Paper-Lite is part of the BMDH Expansion Project www.bmdhproject.health.nsw.gov.au | BMDH Project 1800 155 102 Paper-Lite Fact Sheet Electronic Medical Records Project | Blacktown Hospital , NSW | 2014 - 2015 Paper-Lite is an iniave involving the transion from wrien notes to electronic documentaon for the majority of inpaent records at Sydney’s Blacktown Hospital. It’s a clinician-driven change to provide staff with anywhere, anyme access to hospital medical records via any authorised device including laptops, iPads, tablets, or smartphones. The innovaon enhances our capacity to make informed decisions about paent care because clinical staff (nurses, doctors, allied health & support staff) always have access to the most up-to-date informaon. Paper-Lite was iniated by our Western Sydney Local Health District Informaon Technology Services and BMDH Expansion Project Teams with our doctors, nurses, allied health and support staff. Why change? As part of the planning for the expansion of Blacktown Hospital, a strategic decision was made to design and build the new facilies on the assumpon that an eMR would be adopted and medical record scanning implemented. This decision presented two challenges – the need to transion clinicians from paper records to an eMR, and the requirement to achieve both this and scanning in the exisng facility ahead of the opening of the new facilies in early 2016. What did we change? The scope of the program of changes included: Implementing electronic Assessments and Progress Notes for all disciplines. Implementing electronic consults (Nursing) Implementing electronic operation reports (all specialties) Implementing electronic Emergency Theatre Bookings Implementing electronic Adult Observation Charts Increasing uptake of electronic Discharge Summaries (all disciplines) Implementing electronic decision support tools including an electronic Sepsis Alert, Care Compass and VTE Assessment tools. Increasing uptake of clinician mobility including Bring Your Own Device (BYOD), corporate devices and Remote Access Implementing enhanced eMR functionality including patient summary (mPage) and continuous docs. These changes needed to be implemented in 16 of the hospital’s units and involved over one thousand clinical staff from a range of disciplines. To align with the capital works program, the entire program of changes needed to be implemented within 30 months. How did we do it? To achieve the implementaon of Paper-Lite within the constraints of me and resources, a locally developed change approach was adopted with: Strong clinician engagement and leadership with genuine clinician involvement in planning and empowerment to make meaningful decisions on all elements of the project. Strong internal partnerships with clinicians, administrators and IT professionals working collaboravely towards a shared goal. Strong interagency partnerships with Western Sydney LHD working closely with Health Infrastructure & eHealth NSW. Just-in-me training with the majority of training occurring as hands on, small group sessions conducted in the work environment in the two weeks prior to go-live. NSW Health Awards Finalist 2015
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Electronic Medical Records Project | Blacktown Hospital , NSW | … · 2015-12-16 · Electronic Medical Records Project | Blacktown ... s lacktown Hospital. It’s a clinician-driven
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As part of our expansion project, Blacktown Hospital doctors, nurses, allied health and support staff
ask us to accelerate the introduction of inpatient electronic medical records in the hospital. If it can be
achieved, it will make us the first existing major public hospital in NSW with electronic records.
Our Paper-Lite Story (so far) October 2015
The expansion project and the ITS teams know it’s a ‘can do’. The project gets executive endorsement and the
working group suggests “light on paper” as a concept. The image of a stack of paper being tightened with a belt seems to grab everyone’s
attention and “Paper-Lite” is
born.
Clinicians tell us they want anywhere, anytime access to hospital records. For maximum accessibility, flexibility and mobility, we make Paper-Lite available on
mobile devices and BYOD as
well as on desktop computers and COWs (computers on wheels). From bedside to staff station to consulting room, it’s all Paper-Lite.
The project partners with the Clinical Excellence Commission to develop
a sepsis alert - an
algorithm that automatically scans the patient’s electronic records for markers indicating a clinical review is
required because of the risk of
sepsis. It’s an Australian first.
On launch day we get green lollipops.
B42 Surgical ward nominates to be the pilot site. Testing begins and the project creates such a buzz around the hospital that other wards and services are lining up to participate. We prepare information for
patients too, so they know
what’s going on when they see staff on COWs, mobiles and tablet devices.
At 8am on Tuesday 29
July 2014, the project goes
live. B42 Surgical becomes the
first electronic records ward in NSW.
The support team is on hand to assist (in green t-shirts of course).
The project team creates a communications plan for the project
and develops a logo and branding from the working
group’s initial concept. The
branding supports training, launch
events and all communications, creating a fresh, appealing instantly recognisable (and very green) project identity.
Clinician training begins, supported by senior medical, nursing and allied health staff.
We train about 100
staff ready for go-live including sessions for VMOs, JMOs, nurses, allied health and ward staff. Info packs include quick reference guides for forms, log-ins, records and other Paper-Lite functions.
The project is so successful and so well-supported by hospital staff that the implementation
program is shortened from
6 months to
6 weeks.
Training starts for more than 1,000 staff.
Our Health Information Records Service starts
scanning millions of pages
of paper files to create digital records for every patient.
1st
Paper-Lite supported by a
delivery of 60
COWS (computers
on wheels).
Our first two COWS are named in honour of long-term patient Bill (who says he’s been a patient in every ward except Maternity) and his wife and long-term carer Marian.
Upgrades are added to enhance
functionality and we survey
staff to gather information about the next round of improvements.
On 2 September 2014, the remaining 15 units go live.
Within three days, all new patients are Paper-Lite.
We reward ourselves with green
cupcakes!
In late 2015, Paper-Lite rolls out at Mount Druitt Hospital.
Dietetics becomes
the first ambulatory care unit to go
Paper-Lite as we start to transition outpatients to electronic records.
About 40 groups (so far) of visitors from NSW, interstate and overseas have come to see how we did it.