Better Information for Better Health Bridging the Disconnect fall... · ahs.ca BCHIMPS September...
Transcript of Better Information for Better Health Bridging the Disconnect fall... · ahs.ca BCHIMPS September...
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ahs.ca
BCHIMPSSeptember 29, 2017, Vancouver, BC
Robert Hayward MD, MPH, FRCPCChief Medical Information Officer
Alberta Health Services
Better Information for Better HealthBridging the Disconnect
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ahs.ca
1. Expose digital health record dysphoria.
2. Characterize Clinical Information System (CIS) value-case for clinicians.
3. Share strategies for maximizing benefits while managing harms.
Objectives
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ahs.ca
ElectronicHealthRecord(EHR)Client-centred,longitudinalcollectionofpersonalhealthdatasupportingmultipleprovidersacrossthecontinuumofcarewithappropriateinformationsecurelydeliveredtoauthorizedindividuals…[patient-centric]
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ahs.ca
ElectronicHealthRecord(EHR)Client-centred,longitudinalcollectionofpersonalhealthdatasupportingmultipleprovidersacrossthecontinuumofcarewithappropriateinformationsecurelydeliveredtoauthorizedindividuals…[patient-centric]
ElectronicMedicalRecord(EMR)Record ofclinicalservicesandrelateddatamaintainedbyacaregiverinanelectronicsystemforreferenceandupdatingbythecaregiver.[provider-centric]
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ahs.ca
ElectronicHealthRecord(EHR)Client-centred,longitudinalcollectionofpersonalhealthdatasupportingmultipleprovidersacrossthecontinuumofcarewithappropriateinformationsecurelydeliveredtoauthorizedindividuals…[patient-centric]
ElectronicMedicalRecord(EMR)Record ofclinicalservicesandrelateddatamaintainedbyacaregiverinanelectronicsystemforreferenceandupdatingbythecaregiver.[provider-centric]
ClinicalInformationSystem(CIS)…additionally,comprehensiveintegrationofinformationsupportingthedeliveryofinterventions,servicesandprogramstoallpatients&populations.[system-wide]
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ahs.ca
Better information for better health– Promise– Perils
Bridging the disconnect– Priorities– Pathways
Outline
http://evidence.ahs-cis.ca
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Mission: To deliver best care and improve health outcomes for and with Albertans through an accessible, integrated, comprehensive and standardized clinical information system.
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Better Health, Powered by Information
Connect Care connect-care.ca
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Better Health. Powered by Information.
◉ Integration across generations, geography, and the health care continuum.
◉ Comprehensive and accessible for every Albertan
◉ Albertans contribute to, access, and own their data
◉ Standardization of clinical knowledge and practices
Connect Care
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Connect Care >> AHS Provincial CIS
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ScopeBetter Health, Powered by Information
The impact of the AHS Provincial CIS is felt everywhere that AHS operates, serves and collaborates.
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The CIS will improve upon the functionality we have today, plus what has been missing.
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FunctionsBetter Health, Powered by Information
• Order management • Results management • Clinical assessment &
documentation • Clinical decision
support • Health information
management• Research
management
• Medication management• Personal health • Embedded inquiry
& analytics • Population health
management • Clinical operations support• Corporate administration• Virtual Healthcare
Services
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ahs.ca
CIS Promise - for Patients
↓ Complexity
↓ Fragmentation
↑ Communication
↑ Coordinationhttp://ahs.ca/info/cis.aspx
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ahs.ca
CIS Promise – for Clinicians?
Promise↑ Efficiency↑ Effectiveness↓ Error↓ Effort
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ahs.ca
Better information for better health– Promise– Perils
Bridging the disconnect– Priorities– Pathways
Outline
http://evidence.ahs-cis.ca
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ahs.ca
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ahs.ca
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ahs.ca
CIS Promise – for Clinicians?
Reality± Efficiency± Effectiveness± Error↑ Effort
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ZDoggMD.com
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ahs.ca
InformationConvenienceInformationavailability
-á anywhere,anytime,anyway-á remoteandmobile
Informationaccess-â needforoldpapercharts-âââ timetotestresultavailability
Informationawareness-á awarenessofpastevents-á awarenessofmedications
Clinician☤ Impacts
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ahs.ca
InformationSharingConnection
-á Integration-â Interoperability-â Interfacing
Communication-á securecommunications-â seamlesscommunications
Clinician☤ Impacts
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ahs.ca
ProfessionalismBoundaryloss
- Ubiquitousaccessà contaminationwithsocialmedianorms
Credibilitybias- Inappropriatetrustofdigitalinformation
Expectationbias- Dataframingpatientinsteadofpatientframingdata
Visibilitybias- á impactofdigitallyreportable
Tethering- Screenattentionà clinicaldistraction
Clinician☤ Impacts
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ahs.ca
TeamworkProblemsvsIssuesvsConditionsvsGoals
-Multi-disciplinarytowerofbabel
Discipline-basedcharting- Captureandtrackingtoolssequestered
Careplanfragmentation- Keycomponentsofanintegratedplansplitinsilos
Clinician☤ Impacts
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Accountability
â timeface-to-facedatagathering
â re-validationofpatients’clinicaldata
á persistenceoferror
â resolutionofdisagreement
Clinician☤ Impacts
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ahs.ca
DocumentationGatheringclinicalevidence
-á standardizeddatarecording-â hypothesistesting
Clinicaldatasetorganization-â senseoftime-courseofobservations-â distillationofcentralproblemsandissues
Clinicalreasoning-â uncertainty,competinghypotheses-â interpretation&analysis
Clinician☤ Impacts
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ahs.ca
Decision-MakingInformationoverload- Lossofclinicalfocus
Alert/Reminderfatigue- Impactoffalsepositives
Suspensionofdisbelief- Impactoffalsenegatives
Data-Questiondisconnect- Questiondoesnotflowwithresult
Guidance-Evidencedisconnect- Lackofdynamicdecisionsupport
Clinician☤ Impacts
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CIS Promise – for Clinicians?
