Conversation Ready ICA Steering Meeting May 14, 2013 Presentation by Lauge Sokol-Hessner and Jennie...

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Conversation Ready ICA Steering Meeting May 14, 2013 Presentation by Lauge Sokol-Hessner and Jennie Greene

Transcript of Conversation Ready ICA Steering Meeting May 14, 2013 Presentation by Lauge Sokol-Hessner and Jennie...

Page 1: Conversation Ready ICA Steering Meeting May 14, 2013 Presentation by Lauge Sokol-Hessner and Jennie Greene.

Conversation Ready

ICA Steering MeetingMay 14, 2013

Presentation by Lauge Sokol-Hessner and Jennie Greene

Page 2: Conversation Ready ICA Steering Meeting May 14, 2013 Presentation by Lauge Sokol-Hessner and Jennie Greene.

What is Conversation Ready?

• Reason for action• Challenges• Multiple conversations, places, times, providers/staff• Paper documents• High-stakes information

• Team• Vision– Centralized place– Standard processes to collect, verify and share this data

Page 3: Conversation Ready ICA Steering Meeting May 14, 2013 Presentation by Lauge Sokol-Hessner and Jennie Greene.

Core business requirements

• Advance Care Planning shared mental model• Data quality• Audit trails• Verification processes• Transparent, modifiable

• Accessible from a variety of systems• Built for busy users• Intuitive, fits existing workflows• Facilitates care by supporting Conversations

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Linking from OMR profile page

Current

Proposed

Page 5: Conversation Ready ICA Steering Meeting May 14, 2013 Presentation by Lauge Sokol-Hessner and Jennie Greene.

Advance Care Planning

Proposed Advance Care Planning Sheet

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Proposed Advance Care Planning Sheet

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Current HCP process

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Current HCP verification process

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Advance Care Planning documents

• Current– Time/effort on Advance Care Planning documents– But we never “capture” them– Future providers are unaware of their content– Lost value, no shared mental model

• Ideal– Capture documents– Bring them to users across the spectrum of care

Page 10: Conversation Ready ICA Steering Meeting May 14, 2013 Presentation by Lauge Sokol-Hessner and Jennie Greene.

Document management, version control

• Health care proxy• Advance Health Care Directive• Other• DNR/MOLST

• Provider/staff initiate capture– Indexing, peripheral vs. central scanning

• Version control and verification– Push back to provider to finish the process

• Future verifications as needed

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Current Test Results Tracking interface

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Document/PDF

Task assignment

Audit trail

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Current Test Results Tracking interface

Action and Status options

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Proposed document management interface

Page 14: Conversation Ready ICA Steering Meeting May 14, 2013 Presentation by Lauge Sokol-Hessner and Jennie Greene.

Proposed document management interface

Document

Action and Status options

Task assignment

Audit trail

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Proposed Advance Care Planning Sheet

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Proposed document view interface

Page 17: Conversation Ready ICA Steering Meeting May 14, 2013 Presentation by Lauge Sokol-Hessner and Jennie Greene.

Having the Conversation with the right people

• Current– Patient knows who is important

• More than just healthcare proxy

– No way for providers to capture this information in OMR– Information lost at transitions

• Ideal– Centralized, modifiable list of important contacts

• E.g. Care Management page

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Proposed Advance Care Planning Sheet

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Proposed Other Contacts editing page

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Proposed Advance Care Planning Sheet

Page 21: Conversation Ready ICA Steering Meeting May 14, 2013 Presentation by Lauge Sokol-Hessner and Jennie Greene.

Identifying OMR notes

• Current state– OMR notes with free-text titles– Note content not transparent– Future providers unaware of prior conversations– Lost value, no shared mental model

• Ideal– Standard, systematic way to indicate note content– Minimal/no workflow change

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Proposed Advance Care Planning “Problem”

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Proposed Advance Care Planning Sheet

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Proposed POE Advance Care Planning Communication page

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The End. Thanks.