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The Health Information Technology Institute

The Health Information Technology Institute. HealthPartners, Patient Safety and Leapfrog May 21, 2002. Initiatives Supporting Patient Safety. Institute for Clinical Systems Improvement Patient Safety Committees Safest in America Pharmacy Strategy Project Pursuing Perfection.

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The Health Information Technology Institute

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  1. The Health Information Technology Institute HealthPartners, Patient Safety and Leapfrog May 21, 2002

  2. Initiatives Supporting Patient Safety • Institute for Clinical Systems Improvement • Patient Safety Committees • Safest in America • Pharmacy Strategy Project • Pursuing Perfection

  3. Institute for Clinical Systems Improvement • Founded in 1993. • Collaboration of multiple healthcare organizations. • An objective voice dedicated to championing health care quality and to helping its members accelerate the implementation of best clinical practices for their patients. • Patient Safety has been one of the focuses.

  4. Patient Safety Committees • Committees exist in both our Hospital and Medical Group environments. • Focus has been on: • Creating a Culture of Safety • Improved Reporting • Staff Education • Partnering with our Patients • Medication Safety • Equipment Safety • Safety Practices

  5. Safest in America • Collaborative of the major healthcare providers and ICSI. • Goal is to reduce harm to patients resulting from errors. • Medication Practices • Correct Site Surgery • Exchange of “best practices” for patient safety

  6. Pharmacy Strategy Project • Enterprise-wide initiative developing a pharmacy plan focused on quality of care, service to our patients and members, and the optimization of healthcare costs. • Seven Major Goals developed, one goal is: Providers have access to electronic prescription writing capabilities.

  7. Pursuing Perfection • Robert Wood Johnson Foundation (RWJ) with the Institute for Healthcare Improvement (IHI) issued a call for proposal, “Pursuing Perfection: Raising the Bar for Health Care Performance” in February, 2001. • “Crossing the Quality Chasm” published by the Institute of Medicine in early 2001 is a call for a sweeping redesign of health care. • “Crossing the Quality Chasm” sets forth six aims for improving today’s health care system.

  8. Pursuing Perfection • Pursuing Perfection uses the six aims as the dimensions around which to organize improvement. • Patient-centered • Timely • Effective • Efficient • Safe • Equitable

  9. Pursuing Perfection • The goal of this project is intended to help hospital and physician organizations dramatically improve patient outcomes by rethinking major processes in terms of perfect care. • Health information availability, best science, care alerts and reminders are considered as infrastructure necessary to the entire project. • Although we applied and received this grant for a Medical Group project, it has become an enterprise-wide initiative.

  10. Leapfrog Patient Safety • Computerized Drug Orders • We agree that CPOE is important • Implemented Physician Order Entry in our hospital in the early 1980’s on the Eclipsys TDS 7000 product. • Culture and technology were not in sync. • If fully in use today for all pharmacy orders, we would still not meet the Leapfrog functionality requirements for override documentation. • Clinical System planning efforts scheduled to begin in September 2002 . This will include CPOE, with a goal to start the implementation in 2004. • Currently rolling out the Electronic Medical Record in our Medical Group Clinics. (2 sites live)

  11. Leapfrog Patient Safety • Other Pharmacy Initiatives we believe will support Patient Safety and CPOE: • Pharmacy Information System implementation in the hospital is our 2002 focus. • Medication dispensing system replacement project in progress for 2002. • Look at medication administration bar-coding as a potential 2003 project.

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