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Toronto East General Hospital (TEGH), a 515-bed community teaching hospital, is the fifth Canadian hospital to achieve HIMSS Stage 6 after integrating medication barcoding to its pharmacy workflow.
With barcoding technology, TEGH has seen a 30 percent decrease in medication incidents and a 60 percent decrease in medication turnaround time.
People, process and technology: the three key ingredients that led the Centre for Addiction & Mental Health (CAMH), Canada's largest mental health and addiction hospital, from disparate to connected.
Centre for Addiction & Mental Health (CAMH), Canada’s largest mental health and addiction hospital, as well as one of the world's leading research centres in the area of addiction and mental health, won a national health informatics award and HIMSS honors for its newly integrated health system. CAMH successfully implemented Cerner Millennium® simultaneously across all inpatient areas, the emergency service and outpatient clinics — within budget and on time. The new integrated clinical information system (CIS), known locally as I-CARE, skyrocketed CAMH into the top one percent of all Canadian health systems.
One year after going live, a project to improve patient safety at 10 hospitals in southwestern Ontario has reduced the number of adverse drug events by 35 percent, an astonishing achievement. “And two of the hospitals have reduced their ADEs by 50 percent,” added Dr. Robin Walker, Integrated Vice President of Medical Affairs and Medical Education at London Health Sciences Centre and St. Joseph’s Health Care London.
All of the hospitals are using Cerner’s clinical information system. As Cerner Canada’s president, Jim Shave, put it, “There is one standard electronic health record serving more than 1 million people in the region.”
Once the groundwork was laid at London Health Sciences Centre and St. Joseph’s Health Care London, migrating their core IT systems to the cloud was instantaneous. “It was like a NASA launch,” said Glen Kearns, integrated vice-president of diagnostic services and CIO at the two organizations. It literally occurred with the flick of a switch. “Dave was the maker of the switch.”
The Dave in question is David Schned, integrated director of infrastructure technology. And the switch in question moved the shared, Cerner health information system of LHSC and St. Joseph’s Hospital, along with nine partner hospitals in southwestern Ontario, from in-house data centres to a cloud-based environment managed by Cerner Canada
A hospital that runs an electronic health record (EHR) platform without a computerized physician order entry (CPOE) system is only half-pregnant. It isn’t a truly electronic system until the thousands of paper order entries that flow around the hospital outside the EHR system are incorporated into it.
The Centre for Addiction and Mental Health (CAMH) was honored by ITAC Health and COACH: Canada’s Health Informatics Association with the Canadian Health Informatics Award for its successful EHR implementation (locally called I-CARE) across the emergency department and all inpatient/outpatient clinics. After implementation, CAMH rose from the bottom 10 percent in adoption of advanced clinical information technology to the top 1 percent.
Most hospitals opt for an incremental approach to implementing EHR systems, often out of fear of joining the line-up of horror stories in the media about big IT project failures. But if the right elements are in place, the big bang approach – implementing everything all at once – can work. Toronto’s Centre for Addiction and Mental Health (CAMH), an organization successfully went live in May, 2014 with its new EHR and data warehouse system with virtually no hiccups – and under budget.
TORONTO – Older adults currently account for almost 60 percent of hospital days even though they only represent about 15 percent of the population. But most hospitals were designed in previous eras to care for younger populations. To revamp its approach, Toronto’s Mount Sinai Hospital created a new strategy in 2010 to make improvements in senior care a priority. The hospital’s Acute Care for Elders (ACE) strategy saved the hospital $6.7 million alone in 2014 and has won several awards, says Dr. Samir Sinha, Mount Sinai’s director of geriatrics.
Calgary Laboratory Services (CLS) serves over one million people and performs approximately 21 million tests annually. Its service offering includes providing mobile collection services to many long-term care, supportive living and community patients who are unable to travel for specimen collection.
North York General Hospital, ambulatory endoscopy physicians are improving report quality and delivering better patient care while saving thousands of dollars.
Toronto East General Hospital uses Cerner's PowerChart® to reduce medication errors. The Hospital achieved a 95 percent accuracy of electronic medication profiles - a significant improvement over the previous workflow where nephrologists used paper prescriptions. Cerner’s software offered the flexibility to be creative with tools that suit the unique needs of the hemodialysis unit (HMD) clinic.
As a result, the dialysis clinic implemented a seamless process and was able to achieve an accurate and timely transfer of medication information between the clinic, inpatient areas and the community pharmacists.
Toronto East General Hospital was the first to go live, hospital-wide, with computerized physician order entry (CPOE) and electronic medication administration record (eMAR). In 2005, the organization began a six-year journey to convert 95% of its patients' chart to an electronic patient record. Today, the hospital has achieved its goal with 65% of orders entered directly by physicians.
Two of the most common, yet preventable hospital-acquired conditions are falls and pressure ulcers. Leaders at Mount Sinai Hospital recognized the need to easily identify patients at risk for these conditions so clinicians could quickly intervene. Using PowerChart, nurses can capture real-time patient-specific data that is then sent to a unit-based electronic whiteboard for all clinicians to see. Since implementation, MSH as shown sustained improvement with rates of falls and pressure ulcers.
Older adults achieve better health care outcomes when their care is coordinated in a comprehensive, timely way.
In 2010, Mount Sinai led Canada's acute care hospitals by becoming the first to make Geriatrics a core strategic priority. The hospital developed programs and tools through its innovative Acute Care for Elders (ACE) Strategy that allowed it to deliver the right care in the right place at the right time.
Mount Sinai Hospital saved $6.26 Million in 2012-2013 as a result of the implementation of the ACE Strategy.
Congratulations go out to our client North York General Hospital in Ontario. Their eCare project (CPOE and barcode scanning) was recently honored with a 3M Health Care Quality Team Award. NYGH was the first hospital in Canada to implement barcode scanning, and the system has prevented more than 2,300 potential medication administration errors since going live.
The digital system, which connects clinicians throughout the organisation's main 423-bed facility, enables providers and authorised users to capture, retrieve and share patient data, streamlining a host of processes.
To create this patient-centric electronic medical record, the facility uses solutions built on the Cerner Millennium® architecture. To learn more about how NYGH is using Cerner solutions:
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