Taking Plans of Care from Clinician to Patient-Centric · 2017. 7. 20. · Taking Plans of Care...
Transcript of Taking Plans of Care from Clinician to Patient-Centric · 2017. 7. 20. · Taking Plans of Care...
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Taking Plans of Care from Clinician to Patient-Centric
M a r c h 2 , 2 0 1 6
Session 119 Palazzo G 10:00AM
Judi Binderman, MD, MBA, MHSA
Lauren Garrick, RN Community Medical Centers
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Conflict of Interest
Judi Binderman, MD MBA MHSA
Lauren Garrick, RN
Our employer, Community Medical Centers, participates in the ZynxHealth Client Reference program.
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Agenda
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Learning Objectives
Outline the significance of the medical condition and problem-based patient care with clinical decision support Explain the selection process for a clinical decision support tool and the foundational work to maintain an ongoing enterprise-wide user adoption commitment Describe the journey to interdisciplinary care planning and desire to focus on the patient’s clinical and personal goals Identify the goal to remove duplication and clutter from EHR and care plan documentation Discuss outlying questions we are working towards and enlist feedback from our healthcare colleagues
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Community Medical Centers
Clovis Community Medical Center
Fresno Heart & Surgical Hospital
Community Behavioral Health Center
Community Regional Medical Center
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Satisfaction
Improving quality of care
Easy transitions in care
Accessible evidence
Reducing documentation burden
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Are you currently using a clinical decision support solution?
1. Not currently
2. Currently Implementing
3. Recently went live
4. Long term user
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Universal Need for Change…
Source: Readiness of U.S. Nurses for Evidence-Based Practice
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Culture of Clinical Evidence
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Culture of Clinical Evidence
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What does NNT stand for?
1. Not Necessarily Treatable
2. Number Needed to Treat
3. Neonatal Tetanus
4. Neat Net Tricks
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Goals in Clinical Decision Support Implementation
• Enhance quality of care
• Decrease unnecessary variation in care
• Improve resource efficiency
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Growth Opportunity: Tools at the Point of Care
Evidence based practice tools: Build vs. Buy
Order sets Interdisciplinary plans of care Algorithms Targeted education & discharge plans
Go-live tools mostly ‘home grown’ or eminence-based
Limited time / teams to review/validate evidence & update tools
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Incorporating the Clinical Evidence
What method is best for our organization?
– Homegrown research & materials
– Third-party vendor software as a service (SAAS)
– Third-party vendor purchased locally installed solution
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The Process – Quality Initiative
Lead Selection Team Chief Medical/Quality Officers Chief Nursing Officers Chief Nursing Informatics Officer
Process Narrowed Selection by Quality Director Vendor Presentations Calls with product clients Attending Vendor User Group
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Selection Process
Goal: Eliminated Homegrown Research & Materials
– Limited resources for build & maintenance
– No school of nursing affiliation / focused evidence research
– Limited ability to join care plans / order set content
– Need to incorporate nationally accepted best practices
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Vendor Selection Criteria
Workflow / usability of evidence Frequent update of clinical evidence Invested partnership with E.H.R. True Integration into E.H.R. Product updates easily accessible
Quality Tools for Stakeholder Review User friendly build – GUI interface Project Guidance & Support Services Continued product development
Documented client results
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© 2011 ZynxHealth Incorporated.
© 2016 ZynxHealth Incorporated.
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© 2016 ZynxHealth Incorporated.
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Which of these is NOT one of the 5 rights of clinical decision support?
1. Right information
2. Right person
3. Right venue
4. Right time in the workflow
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Content coordinator hired Vendor training & partnership Project plan w/ executive summaries
Utilization report / top diagnoses Style / build principle development Recruited clinical leads from each facility
2-Day Interdisciplinary Design Sessions Clinical leads “deputized” decision makers Follow up sessions to complete build One facility pilot
Education developed & distributed User Validation / Test Sessions
Rapid Build Design & Implementation Process
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Adoption / Culture
Habit / Comfort
Best Practice
Finding a clinical intervention solution?
• Bank on personal experiences • Ask a colleague / peer • Check resources on unit • Tech savvy – web search
• Assess / define problem • Research / Evaluate evidence • Plan / Implement into practice • Evaluate results
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Patient Centric
Care
Increasing Patient Problem Specific
Interventions & Education Increasing Patient Problem Specific Care
Communication Evidence & Education at the fingertips
Treatment / Clinical
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Problem-Oriented Medical Record (POMR)
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Service Line / Standard Plan
Patient Problem Plan
• Administer medications as ordered
• Manage patient’s environment
• Implement and maintain appropriate pain scale and pain management for patient
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Interdisciplinary Communication
Improving the ability to offer highly integrated personalized care • Team collaboration
• Shared Goals / Achievements
• Discharge / Transition planning
• Patient/family satisfaction
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Communication
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Condition / Patient Problem Care Plans
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Individualized care
Screening tools / patient assessment helping determine care plan
Suicide Risk 6 months prior to screening trigger 6 months with SAD persons score triggering care plan
171 Instances of care plan use Mainly in Behavioral Health Facility
721 instances of use Multiple Departments / Diagnoses
Problem list / physician
guidance to care plan &
education interventions
100%
99% 99%
100% 100% 100%
90%
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
Community MedicalCenter-Clovis
Fresno CommunityMedical Centers
Fresno HeartHospital
Aggregate
CMC STK 8 Core Measure Compliance 2015
Jan - Jun Jul- Dec
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© 2016 ZynxHealth Incorporated.
