OSCAR EMR at Hamilton Public Health Services · Sexual Health Clinic Receptionist save 90 minutes...
Transcript of OSCAR EMR at Hamilton Public Health Services · Sexual Health Clinic Receptionist save 90 minutes...
OSCAR EMR at Hamilton Public Health Services September 28, 2015
Outline Hamilton’s journey to an EMR OSCAR
Why? Functionality
OSCAR Project Challenges Lessons learned Next steps OSCAR Demo
How did we get here? 2010:
eHealth Inventory Project: internal scan 2011:
External info gathering Requirements gathered & business case developed PHSMT made decision to go with OSCAR
2012: PHS became OSSP Went live in Mental Health and Flu Clinics
2013: Support Mental Health Went live in Flu Clinics Sexual Health requirements and customizations
2014 Went live in Sexual Health Clinics & Phone Line Internal File Audit
2015 Went live IDTB & IDPC Intake Line Went live in HBHC Working on Case Management: IDTB, IDPC, SH, SU, BO Expanding Health Protection Intake Lines: Food Safety, VBD, Safe Water, Health
Hazards Breastfeeding Clinic, Parenting
2010: Internal Environmental Scan
Interviewed 26 program and service managers
Defined current information management practices
Discussed needs/gaps/impact on business
Business Problem E-Inventory Scan uncovered several information management
issues: Sustainability of the databases currently used to manage
client information and support PHS practices. Duplicate documentation efforts by staff (electronically and
hard copy). Difficulty navigating and extracting information from current
applications to guide management decision-making. Direct impact on client services when timely, accurate
information is not available. Reliability of current electronic scheduling software. Security of client information that is stored in unknown
locations and duplicated in “home-grown” databases. PHS uses over 50 out-dated “home-grown” applications for similar purposes.
Security of hard copy records in transit. We are data heavy, information and knowledge poor
…So we couldn’t “do nothing”!
2011: Researched Options Talked to 17 Health Units Researched EMRs Built business case Management team decided on
OSCAR Developed relationship with
McMaster Prioritized program area needs
2012: Implemented OSCAR Open Source Clinical Application and
Resource Developed based on the collective
work, ideas and support of numerous health care providers and developers across the nation, including McMaster University
Includes: Electronic Medical Records, case management, personal health record and other integrated applications
Joined the Oscar Community
Why OSCAR? Cost effective No vendor lock-in Ability to expand use across several
programs and services and contribute to Hamilton PHS Client Electronic Health Record
Sustainable solution Large user community Potential to collaborate across healthcare
sectors Co-location with McMaster clinics
What our users like about OSCAR Allows you to search for clients from
various locations Building a comprehensive record for each
client Minimizes paper Reduces number of forms Improves business processes Complies with documentation, privacy
and security standards Allows us to gather statistics efficiently Provides ability to pull ad hoc reports
OSCAR Functionality
Schedule client appointments Document client interactions Create and assign tasks Customize forms Upload documents (labs, physician
letters etc.) Extract reports Set reminders Communicate about clients Organize resources
Open Source Model OSCAR Service Providers (OSPs) OSCAR Self-Service Provider (OSSPs)
1 week training at McMaster Data stored on our servers Installed and maintained internally Share development work across OSCAR community Ex.
Maternity Centre Project Resources:
0.8 FTE Applications Analyst 0.8 FTE Project Manager Program Super-Users (time varies) 0.8 eHealth Intern (8 month term) 1.0 Temporary Applications Analyst (4 month contract) 0.5 Clinic Coordinator (temporary) 0.2 External OSCAR Developer
Since 2012
Added in 2015
Our Vision: OSCAR & Public Health
Collaborate with other Health Units Share eforms, customized features and
reports, business process re-engineering, training material etc.
All contribute and benefit from “Public Health Oscar”
Communicate with clients via MyOscar Connect across healthcare sector (labs,
primary care, hospitals)
Where are we now? Live (Supporting) In Progress Planned for 2016 Sexual Health Clinics & Intake Line
Reportable Infection Management: • IDTB • IDPC • Sexual Health • Surveillance Unit • Business Operations
School Programs
Mental Health & Street Outreach
Intake Lines: • Food Safety • Safe Water • VBD • Health Hazards
Tobacco Control
IDTB Intake Line Breastfeeding Clinic VBD Case Management
IDPC Intake Line Dental Services
HBHC - Health Connections
Vaccine Preventable Disease
Surveillance Unit Nurse Family Partnership
Reproduction & Child Health
Challenges
Good news travels fast! Internal human resources
Technical Project Management Business Analysis “Super-Users”
Planning + Implementing + Sustaining + Evaluating
With new technology comes new processes and equipment
Resistance to change Wide variation of technical skills
Lessons Learned Explain WHY “Super-Users” need to be relieved of regular duties Executive and management support visible across the
health unit Customize strategically Need people who understand both clinical and
technical It’s an investment It’s not just a tool, it’s changing the way we work Celebrate success!
EMR Value Sexual Health Clinic Receptionist save 90 minutes
per clinic Minimize staff time spent printing, filing, calling,
locking etc. Ex. 15 min per SH client Less cost for mileage because access anywhere
and cold storage (#s to come) Communication between programs/locations
are automated and secure Easy retrieval of client info from any location =
better customer service Minimize security risk of handling paper records
between locations
Next Steps Continue OSCAR implementation Develop Service Level Agreements Provide on-going support Advance reporting Evaluate effectiveness
Oscar Demo
Discussion, Comments, Questions?
Email: [email protected]
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