CareConnection Prioritization Process

Anupam and Kristen outlined the proposed CareConnection prioritization process. New members will be need to be added to group to obtain additional viewpoints.

[] Kristen to have a senior vice-president serve as the group's sponsor to make it a decision-making body.
[] Kristen and Anupam to investigate changing the name from "Committee" to "Council" as committees make recommendations and councils make decisions.

Proposed clinical informatics 2016 targets

• Anupam described a unified discharge process that would include
  • All physician and nursing documentation available to the patient and caregivers before the patient left the hospital, including discharge instructions
  • Follow-up appointments arranged or contact information provided
  • Medication reconciliation with ePrescribing
  • Follow-up on test results to external providers

Kate noted that Advocate's Serious Safety Event is most affected by medication reconciliation. Other members thought the largest quality gains would be making sure the patient had the appropriate discharge instructions (e.g., Wound Care, Home Health). There should be an opportunity to identify best practices across the organization and integrate this work with nursing interdisciplinary plans of care.

• More PowerPlan adoption The group agreed that this is an important goal, but more work should be done to reduce the turn-around time for PowerPlans to be created once design has been finalized.

[]Kristen and Anupam to work on a Service-Level Agreement with CareConnection on PowerPlan build.

2016 Capital Request Update

Clairvia and Electronic Prescribing of Controlled Substances were prioritized in the Information Technology budget. Pharmacy cabinets are currently within Clinical Engineering.

Medication reconciliation

• Sharing medication lists with patients and outside providers on discharge The group thought the work was important, but should be done in Cerner if at all possible. Anupam has done some testing this arena, but would need to expand the work as part of our larger discharge process optimization.
• Reducing the default number of days for discharge prescriptions from 30 days to seven days. The group felt this would be a great step toward encouraging rapid follow-up after hospital discharge and reduce the risk of inadvertent prescribing of hundreds of tablets of a controlled substance due to a "q4 hour PRN" frequency. Outpatient follow-up appointments would need to be coordinated with the number of tablets given to patients. []Anupam to investigate the feasibility of making this change (idea from Sherman, who is on a different instance of Cerner).

ICD-10

Anupam provided a brief update on what the organization is doing to prepare physicians and advanced practice clinicians for the ICD-10 transition on October 1.

Outstanding issues from earlier meetings

• Provider dictionary Anupam is working with Rishi to prepare a proposal for Advocate's overall project governance body. The project will be scoped as a multi-year endeavor with annual deliverables. The safety driver is routing test results to providers regardless of the patient's location.

[] Anupam to follow-up with Laura to get more details about inconsistent provider updates that might help drive the conversation for a more robust provider directory.

The next meeting is scheduled for September 1 at 1700 hours.