Clinical references embedded in care plan and education screens
Care Plan
Education Record
© 2016 Epic Systems Corporation. Confidential.
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Prevention and patient education
Physician Initiated Clinical Decision Support & Patient Education Automation
Problem List Update
CHF ICD-9 / 10 Grouper
Trigger of Quality Measure Content
Non-Interruptive
Alert Posted
Education Launched
HF Care Plan w/ Education Interventions
&
CHF Video Bundle
Pathway video titles appear next to interrelated education interventions from care plan and under the same patient problem heading to facilitate documentation.
Education, heart failure self-management
Video : Managing HF: At Hospital Discharge (CHF Pathway)
Video : Managing HF: Handling Flare-ups (CHF Pathway)
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© 2016 Epic Systems Corporation. Confidential.
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Prevention and patient education
Patient prompted with four questions about the videos watched. Responses help validate understanding.
Education materials chunked in manageable increments.
Patient congratulated on education completion and provided with review
Intermission provided between phases of learning. Patient prompted for length of intermission:
Ø No intermission
4 hours
8 hours
12 hours
EHR captures the questions and answers in Patient Education Record
Interactive Video System
Let's review what you have learned. If the patient does not click “Continue,” the prompt remains on the screen until the patient clicks it and if the TV is turned off, when it comes back on, the "Continue" is still there.
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© 2016 Epic Systems Corporation. Confidential.
Video titles integrated into education intervention topics generated from patient condition based care plan
Prevention and patient education
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Prevention and patient education
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© 2016 Epic Systems Corporation. Confidential.
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© 2016 Epic Systems Corporation. Confidential.
Patient Engagement
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• Readmission data • LOS data
• Readmission data • LOS data
3.47 3.59
4.47
3.34 3.43
4.26
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
CCMC CRMC FHSH
HF Geometric Length of Stay
Jan - June 2014 Jan - Nov 2015
16.81%
26.31%
9.84%
16.30%
23.70%
6.00%
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
CCMC CRMC FHSH
HF 30 Day Readmission Rates
Jan - June 2014 Jan - Nov 2015
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• Readmission data • LOS data
• Readmission data • LOS data
2.95
5.70
1.19
2.63
5.11
1.18
0.00
1.00
2.00
3.00
4.00
5.00
6.00
CCMC CRMC FHSH
Stroke Geometric Length of Stay
Jan - June 2014 Jan - Nov 2015
12.50%
7.20%
1.33%
6.45%
10.71%
0.96%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
CCMC CRMC FHSH
Stroke 30 Day Readmission Rates
Jan - June 2014 Jan - Nov 2015
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Summary
Potential impact of evidence based / patient centered care Value in finding appropriate tools / workflows Cultural changes for successful adoption Patient & staff satisfaction opportunities Continued system optimization
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http://www.himss.org/ValueSuite
References
Epic Systems Corporation. 2016 Fresno State College of Health and Human Services. (1965) Image archive. http://www.fresnostate.edu/chhs/cccen/images/legacy/fp-1965revised.jpg Farflex. (n.d.) Free Medical Dictionary. Retrieved from: http://medical-dictionary.thefreedictionary.com/problem-oriented+record Fineout-Overholt, E.; Melynk, B.; Stillwell, S.; Williamson, K. (2009, November) Igniting a spirit of Inquiry: An essential foundation for evidence-based practice. AJN, American Journal of Nursing: November 2009 – Volume 109 – Issue 11- pp. 49-52 McCormack, J. [JamesMccormack] (2013, August 22). Viva la evidence. [Video file]. Retrieved from https://www.youtube.com/watch?v=QUW0Q8tXVUc Pravikoff, D.; Tanner, A.; Pierce, S. (2005, September). Readiness of U.S. Nurses for Evidence-Based Practice: Many don’t understand or value research and have had little or no training to help them find evidence on which to base their practice. AJN, American Journal of Nursing: September 2005 - Volume 105 - Issue 9 - pp 40-51 Randall, J. [jayrandall22011] Talking twin babies –Part 2 – Official Video – You Tube [Video file]. Retrieved from https://www.youtube.com/watch?v=_JmA2ClUvUY Redford, C., ;Sauer, S.; Steger, K. Stroble, M. (2015, December) One Patient, One Plan: Coordinated, communicated, and accessible for safe patient care. Nurse Leader: December 2015 – Volume 13-Issue 6 – pp. 58-63. Zynx Health Incorporated. 2016
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Prevention and patient education – Patient information and education is easily included within the plans of care to encourage engagement and reduce preventable readmissions.
Patient Engagement
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Questions/Comments
Community Medical Centers Fresno, CA
Judi Binderman, MD, MBA, MHSA Chief Medical Information Officer [email protected]
Lauren Garrick, RN Corporate Informatics Nurse https://www.linkedin.com/in/lauren-garrick-57694856