ePHR - Plunket’s Technology JourneyAndrea McLeod (Chief Operating Officer)

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Implementation – It’s easier said than done!

What this session will cover:

• Brief History – why go paperless?

• The ePHR ‘application’ in a nutshell

• Where are we up to in the project?

• What are the current challenges?

• What will success look like?

Keeping Plunket Relevant...

Moving us into the 21st Century.......

Challenging our thinking....

Challenging our behaviour....

Why change?

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Our ambition was for our frontline staff to have and use

digital technology every day.

The challenges

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But, it is no simple task!

We are literally moving from this..........

to this.........

Our nurses now have email !5

Nurses with mobile technology

Last year we delivered 603 smartphones. Our nurses now have access to digital information and are better connected with our organisation.

Our GOAL was: 100 %of all frontline staff (nurses and health care workers) to have smartphones by

the end of 2014.DELIVERED!

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electronic Plunket Health Record (ePHR)

So what is the ePHR?

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Six ePHR modules 1HOMEContains login, landing page and sync (data) management.2SEARCHContains search functionality.3APPOINTMENTSContains options to view all appointments, or to add or manage an appointment.4CLIENTSContains enrolment into the Well Child service, and the management of client information.5RELATIONSHIPSContains the ability to link relationships.6CONTACTSContains the electronic version of all current Contacts.

The ePHR is an application (app) that will enable us to connect with our Well Child customers using technology.

The aim is to ensure that we have integrated and up-to-date information in real time, at the point of care.

It is a user-friendly mobile app.

The benefits of the ePHR

Population Benefits

• Improved case management and case load management

• Timely referrals

• Improved access to ‘real time’ data

• Increased time to care for, and work with, families

• High quality data - accessible and available

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Benefits cont....

Strategic Benefits• Relevance

• Improved integration of services

• Opportunities for interoperability

• Sector Leadership 

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(video)

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People, Process & Technology

• IT capabilities

• Training/support

• Perceived benefits

• Clinical champions

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People, Process & Technology

• Ease of use

• Fit with clinical workflow

• Process redesign

• Workload impact

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People, Process & Technology

• Software design

• User centric – fast & functional

• Future proof

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What does success look like?

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What do we need to get us there?

• A robust change management process

• Support and development for our leaders

• A platform for change

• Increased capability and confidence

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Communicate the Vision, Rationale and Plan

Create Short-Term Wins, Maintain Momentum, and Learn

Implement Organisation Re-Design for Realignment

Develop and deliver communications - vision, rationale, and change strategy workshops

Track and monitor impact Realign change plan as required Actively manage stakeholders

Design and initiate interventions and learn from response Create short-term wins Maintain momentum

Implement parallel organisation design changes to realign other areas of the organisation around the major change – changes may be in structure, process, culture, leadership, rewards and people

LEAD PHASE

Facilitate Employee Participation, Buy-In, and Skill

Development

Broaden participation by involving key influencers Employee workshops to outline impacts, identify issues and problem-solve solutions Train in new skills Work with deployment to manage issues as they arise

Undertake Organisational Assessments

Assess organisational readiness for changeAssess business, culture, people and organisation design impacts and identify and set up key parallel projects Undertake detailed Stakeholder Assessment Determine Change KPI’s

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Questions?

References:

Darbyshire, P. ‘Rage against the machine?’: nurses and midwives eperiences of using computerised patient information systems for clinical information. J Clin Nurs. 2003; 13(1): 17-25.

Lorenzi, NM. Beyond the gadgets: non-technological barriers to nformation systems need to be overcome too. BMJ. 2004;328(7449): 1146-1147.

Lorenzi, NM., Riley RT. Managing change: an overview. J Am Med Inform Assoc. 2000;7:116-124.

Sassen, E. Love, Hate, or Indifference: How nurses really feel about the electronic health record system. CIN: Computers, Informatics, Nursing. 2009; Vol 27, No. 5, 281-287.

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