Shift Change Focus Group

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Shift Change Focus Group
Carolyn Searle, RNManager Core Clinical
ApplicationsProvena Health EnterpriseJoliet,
Illinois
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Carolyn Searle, RN Provena Health Enterprise
Responsibilities
Manager Core Clinical Applications
Patient Care Systems
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Shift Change Focus Group
Nursing Advisory Committee (NAC)

• Initial meeting held on April 16, 2003
• Priorities identified
• Focus group formed
• Shift Change and Transferring Task Ownership

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• Focus Group Members
• Gail Balch, Southwestern Vermont Medical
  Center - grb_at_phin.org
• Jackie Welch, Great River Health Systems -
  jwelch_at_grhs.net
• Christine Albert, MEDITECH Senior
  Supervsior, Development, PCS/NUR
• Cathy Turner, MEDITECH Director, Implementation

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Purpose/Goal
Shift Change and Transferring Task Ownership -
Encourage online change of shift ownership -
Create tool to provide the following
Expected Benefits - elimination of paper -
cost savings - confidentiality issues -
decrease errors of omission - online review
provides up-to-date information - pending
tasks reviewed - responsibilities identified -
increase effective communication
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Starting Point
Review of current methods/formats for shift
report - variety of hardcopy formats reviewed -
workflow and process reviewed
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Review of Expected Functionality of theStatus
Board

• Rows and columns
• Column header names definable
• Review of existing data elements

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Current Data Elements
Account Number Acuity/Workload Values Admitting
Date Admitting Physician Mnemonic Admitting
Physician Name Age Attending Physician
Mnemonic Attending Physician Name Confidential
Flag Date of Birth Diets Family Physician
Mnemonic Family Physician Name Patient First
Name Patient Full Name Patient Last Name Location
Mnemonic Location Name New Order Indicator New
Result Indicator
Next Scheduled Intervention Time Next Scheduled
Medication Time Notification Other Physician
Mnemonic Other Physician Name Patient Status Plan
of Care Mnemonic Plan of Care Name Primary
Diagnosis Mnemonic Primary Diagnosis Name Primary
Care Physician Mnemonic Primary Care Physician
Name Room/Bed Mnemonic Sex Temporary Location
Mnemonic Temporary Location Name Unit
Number Missing Variance Indicator Query
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Additional Data Elements Needed forShift Report

• Scheduled procedures (from CWS and ORM)

• Color coded abnormal results
• lab, xray,notes
• abnormal visual cue

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Additional Data Elements Needed forShift Report
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Additional Data Elements Needed forShift Report
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Online versus Printed Version
Can we eliminate paper entirely?
Probably not...
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Design Specification
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Whats Next?

• Proposal 4488
• Include feedback from today
• Verify workflow

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Questions and Suggestions?

• Discussion/comments during presentation
• Email CarolynASearle_at_ProvenaHealth.com