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VHA Enterprise Clinical Wiki

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VHA Enterprise Clinical Wiki

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    1. VHA Enterprise Clinical Wiki Session #816H August 2010

    2. Housekeeping Cell Phones Please turn off or change to vibrate. If you must answer a call or text message, please leave the room. 2 Before we get started we need to take care of some Housekeeping issues. This is a 70 minute session. Please turn off or change your cell phones to vibrate. If you must answer a call, for the convenience of the other participants we ask that you please leave the roomBefore we get started we need to take care of some Housekeeping issues. This is a 70 minute session. Please turn off or change your cell phones to vibrate. If you must answer a call, for the convenience of the other participants we ask that you please leave the room

    3. Please, Hold questions until end of presentation. Questions written on a 3X5 card will be answered at the conclusion of the presentation, time permitting. All questions and answers will be posted on the web including those not answered during class. 3 Please hold questions until the end of the presentation. If you have any questions please write them on the 3X5 card provided. We have 10 minutes at the end of the session to answer questions. Also, the answers will be posted on the VEHU website after the conference. So please check the website when you return home.Please hold questions until the end of the presentation. If you have any questions please write them on the 3X5 card provided. We have 10 minutes at the end of the session to answer questions. Also, the answers will be posted on the VEHU website after the conference. So please check the website when you return home.

    4. Presenters/Faculty Donna Harrigan-Thrailkill, Office of Health Information (OHI), Emerging Health Technology Melinda Gentry, Office of Health Information (OHI), Health Data & Informatics Rosie Hinojosa, Office of Health Information (OHI), Health Data & Informatics Dr. Richard Hill, MD, Primary Care, St. Cloud VA Medical Center, MN 4

    5. Agenda Overview Computerized Patient Record System (CPRS) Tips & Tricks Hands-on Clinical Wiki as a Knowledge Source Q&A 5

    6. Enterprise Clinical Wiki Proof of Concept Whats a wiki? Why a wiki in VHA? How it is used 6 A wiki is a website that allows open creation and editing of content. Recurring inquires from VHA staff regarding the use of wiki technology in the VA. Created this enterprise clinical wiki as a proof of concept site. Determination of wiki as a viable tool for continued use in VHA.A wiki is a website that allows open creation and editing of content. Recurring inquires from VHA staff regarding the use of wiki technology in the VA. Created this enterprise clinical wiki as a proof of concept site. Determination of wiki as a viable tool for continued use in VHA.

    7. Anticipated Benefits Encourages collective creation and availability of knowledge to interested staff Brings to light usage scenarios for wiki technology that may prove to be beneficial Represents a broad range of clinical user perspectives: nurses, physicians, residents, medical and allied health students and others Contributes to a broader goal of assessing Web 2.0 social networking 7

    8. Approach VA WebOps hosted site Contracted design & development with Mediawiki subject matter expert Gradual increase in number of users Determination of user interest & user perceived value Lessons learned Closeout proof of concept 8

    9. Total Number of Views Dec 2009 @ 26,874 Jun 2010 @ 85,243 9 Total number of views increased in the last 6 months from 26,874 on December 04 2009 to 85,243 on June 04 2010. Total number of views over the 6 month period is over 58,000. [This slide needed to be finalized in June for VEHU deadline. Updated, recent statistics may be verbally given in the VEHU session.]Total number of views increased in the last 6 months from 26,874 on December 04 2009 to 85,243 on June 04 2010. Total number of views over the 6 month period is over 58,000. [This slide needed to be finalized in June for VEHU deadline. Updated, recent statistics may be verbally given in the VEHU session.]

    10. Main Page 10 Key items and VA / VHA collaborations: Intranet access; available to all users logged into the VA network Authentication of wiki user performed by the VA network 508 Compliant Office of General Council (disclaimer and waiving rights to contributed material) VHA Electronic Media Advisory Board (EMAB) wiki subgroup for usage guidelines in Guidelines and How To a) Like other VA web sites, the wiki is not intended to have private, sensitive, or patient information posted. Consequently, it is against policy, regulation and law. Other guidelines include: b) Being mindful not to post copyrighted material (including images) unless you have received authorization from the copyright owner. c) Its good practice not to repeat information available from VA authoritative sources (no duplicate information). Instead, provide a link to the original source. d) Freely use discussion pages to broach controversial topics; be open-minded, courteous and tolerant of others viewpoints. Content ownershipKey items and VA / VHA collaborations: Intranet access; available to all users logged into the VA network Authentication of wiki user performed by the VA network 508 Compliant Office of General Council (disclaimer and waiving rights to contributed material) VHA Electronic Media Advisory Board (EMAB) wiki subgroup for usage guidelines in Guidelines and How To a) Like other VA web sites, the wiki is not intended to have private, sensitive, or patient information posted. Consequently, it is against policy, regulation and law. Other guidelines include: b) Being mindful not to post copyrighted material (including images) unless you have received authorization from the copyright owner. c) Its good practice not to repeat information available from VA authoritative sources (no duplicate information). Instead, provide a link to the original source. d) Freely use discussion pages to broach controversial topics; be open-minded, courteous and tolerant of others viewpoints. Content ownership

    11. Link Enterprise Clinical Wiki https://vaww.wiki.webdev.va.gov/index.php?title=Main_Page 11

    12. CPRS Tips & Tricks Hands-on https://vaww.wiki.webdev.va.gov/index.php?title=CPRS_Tips_and_Tricks 12 Transition to the hands-on portion of this session.Transition to the hands-on portion of this session.

    13. Using Clinical Wiki as a Knowledge Source Dr. Richard Hill 13

    14. Using the Wiki What is different about Wiki The user is the expert Good ideas pop up all over the place Experience matters 14

    15. Using the Wiki How would you know if: There were a better way to write and record an outside Rx There were simple tricks that could speed up routine tasks and give you more time with patients There was a completely different way to approach CPRS and patient care A simple solution to some vexing CPRS problems existed. 15

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    17. Using the Wiki Some postings will be isolated tips and tricks that could greatly increase your efficiency 17

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    19. Using the Wiki Other sections may attempt to do a more comprehensive review of an area. 19

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    22. Using the Wiki How can I get more information and who can I ask for help about a certain area? 22

    23. Using the Wiki Contact the author of a tip 23

    24. Using the Wiki 24 Screen shot of CPRS Tips and Tricks/CPRS Notes/Changing date and time of a note Clinical Windows Internet ExplorerScreen shot of CPRS Tips and Tricks/CPRS Notes/Changing date and time of a note Clinical Windows Internet Explorer

    25. Using the Wiki 25

    26. Using the Wiki 26

    27. Using the Wiki 27

    28. Using the Wiki 28

    29. Try searching a term in Wiki 29

    30. What the heck is a PATIENT DATA OBJECT? 30

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    33. Contact Melinda Gentry, melinda.gentry@va.gov Rosie Hinojosa, rosie.hinojosa@va.gov Dr. Richard Hill, MD, richard.hill2@va.gov Donna Harrigan-Thrailkill, donna.thrailkill@va.gov 33

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