The above slide highlights our accomplishments for the year. Most of the group agreed that this year had more achievements than years past.

Anupam suggested these two goals to the group. There are some specific areas that might be challenged to meet a three percent increase in CPOE rates. We may be approaching the saturation point with transcription reduction. Those users who like PC Touch are already using it. Those who are not using it either have Android smartphones or would prefer to continue with telephone transcription. A site mandate might be needed to further decrease transcription rates. The operating room appears to have some wireless dead zones that would prohibit smartphone use. No one thought the goals were impossible. The medication CPOE rates for 8 AM - 5 PM in November 2015 were:

Anupam has asked for reports to track the timeliness of operative reports and discharge summaries. Ideally, informatics could help accelerate some of the development of these documents and expedite reimbursement and speed up data sharing. Anupam will be working with the clinical informatics teams to develop a hybrid on-line and face-to-face training program to standardize the content that physicians receive as well as reduce the total face-time that a clinical informatics associate would need to spend with a new physician. The recent 12-minute video about using the ED workflow mPage was well-received by the ED physicians.

Anupam reviewed the contract specifics as outlined in the PowerPoint slide.He will be reaching out to individuals over the course of the next 10 days to finalize contracts with individuals.

Some members of the group would support a default "progress note" note type. Others would prefer the note type to be blank to force the user to select the correct note type each time. Additional questions included:
*What about copying a note forward? In those cases, most users would probably want to keep the same note type or would be deliberate about changing the note type from an H&P to a progress note.
*Are there profile settings that override the default? There were at least two permutations among the attendees.

The group discussed achievements and challenges at their sites. Notable highlights were PerfectServe deployment (Good Samaritan), Physician Informatics Committee (Illinois Masonic), going paperless (Christ), and PC Touch adoption (multiple sites). Areas to consider addressing in the future are: increasing the authority of the role, greater role of technology without a concomitant increase in support, tying communications with the Medical Executive Committee as well as the medical staff as a whole, developing cut-offs based on adoption levels.

Issues to track from prior meetings

[] Anupam to make sure the default view for the workflow mPage is the Ambulatory view.
[] Chris to distribute a discharge summary built from key events.
[] The CareNet+ upgrade is now ready for testing. Mark Manankil has distributed the link to those users who volunteered to test the site. The fully functional site is expected in January.
[] The CareConnection team is investigating options to consolidate physician accounts so a physician only appears one time in the application. Once that work is complete, we should be able to reinstate Physician Consults in PC Touch.
[] If the signature + specialty request (with changing the resident's specialty with each rotation) and SmartTemplate work are performed by separate teams, then we will proceed down both paths simultaneously. Otherwise, we will work on the SmartTemplate request first before adding troponin in the daily labs SmartTemplate.
[] Anupam is working with two interns to develop video educational materials on how best to use PC Touch
[] Anupam is still waiting to hear back from the Advance Care Planning Council about changing the requirement for a physical signature for LET orders.

The next meeting is scheduled for January 14, 2016.

Minutes from other meetings