart or host MedChart demonstrations for your teams. Contact DXC today. Email: healthsolutions@dxc.com Learn more about MedChart, view client success stories and read relevant articles at: www.dxc.technology/emm/medchart Australia 26 Talavera Road Macquarie Park, NSW 2113 T +61.(02)9034.3000 www.dxc.technology About DXC DXC Technology (NYSE: DXC) is the world s leading independent, end-to-end IT services company, helping clients harness the power of innovation to thrive on change. Created by the merger of CSC and the Enterprise Services business of Hewlett Packard Enterprise, DXC Technology serves nearly 6,000 private and public sector clients across 70 countries. The company s technology independence, global talent and extensive partner alliance combine to deliver powerful next-generation IT services and solutions. DXC Technology is recognized among the best corporate citizens globally. For more information, visit www.dxc.technology. 2017 DXC Technology Company. All rights reserved.