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.