Post on 18-Jan-2016
Conversation Ready
ICA Steering MeetingMay 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
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
Linking from OMR profile page
Current
Proposed
Advance Care Planning
Proposed Advance Care Planning Sheet
Proposed Advance Care Planning Sheet
Current HCP process
Current HCP verification process
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
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
Current Test Results Tracking interface
11
Document/PDF
Task assignment
Audit trail
12
Current Test Results Tracking interface
Action and Status options
Proposed document management interface
Proposed document management interface
Document
Action and Status options
Task assignment
Audit trail
Proposed Advance Care Planning Sheet
Proposed document view interface
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
Proposed Advance Care Planning Sheet
Proposed Other Contacts editing page
Proposed Advance Care Planning Sheet
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
Proposed Advance Care Planning “Problem”
Proposed Advance Care Planning Sheet
Proposed POE Advance Care Planning Communication page
The End. Thanks.