Transformational Change- Implementing a fully integrated

eMR

HIC 4th August 2015

Patricia Liebke

Learning and Change Manager

UnitingCare Health

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St Stephen’s beginnings….

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Project Planning

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Communication

Change Management

Plan

BENEFITS

Work Redesign

Training Plan

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Identifying Key Roles

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Communication

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Why Change Management?

Source- John Fisher’s Transition Curve, 2003

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High Expectations

End of the

old way

Valley of Despair

Perf

orm

an

ce

Time

Leading Change and Managing Disruption

AbilityMotivationManaged changeUnmanaged change

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Governance Tools

VisionWhy is this important and how will our future look?

Guiding Principles What are the “rules”?

BenefitsHow will we measure our success?

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What was our Vision?

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Taking it for a test drive…

Prototype roomVisioning workshops

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Guiding Principles for Work Redesign Teams

• We will do what is best for the patient

• Patient safety is our primary objective

• Design principles will be based on what is best for UCH as a whole,

following 80/20 rule: 80% can be used at any UCH hospital, 20% can

be facility specific

• Design will be clinician-driven and support standardization of

clinical “best practices” and medical decision-making

• All design work will incorporate Australian National Standards, ISO,

Hospital licensing, UCH Policies & Procedures, Guidelines and

Best Practice

• Proactively identify, manage and resolve issues to maintain the

project timeline, effectively utilize resources, and ensure design

decisions are aligned with the Guiding Principle

• Design must be benefit driven and focused on improving performance

of the organization for the long-term future

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Expected Benefits for UCH

Improve Patient Safety

Decrease number of avoidable clinical incidents

Improve timeliness to identify and respond to

deteriorating patients

Improve timeliness of results verification and

action

Improve utilisation of care protocols and order

sets

Improve Risk and Quality Measures

Decrease incidence of surgical infections

Increase frequency of pain assessments and

decrease frequency of pain assessments with

scale of 5

Improve Staff and Doctor Satisfaction

Increase staff satisfaction

Increase doctor satisfaction

Increase Efficiency

ALOS below national average

Increase actual operating time per theatre

Decrease overtime expense

Increase Patient , Family, Community

Satisfaction

Decrease RiskMan incidents related to

complaints

Increase patient satisfaction

Increase nursing time at bedside

Improve Medications Management

Reduce ADEs

Improve medication specific communication

between hospital and GPs, specialists, and other

community healthcare providers

Medication reconciliation on admission and

discharge

Reduce medication turn around times

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Finding our Influence

Patterson, Kerry, et al. Influencer: The Power to Change Anything. New York: McGraw—Hill, 2008.

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Device Integration

SurgiNet

CareNet

Medication Management

Admin Function

Medical Doctor Team

Anaesthetics

Doctor Team

Surgical Doctor Team

Clinical Transformation and Work Redesign Teams

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Work Redesign UCH Team Composition

• 15 St Stephen’s Hospital

• 8 The Wesley Hospital

• 8 St Andrew’s War Memorial Hospital

• 2 The Sunshine Coast Private Hospital

• 29 UCH corporate (pharmacists, quality, eHealth, ISD)

62 Staff

• 7 St Stephens

• 4 St Andrews

• 9 Wesley

• 5 Sunshine Coast

• 2 corporate

27 Doctors

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How quick was the transition?

The 2½ year journey……

12th October, 2014

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Training vs Learning

eLearning

• Learn at your pace via UCQLearn

• Workflow-based

• Approximately 2 hours

Learning Labs

• Practice scenarios at your pace in Train environment

• Individual practice with support

• Approximately 6 hours

SuperuserCoaching

• On the floor support during go live and when you need it for a month post go live

LearningLIVE

• Ongoing support with an in-application help on toolbar within Millenium (job aids and cheat sheets)

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Vis

ual

Au

dit

ory

Kin

esth

etic

Tact

ile

Understanding individual’s learning styles

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What is a Superuser?per User?

Coach Trainer = Expert

MentorHelper

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After go live….

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Did we succeed?

“Transformational change involves passion

and a willingness to risk all,

in order to achieve a grand vision that no one

individual can achieve alone.”

Connie Harmsen - PhD thesis May 2011