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Ebola Preparedness- HIT Opportunities and Challenges
Ebola Preparedness- HIT Opportunities and Challenges
Objectives
Objectives
History
History
HIT RELATED CHALLENGES FOR EBOLA PREPAREDNESS
HIT RELATED CHALLENGES FOR EBOLA PREPAREDNESS
http://www
http://www
What did we do to prepare
What did we do to prepare
Key Steps that Occurred at VHC
Key Steps that Occurred at VHC
Communication Challenges
Communication Challenges
VHC Specific Steps - Communication
VHC Specific Steps - Communication
Procedure Challenges
Procedure Challenges
VHC Specific Steps - Procedures
VHC Specific Steps - Procedures
Documentation Challenges
Documentation Challenges
VHC Specific Steps - Documentation
VHC Specific Steps - Documentation
HIT RELATED Opportunities FOR EBOLA PREPAREDNESS
HIT RELATED Opportunities FOR EBOLA PREPAREDNESS
Opportunity #1 Eliminate Parallel workflows
Opportunity #1 Eliminate Parallel workflows
Opportunity #2 Reduce Documentation Requirements
Opportunity #2 Reduce Documentation Requirements
Opportunity #3 Anticipate the next “Ebola”
Opportunity #3 Anticipate the next “Ebola”
Conclusions
Conclusions

Презентация на тему: «Ebola Preparedness- HIT Opportunities and Challenges». Автор: Yi, David. Файл: «Ebola Preparedness- HIT Opportunities and Challenges.pptx». Размер zip-архива: 879 КБ.

Ebola Preparedness- HIT Opportunities and Challenges

содержание презентации «Ebola Preparedness- HIT Opportunities and Challenges.pptx»
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1 Ebola Preparedness- HIT Opportunities and Challenges

Ebola Preparedness- HIT Opportunities and Challenges

David Yi, MD Chief Medical Information Officer Virginia Hospital Center Arlington, Virginia November 21, 2014

2 Objectives

Objectives

Review hospital specific preparations Discuss key HIT challenges related to hospital Ebola preparedness HIT opportunities

3 History

History

4 HIT RELATED CHALLENGES FOR EBOLA PREPAREDNESS

HIT RELATED CHALLENGES FOR EBOLA PREPAREDNESS

5 http://www

http://www

nbcbayarea.com/news/national-international/Texas-Hospital-Software-Blame-Ebola-Patients-Misdiagnosis-277988141.html

6 What did we do to prepare

What did we do to prepare

7 Key Steps that Occurred at VHC

Key Steps that Occurred at VHC

Establishment of Ebola Task Force Revision of Clinical workflow and screening assessments (initially in ED) Determination of protocols and procedures (ever-changing) Communication and training of users (PPE) Collaborate with local and state Public Heath Departments Ebola “Drills” Everything Else Supply Management Access Control Communication Waste Disposal

8 Communication Challenges

Communication Challenges

Why is it so difficult? Not much published evidence Dependent on experts to make recommendations Hospitals took initial steps (given limited experience and knowledge of ebola) to the best of their ability based on available published guidelines and guidance from ID specialists Recommendations change frequently Careful wording necessary to avoid panic and misinterpretation Uniform message delivery

9 VHC Specific Steps - Communication

VHC Specific Steps - Communication

Screening questions formulated in a way that is easy to carry out Common logon messages that are visible to all Common location with static links to updated intranet resources Electronic resources consolidated onto single page with attention to maintain working links Patient can communicate to family or clinicians outside room using tablet PCs.

10 Procedure Challenges

Procedure Challenges

Biggest risk in healthcare facility is ensuring adequate training and compliance to very specific procedures with all aspects of patient care Ensuring adherence with correct PPE donning/doffing (ie, gloves) Procedure demonstrations, video recording, feedback Buddy system Overcome physical tethers for exam equipment, stethoscope Pagers, phones for communication

11 VHC Specific Steps - Procedures

VHC Specific Steps - Procedures

Update procedures as new info is available Perform testing drills, learn gaps Leverage tablets/phones for communication with patient New stethoscopes Essential guidelines and checklists left easily accessible on paper Posted on carts, taped on doors PPE donning/doffing

12 Documentation Challenges

Documentation Challenges

We often try to “hardwire” a workflow change using a documentation requirement. That’s a problem when it comes to screening! Caution necessary in over-reliance on making a system change Timing of documentation might be different than expected Multiple entry points for patients Often existing clinical workflows have maintained existence out of habit, magnifying complexity of clinical EHRs since they attempt to mimic existing workflows EHRs not effectively utilized for decision support

13 VHC Specific Steps - Documentation

VHC Specific Steps - Documentation

Simple scripted screening phrases developed first staff who encounters patient. Realize this may be documented afterwards. 3 EHR systems were updated in concert with similar screening questions.

14 HIT RELATED Opportunities FOR EBOLA PREPAREDNESS

HIT RELATED Opportunities FOR EBOLA PREPAREDNESS

15 Opportunity #1 Eliminate Parallel workflows

Opportunity #1 Eliminate Parallel workflows

“The chains of habit are too weak to be felt until they are too strong to be broken.” ? Samuel Johnson

16 Opportunity #2 Reduce Documentation Requirements

Opportunity #2 Reduce Documentation Requirements

17 Opportunity #3 Anticipate the next “Ebola”

Opportunity #3 Anticipate the next “Ebola”

Clinical Devices. Exam equipment Personal Protective Equipment EMR as a tool for screening Establish effective communication tools

18 Conclusions

Conclusions

Ebola preparedness presents a host of challenges in HIT Ebola preparedness presents some opportunities for improvement by utilizing HIT VHC has taken some key steps towards achieving Ebola preparedness Due to the changing nature of policies and procedures relating to Ebola, achieving preparedness remains an ongoing endeavor Requires ongoing collaboration with local state and national public health organizations

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