improving patient safety through the use of real time clinical data, mr giulio bognolo, chief...

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Improving patient safety through the use of real time clinical data

Mr Giulio BognoloChief Medical Officer UK

Cerner

Improving patient safety through the use of real time clinical data

Giulio Bognolo, MD

Chief Medical Officer

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 4

Improving patient safety with technology

Communication

DeliveryTracking

and reporting

clinical

docs

order

comms

EPMA

EPR

clinical

core

theatres

maternity

an integrated clinical core is required to deliver substantial benefits for patient care

Integrated clinical core

clinical

docs

order

comms

EPMA

EPR

clinical

core

decision

support

coding

performance

improvement

theatres

maternity

connected

devices

analytics

workforce

management

research

acuity driven nurse staffing

the research-able EPR

personalised medicine

real-time benchmarking

patient safety

managing capacity

Leverage

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 7© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 10

Connect the Devices

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 8

Safety – harm free care

Children's Hospitals of Pittsburgh of UPMC - Adverse drug reactions reduced by 50%

Children’s Hospital Los Angeles - Medication errors causing patient harm decreased by 30%

Marina Salud - Hospital de Dénia - 37.2% of prescriptions intercepted avoiding allergic reaction

Truman Medical Center - 180 incidents per year avoided

Eastern Maine Medical Center - Medication incidents reduced by 27%

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 9

Integrated clinical core - discharge planning MPage

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 10

Integrated clinical core – alerting

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 11

Most recent risk level

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 12

Risk level

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 13

Recommendations

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 14

Allergies

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 15

Renal adjustments

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 16

Real Time Monitoring

VTE Core Measure

Performance Tracked Real

Time

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 17

Right staffing through real time acuity

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 18

Command Center: Patient Flow Management

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 20

The research-able EPR around the world

PowerTrials®

Emory HealthcareFlorida HospitalMCG Health, Inc.St. JudeGeorgia Regents UniversityAdvocate Health CareCentre for Addiction & Mental HealthColumbia St. Mary's Inc.George Washington University (UHS)Lafayette General Medical CenterThe Children's Mercy HospitalUniversity of Missouri Health Care

Health Facts®

64 systems, 329 facilities

PowerTrials®

TILAK (Austria)Barts and The London NHS Trust (UK)Wirral NHS Trust (UK)

Discovere ®8,200 researchers 1,600 clinical research sites worldwide300 publications150 academic and research partners3 Clinical Research Organizations (CROs)7 of top 20 pharmaceutical companies

Helix®

21 live systems in USA+ 2 implementing

PowerTrials®

Hamad Medical Corporation (ME)SIDRA Medical and Research Center (ME)

7 billion patient encounters47 million unique patients14 condition-specific datamarts

Helix ®

5 live systems rest of world+5 implementing

health

information

exchange

smart

registries &

scorecards

patient portal

wellness

services

patient engagement

patient activation

patient safety & better care

integrated value-based care

Population health

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 22

Health Integration Engine – connecting the continuum

Add external data to EPRMake better clinical decisionsPatient safetyReduce time spent chasing informationReduce unnecessary tests

2 live clients in UK, 2 going live. 25+ networks in USA

“Having access to a GP record with more accurate information means that we have got quite clear, precise information about what we are dealing with” Emergency medicine consultant Karim Ahmad, Barts Health

GPs seeing the hospital record

Hospital clinicians seeing the GP record

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 23

Wellness – activating patients in their care

Patients taking responsibility for their careIntegrating education into care processesDevice connectivity

• Health risk assessments

• Patient health, exercise and nutrition trackers

• Prescribe-able education programs

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 26

Health care is too important to stay the same.

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