CPOE and PPID Implementation today:

Congratulations to Chestnut Surgery Center at BMC and the Ambulatory Surgery Center at BMLH for implementing CPOE (order entry) and PPID (Medication Barcode Scanning) today!  Thank you to the entire Team for all your efforts in making this implementation a success!!

PACS Image Viewing

Ever expanding...

Hi! 
Welcome and thanks for checking out our blog. The Clinical Informatics Teams have been involved in many projects to expand electronic documentation at Baystate Health over the last few months. Here is a quick list of what the inpatient team has been up to and may be coming to a computer near you in the future:

• Interactive Flowsheets (IView) and Progress notes for APTU/ MHU
• Sally Irelan
• Patient Education (Krames material) and Depart for all inpatient units
•  Nicki McAvoy
• CPOE(order entry)/ PPID (med scanning) for Ambulatory surgery at all 3 facilities
• Steven Downs and Sally Irelan
• Expansion of forms library to include ED and Surgical units
• Steven Downs
• Nursing Communication Mpage
• Sally Irelan

Ever expanding... and always optimizing: We also continue to work with staff to make what already exists in CIS to be easier to access and help staff provide safer care:

• Concentrated Potassium replacement in NICU - nurse witness task and care set
• Nicki McAvoy
• Standard Interventions in Nursing Care Plans 
• Sally Irelan
• Redesign of Skin/ Wound Documentation screens
• Sally Irelan

This is of course a very short list of the projects and requests we are working on. Please feel free to contact any of us with questions or comments.

Preliminary Survey Results

Cerner Regional CIO/CMIO Meeting

I am sitting in a conference room in the Hyatt Harborside in Boston amidst 100 or so titled folks from a few dozen Cerner client sites and from Cerner itself.  Thus far, we've heard a bit about future state which is intended to leverage mobile technologies, i.e. iPad, not only for viewing, but for documenting too.  It's interesting that the feedback from CMIOs in particular has more to do with current state and optimizing the EMR experience as it exists today. This brings me a jolt of pleasure since I generally assume the gadfly role when I attend these meetings.  It had been my experience in the past that most clients were Kool-Aid addicts, but not today.

Workflows, documentation, orders, user interface, even the Mpage; all the usual suspects of discontent are being brought to Cerner leadership in full force.  And I intend to share some of the preliminary results from the CIS User survey many of you performed with Cerner folks.

A most worthy read...

You may have already read this piece in today's message from Evan Benjamin MD, our Chief Quality Officer and a colleague of Dr. Berwick's. Evan shared this with me last week and I have been doing the same with friends and colleagues since. As I said in an email to my colleagues in Clinical Informatics, "This talk speaks to where my heart and soul live and why I do the work I do." ---- Berwick to HMS 2012

Brief news

I feel a bit like a spammer, (though without any inchoate intentions a la any relatives I might have in Nigeria), having sent two pan-provider emails in the past 24 hours.  I've actually held back a couple since I don't want to overwhelm/bore/incite my colleagues.

In the event that you overlooked or have an Outlook rule that deletes all emails from me, here is what you missed:

• A hearty and earnest invitation to reply to the CIS User Survey  (Please do! Honestly.)

and...

• a few words about the new Radiology PACS (again, Picture Archiving & Communications System) that will be available on Tuesday morning July 17.

And, not quite my final act of the week last Friday, I sent out the post of an imminent vacancy in the Division of Clinical Informatics.  Many of you know the talented Dr. Talati will be moving on up to the north to assume the physician leadership role in the Baystate Franklin Emergency Department.  Great get for BFMC and our patients.  While this notice was sent only to BMP physicians, I would be remiss were I not to accept applications from outside the group.  If you are not a BMP doc, but are interested in a great job and know Cerner's EMR, don't hesitate to contact me.  

More news to come...

Transparent Informatics Redux

The last post to the first effort to communicate to our BH colleagues via this "web 2.0" platform, aka blog, was just about 2 years ago when Tom Higgins wrote a great post on the iPad.  Since then, we've gone dark, leaving nothing to transparency.  A lot has changed since July '10 and we are once again ready to reveal ourselves through posts, actions and deeds.


The first order of this blog is for us to solicit your opinion.  As we begin our planning for FY13, we, the Division of Clinical Informatics, need to know what you're happy with and what you just can't stand any longer.  Follow the survey link below and, in five minutes or less, let us know what prize we should have our eyes on.

CIS User Survey