Magnet Demonstration: The following examples show how interdisciplinary collaboration ensures that information systems and technology used for clinical care are integrated and evaluated, a reflection of nursing excellence.
Crozer-Keystone’s Clinical Transformation
Crozer-Keystone is on a journey to safer, more effective care using the latest information technologies. Our pioneering progress to date has allowed us to be the recipient of more than $6 million in federal and state grants in the area of “meaningful use” of certified EHR systems.
Here is a brief overview of the system’s efforts, which will require the continued outstanding teamwork and collaboration of our entire clinical and administrative workforce:
Centralized Medication Distribution
Centralized distribution of medication for all hospitals has begun. “Safety in dispensing” is supported by state-of-the-art “Talyst” carousels.
These automated dispensing carousels vastly improve the safety and accuracy in drug dispensing, as all medications require barcode confirmation as part of the dispensing process. All hospitals will be serviced by Crozer-based centralized drug distribution by the late spring of 2012.
Several new Pyxis MedStations have been installed in patient floor locations throughout the health system. These units contain barcode ready units of medications that can be easily accessed and scanned at the bedside.
MAK: Medication Administration Checking
Medication administration checking, also known as MAK, is an electronic system that helps to ensure that the right patient receives the right medicine, at the right dose, at the right time and through the right route (oral, topical, nasal, etc.).
Before administering a medication, caregivers scan their own barcode, scan a wristband on the patient and then scan the medication. The system matches the scanned information with the information entered into the system to ensure that the administration of medication is correct.
MAK is live at Taylor; Springfield and Crozer in early 2012; DCMH in fall 2012.
Electronic Order Entry
Electronic Order Entry integrates the automated entry of orders with Laboratory, Radiology and Pharmacy systems. Moving toward a completely automated order entry system is a step-by-step process, with multiple “phase-ins” along the way. CKHS hospitals currently use electronic order entry to transcribe hand-written orders into the Invision platform. In Phase I, the health system is transitioning from the Invision platform to the provider-entry platform, with nursing continuing to transcribe orders. In Phase II, providers will no longer write orders for transcription, but will enter orders electronically.
Phase 1 went live at Taylor and Springfield in fall 2011; Crozer in early 2012; DCMH in early 2013
EDM: Enterprise Document Management
Starting in the spring of 2012, Medical Records will begin scanning all handwritten forms produced on units, such as progress notes, orders and nursing documentation etc. Current electronic-based results – such as Radiology and Laboratory, for example – will be automatically combined with the scanned images to form the legal medical record.
Using the online system, caregivers will be able to view discharged patient records, and physicians will be able to sign off on incomplete charts.
To access all of these initiatives (except MAK), caregivers can use the new eCare Navigator, which will go live in January. Caregivers can find the eCare icon on all CKHS computers. Other features of the eCare Navigator includes:
Display of a patient’s estimated Calc Cr Cl to assist with appropriate drug dosing for patients with impaired renal function, metric weight, allergies and admitting diagnosis.
Access to UpToDate, which will allow physicians to obtain and track Category 1 CME credits for reviewing clinical topics.