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Electronic Patient Journey Boards

Central Coast Local Health District
Project Added:
17 December 2014
Last updated:
17 December 2014

Electronic Patient Journey Boards

Summary

The Electronic Patient Journey Board (EPJB) is a highly visible interactive touch screen, able to feed data directly from the electronic medical record (eMR) and patient administration system (PAS). 

It is designed to facilitate multidisciplinary handover meetings with information displayed in a highly visual medium with graphic icons and colour schemes to discretely share clinical, financial and demographic information. 

This project was a finalist in the Local Solutions category of the 2014 NSW Health Awards. Download a poster from the 2014 NSW Health Awards.

Aim

The electronic patient journey board aims to facilitate multidisciplinary handover meetings with the aim of sustaining improved patient safety, patient care combined with efficiency and compliance with organisational policy. 

Benefits

  • Improved patient safety and reduced transcribing errors
  • Improved patient handover and efficiency 
  • Improved access to care and patients are better informed of their care plans.

Project Status

Sustained: The project has been implemented, is sustained in standard business. 

Background

Formerly, clinicians spent a lot of time trawling information management systems and hard copy records to follow up on results and treatment progress. This information now automatically feeds into one display allowing more time to devote to patient centred bedside care.

The display is available on individual computers, the Patient Flow Hub and daily bed management meeting room, providing a real-time global view of current activity and an opportunity for the hospital executive and patient flow teams to realign resources to trouble spots.

The project supports the holistic care principles underpinning the NSW Health Essentials of Care Program.

The EPJB breaks down siloes and transforms clinician focused care to a patient centred multidisciplinary model. This allows more time to be devoted to bedside clinical care, promotes patient safety and staff satisfaction, improves access to care, reduces transcribing errors and increases efficiency and accuracy in mortality reporting. 

The project engaged a broad range of services to maximise participation in multidisciplinary care planning - nursing, medical, allied health, information technical, finance and environment services contributed their knowledge and expertise.

Implementation

Developing the tool locally provides access to local responsive technical and managerial support, trouble shooting and incorporating contributions from staff into the application. All staff were provided with the opportunity to contribute their ideas respecting their role in delivering care.

The Windows forms development platform was chosen because it offered greater flexibility in both the design and functionality.

The display is standardised across the Local Health District (LHD) prompting all staff to work towards achieving common organisational goals in delivering high quality care. However individual wards are able to tailor the information to meet the patient’s needs. It makes use of multifunctional cells, maximising the use of space to display multiple steps in the patient journey in a single view.

Despite the highly technical nature of the project, broad multidisciplinary engagement resulted in a people centred solution, respecting the opinions, challenges and goals of CCLHD staff in providing patient centred care.

CCLHD Executive have taken a lead role prompting department heads and senior managers across all disciplines to use the EPJBs as a primary planning tool in the delivery of care every day.

The end result is a tool that exposes process issues and empowers staff with evidence to support process improvement.

Results 

  • Accuracy in documenting Care Types leads to greater efficiency in the application of Activity Based Funding (ABF).
  • Multidisciplinary planning reduces Length of Stay through early identification of delays to transfer of care plans.
  • Streamlines referral to the appropriate community based services determined by the patient’s residential address within the local government area boundaries. Patients who live outside these boundaries are highlighted on the EPJB display.
  • Reducing delays for NSW Ambulance by preparing patients on time for pickup
  • Provides organisational overview of the volume and responsiveness of pathology, medical imaging and allied health services and the opportunity to review demand and activity. 

References

Contact

Ellen HardcastleCCLHD Patient Flow and Access Manager
Central Coast Local Health District
Phone: 02 4320 5382
Email: Ellen.Hardcastle@health.nsw.gov.au

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