Conditions for a “New Chart”⇢ Preserve the narrative⇢ Conform technology to clinicianship⇢ Maximize usability⇢ Commitment
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ahs.ca
Better information for better health– Promise– Perils
Bridging the disconnect– Priorities– Pathways
Outline
http://evidence.ahs-cis.ca
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ahs.ca
Consultations & Focus Groups
• Executive leaders• Clinical leaders• Front-line practitioners and trainees• Multidisciplinary teams• Like organization case studies
What do clinicians want?
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ahs.ca
What do clinicians want?
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ahs.ca
“What would make you excited about a CIS?”
• Convenience• Connection• Adaptation• Integration• Agency
What do clinicians want?
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ahs.ca
Convenience
• Ubiquitous presence• Easy access• Guessable interface• Mobility (BYOD)• Session persistence
What do clinicians want?
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ahs.ca
Connection
• Unified communications• Pager, cell, text, email, messaging
• Panel, team, trainee management• Circle-of-care coordination• Virtual consultation• Lean telehealth
What do clinicians want?
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ahs.ca
Adaptation
• Workflow aware• Discover user needs• User-centred optimization• Interfaces to popular apps
What do clinicians want?
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ahs.ca
Integration• Single-sign-on• One-stop-one-shop• Embedded decision support• Freedom from paper
• Escape from fussy forms
What do clinicians want?
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ahs.ca
Agency• Community/peer controls/supports• Community/peer accountability• Respect for professionalism• Inquiry and analytics support
What do clinicians want?
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ahs.ca
• Natural human-computer interfaces• Mobile ubiquitous access• One common record – multiple interfaces• User, role and task-responsive views• Diverse documentation modes layered on
same record
Digital Nirvana
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ahs.ca
Leveraging need to generate pull…
• Organization
• Empowerment
• Accountability
Clinician Engagement
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ahs.ca
Organization1. Define and develop clinical communities for
CIS “pull”, not “push”• Support, not extract, leadership• Embed change management
2. Multi-channel communication3. Nurture both leadership and user groups
• Professional Practice Informatics Councils
Clinician Engagement
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ahs.ca
Empowerment1. Design and protect leadership roles2. Balanced governance3. Train and support clinicians
• Designers• Builders• Analysts• Optimizers
4. Career pathway
Clinician Engagement
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ahs.ca
Accountability1. AHS-Provider “Compacts”
• Information Sharing Compact• Connect Care Compacts
2. Digital professionalism• CPSA roadmap• Provincial accountability framework
3. Meaningful use begets meaningful benefit
Clinician Engagement
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ahs.ca
CIS = Clinical Improvement System
Conditions:Ø Recognition of better informationØ Knowledge informs practiceØ Practices improve outcomes
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ahs.ca
CIS = Clinical Improvement System
eHealth Process OptimizationHelp transform policy, process and workflows to benefit from a CIS while avoiding harms.
Guidance & Content ManagementTranslate provincially-adjudicated best practices to actionable guidance at the point of care.
eSafety & eQuality
Surveillance to enhance safety, improve quality, facilitate inquiry and reduce waste.
Clinical InformaticsBridge clinical communities with information and communication technology initiatives.
Capacity & AdoptionFacilitate eHealth literacy, promoting CIS adoption, meaningful use and organizational learning.
Stakeholder RelationsPromote end-user organization, empowerment and accountability for effective CIS use.
ahs-cmio.ca/home
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ahs.ca
Clinical eTransformation Strategy
• Identify unhelpful variation• Recognize standardization needs• Focus on CIS opportunity• Address strategic transformation questions
CIS = Clinical Improvement System
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ahs.ca
Clinical eGuidance Strategy
• Clinical Guidance Collaboratory• Provincial Guidance Viewer• AHS CIS Content Repository• Health Evidence Exchange• Embedded Analytics, Enterprise Datamart
CIS = Clinical Improvement System
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ahs.ca
Clinical eDocumentation Strategy
• Patient & family-centred• Useable & accessible• Collaborative• Care optimized• Shared burden
CIS = Clinical Improvement System
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Clinical eSafety Strategy
• eSafety Framework• Design checklists• Surveillance capacity
CIS = Clinical Improvement System
![Page 58: Better Information for Better Health Bridging the Disconnect fall... · ahs.ca BCHIMPS September 29,2017, Vancouver, BC Robert Hayward MD, MPH, FRCPC Chief Medical Information Officer](https://reader033.fdocuments.net/reader033/viewer/2022050506/5f976a2c7f20bf2674593687/html5/thumbnails/58.jpg)
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1. Principled push is resisted:– Backlash against big CIS initiatives.– Wariness about harms.
2. Pragmatic pull is possible:– Permissive infrastructure and infostructure allows
new models of information capture, organization, codification, display and communication.
– User needs can be addressed and leveraged.
Key Points