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S. Macsween



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    PS04 - Health Information Systems: Making Gains (ID 31)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Panel Session
    • Track: Executive
    • Presentations: 1
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      PS04.01 - Successful HIMSS Stage 6 Clinical Transformation Enterprise Implementation – The Journey (ID 74)

      S. Macsween, Information, Communications and Automation Technology, Mackenzie Health; Richmond Hill/CA

      • Abstract
      • Slides

      Purpose/Objectives: Follow the journey of a successful HIMSS Stage 6 implementation in a large community hospital within the province of Ontario. From the initial vendor selection process guided by clinician input and engagement to the rapid 15-month implementation, the new electronic medical record (EMR) provided the opportunity for the organization to be transformative and innovative to further its smart hospital vision. Crucial to the process was establishing solid governance and guiding principles, as well as reinforcing that this was not an Information Technology (IT) project, but rather a clinical transformation project. This approach inspired members across the organization to believe in the project and contribute to its success.

      Methodology/Approach: A rigorous project management framework was established to guide the work of the Project Team, which included subject matter experts, operational leadership and a skilled clinical informatics team. Together, they built a foundational system, based on demonstrated evidence, that allowed the hospital to build the first EMR of its kind in Canada and transform the way care is delivered in its community by adopting best practice functionality to improve the care of the patient. A state-of-the-art system, the EMR makes it possible for the care team to spend more time with patients, provides physicians with exactly what they need to make important health care decisions quicker and empowers patients with easy access to their health records. Although the project was challenging and presented a number of obstacles, the Project Team, with the exceptional support of the Executive Sponsor and Senior Leadership Team, maintained its clear focus throughout the journey. Engaging stakeholders both from within and outside the organization was paramount to the rapid success of adoption, fostering an all-hands-on-deck approach. A solid training and support plan was established. Help/Assistance for end users included Super Users, as well as At-The-Elbow Student Support, which provided staff and clinicians with the peace of mind and comfort that they were indeed supported through the whole process.

      Finding/Results: One of the most rewarding benefits of the implementation was watching the project evolve from an IT project to a clinical transformation project fully supported by the hospital operations team. The adoption and acceptance of the new system by clinicians to the new system was swift, with the system becoming the new normal within weeks of it being launched. We have been able to achieve successful adoption rates including 87% CPOM, 92% BCMA (patients), 89% BCMA (medication) and 84% for Discharge Medication Reconciliation. Testament to the successful implementation is also the fact that the hospital received the EMR Adoption Model (EMRAM) Stage 6 designation from HIMSS Analytics within 32 days of Go-Live and life returned to the new normal very quickly. Following the successful implementation, planning has begun for the enhancement and optimization stage. This will help to ensure that the system continues to evolve and improve patient care, as well as contribute to the hospital’s vision to create a world-class health experience.

      Conclusion/Implications/Recommendations:

      140 Character Summary: Follow the journey of a successful Clinical Transformative HIMSS Stage 6 implementation in a large community hospital within the province of Ontario.

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