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