HIC 4th August 2015 Patricia Liebke Learning and Change Manager UnitingCare Health

Transcription

1 Transformational Change- Implementing a fully integrated emr HIC 4th August 2015 Patricia Liebke Learning and Change Manager UnitingCare Health

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3 St Stephen s beginnings. 3

4 Project Planning 4

5 Training Plan Work Redesign BENEFITS Communication Change Management Plan 5

6 Identifying Key Roles 6

7 Communication 7

8 Why Change Management? Source- John Fisher s Transition Curve,

9 Performance Leading Change and Managing Disruption High Expectations End of the old way Time Unmanaged change Managed change Motivation Ability Valley of Despair 9

10 Governance Tools Vision Why is this important and how will our future look? Guiding Principles What are the rules? Benefits How will we measure our success? 10

11 What was our Vision? 11

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13 Taking it for a test drive Prototype room Visioning workshops 13

14 Guiding Principles for Work Redesign Teams We will do what is best for the patient Patient safety is our primary objective Design principles will be based on what is best for UCH as a whole, following 80/20 rule: 80% can be used at any UCH hospital, 20% can be facility specific Design will be clinician-driven and support standardization of clinical best practices and medical decision-making All design work will incorporate Australian National Standards, ISO, Hospital licensing, UCH Policies & Procedures, Guidelines and Best Practice Proactively identify, manage and resolve issues to maintain the project timeline, effectively utilize resources, and ensure design decisions are aligned with the Guiding Principle Design must be benefit driven and focused on improving performance of the organization for the long-term future 14

15 Expected Benefits for UCH Improve Patient Safety Decrease number of avoidable clinical incidents Improve timeliness to identify and respond to deteriorating patients Improve timeliness of results verification and action Improve utilisation of care protocols and order sets Improve Risk and Quality Measures Decrease incidence of surgical infections Increase frequency of pain assessments and decrease frequency of pain assessments with scale of 5 Improve Staff and Doctor Satisfaction Increase staff satisfaction Increase doctor satisfaction Increase Efficiency ALOS below national average Increase actual operating time per theatre Decrease overtime expense Increase Patient, Family, Community Satisfaction Decrease RiskMan incidents related to complaints Increase patient satisfaction Increase nursing time at bedside Improve Medications Management Reduce ADEs Improve medication specific communication between hospital and GPs, specialists, and other community healthcare providers Medication reconciliation on admission and discharge Reduce medication turn around times 15

16 Finding our Influence Patterson, Kerry, et al. Influencer: The Power to Change Anything. New York: McGraw Hill,

17 Clinical Transformation and Work Redesign Teams Device Integration Surgical Doctor Team SurgiNet Anaesthetics Doctor Team CareNet Medical Doctor Team Medication Management Admin Function 17

18 Work Redesign UCH Team Composition 62 Staff 15 St Stephen s Hospital 8 The Wesley Hospital 8 St Andrew s War Memorial Hospital 2 The Sunshine Coast Private Hospital 29 UCH corporate (pharmacists, quality, ehealth, ISD) 27 Doctors 7 St Stephens 4 St Andrews 9 Wesley 5 Sunshine Coast 2 corporate 18

19 How quick was the transition? The 2½ year journey 12 th October,

20 Training vs Learning elearning Learn at your pace via UCQLearn Workflow-based Approximately 2 hours Learning Labs Practice scenarios at your pace in Train environment Individual practice with support Approximately 6 hours Superuser Coaching On the floor support during go live and when you need it for a month post go live LearningLIVE Ongoing support with an in-application help on toolbar within Millenium (job aids and cheat sheets) 20

21 Kinesthetic Tactile Visual Auditory Understanding individual s learning styles 21

22 What is a Superuser?per User? Coach Trainer = Expert Helper Mentor 22

23 After go live. 23

24 Did we succeed? 24

25 Transformational change involves passion and a willingness to risk all, in order to achieve a grand vision that no one individual can achieve alone. Connie Harmsen - PhD thesis May 2011